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The medication you receive may look different but the drug, strength, and ingredients are the same. Compare Biaxin Xl (clarithromycin) prices from accredited international online pharmacies, U.S. mail-order pharmacies, and discount coupon programs. The lowest available price for Biaxin xl (clarithromycin) 500 mg is $1.43 per tablet for 84 tablets at PharmacyChecker-accredited online pharmacies. Clarithromycin (previously known by its brand name Biaxin) is an antibiotic that's used to treat a variety of bacterial infections in adults and children. It's available as a generic immediate-release tablet and solution taken twice per day and an extended-release tablet taken once per day. Side effects include a metallic or sour taste, nausea, vomiting, and diarrhea. Clarithromycin is an antibiotic that is used for infections caused by certain bacteria. It works by stopping certain types of bacteria from making proteins they need to grow and multiply. 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