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Febuxostat

Febuxostat is a prescription gout medicine (a xanthine oxidase inhibitor) used long-term to lower high uric acid (hyperuricemia) in adults with gout who can't use or didn't respond to allopurinol.

Brand name Uloric
Drug class Xanthine Oxidase Inhibitor
Rx Forms 2
Dr. Brian Staiger, PharmD, BCPS
Reviewed by Last reviewed Jul 10, 2026 Content updated Oct 2, 2026
🧬 Where this information comes from Click to expand

The clinical label records used on this page are FDA-filed Structured Product Labeling (SPL) retrieved through openFDA. We identified 28 clinical label sets within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. Forms, routes, brands, labelers, strengths, and NDC product-record counts are built separately from matching FDA National Drug Code Directory records. The linked DailyMed document is a representative official source for verification, not the page’s only clinical source. View the linked label on DailyMed →

✓No current FDA shortage listed · checked Oct 7, 2026 🚨Recall on record
Febuxostat at a glance The quick version — the full detail is in the Patient Information Guide below.
Dr. Brian Staiger, PharmD, BCPS
The Pharmacist’s Take By · Clinical pharmacist · Written

Febuxostat (Uloric) is a long-term gout medicine that lowers uric acid by blocking xanthine oxidase, the enzyme that makes it. It is a second choice behind allopurinol, has been on the U.S. market since about 2009, and is available as a generic. Most people tolerate it well, and the side effects they notice are usually mild nausea, diarrhea, joint pain or a rash, plus gout flares early on as stored uric acid shifts. Its boxed warning is for cardiovascular death, because gout patients with heart disease had more heart-related deaths on it than on allopurinol, so treat chest pain, shortness of breath or signs of stroke as an emergency.

Clinical pearls

  • Never combine it with azathioprine or mercaptopurine, because febuxostat lets them build up to severely toxic levels.
  • Early flares usually don't mean stopping it, and the colchicine or anti-inflammatory prescribed alongside is there to prevent them.
  • Expect a liver blood test before you start, and report dark urine, yellowing skin or upper right belly pain.
  • Stop it and get help right away for a spreading, peeling or blistering rash, or a fever with a rash.
⚠️ FDA Boxed Warning — the FDA’s strongest safety alert ▾

Gout patients with established heart disease who took febuxostat had a higher rate of death from heart-related causes than those who took allopurinol.

Because of this, febuxostat should only be used if allopurinol didn't work well enough at the highest tolerated dose, caused intolerance, or isn't advisable. Your prescriber should weigh the risks and benefits when starting or continuing it. Know the warning signs of a serious heart problem, such as chest pain or shortness of breath, and seek emergency help if they occur.

Read the full warning on DailyMed →
How you get itPrescription only
Comes asTablet, Dissolving oral film
Earliest FDA record2009
Companies listing it with the FDA23
FDA label last updatedDec 24, 2025
FDA’s strongest warning (boxed)Yes, read the warning

Patient information guide A plain-language walkthrough of Febuxostat, written from its FDA label.

What Febuxostat is used for

▾

Febuxostat is used for long-term management of high uric acid in adults with gout.

  • Chronic management of hyperuricemia in adults with gout who had an inadequate response to a maximally titrated dose of allopurinol, are intolerant to allopurinol, or can't be treated with allopurinol (Uloric tablets, Febuxostat tablets, and Febuxostat oral film).
  • Not recommended for hyperuricemia without symptoms.

How Febuxostat works

▾

Febuxostat is a xanthine oxidase inhibitor. Xanthine oxidase is the enzyme that helps the body make uric acid. By blocking it, febuxostat lowers uric acid in the blood.

At therapeutic levels, it isn't expected to block other enzymes involved in purine and pyrimidine metabolism.

Febuxostat dosage

▾

Febuxostat is taken by mouth once daily, as a tablet or as an oral film. It can be taken with or without food and with or without antacids. Doctors usually start at a lower dose and may increase it if uric acid is still too high after about two weeks.

  • Dosing is limited in severe kidney impairment.
  • Flare prevention with an NSAID or colchicine is recommended when you start.
  • Follow your prescriber's directions and your label.

Dosing details from the FDA-approved label

From the Febuxostat prescribing information (“Dosage and Administration”). Doses are set by your prescriber for your product, condition, kidney function and age — never change a dose on your own.

