Public record

Ezetimibe: the public record

9 tables from US federal sources. Latest data date: Nov 11, 2026.

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.

FDA label facts for ezetimibe: the figures
MeasureValueNote
Label revision date2025-11-25
Label readZetiaNDA021445, brand-name application
Boxed warningNo
Pregnancy sectionPresent
Lactation sectionPresent
Pediatric use sectionPresent
Geriatric use sectionPresent

Source: FDA drug label via openFDA, viewable on NIH DailyMed, data as of Nov 11, 2026

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.

Scope: 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.

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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.

FDA approval history for ezetimibe: the figures
MeasureValueNote
Earliest FDA approval on file2002-10-25
Applications with an approval on file17
New drug applications (NDA)1
Generic applications (ANDA)16
Approved supplements55label, manufacturing and efficacy changes
Most recent supplement approval2024-10-22
Sponsoring companies17

Source: FDA, Drugs@FDA, data as of Nov 11, 2026

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.

Scope: 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.

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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.

Patents and generic approvals for ezetimibe: the figures
MeasureValueNote
Brand-name applications (NDA)1
Approved generic applications (ANDA)16first approved 2015-06-26
Companies with a generic not marked discontinued11
Listed patents not yet expired0
Earliest approval date on file2002-10-25
Products not marked discontinued12 of 17

Source: FDA, Orange Book (Approved Drug Products with Therapeutic Equivalence Evaluations), data as of Oct 9, 2026

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.

Scope: 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.

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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.

Medicare Part D spending on ezetimibe: the figures
MeasureValueNote
Total spending, 2024$214.6M
Total spending, 2023$296.4M
Change in spending, 2023 to 2024-27.6%
Claims (prescription fills), 20248,755,353
Average spending per claim, 2024$24.51
Ezetimibe: spending, 2024$208.7M8,748,229 claims
Zetia: spending, 2024$5.8M7,124 claims

Source: CMS, Medicare Part D Spending by Drug, data as of 2024

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.

Scope: 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.

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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.

Medicaid prescriptions for ezetimibe by state: the figures
MeasureValueNote
Prescriptions paid by Medicaid, 20251,123,809
Total reimbursed before rebates, 2025$14.1M
States and territories reporting52with at least one count CMS did not suppress
California125,610 prescriptions$2.2M reimbursed
New York123,726 prescriptions$1.7M reimbursed
Pennsylvania69,926 prescriptions$633,975 reimbursed
New Jersey63,024 prescriptions$390,363 reimbursed
Ohio52,643 prescriptions$697,498 reimbursed

Source: CMS, Medicaid State Drug Utilization Data 2025, data as of 2025

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.

Scope: 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.

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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.

Pharmacy acquisition cost (NADAC) for ezetimibe: the figures
MeasureValue
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%

Source: CMS, National Average Drug Acquisition Cost (NADAC), data as of Nov 11, 2026

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.

Scope: 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.

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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).

Most reported events in FDA adverse event reports for ezetimibe: the figures
MeasureValueNote
All reports received61,011
Reports the reporter marked serious42,964death, hospitalisation, disability or similar outcome
Fatigue4,371 reports
Myalgia3,671 reports
Nausea3,583 reports
Diarrhoea3,560 reports
Dyspnoea2,989 reports

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, data as of Oct 28, 2026

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.

Scope: 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.

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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).

FDA drug recalls naming ezetimibe: the figures
MeasureValueNote
Recall entries on record7
For products FDA lists under an approved or registered label0
For compounded or other unlisted products7matched by the name in the product description
Class I (most serious)0
Class II3
Class III4
Most recent recall reported2019-01-30
Most common stated reasonpotency out of specification5 of 7 entries

Source: FDA, Enforcement Reports (drug recalls) via openFDA, data as of Nov 10, 2026

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.

Scope: 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.

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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.

Registered clinical studies of ezetimibe: the figures
MeasureValue
Registered studies492
Recruiting now40
Not yet recruiting22
Completed323
Terminated, withdrawn or suspended29
Phase 3 (including phase 2/3)153
Phase 2 (including phase 1/2)37
Phase 150

Source: NIH National Library of Medicine, ClinicalTrials.gov, data as of Nov 11, 2026

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.

Scope: 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.

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Articles on Ezetimibe