Public record
Resmetirom: 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 resmetirom
The FDA label read for resmetirom (REZDIFFRA, application NDA217785) was last revised on 2026-07-29. It carries no boxed warning. Of the 4 population sections checked, 2 are present: pregnancy, lactation.
| Measure | Value | Note |
|---|---|---|
| Label revision date | 2026-07-29 | |
| Label read | REZDIFFRA | NDA217785, brand-name application |
| Boxed warning | No | |
| Pregnancy section | Present | |
| Lactation section | Present | |
| Pediatric use section | Not present | |
| Geriatric use section | Not 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 resmetirom 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 resmetirom
The earliest FDA approval on file for a resmetirom product is 2024-03-14. Drugs@FDA lists 1 application for it and 4 approved supplements, the most recent on 2026-07-24.
| Measure | Value | Note |
|---|---|---|
| Earliest FDA approval on file | 2024-03-14 | |
| Applications with an approval on file | 1 | |
| New drug applications (NDA) | 1 | |
| Generic applications (ANDA) | 0 | |
| Approved supplements | 4 | label, manufacturing and efficacy changes |
| Most recent supplement approval | 2026-07-24 | |
| 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 resmetirom 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 resmetirom
The FDA Orange Book lists 0 approved generic applications for resmetirom across 3 listed products. 8 listed patents have not yet expired, the last on 2045-02-04.
| Measure | Value | Note |
|---|---|---|
| Brand-name applications (NDA) | 1 | |
| Approved generic applications (ANDA) | 0 | |
| Listed patents not yet expired | 8 | |
| Latest listed patent expiry | 2045-02-04 | |
| Latest listed exclusivity expiry | 2029-03-14 | exclusivity code NCE |
| Earliest approval date on file | 2024-03-14 | |
| Products not marked discontinued | 3 of 3 |
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 resmetirom 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 resmetirom
Medicare Part D spending on resmetirom products was $69.1M in 2024 across 14,964 claims. Average spending per claim was $4,618, before rebates.
| Measure | Value |
|---|---|
| Total spending, 2024 | $69.1M |
| Claims (prescription fills), 2024 | 14,964 |
| Average spending per claim, 2024 | $4,618 |
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 resmetirom product in Part D (Rezdiffra), 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 resmetirom by state
State Medicaid programmes paid for 23,937 resmetirom prescriptions in 2025, with $103.2M reimbursed before rebates. California reported the most (4,263), followed by New York (3,627) and Ohio (1,688); 41 states and territories reported any.
| Measure | Value | Note |
|---|---|---|
| Prescriptions paid by Medicaid, 2025 | 23,937 | |
| Total reimbursed before rebates, 2025 | $103.2M | |
| States and territories reporting | 41 | with at least one count CMS did not suppress |
| California | 4,263 prescriptions | $19.9M reimbursed |
| New York | 3,627 prescriptions | $15.0M reimbursed |
| Ohio | 1,688 prescriptions | $6.9M reimbursed |
| Kentucky | 1,404 prescriptions | $7.5M reimbursed |
| Arizona | 1,226 prescriptions | $5.1M 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 resmetirom 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.
Clinical studies
Registered clinical studies of resmetirom
ClinicalTrials.gov lists 25 registered studies that name resmetirom as an intervention as of 2026-11-11. Of these, 7 are recruiting, 13 are completed and 4 are phase 3 studies.
| Measure | Value |
|---|---|
| Registered studies | 25 |
| Recruiting now | 7 |
| Not yet recruiting | 2 |
| Completed | 13 |
| Terminated, withdrawn or suspended | 0 |
| Phase 3 (including phase 2/3) | 4 |
| Phase 2 (including phase 1/2) | 5 |
| Phase 1 | 11 |
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 resmetirom, 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 Resmetirom
- Rezdiffra Dosing: 80 mg or 100 mg by Body Weight
- Rezdiffra Situation: FDA Safety Signals Explained
- Rezdiffra (Resmetirom) Storage, Stability & Shelf Life
- Rezdiffra Compounding Status and Current FDA Label
- Rezdiffra (Resmetirom) Cost vs. Alternatives: A Full Comparison for MASH Treatment
- Does TRICARE Cover Rezdiffra (Resmetirom)? Prior Authorization, Formulary Tier, and Appeal Steps