Public record
Lemborexant: 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 lemborexant
The FDA label read for lemborexant (DAYVIGO, application NDA212028) was last revised on 2025-02-24. 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 | 2025-02-24 | |
| Label read | DAYVIGO | NDA212028, 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 lemborexant 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 lemborexant
The earliest FDA approval on file for a lemborexant product is 2019-12-20. Drugs@FDA lists 1 application for it and 5 approved supplements, the most recent on 2025-02-19.
| Measure | Value | Note |
|---|---|---|
| Earliest FDA approval on file | 2019-12-20 | |
| Applications with an approval on file | 1 | |
| New drug applications (NDA) | 1 | |
| Generic applications (ANDA) | 0 | |
| Approved supplements | 5 | label, manufacturing and efficacy changes |
| Most recent supplement approval | 2025-02-19 | |
| Sponsoring companies | 1 |
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 lemborexant 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 lemborexant
The FDA Orange Book lists 0 approved generic applications for lemborexant across 2 listed products. 4 listed patents have not yet expired, the last on 2035-10-21.
| Measure | Value |
|---|---|
| Brand-name applications (NDA) | 1 |
| Approved generic applications (ANDA) | 0 |
| Listed patents not yet expired | 4 |
| Latest listed patent expiry | 2035-10-21 |
| Earliest approval date on file | 2020-04-07 |
| Products not marked discontinued | 2 of 2 |
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 lemborexant 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 lemborexant
Medicare Part D spending on lemborexant products was $21.0M in 2024 across 57,890 claims, compared with $16.5M in 2023 (+27.0%). Average spending per claim was $362, before rebates.
| Measure | Value |
|---|---|
| Total spending, 2024 | $21.0M |
| Total spending, 2023 | $16.5M |
| Change in spending, 2023 to 2024 | +27.0% |
| Claims (prescription fills), 2024 | 57,890 |
| Average spending per claim, 2024 | $362 |
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 lemborexant product in Part D (Dayvigo), 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 lemborexant by state
State Medicaid programmes paid for 16,382 lemborexant prescriptions in 2025, with $5.4M reimbursed before rebates. California reported the most (2,205), followed by Indiana (2,079) and Colorado (1,133); 39 states and territories reported any.
| Measure | Value | Note |
|---|---|---|
| Prescriptions paid by Medicaid, 2025 | 16,382 | |
| Total reimbursed before rebates, 2025 | $5.4M | |
| States and territories reporting | 39 | with at least one count CMS did not suppress |
| California | 2,205 prescriptions | $742,781 reimbursed |
| Indiana | 2,079 prescriptions | $669,956 reimbursed |
| Colorado | 1,133 prescriptions | $361,419 reimbursed |
| Idaho | 888 prescriptions | $299,776 reimbursed |
| North Carolina | 821 prescriptions | $263,710 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 lemborexant 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 lemborexant
Retail pharmacies paid an average of $11.56 per unit for DAYVIGO 10 MG TABLET as of 2026-11-11, compared with $11.26 twelve months earlier (+2.7%). This is a pharmacy purchase cost, not a patient price.
| Measure | Value | Note |
|---|---|---|
| DAYVIGO 10 MG TABLET, now | $11.56 per unit | |
| DAYVIGO 10 MG TABLET, 12 months earlier | $11.26 per unit | |
| Change over 12 months | +2.7% | |
| DAYVIGO 5 MG TABLET | $11.58 per unit | 12 months earlier $11.24 (+3.0%) |
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.
Brand-name product of lemborexant 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 lemborexant
Through 2026-10-28, FDA had received 2,945 adverse event reports for lemborexant, 2,286 of them marked serious by the reporter. The symptom terms named most often were suicide attempt (175), suicidal ideation (156) and somnolence (149).
| Measure | Value | Note |
|---|---|---|
| All reports received | 2,945 | |
| Reports the reporter marked serious | 2,286 | death, hospitalisation, disability or similar outcome |
| Suicide attempt | 175 reports | |
| Suicidal ideation | 156 reports | |
| Somnolence | 149 reports | |
| Fall | 111 reports | |
| Nausea | 104 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 lemborexant 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.
Clinical studies
Registered clinical studies of lemborexant
ClinicalTrials.gov lists 54 registered studies that name lemborexant as an intervention as of 2026-11-11. Of these, 12 are recruiting, 26 are completed and 7 are phase 3 studies.
| Measure | Value |
|---|---|
| Registered studies | 54 |
| Recruiting now | 12 |
| Not yet recruiting | 10 |
| Completed | 26 |
| Terminated, withdrawn or suspended | 3 |
| Phase 3 (including phase 2/3) | 7 |
| Phase 2 (including phase 1/2) | 19 |
| Phase 1 | 13 |
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 lemborexant, 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 Lemborexant
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- Dayvigo Cost vs. Alternatives: Comparing Lemborexant to Other Insomnia Treatments
- Dayvigo Half-Life: 17-19 Hours and Missed-Dose Rule
- Dayvigo (Lemborexant) Storage, Stability & Shelf Life
- Dayvigo (Lemborexant): EMA vs FDA Regulatory Approach
- Lemborexant EMA Approval Status and Global Markets