  • Gout (general recommended dosage)
    • 40 mg or 80 mg once daily
    • The recommended starting dosage is 40 mg once daily
    • For patients who do not achieve a serum uric acid (sUA) less than 6 mg/dL after 2 weeks, the recommended dosage is 80 mg once daily
    • Can be taken without regard to food or antacid use; flare prophylaxis with an NSAID or colchicine is recommended upon initiation
  • Patients with severe renal impairment
    • Limited to 40 mg once daily
    • Maximum: 40 mg once daily
    • No dose modification is necessary in mild or moderate renal impairment
  • Patients with mild to moderate hepatic impairment
    • No dosage modification is necessary
Read the label’s full dosing text

2 DOSAGE AND ADMINISTRATION • Recommended dosage is 40 mg or 80 mg once daily. The recommended starting dosage is 40 mg once daily. For patients who do not achieve a serum uric acid (sUA) less than 6 mg/dL after 2 weeks, the recommended dosage is 80 mg once daily. ( 2.1 ) • Patients with severe renal impairment: Limit the dosage to 40 mg once daily. ( 2.2 , 8.6 ) • Flare prophylaxis is recommended upon initiation of febuxostat tablets. ( 2.4 ) • Can be administered without regard to food or antacid use. ( 2.1 ) 2.1 Recommended Dosage The recommended febuxostat tablets dosage is 40 mg or 80 mg once daily. The recommended starting dosage of febuxostat tablets is 40 mg once daily. For patients who do not achieve a serum uric acid (sUA) less than 6 mg/dL after two weeks, the recommended febuxostat tablets dosage is 80 mg once daily. Febuxostat tablets can be taken without regard to food or antacid use [see Clinical Pharmacology ( 12.3 )]. Concurrent prophylactic treatment with a non-steroidal anti-inflammatory drug (NSAID) or colchicine is recommended [see Dosage and Administration ( 2.4 ) and Warnings and Precautions ( 5.2 )]. 2.2 Dosage Recommendations in Patients with Renal Impairment and Hepatic Impairment The recommended dosage of febuxostat tablets is limited to 40 mg once daily in patients with severe renal impairment. No dose modification is necessary when administering febuxostat tablets in patients with mild or moderate renal impairment [see Use in Specific Populations ( 8.6 ) and Clinical Pharmacology ( 12.3 )] . No dosage modification is necessary in patients with mild to moderate hepatic impairment [see Use in Specific Populations ( 8.7 ) and Clinical Pharmacology ( 12.3 )] . 2.3 Serum Uric Acid Level Monitoring Testing for the target serum uric acid level of less than 6 mg/dL may be performed as early as two weeks after initiating febuxostat tablets therapy. 2.4 Recommended Prophylaxis for Gout Flares Gout flares may occur after initiation of febuxostat tablets due to changing serum uric acid levels resulting in mobilization of urate from tissue deposits. Flare prophylaxis with a non-steroidal anti-inflammatory drug (NSAID) or colchicine is recommended upon initiation of febuxostat tablets. Prophylactic therapy may be beneficial for up to six months [see Clinical Studies ( 14.1 )] .

Excerpted — the section continues on the label. Read the full Dosage and Administration section on DailyMed →

Febuxostat side effects

▾

The most common side effects seen in studies were:

Common side effects

  • Liver function test abnormalities
  • Nausea
  • Joint pain (arthralgia)
  • Rash
  • Dizziness
  • Diarrhea

When to get medical help

  • Call your doctor or get emergency help for chest pain, shortness of breath, or other signs of a heart problem or stroke.
  • Get medical help right away for a serious skin reaction or allergic reaction, such as a spreading rash, peeling or blistering skin, or fever with a rash. Stop the medicine if this is suspected.
  • Call your doctor if you have signs of liver problems: unusual tiredness, loss of appetite, pain in the upper right belly, dark urine, or yellowing of the skin or eyes.
  • Tell your doctor if you have a gout flare. Flares are common early on, and you usually don't need to stop the medicine.

Febuxostat warnings and precautions

▾
  • Cardiovascular death: a boxed warning applies, especially for people with established heart disease.
  • Gout flares: common when starting; prevention medicine is recommended for up to six months.
  • Liver effects: reports of liver failure, sometimes fatal. Liver tests are recommended before starting and if symptoms appear.
  • Serious skin reactions: including Stevens-Johnson syndrome, DRESS, and toxic epidermal necrolysis. Stop the drug if suspected.

