You can get generic xifaxan from India A 90 day supply for about 130.00. It is manufactured by Sun Pharmaracutics. India is the only country that is except from genetic patents. I called Rebbe's Pharmacy in Florida. I have not spoken yet to my doctor about this but it does make me a little nervous getting it overseas but the difference in price for me is like $5000. I'm first trying to go thru patient asst to see if I Qualifly.