Pivya savings card: as little as $0 a fill with commercial insurance

How to pay the least

Ask for the cash price

Pivya

We didn’t find one.

Ask your pharmacy for Pivya’s cash price, and one or two other pharmacies too.
Pivya’s savings card works only with insurance from a job or one you bought.

Compare every option

Brand namePivya

Authorized genericpivmecillinam

Regular genericpivmecillinam

What you’d pay

Cash priceAsk the pharmacy

Not soldThere isn’t one

Not soldNone found

Same as Pivya?

The original

–

Brand nameThe maker’s card

PIVYA Savings Program

Savings card from Alembic Therapeutics

No insuranceNeeds insuranceNo cash price listed.

Insurance · as little as $0 a fill

In the maker’s words

“Reimbursement limits apply; patients with high-deductible or coinsurance plans may pay more than $0.”

From the maker’s offer on pivya.com, checked November 2, 2026. Co-pay cards can’t be used with Medicare (including Medicare Advantage), Medicaid, TRICARE or VA.

Maker’s card or discount card?

A discount card like GoodRx lowers the pharmacy’s cash price, but for a brand-name drug that price often stays high. Compare it with the maker’s card above. You can usually use one or the other on a fill, not both.

Authorized genericNot sold

There isn’t one. An authorized generic is Pivya itself, from the same company, sold without the brand name, and usually for less. For now Pivya is the only choice; its maker’s savings card can lower what you pay.

See the brand name →

Regular genericNot sold

We didn’t find one. Generics usually come once the brand’s patents and exclusivity end. Until then, the maker’s savings card is the way to pay less.

See the brand name →

What it’s used for

Urinary tract infections

What the FDA label says

PIVYA is a penicillin class antibacterial indicated for the treatment of female patients 18 years of age and older with uncomplicated urinary tract infections (uUTI) caused by susceptible isolates of Escherichia coli, Proteus mirabilis and Staphylococcus saprophyticus.

To reduce the development of drug-resistant bacteria and maintain the effectiveness of PIVYA and other antibacterial drugs, PIVYA should be used only to treat or prevent infections that are proven or strongly suspected to be caused by bacteria.

Source: the FDA label for Pivya (Alembic Pharmaceuticals Inc.), October 10, 2025. Full label on DailyMed

Good to know

“Commercial insurance” means a plan from a job, from the marketplace, or one you buy yourself. A retiree plan that’s part of Medicare counts as Medicare. Co-pay cards can’t be used with Medicare (including Medicare Advantage), Medicaid, TRICARE or VA.
Most cards need a sign-up on the maker’s site, and many work only if your plan covers the drug. Then give the card’s details to your pharmacy.
Don’t stop or change a medicine without talking to your pharmacist or prescriber.

Prices checked November 2, 2026. Prices change: confirm with the pharmacy before you fill. drugalt.com/drug/pivya/