There is no official Acura distributor in Malaysia, so the MDX has no confirmed Malaysian OTR price. Third-party price guides estimate recent MDX variants from about RM 213,600 to RM 308,800, but this should be treated as a reference estimate only, not an official local price. East Malaysia buyers should confirm the final OTR with the official dealer because Sabah and Sarawak pricing, registration and delivery costs can differ from Peninsular Malaysia.