Febuxostat interactions

▾

A few medicines need special attention with febuxostat.

  • Azathioprine and mercaptopurine: contraindicated, since levels can rise to severe toxicity.
  • Theophylline: febuxostat changes its metabolism, so use caution.
  • Other xanthine oxidase substrate drugs: levels may rise.
  • Colchicine, naproxen, indomethacin, hydrochlorothiazide, warfarin, desipramine: no clinically significant interactions in studies.

Interactions listed in the FDA-approved label

From the Febuxostat prescribing information (“Drug Interactions”): what the manufacturer studied or reported to the FDA.

  • Theophylline (xanthine oxidase substrate): Febuxostat altered the metabolism of theophylline (a substrate of XO) in humans. Use with caution when coadministering febuxostat tablets with theophylline.
  • Azathioprine: Increases exposure of 6-mercaptopurine, which may lead to toxicity; plasma concentrations could increase resulting in severe toxicity. Febuxostat tablets are contraindicated in patients being treated with azathioprine.
  • Mercaptopurine: Could increase plasma concentrations of mercaptopurine resulting in severe toxicity; interaction studies with drugs metabolized by XO have not been conducted. Febuxostat tablets are contraindicated in patients being treated with mercaptopurine.
  • Cytotoxic chemotherapy drugs: Drug interaction studies have not been conducted and no safety data are available during cytotoxic chemotherapy.
  • Colchicine: No clinically significant interaction. May be used concomitantly.
  • Naproxen: No clinically significant interaction. May be used concomitantly.
  • Indomethacin: No clinically significant interaction. May be used concomitantly.
  • Hydrochlorothiazide: No clinically significant interaction. May be used concomitantly.
  • Warfarin: No clinically significant interaction. May be used concomitantly.
  • Desipramine: No clinically significant interaction. May be used concomitantly.
Read the label’s full interactions text

7 DRUG INTERACTIONS Concomitant administration of febuxostat tablets with XO substrate drugs, azathioprine or mercaptopurine could increase plasma concentrations of these drugs resulting in severe toxicity. ( 7 ) 7.1 Xanthine Oxidase Substrate Drugs Febuxostat tablet is an XO inhibitor. Based on a drug interaction study in healthy patients, febuxostat altered the metabolism of theophylline (a substrate of XO) in humans [see Clinical Pharmacology (12.3) ]. Therefore, use with caution when coadministering febuxostat tablets with theophylline. A drug interaction study of febuxostat tablets and azathioprine, also metabolized by XO, showed an increase in exposure of 6-mercaptopurine which may lead to toxicity [see Clinical Pharmacology (12.3) ] . Drug interaction studies of febuxostat tablets with other drugs that are metabolized by XO (e.g., mercaptopurine) have not been conducted. Febuxostat tablets are contraindicated in patients being treated with azathioprine or mercaptopurine [see Contraindications (4) ]. 7.2 Cytotoxic Chemotherapy Drugs Drug interaction studies of febuxostat tablets with cytotoxic chemotherapy have not been conducted. No data are available regarding the safety of febuxostat tablets during cytotoxic chemotherapy. 7.3 In Vivo Drug Interaction Studies Based on drug interaction studies in healthy patients, febuxostat tablets do not have clinically significant interactions with colchicine, naproxen, indomethacin, hydrochlorothiazide, warfarin or desipramine [see Clinical Pharmacology (12.3) ]. Therefore, febuxostat tablets may be used concomitantly with these medications.

Read the full Drug Interactions section on DailyMed →

Not a complete list. The label covers the interactions the manufacturer studied or reported, and our own interaction database does not cover every medicine either. Bring your full medication list, including vitamins and herbal products, to your pharmacist.

Before taking Febuxostat

▾
  • Do not use with azathioprine or mercaptopurine.
  • Tell your doctor about heart disease, stroke, or liver problems.
  • Severe kidney impairment limits the dose.
  • Not recommended when urate production is greatly increased, such as cancer, Lesch-Nyhan syndrome, or organ transplant.
  • Pregnancy and breastfeeding: data are limited; discuss with your doctor.
  • Not established in children. No dose change for older adults.

Febuxostat overdose

▾

In studies, healthy people took up to 300 mg daily for seven days without dose-limiting toxicity, and no overdoses were reported. If an overdose happens, care is symptom-based and supportive.

