Public record

Resmetirom: 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 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.

FDA label facts for resmetirom: the figures
MeasureValueNote
Label revision date2026-07-29
Label readREZDIFFRANDA217785, brand-name application
Boxed warningNo
Pregnancy sectionPresent
Lactation sectionPresent
Pediatric use sectionNot present
Geriatric use sectionNot present

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 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.

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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.

FDA approval history for resmetirom: the figures
MeasureValueNote
Earliest FDA approval on file2024-03-14
Applications with an approval on file1
New drug applications (NDA)1
Generic applications (ANDA)0
Approved supplements4label, manufacturing and efficacy changes
Most recent supplement approval2026-07-24
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 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.

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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.

Patents and generic approvals for resmetirom: the figures
MeasureValueNote
Brand-name applications (NDA)1
Approved generic applications (ANDA)0
Listed patents not yet expired8
Latest listed patent expiry2045-02-04
Latest listed exclusivity expiry2029-03-14exclusivity code NCE
Earliest approval date on file2024-03-14
Products not marked discontinued3 of 3

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 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.

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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.

Medicare Part D spending on resmetirom: the figures
MeasureValue
Total spending, 2024$69.1M
Claims (prescription fills), 202414,964
Average spending per claim, 2024$4,618

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 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.

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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.

Medicaid prescriptions for resmetirom by state: the figures
MeasureValueNote
Prescriptions paid by Medicaid, 202523,937
Total reimbursed before rebates, 2025$103.2M
States and territories reporting41with at least one count CMS did not suppress
California4,263 prescriptions$19.9M reimbursed
New York3,627 prescriptions$15.0M reimbursed
Ohio1,688 prescriptions$6.9M reimbursed
Kentucky1,404 prescriptions$7.5M reimbursed
Arizona1,226 prescriptions$5.1M 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 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.

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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.

Registered clinical studies of resmetirom: the figures
MeasureValue
Registered studies25
Recruiting now7
Not yet recruiting2
Completed13
Terminated, withdrawn or suspended0
Phase 3 (including phase 2/3)4
Phase 2 (including phase 1/2)5
Phase 111

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 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.

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Articles on Resmetirom