Thanks for your question. Please kindly refer to https://global.fuyanpills.com/notice/20120301/162.html for the accurate price of the medicine and shipping cost to the United States. We hope to know more about your disease of infertility, so if you don't mind, you can feel free to write to us via herbalistlee@yahoo.com or wuhandrlee@hotmail.com about your symptoms or doctor's diagnosis, so we'd be able to provide you with further assistance. Best Regards