What Febuxostat does in the body

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Febuxostat lowers serum uric acid in a dose-dependent way and raises xanthine levels. Daily urinary uric acid excretion goes down while xanthine excretion goes up. At the usual doses, uric acid fell by about 40% to 55%. It did not affect the QTc interval (a heart rhythm measure) at studied doses.

How your body processes Febuxostat

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Febuxostat reaches peak blood levels about 1 to 1.5 hours after a dose. Food or antacids don't meaningfully change its effect on uric acid. It is highly bound to proteins in the blood and extensively broken down by the liver. It is cleared through both the liver and kidneys, with a half-life of about 5 to 8 hours. It does not accumulate with once-daily dosing.

How to store Febuxostat

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Protect from light. Store at 25°C (77°F); excursions permitted to 15° to 30°C (59° to 86°F) .

Written from the FDA-approved label with AI and reviewed by our pharmacy team. How we use AI →

56

Supplements & herbs that interact with Febuxostat

56 supplements and herbal products have documented interactions with Febuxostat in the licensed clinical database we use. Most are manageable — but your pharmacist should know about everything you take, including vitamins and herbals.

Severity mix
  • Major · 4
  • Moderate · 43
  • Minor · 9
Every supplement checked against Febuxostat — ranked by severity The full interaction hub: 4 major · 43 moderate · 9 minor · every one linked to its full report. Check Febuxostat against your exact supplements

Educational information from a licensed clinical database (Natural Medicines) — see our data sources & update cadence. Not medical advice: an interaction being documented does not mean it will happen to you; do not start or stop medications or supplements without professional guidance.

Febuxostat: pharmacist answers to common questions

Quick, plain-English answers to the questions patients ask most about Febuxostat — the kind of thing our pharmacy team would talk through with you at the counter.

What is febuxostat for?

▾
It lowers uric acid in adults with gout. It's meant for people who didn't respond to allopurinol, can't tolerate it, or can't use it. It isn't recommended if you have high uric acid without symptoms.

How do I take it?

▾
Take it by mouth once a day, with or without food or antacids. Your prescriber may adjust the dose after a couple of weeks based on your uric acid level. Follow your label closely.

Why did my gout flare up after I started?

▾
As uric acid drops, urate stored in your tissues is released, and that can trigger flares. It's common early on. Your doctor will likely recommend an NSAID or colchicine to help prevent them, and you usually shouldn't stop febuxostat because of a flare.

Is it safe for my heart?

▾
Febuxostat has a boxed warning. In a study of gout patients with heart disease, there were more deaths from heart causes than with allopurinol. Tell your doctor about any heart history, and seek help right away for chest pain or shortness of breath.

What side effects should I watch for?

▾
Nausea, joint pain, rash, dizziness, and abnormal liver tests are the most common. Call your doctor for tiredness, loss of appetite, upper right belly pain, dark urine, or yellow skin or eyes. Get urgent help for a blistering or peeling rash.

What medicines should I avoid with it?

▾
Don't take it with azathioprine or mercaptopurine. Tell me about theophylline too, since it needs caution. Always check with a pharmacist before adding new medicines.

Is Febuxostat available over the counter?

▾
No. Febuxostat is a prescription medicine: every Febuxostat product listed with the FDA is prescription only, so it is not sold over the counter. Your prescriber decides whether it is appropriate for you, and your pharmacist dispenses it.

When was Febuxostat first available?

▾
The earliest FDA record we hold for Febuxostat is from 2009: its first approval in Drugs@FDA or its earliest product listing in the NDC Directory, whichever is older. Many older medicines were in use before their first formal FDA approval, so this is the earliest date on record, not necessarily when Febuxostat was first used.

Who makes Febuxostat?

▾
23 companies currently list Febuxostat products in the FDA's NDC Directory, including NuCare Pharmaceuticals, Inc., Alembic Pharmaceuticals Inc., Alembic Pharmaceuticals Limited. That count includes repackagers and distributors as well as manufacturers (companies that sell only the raw ingredient are not counted), so fewer companies actually make it; the label on your bottle names the one that supplied yours.

Answers drafted from the FDA-approved label with AI and reviewed by our pharmacy team. How we use AI →

More about Febuxostat on HelloPharmacist

Detailed data & references for Febuxostat Forms & strengths, pricing, billing codes, manufacturers, safety reports and sourcing — the data behind the page. Most people can stop here. Each section below opens on a tap.

