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Common antibiotics

Drug group

At a glance

Medicare prescriptions, 2024
46,677,008
Medicare drug cost
$380.7M
Average cost per prescription
$8.16
Clinicians who prescribed it
537,588

Where it is prescribed

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What these drugs are

Antibiotics treat bacterial infections. They do not work against viruses such as colds or flu.

Who prescribes it

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Share of Medicare prescriptions written by each specialty.

Drugs in this group

DrugPrescriptionsMedicare cost
Amoxicillin 7,890,233 $23.7M
Azithromycin (Azasite, Zithromax) 7,061,126 $37.4M
Amoxicillin/Potassium Clav (Amoxicillin-Clavulanate Pot Er, Amoxicillin-Clavulanate Potass) 5,742,091 $53.7M
Cephalexin 5,677,028 $42.9M
Doxycycline Hyclate (Doxy 100, Targadox) 5,176,266 $64.1M
Ciprofloxacin Hcl (Ciloxan) 3,328,754 $22.6M
Sulfamethoxazole/Trimethoprim (Bactrim Ds, Sulfamethoxazole-Trimethoprim) 3,030,404 $15.1M
Nitrofurantoin Monohyd/M-Cryst (Macrobid, Nitrofurantoin Mono-Macro) 2,972,015 $45.2M
Cefdinir 1,631,613 $24.9M
Levofloxacin 1,436,107 $8.4M
Doxycycline Monohydrate (Doxycycline Ir-Dr, Oracea) 1,285,524 $23.4M
Clindamycin Hcl 1,057,631 $7.6M
Nitrofurantoin Macrocrystal (Nitrofurantoin) 388,216 $11.5M

Drugs filled in fewer than 1,000 counties have no page of their own; their national totals are shown here.

Industry payments about this drug

Drug makers reported $42 in payments to clinicians that named this group of drugs in 2025 (meals, speaking, consulting and similar).

  • Galderma Laboratories, L.P. $42

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Source: CMS Open Payments, general payments (not research), program year 2025. A payment is not evidence of wrongdoing. Payments by doctor

Recalls and shortages

Not on the FDA drug shortage list.

31 recalls since 2020

  • Sep 2025 · Acella Pharmaceuticals, LLC · Class II
    Failed dissolution specifications: Stability testing found that the lot did not meet dissolution specifications.
  • Sep 2025 · The Harvard Drug Group LLC dba Major Pharmaceuticals and Rugby Laboratories · Class II
    Presence of a Foreign Substance: A specific lot of auxiliary polyester coil, used in product packaging by manufacturer (Amneal Pharmaceuticals LLC) was detected with presence of a micro-organism. No micro-organism was detected on any tablets.
  • Aug 2025 · Northwind Pharmaceuticals LLC · Class II
    Presence of a Foreign Substance: A specific lot of auxiliary polyester coil, used in product packaging by manufacturer (Amneal Pharmaceuticals LLC) was detected with presence of a micro-organism. No micro-organism was detected on any tablets.
  • Aug 2025 · Amneal Pharmaceuticals, LLC · Class II
    Presence of a foreign substance.A specific lot of auxiliary polyester coil, used in product packaging was detected with presence of a micro-organism. No micro-organism was detected on any tablets.
  • Jun 2025 · Amneal Pharmaceuticals, LLC · Class I
    Microbial contamination of non-sterile products: tablets may exhibit black spots due to microbial contamination.
  • Mar 2025 · Glenmark Pharmaceuticals Inc., USA · Class II
    CGMP Deviations
  • Jul 2024 · Sun Pharmaceutical Industries Inc · Class II
    Failed Dissolution Specifications
  • May 2024 · Bryant Ranch Prepack, Inc. · Class III
    Labeling: Not Elsewhere Classified: Back Label states 'Each contains: cephalexin monohydrate, USP equivalent to 5g' instead of Each Bottle contains: cephalexin monohydrate, USP equivalent to 10g'

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Recalls usually affect specific lots from one maker, not every version of a drug. Class I is the most serious; most drug recalls are Class II. FDA recalls (opens in a new tab)

Sources: CMS Medicare Part D Prescribers by Provider and Drug (2024; prescriptions include refills, and CMS hides counts under 11 per prescriber); U.S. Food and Drug Administration, openFDA (drug labels, NDC directory, enforcement reports, drug shortages); CMS Open Payments 2025; ClinicalTrials.gov. General information only, not medical advice; not yet reviewed by our medical reviewer.