Public record
Ezetimibe: the public record
Each table is computed from the named federal dataset as of its data date; the method is under each one.
Label
FDA label facts for ezetimibe
The FDA label read for ezetimibe (Zetia, application NDA021445) was last revised on 2025-11-25. It carries no boxed warning. Of the 4 population sections checked, 4 are present: pregnancy, lactation, pediatric use, geriatric use.
| Measure | Value | Note |
|---|---|---|
| Label revision date | 2025-11-25 | |
| Label read | Zetia | NDA021445, brand-name application |
| Boxed warning | No | |
| Pregnancy section | Present | |
| Lactation section | Present | |
| Pediatric use section | Present | |
| Geriatric use section | Present |
How this was calculated
Selected the most recently revised prescription label for this single ingredient from an original manufacturer, preferring a brand-name application. Checked which sections exist and quoted headings and sentences exactly as printed.
One label: the newest prescription label for single-ingredient ezetimibe from an original manufacturer
Read from one label. Labels for other brands, strengths or forms of the same ingredient can differ. A missing section heading does not mean there is no guidance. Read the full label before relying on it.
Approvals
FDA approval history for ezetimibe
The earliest FDA approval on file for a ezetimibe product is 2002-10-25. Drugs@FDA lists 17 applications for it and 55 approved supplements, the most recent on 2024-10-22.
| Measure | Value | Note |
|---|---|---|
| Earliest FDA approval on file | 2002-10-25 | |
| Applications with an approval on file | 17 | |
| New drug applications (NDA) | 1 | |
| Generic applications (ANDA) | 16 | |
| Approved supplements | 55 | label, manufacturing and efficacy changes |
| Most recent supplement approval | 2024-10-22 | |
| Sponsoring companies | 17 |
How this was calculated
Selected applications with a product whose only active ingredient is this substance, then counted approved original and supplemental submissions. The earliest approved original submission is the first approval.
Applications with a single-ingredient ezetimibe product in Drugs@FDA, all sponsors and strengths
Older approvals can be missing dates, and tentative approvals are not counted. An approved application does not mean the product is currently marketed.
Patents and generics
Patents and generic approvals for ezetimibe
The FDA Orange Book lists 16 approved generic applications for ezetimibe, the first approved on 2015-06-26. No unexpired patents are listed for it.
| Measure | Value | Note |
|---|---|---|
| Brand-name applications (NDA) | 1 | |
| Approved generic applications (ANDA) | 16 | first approved 2015-06-26 |
| Companies with a generic not marked discontinued | 11 | |
| Listed patents not yet expired | 0 | |
| Earliest approval date on file | 2002-10-25 | |
| Products not marked discontinued | 12 of 17 |
How this was calculated
Selected Orange Book products whose only active ingredient is this substance, then counted applications by type and the distinct patents and exclusivities listed against them. Expired patents are left out.
All single-ingredient ezetimibe products in the Orange Book, every brand and strength, files dated 2026-10-09
An approved generic or an expired patent does not show that a generic is on sale. Launch timing also depends on litigation, settlements and supply. Biologics and compounded products are not in the Orange Book.
Medicare Part D
Medicare Part D spending on ezetimibe
Medicare Part D spending on ezetimibe products was $214.6M in 2024 across 8,755,353 claims, compared with $296.4M in 2023 (-27.6%). Average spending per claim was $24.51, before rebates.
| Measure | Value | Note |
|---|---|---|
| Total spending, 2024 | $214.6M | |
| Total spending, 2023 | $296.4M | |
| Change in spending, 2023 to 2024 | -27.6% | |
| Claims (prescription fills), 2024 | 8,755,353 | |
| Average spending per claim, 2024 | $24.51 | |
| Ezetimibe: spending, 2024 | $208.7M | 8,748,229 claims |
| Zetia: spending, 2024 | $5.8M | 7,124 claims |
How this was calculated
Summed total spending and claims over every brand and generic row with this generic name in the CMS file, using the Overall manufacturer rows. Combination products excluded. Average per claim is spending divided by claims.
Every single-ingredient ezetimibe product in Part D (Ezetimibe, Zetia), 2024.
Gross drug cost before manufacturer rebates, so net cost is lower. Part D excludes some uses by law (for example erectile dysfunction, weight loss and hair growth), so claims reflect covered uses only. Compounded products are not included.
Medicaid
Medicaid prescriptions for ezetimibe by state
State Medicaid programmes paid for 1,123,809 ezetimibe prescriptions in 2025, with $14.1M reimbursed before rebates. California reported the most (125,610), followed by New York (123,726) and Pennsylvania (69,926); 52 states and territories reported any.
| Measure | Value | Note |
|---|---|---|
| Prescriptions paid by Medicaid, 2025 | 1,123,809 | |
| Total reimbursed before rebates, 2025 | $14.1M | |
| States and territories reporting | 52 | with at least one count CMS did not suppress |
| California | 125,610 prescriptions | $2.2M reimbursed |
| New York | 123,726 prescriptions | $1.7M reimbursed |
| Pennsylvania | 69,926 prescriptions | $633,975 reimbursed |
| New Jersey | 63,024 prescriptions | $390,363 reimbursed |
| Ohio | 52,643 prescriptions | $697,498 reimbursed |
How this was calculated
Matched each Medicaid product code to the FDA NDC Directory by labeler and product code, kept finished single-ingredient products, then summed prescriptions and reimbursement by state. National roll-up and suppressed rows dropped.