Febuxostat forms and strengths (how it comes)

Febuxostat is available in 2 forms. Different forms and brands can have different approved uses, doses, schedules, and directions. Follow the instructions for your exact product, and do not switch forms without guidance from your prescriber or pharmacist.

Need a version that does not list lactose, a gluten source, a dye or gelatin? Inactive ingredients differ by manufacturer: see Febuxostat inactive ingredients by manufacturer.

Tablet

By mouth
Brands Uloric
How this form is used
What it may be used for
  • Uloric tablets are used for long-term management of hyperuricemia in adults with gout who didn't respond to, can't tolerate, or shouldn't use allopurinol.
  • Febuxostat tablets have the same gout use and are not recommended for hyperuricemia without symptoms.
Important instructions
  • Uloric and Febuxostat tablets are taken by mouth once daily, with or without food or antacids.
  • Uloric and Febuxostat tablets are usually started at a lower dose and may be increased after about two weeks based on uric acid level.
  • Flare prevention with an NSAID or colchicine is recommended when starting Uloric or Febuxostat tablets.
Available strengths 2 strengths
80 FDA-listed product records ⓘ

Dissolving oral film

By mouth
How this form is used
What it may be used for
  • Febuxostat oral film is used for long-term management of hyperuricemia in adults with gout who didn't respond to, can't tolerate, or shouldn't use allopurinol.
  • Febuxostat oral film is not recommended for hyperuricemia without symptoms.
Important instructions
  • Febuxostat oral film is taken once daily and can be taken without regard to food or antacid use.
  • Febuxostat oral film dosing is limited in severe kidney impairment; follow your prescriber's direction.
Available strengths 2 strengths
2 FDA-listed product records ⓘ

Febuxostat on the U.S. market: products, makers and brands

How Febuxostat appears in the FDA’s National Drug Code Directory — including its dosage forms, strengths, brand names, manufacturers, and FDA-listed product records. These are directory records, not sales or prescription volume.

23 companies list 45 Febuxostat product records with the FDA, mostly as tablet, dissolving oral film; the earliest marketing or approval year on record is 2009. Brand names on the directory include Uloric; the rest are generics.

2
Dose forms ⓘ
23
Labelers (makers, repackagers, distributors)
2
Brand names
45
FDA-listed product records ⓘ
2009
Earliest FDA record ⓘ

FDA-listed product records by dose form (tablet variants merged) — FDA National Drug Code Directory. Record counts are not sales or prescription volume.

Also listed with the FDA, not a patient dose form: Powder (19) — bulk drug substance sold to compounders/manufacturers and multi-item kits. These aren’t counted in the dose-form total above.

NuCare Pharmaceuticals, Inc.7%
Alembic Pharmaceuticals Inc.4%
Alembic Pharmaceuticals Limited4%
Aphena Pharma Solutions - Tennessee, LLC4%
Ascend Laboratories, LLC4%
Aurobindo Pharma Limited4%
Other makers71%

Share of FDA-listed product records by manufacturer — FDA National Drug Code Directory. Record counts are not sales or prescription volume.

How widely Febuxostat is used (Medicaid data)

A general measure of how commonly Febuxostat is prescribed, based on Medicaid — one of the largest public drug programs. The figure below is prescriptions filled in Q1–Q4 2025, summed across every form and brand of the drug.

Think of this as a proxy for how widely Febuxostat is used, drawn from freely available public data. Medicaid is just one program — these numbers don’t include Medicare, other government coverage, or commercial and cash-pay prescriptions, so real-world use is higher than what’s shown here.

30,153
Medicaid prescriptions filled (Q1–Q4 2025)
$1.1M gross Medicaid reimbursement (before mandatory rebates — net cost is lower)

How commonly is Febuxostat prescribed? Of the 1,601 medications we measure, Febuxostat ranks #738 by Medicaid prescriptions — more than 54% of them.

Where Febuxostat ranks among the drugs we measure · Q1–Q4 2025 · neighbors ±5

Utilization by Febuxostat product

Pick a product to see its own Medicaid numbers. Each chip is one clinical product — a specific strength & dosage form as defined by RxNorm — with brand-name and generic versions combined.

