Public record

Lemborexant: the public record

8 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 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.

FDA label facts for lemborexant: the figures
MeasureValueNote
Label revision date2025-02-24
Label readDAYVIGONDA212028, 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 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.

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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.

FDA approval history for lemborexant: the figures
MeasureValueNote
Earliest FDA approval on file2019-12-20
Applications with an approval on file1
New drug applications (NDA)1
Generic applications (ANDA)0
Approved supplements5label, manufacturing and efficacy changes
Most recent supplement approval2025-02-19
Sponsoring companies1

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 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.

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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.

Patents and generic approvals for lemborexant: the figures
MeasureValue
Brand-name applications (NDA)1
Approved generic applications (ANDA)0
Listed patents not yet expired4
Latest listed patent expiry2035-10-21
Earliest approval date on file2020-04-07
Products not marked discontinued2 of 2

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 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.

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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.

Medicare Part D spending on lemborexant: the figures
MeasureValue
Total spending, 2024$21.0M
Total spending, 2023$16.5M
Change in spending, 2023 to 2024+27.0%
Claims (prescription fills), 202457,890
Average spending per claim, 2024$362

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 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.

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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.

Medicaid prescriptions for lemborexant by state: the figures
MeasureValueNote
Prescriptions paid by Medicaid, 202516,382
Total reimbursed before rebates, 2025$5.4M
States and territories reporting39with at least one count CMS did not suppress
California2,205 prescriptions$742,781 reimbursed
Indiana2,079 prescriptions$669,956 reimbursed
Colorado1,133 prescriptions$361,419 reimbursed
Idaho888 prescriptions$299,776 reimbursed
North Carolina821 prescriptions$263,710 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 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.

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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.

Pharmacy acquisition cost (NADAC) for lemborexant: the figures
MeasureValueNote
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 unit12 months earlier $11.24 (+3.0%)

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: 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.

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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).

Most reported events in FDA adverse event reports for lemborexant: the figures
MeasureValueNote
All reports received2,945
Reports the reporter marked serious2,286death, hospitalisation, disability or similar outcome
Suicide attempt175 reports
Suicidal ideation156 reports
Somnolence149 reports
Fall111 reports
Nausea104 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 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.

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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.

Registered clinical studies of lemborexant: the figures
MeasureValue
Registered studies54
Recruiting now12
Not yet recruiting10
Completed26
Terminated, withdrawn or suspended3
Phase 3 (including phase 2/3)7
Phase 2 (including phase 1/2)19
Phase 113

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 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.

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