Bicillin L A (Bicillin L-A) — Compare Prices at US & Canada Pharmacies
Compare real Bicillin L A prices at US and Canadian pharmacies, see official FDA uses and warnings, and find generic alternatives.
What is the out-of-pocket cost for Bicillin L-A without insurance coverage?
Uninsured patients typically face a charge of approximately $1,058.15 per 4 mL syringe (2,400,000 units) at most hospitals and clinics. Actual costs may differ based on the facility and region. Since Bicillin L-A is administered in a clinical setting rather than purchased at a retail pharmacy, patients should contact their healthcare provider's billing department or case manager to discuss their specific cost and any available payment assistance programs.
What does Bicillin L-A cost for patients with insurance?
Copay amounts depend entirely on your insurance plan's formulary tier and your healthcare provider's contracted rate. Medicare plans, commercial insurers, and Medicaid each have different coverage terms. Since the injection is given at a medical facility, your out-of-pocket expense will be determined by your plan's coinsurance, copay, or deductible requirements at the time of administration. Contact your insurance provider or the facility's billing team for a cost estimate before your appointment.
Is Bicillin L-A covered by Medicare, and what would a patient pay?
Bicillin L-A is generally covered under Medicare Part D and many Medicare Advantage prescription drug plans, though coverage and copay amounts vary by specific plan. Patients enrolled in these programs should verify coverage details through their plan documentation or by calling their insurer. For those without adequate coverage, speaking with the hospital or clinic's financial counselor about payment options or assistance programs may help reduce out-of-pocket expenses.
Are generic alternatives to Bicillin L-A available?
Bicillin L-A is a brand-name formulation; other brand options include Pfizerpen and Permapen. Generic penicillin g potassium is manufactured by companies such as Fresenius Kabi, Athenex, and Sandoz and is often available at a lower cost. Your physician can discuss generic penicillin options with you, and the prescribing facility can provide pricing information for both brand-name and generic versions.
Bicillin L A prices at US pharmacies
Bicillin L-A — syringe, 4ml of 2400000unit/4ml, qty 4
| Pharmacy | Retail price | With discount card |
|---|---|---|
| Kroger Pharmacy Lowest | $899.89 | $896.89 |
| Harris Teeter Pharmacy | $899.89 | $896.89 |
| Walgreens | $945.56 | $942.56 |
| CVS Pharmacy | $951.49 | $948.49 |
| Publix | $952.30 | $949.30 |
| Walmart Neighborhood Market | $966.28 | $963.28 |
| Walmart Pharmacy | $966.28 | $963.28 |
| Costco | $971.26 | $968.26 |
Bicillin L A prices at Canadian pharmacies
No Canadian pharmacy pricing was found for Bicillin L A in our latest data pull.
Canada prices are converted to USD at time of collection and shown per tablet where available. Ordering from Canadian pharmacies is legal for personal use in most cases but subject to FDA/CBSA rules — see US vs Canada, explained.
What is Bicillin L A used for?
Bicillin L-A is a prescription antibiotic injection containing penicillin g potassium (benzylpenicillin) used to treat serious bacterial infections requiring sustained, low-dose penicillin therapy. Healthcare providers administer it for conditions including pneumonia, meningitis, anthrax, syphilis, gonorrhea, Lyme disease, and related infections. The medication is delivered as a deep intramuscular injection at a hospital or clinic—patients do not fill it at a pharmacy. Typical facility pricing ranges around $1,058.15 per 4 mL syringe (2,400,000 units), though charges vary considerably depending on the healthcare setting and geographic location.
Available forms
syringe
Related & alternative drugs
Warnings & interactions
This is a summary of the official FDA label text, not personalized medical advice. It does not list every possible interaction or side effect. Always tell your prescriber and pharmacist about every medicine and supplement you take.
Boxed warning
WARNING NOT FOR INTRAVENOUS USE. DO NOT INJECT INTRAVENOUSLY OR ADMIX WITH OTHER INTRAVENOUS SOLUTIONS. THERE HAVE BEEN REPORTS OF INADVERTENT INTRAVENOUS ADMINISTRATION OF PENICILLIN G BENZATHINE WHICH HAS BEEN ASSOCIATED WITH CARDIORESPIRATORY ARREST AND DEATH. Prior to administration of this drug, carefully read the WARNINGS , ADVERSE REACTIONS , and DOSAGE AND ADMINISTRATION sections of the labeling.