The 40 mg oral tablet is the most-dispensed Febuxostat product — about 74% of these Medicaid prescriptions.

febuxostat 40 MG Oral Tablet Most dispensed

22,403 Medicaid prescriptions (Q1–Q4 2025) 74% of Febuxostat prescriptions shown $789,567 gross reimbursement (before rebates) ≈ $35 per prescription (gross)

Summed across the 12 of 75 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 834235

febuxostat 80 MG Oral Tablet

7,750 Medicaid prescriptions (Q1–Q4 2025) 26% of Febuxostat prescriptions shown $298,759 gross reimbursement (before rebates) ≈ $39 per prescription (gross)

Summed across the 11 of 68 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 834241

Shares are of the Medicaid prescriptions shown here. Product grouping follows RxNorm (the National Library of Medicine’s drug terminology), so “one product” means one strength & dosage form regardless of manufacturer. Dollar figures are gross Medicaid reimbursement before mandatory rebates — rebates (often large, especially for brand-name drugs) are confidential, so actual net cost to Medicaid is lower than shown.

Source: Medicaid State Drug Utilization Data (CMS), aggregated by generic ingredient — summed across every NDC (all brands, strengths, salt forms and dosage forms) of Febuxostat, and across all states and both fee-for-service and managed-care claims. A general popularity signal; it excludes Medicare, commercial insurance and cash prescriptions, so it is not total U.S. use. Based on the 23 of 143 listed Febuxostat NDCs with Medicaid activity.

Compare Febuxostat products

A representative set of FDA-listed product records for Febuxostat — across manufacturers, strengths, and dosage forms, grouped by form with each product’s manufacturer and how the FDA approved it. The same medicine may be made and packaged by different companies, so a single drug can have many directory entries. (It’s also why a refill can look different — a new shape, color, or box — even though it contains the same medication.)

Showing 45 of 45 products — FDA National Drug Code Directory. See every product, package size and price: browse all 45 Febuxostat NDCs →

Febuxostat side effects reported to the FDA (FAERS)

After a medicine reaches the market, patients, doctors and drugmakers can send the FDA reports of problems they think may be linked to it. Here’s what’s been reported for Febuxostat — a signal of what to watch for, not proof the drug caused it.

The effects most often named in FDA reports that mention Febuxostat are diarrhoea, acute kidney injury, nausea; about 76% of the reports were classed as serious. These are voluntary reports, so they show what people report, not how often it happens.

16,668
Reports mentioning it
76%
Reported as serious
12
Distinct effects shown
Most reported effects
Diarrhoea
881
Acute Kidney Injury
857
Nausea
857
Rash
800
Gout
699
Dyspnoea
640
Fatigue
619
Headache
591
Anaemia
588
Pneumonia
557
Age groups
Elderly · 2,196Adult · 1,113Adolescent · 4Child · 2Neonate · 1

Source: openFDA, from the FDA Adverse Event Reporting System (FAERS). These are voluntary reports — they don’t prove the drug caused the effect, and counts reflect how often something was reported, not how often it actually happens. Reports also often name the very problem the medicine is taken for — a common reason to file one is that the drug didn’t help — so for a pain reliever you may see “pain” high on the list; that points to why the report was filed, not to the drug causing the symptom. This counts every report that lists Febuxostat in any role, so the total runs higher than the FDA’s official dashboard, which counts only cases where the drug is the suspect. For the authoritative figures, see the FDA FAERS Public Dashboard. Always talk to your pharmacist or doctor.

Febuxostat FDA approval history

How Febuxostat went from FDA review to the pharmacy shelf — the key milestones in its regulatory journey.

Febuxostat was first approved by the FDA in 2009 (Brand: ULORIC · Takeda Pharms Usa); the first generic version was approved in 2019. It remains available in U.S. pharmacies today.

2009
Brand approved
Brand: ULORIC · Takeda Pharms Usa
2019
First generic approved
Lower-cost ANDA competition begins
2026
Available today
Active in U.S. pharmacies

Source: Drugs@FDA.

Febuxostat recall history

A recall is when a specific batch of a medicine is pulled from the market — usually a manufacturing issue, not a problem with the drug itself. Class I is most serious, Class III least.

The FDA’s enforcement reports list 3 Febuxostat recalls since July 2021, covering 5 product listings. One of them is still ongoing and is listed first. A recall names specific lots from one company, so check the lot number on your own bottle rather than assuming every product is affected; your pharmacist can check whether your supply came from an affected lot.