All single-ingredient ezetimibe products in the FDA NDC Directory, fee-for-service and managed care, 2025
Counts under 11 are suppressed by CMS and left out, so totals are a floor. Amounts are before rebates. Differences between states reflect programme size and coverage rules. Compounded products are not included.
Pharmacy cost
Pharmacy acquisition cost (NADAC) for ezetimibe
Retail pharmacies paid an average of $0.0704 per unit for EZETIMIBE 10 MG TABLET as of 2026-11-11, compared with $0.0687 twelve months earlier (+2.5%). This is a pharmacy purchase cost, not a patient price.
| Measure | Value |
|---|---|
| EZETIMIBE 10 MG TABLET, now | $0.0704 per unit |
| EZETIMIBE 10 MG TABLET, 12 months earlier | $0.0687 per unit |
| Change over 12 months | +2.5% |
How this was calculated
Matched NADAC product codes to the FDA NDC Directory, kept finished single-ingredient products, and listed the product descriptions with the most package codes. The earlier price is the same package code in the file one year before.
Generic versions of ezetimibe in the weekly NADAC file of 2026-11-11, compared with the file of 2025-11-12
NADAC is the average invoice price retail pharmacies pay, from a voluntary survey. It leaves out rebates, dispensing fees and markups, and it is not what a patient or insurer pays. Compounded products are not surveyed.
Adverse event reports
Most reported events in FDA adverse event reports for ezetimibe
Through 2026-10-28, FDA had received 61,011 adverse event reports for ezetimibe, 42,964 of them marked serious by the reporter. The symptom terms named most often were fatigue (4,371), myalgia (3,671) and nausea (3,583).
| Measure | Value | Note |
|---|---|---|
| All reports received | 61,011 | |
| Reports the reporter marked serious | 42,964 | death, hospitalisation, disability or similar outcome |
| Fatigue | 4,371 reports | |
| Myalgia | 3,671 reports | |
| Nausea | 3,583 reports | |
| Diarrhoea | 3,560 reports | |
| Dyspnoea | 2,989 reports |
How this was calculated
Counted FAERS reports listing this active substance, then the reaction terms named most often. A report can name several reactions, and a term can describe the illness being treated and not an effect of the drug. Terms about product use or complaints rather than symptoms (for example drug ineffective) were left out of the list.
Reports where FDA recorded ezetimibe as a single-ingredient active substance (any brand), all years to 2026-10-28
FAERS reports are unverified and do not prove the drug caused the event. Reporting rises with use, publicity and lawsuits, so these counts cannot give rates or risks and cannot be compared between drugs.
Recalls
FDA drug recalls naming ezetimibe
FDA enforcement reports list 7 drug recall entries naming ezetimibe from 2014 to 2019-01-30. 7 of them are for compounded or other unlisted products and 0 for products FDA lists under a label. The most common stated reason was potency out of specification (5 of 7).
| Measure | Value | Note |
|---|---|---|
| Recall entries on record | 7 | |
| For products FDA lists under an approved or registered label | 0 | |
| For compounded or other unlisted products | 7 | matched by the name in the product description |
| Class I (most serious) | 0 | |
| Class II | 3 | |
| Class III | 4 | |
| Most recent recall reported | 2019-01-30 | |
| Most common stated reason | potency out of specification | 5 of 7 entries |
How this was calculated
Counted enforcement report entries matched by FDA's listed active substance, or by the name in the product description where FDA lists none. Reasons were grouped by keywords in FDA's stated reason.
Recalls of single-ingredient ezetimibe products, plus compounded or unlisted products whose description names it
Each recall covers specific lots from one firm and is not a statement about every product with this ingredient. One event can appear as several entries, one per product.
Clinical studies
Registered clinical studies of ezetimibe
ClinicalTrials.gov lists 492 registered studies that name ezetimibe as an intervention as of 2026-11-11. Of these, 40 are recruiting, 323 are completed and 153 are phase 3 studies.
| Measure | Value |
|---|---|
| Registered studies | 492 |
| Recruiting now | 40 |
| Not yet recruiting | 22 |
| Completed | 323 |
| Terminated, withdrawn or suspended | 29 |
| Phase 3 (including phase 2/3) | 153 |
| Phase 2 (including phase 1/2) | 37 |
| Phase 1 | 50 |
How this was calculated
Searched the ClinicalTrials.gov intervention field for the name, downloaded every matching record and counted by overall status and phase. Combined phases are counted under the higher phase. Phase not applicable covers observational, device and behavioural studies.
Studies whose intervention field matches ezetimibe, any condition, any country, all statuses
A registered study is not a result. Counts include studies where the drug is a comparator or background treatment, and studies that never finished or reported.
Articles on Ezetimibe
- Ezetimibe Dosing: When the Other Medicine Changes Your Schedule
- Zetia (Ezetimibe) Cost vs. Alternatives: A Clinician's Comparison
- Stopping Ezetimibe: Keep the Medicine Change and the LDL Result Separate
- Zetia Mechanism of Action: The Full Ezetimibe Pathway Explained
- Zetia (Ezetimibe) Missed-Dose Protocol: What to Do and When to Skip
- Zetia Monitoring Schedule: Labs & Exams You Actually Need