Contraindications
CONTRAINDICATIONS A history of a previous hypersensitivity reaction to any of the penicillins is a contraindication.
Warnings
WARNINGS WARNING NOT FOR INTRAVENOUS USE. DO NOT INJECT INTRAVENOUSLY OR ADMIX WITH OTHER INTRAVENOUS SOLUTIONS. THERE HAVE BEEN REPORTS OF INADVERTENT INTRAVENOUS ADMINISTRATION OF PENICILLIN G BENZATHINE WHICH HAS BEEN ASSOCIATED WITH CARDIORESPIRATORY ARREST AND DEATH. Prior to administration of this drug, carefully read the WARNINGS , ADVERSE REACTIONS , and DOSAGE AND ADMINISTRATION sections of the labeling. Penicillin G benzathine should only be prescribed for the indications listed in this insert. Anaphylaxis SERIOUS AND OCCASIONALLY FATAL HYPERSENSITIVITY (ANAPHYLACTIC) REACTIONS HAVE BEEN REPORTED IN PATIENTS ON PENICILLIN THERAPY.
Known drug interactions
Drug Interactions Tetracycline, a bacteriostatic antibiotic, may antagonize the bactericidal effect of penicillin, and concurrent use of these drugs should be avoided. Concurrent administration of penicillin and probenecid increases and prolongs serum penicillin levels by decreasing the apparent volume of distribution and slowing the rate of excretion by competitively inhibiting renal tubular secretion of penicillin.
Pregnancy & breastfeeding
Pregnancy Teratogenic effects Pregnancy Reproduction studies performed in the mouse, rat, and rabbit have revealed no evidence of impaired fertility or harm to the fetus due to penicillin G. Human experience with the penicillins during pregnancy has not shown any positive evidence of adverse effects on the fetus. There are, however, no adequate and well-controlled studies in pregnant women showing conclusively that harmful effects of these drugs on the fetus can be excluded.
Frequently asked questions
How much does Bicillin L A cost without insurance?
Is there a generic version of Bicillin L A?
Is Bicillin L A currently in shortage?
What drug class is Bicillin L A in?
Learn more about Bicillin L A
In-depth answers to common Bicillin L A questions, fact-checked against the sources cited in each.
What exactly is Bicillin L-A and how does it work?
Bicillin L-A is a penicillin-based injectable antibiotic designed for patients requiring prolonged, low-intensity penicillin therapy for bacterial infections. Its active ingredient, benzylpenicillin (penicillin g potassium), is a natural penicillin that destroys bacterial cell walls. As the bacterial cell wall structure breaks down, the cell contents leak out, killing the organism. This mechanism makes it effective against a broad spectrum of bacteria responsible for pneumonia, meningitis, anthrax, diphtheria, syphilis, Lyme disease, gonorrhea, listeria, rat-bite fever, bloodstream infections, and erysipeloid (a skin infection caused by bacteria). A physician administers the drug via deep intramuscular injection; dosing is tailored to the severity of the underlying infection.
What side effects should patients expect from Bicillin L-A?
Injection-site reactions are the most frequently reported side effects and typically include temporary pain, redness, and swelling at the injection location. Additional common side effects are nausea, vomiting, blurred vision, dizziness, and fatigue. Neuropsychiatric effects are rare but possible and may include confusion, agitation, and in uncommon cases, hallucinations. Penicillin allergies occur in a significant portion of the population, particularly those with prior penicillin exposure, and can manifest as hives, rashes, itching, and facial or throat swelling. Anaphylaxis—a severe, potentially life-threatening drop in blood pressure accompanied by difficulty breathing—is the most serious allergic response. Seek immediate emergency care if you experience signs of an allergic reaction following a Bicillin L-A injection.
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Prices last checked 2026-08-21. Reviewed against FDA and DailyMed official sources — see our review process. Not a substitute for professional medical advice.