Ongoing Class II Mar 4, 2024 · SUN PHARMACEUTICAL INDUSTRIES INC
CGMP Deviations: Microbial contamination was reported in stagnant water in the duct of the manufacturing equipment.
  • Febuxostat Tablets 80mg, RX Only, 30 Tablets per bottle, NorthStarx, Manufactured for: Northstar Rx LLC., Memphis, TN 38141, Manufactured by: Sun Pharmaceutical Industries Limited Survey No. 259/15,… Lots: Lot #: DNE0894A, Exp 07/31/2025 FDA record D-0369-2024 →
  • Febuxostat Tablets 40mg, RX Only, 30 Tablets per bottle, NorthStarx, Manufactured for: Northstar Rx LLC., Memphis, TN 38141 , Manufactured by: Sun Pharmaceutical Industries Limited Survey No. 259/15,… Lots: Lot #s: DNE0865A, DNE0866A, Exp 06/30/2025 FDA record D-0368-2024 →
Class II Jan 25, 2024 · Terminated · Amerisource Health Services LLC
CGMP Deviations
  • Febuxostat Tablets, 40 mg, 30 Tablets (3 x 10) per carton, Rx only, Distributed by: American Health Packaging, Columbus, Ohio 43217. NDC Carton: 60687-538-21, NDC Unit dose 60687-538-11 Lots: Lot # 1015033, exp. 06/30/2025; 1016409, exp. 08/31/2025 FDA record D-0314-2024 →
Class II Jan 18, 2024 · Completed · SUN PHARMACEUTICAL INDUSTRIES INC
CGMP Deviations: Microbial contamination was reported in stagnant water in the duct of the manufacturing equipment.
  • Febuxostat Tablets 80 mg, Rx Only, 30 Tablets per bottle, Distributed by: Sun Pharmaceutical Industries, Inc., Cranbury, NJ 08512, Manufactured by: Sun Pharmaceutical Industries Ltd., Survey No. 259/… Lots: Lot #s: DNE0867A Exp. 06/30/2025, DNE0894B Exp. 07/31/2025 FDA record D-0265-2024 →
  • Febuxostat Tablets 40mg, Rx Only, 30 Tablets per bottle, Distributed by: Sun Pharmaceutical Industries, Inc., Cranbury, NJ 08512, Manufactured by: Sun Pharmaceutical Industries Ltd., Survey No. 259/1… Lots: Lot #s: DNE0866B Exp. 06/30/2025, DNE1045A, DNE1046B Exp. 08/31/2025 FDA record D-0264-2024 →

Source: FDA enforcement (recall) reports, via openFDA; our copy was last updated Sep 24, 2026.

RxNorm Concept Web — From Ingredient to Every Form and Strength

This page starts with one ingredient concept (IN). The branches below show its dose-form concepts (SCDF), then the available clinical drug and strength concepts (SCD). Combination products remain separate concepts with their own pages.

Ingredient (IN) Febuxostat RxCUI 73689 1 dose form · 2 strengths
  1. Dose form (SCDF) Oral Tablet RxCUI 834234 In current FDA listings
    Clinical drug / strength (SCD) 40 MG RxCUI 834235 80 MG RxCUI 834241

Look up RxCUI 73689 in the RxCUI Atlas →

RxNorm is the U.S. National Library of Medicine’s normalized drug vocabulary. Its concept hierarchy can include forms that are not currently marketed; the status on each branch compares that concept with current FDA listings. RxCUIs identify vocabulary concepts, not individual packages or manufacturers.

💵 What Febuxostat costs pharmacies (NADAC benchmark)

The national average invoice price pharmacies pay for the drug itself, from CMS's NADAC survey (data as of Sep 30, 2026). This is a supply-cost benchmark — not a retail price and not what you'd pay at the counter.

FormStrengthPharmacy acquisition benchmark
Tablet · Oral 40 mg $0.191 per tablet NDC details & price history
Tablet · Oral 80 mg $0.261 per tablet NDC details & price history
Tablet, Film Coated · Oral 40 mg $0.191 per tablet NDC details & price history
Tablet, Film Coated · Oral 80 mg $0.261 per tablet NDC details & price history
Film · Oral 80 mg $0.261 each NDC details & price history
Film · Oral 40 mg $0.191 each NDC details & price history
Why show this? Your out-of-pocket cost depends on insurance, pharmacy markup, and discounts — but the acquisition benchmark tells you whether the medication itself is inexpensive or costly, which strengths cost more per dose, and whether a cash-price quote is in a reasonable range. Each row links to the NDC-level record with its full price history.

