Public record

Lisinopril: the public record

6 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 lisinopril

The FDA label read for lisinopril (Qbrelis, application NDA208401) was last revised on 2025-12-16. It carries a boxed warning headed "WARNING: FETAL TOXICITY". Of the 4 population sections checked, 4 are present: pregnancy, lactation, pediatric use, geriatric use.

FDA label facts for lisinopril: the figures
MeasureValueNote
Label revision date2025-12-16
Label readQbrelisNDA208401, brand-name application
Boxed warningYesheading as printed: "WARNING: FETAL TOXICITY"
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 lisinopril 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 lisinopril

The earliest FDA approval on file for a lisinopril product is 1987-12-29. Drugs@FDA lists 23 applications for it and 307 approved supplements, the most recent on 2024-05-30.

FDA approval history for lisinopril: the figures
MeasureValueNote
Earliest FDA approval on file1987-12-29
Applications with an approval on file23
New drug applications (NDA)3
Generic applications (ANDA)20
Approved supplements307label, manufacturing and efficacy changes
Most recent supplement approval2024-05-30
Sponsoring companies21

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 lisinopril 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 lisinopril

The FDA Orange Book lists 20 approved generic applications for lisinopril, the first approved on 2002-07-01. 12 listed patents on specific brand products have not yet expired, the last on 2035-11-06; generics of other versions are already approved.

Patents and generic approvals for lisinopril: the figures
MeasureValueNote
Brand-name applications (NDA)3
Approved generic applications (ANDA)20first approved 2002-07-01
Companies with a generic not marked discontinued11
Listed patents not yet expired12
Latest listed patent expiry2035-11-06on any product; may cover only one brand formulation
Earliest approval date on file1987-12-29
Products not marked discontinued80 of 121

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 lisinopril 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 lisinopril

Medicare Part D spending on lisinopril products was $258.2M in 2024 across 36,251,385 claims, compared with $337.4M in 2023 (-23.5%). Average spending per claim was $7.12, before rebates.

Medicare Part D spending on lisinopril: the figures
MeasureValueNote
Total spending, 2024$258.2M
Total spending, 2023$337.4M
Change in spending, 2023 to 2024-23.5%
Claims (prescription fills), 202436,251,385
Average spending per claim, 2024$7.12
Lisinopril: spending, 2024$252.9M36,247,459 claims
Zestril: spending, 2024$3.1M2,794 claims
Qbrelis: spending, 2024$2.2M1,132 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 lisinopril product in Part D (Lisinopril, Zestril, Qbrelis), 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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Adverse event reports

Most reported events in FDA adverse event reports for lisinopril

Through 2026-10-28, FDA had received 235,389 adverse event reports for lisinopril, 140,082 of them marked serious by the reporter. The symptom terms named most often were fatigue (16,491), diarrhoea (14,138) and nausea (13,761).

Most reported events in FDA adverse event reports for lisinopril: the figures
MeasureValueNote
All reports received235,389
Reports the reporter marked serious140,082death, hospitalisation, disability or similar outcome
Fatigue16,491 reports
Diarrhoea14,138 reports
Nausea13,761 reports
Headache10,390 reports
Pain10,240 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 lisinopril 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 lisinopril

FDA enforcement reports list 35 drug recall entries naming lisinopril from 2013 to 2024-11-27. 27 of them are for compounded or other unlisted products and 8 for products FDA lists under a label. The most common stated reason was manufacturing practice deviations (14 of 35).

FDA drug recalls naming lisinopril: the figures
MeasureValueNote
Recall entries on record35
For products FDA lists under an approved or registered label8
For compounded or other unlisted products27matched by the name in the product description
Class I (most serious)0
Class II30
Class III5
Most recent recall reported2024-11-27
Most common stated reasonmanufacturing practice deviations14 of 35 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 lisinopril 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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Articles on Lisinopril