Source: CMS National Average Drug Acquisition Cost (NADAC), a survey of retail pharmacy invoice prices. Benchmarks shown are the range across package sizes of a representative product for each form and strength — other manufacturers' products may differ.

Febuxostat brand names

Febuxostat is sold under one brand name in the FDA directory — Uloric. A brand and its generic contain the same active ingredient; the brand name belongs to one company's product.

Uloric

Who makes Febuxostat: manufacturers and labelers

23 companies list Febuxostat products with the FDA. By number of product records, the largest are NuCare Pharmaceuticals, Inc., Alembic Pharmaceuticals Inc., Alembic Pharmaceuticals Limited. Labelers include manufacturers and repackagers; the product in your bottle depends on which one your pharmacy stocks.

NuCare Pharmaceuticals, Inc. 3 Alembic Pharmaceuticals Inc. 2 Alembic Pharmaceuticals Limited 2 Aphena Pharma Solutions - Tennessee, LLC 2 Ascend Laboratories, LLC 2 Aurobindo Pharma Limited 2 Dr Reddy's Laboratories Limited 2 Golden State Medical Supply, Inc. 2 HEC Pharm USA Inc. 2 Hikma Pharmaceuticals USA Inc 2 Lannett Company, Inc. 2 Major Pharmaceuticals 2 Macleods Pharmaceuticals Limited 2 NorthStar RxLLC 2 Novadoz Pharmaceuticals LLC 2 Solco Healthcare US LLC 2 Sun Pharmaceutical Industries, Inc. 2 Takeda Pharmaceuticals America, Inc. 2 Tris Pharma Inc 2 Viona Pharmaceuticals Inc 2 Zydus Lifesciences Limited 2 American Health Packaging 1 Remedyrepack Inc. 1

Febuxostat drug class (RxNorm)

Febuxostat belongs to the Xanthine Oxidase Inhibitor class.

Pharmacologic class Xanthine Oxidase Inhibitor
Drug family (ATC) Preparations inhibiting uric acid production
How it works Xanthine Oxidase Inhibitors

Classified by RxNorm RxClass — the U.S. National Library of Medicine's standardized drug-classification service (Established Pharmacologic Class from the FDA, the ATC drug family from the WHO, and mechanism of action). Reference only, not medical advice.

Sources for this Febuxostat page

Core label, product, RxNorm, safety, and utilization data on this page come from the sources identified below. AI-written, editorial, and licensed sections are labeled separately.

📄
FDA-filed drug labels (SPL) Uses, dosing, warnings & side effects from SPL records retrieved through openFDA; the linked representative set can be verified on DailyMed. ✓ Linked label effective Dec 24, 2025
🏭
Forms, brands & labelersAggregated from ingredient-matched FDA National Drug Code Directory product records for Febuxostat.
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Real-world reportsThe FDA Adverse Event Reporting System (FAERS), served through openFDA.
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Recalls & shortagesopenFDA drug-enforcement reports and the FDA drug-shortage database.
🧾 Clinical label set — FDA-filed SPL labels retained for Febuxostat after exact ingredient or ingredient-combination matching and applicable route/form matching
Clinical labels in scope
28
Finished products in the current FDA directory
45
Companies listing them (makers, repackagers, distributors)
23
FDA labeler codes behind them ⓘ
23
Linked representative label ⓘ
Takeda Pharmaceuticals America, Inc.
Linked label effective
Dec 24, 2025
Composite sections available
23
Linked SPL Set ID
54de10ef-fe5f-4930-b91d-6bbb04c664bd
Linked SPL Document ID
16c36a5a-2f72-4df7-aa6f-1ca27a39404f
Open the linked representative label on DailyMed ↗

How this page is built

HelloPharmacist combines public FDA and NLM records and does not author the underlying clinical facts. The plain-language sections are written with AI from the FDA-approved label text and reviewed by our pharmacy team before publication. Takeda Pharmaceuticals America, Inc. is the representative DailyMed label linked for verification and dates. This is general education, not medical advice: always talk to your doctor or pharmacist about your own medicines. How we build and review drug pages →