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Fluvastatin

Fluvastatin is a statin that lowers cholesterol and is used for high cholesterol, mixed dyslipidemia, familial hypercholesterolemia and reducing complications of coronary heart disease.

Brand names LescolLescol XL
Drug classes Hmg-coa Reductase 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 11 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 8, 2026
Fluvastatin 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

Fluvastatin is one of the milder, less often prescribed statins, on the market since the early 1990s and available as a generic. It blocks an enzyme the liver needs to make cholesterol, so the liver pulls more LDL (“bad”) cholesterol from the blood, and it is used with a healthy diet for high cholesterol and coronary heart disease. Most people tolerate it well, and headache, an upset stomach or mild muscle aches are the usual complaints. Report unexplained muscle pain, tenderness or weakness right away, especially with fever, and do the same for yellowing of the skin or eyes, a sign of liver trouble.

Clinical pearls

  • Swallow the extended-release tablet whole and never open the capsules; either form works with or without food.
  • Gemfibrozil, cyclosporine and fluconazole should be avoided with the extended-release tablet because they push up the risk of muscle injury.
  • If you take warfarin, have your INR (a clotting blood test) checked when fluvastatin is started or stopped.
  • It can raise fasting blood sugar and HbA1c, so people with diabetes, especially on glyburide, should watch their sugars after starting.
How we write & review this content — our editorial policy →
How you get itPrescription only
Comes asCapsule, Extended-release tablet
Earliest FDA record1993
Companies listing it with the FDA5
FDA label last updatedAug 20, 2020
FDA’s strongest warning (boxed)None on the label

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

What Fluvastatin is used for

▾

Fluvastatin is a statin used with diet to lower cholesterol and to help people with coronary heart disease.

  • Fluvastatin capsules: primary hypercholesterolemia and mixed dyslipidemia in adults.
  • Fluvastatin capsules: heterozygous familial hypercholesterolemia in boys and post-menarchal girls ages 10 to 16.
  • Fluvastatin extended-release tablets and Lescol XL: primary hyperlipidemia in adults.
  • Fluvastatin extended-release tablets and Lescol XL: heterozygous familial hypercholesterolemia in adults and children 10 and older who need 80 mg of fluvastatin daily.
  • Both capsules and extended-release tablets: lower the risk of revascularization procedures and slow atherosclerosis in adults with coronary heart disease.
  • Fluvastatin capsules have not been studied in conditions where the main problem is high chylomicrons, VLDL or IDL.

How Fluvastatin works

▾

Fluvastatin blocks HMG-CoA reductase, the liver enzyme that is the rate-limiting step in making cholesterol. With less cholesterol made inside liver cells, the liver makes more LDL receptors. These pull LDL cholesterol out of the blood, lowering overall cholesterol.

Fluvastatin dosage

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Fluvastatin is taken by mouth, with or without food. Your prescriber chooses the form and schedule that fits your needs.

  • Capsules: swallow whole, do not open. Taken once or twice daily depending on your prescription.
  • Extended-release tablets (including Lescol XL): taken once daily at any time of day. Do not break, crush or chew.
  • Cholesterol is usually rechecked about 4 weeks after starting.

Follow your prescriber’s directions and the label on your prescription.

Dosing details from the FDA-approved label

From the Fluvastatin 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.

  • Adults with hypercholesterolemia (heterozygous familial and nonfamilial) and mixed dyslipidemia - fluvastatin capsules
    • Recommended starting dose is one 40 mg capsule in the evening, or one fluvastatin 40 mg capsule twice daily
    • For LDL-C reduction goal of ≥ 25%: 40 mg as one capsule in the evening, or 80 mg in divided doses of the 40 mg capsule given twice daily
    • For LDL-C reduction goal of < 25%: a starting dose of 20 mg may be used
    • Do not take two fluvastatin 40 mg capsul
    • Maximum: Dose range: 20 mg to 80 mg/day
    • Can be taken with or without food; do not open capsules; lipid determinations and dose adjustment within 4 weeks
  • Pediatric patients (10-16 years of age) with heterozygous familial hypercholesterolemia - fluvastatin capsules
    • Recommended starting dose is one 20 mg fluvastatin capsule once daily
    • Dose adjustments should be made at 6 week intervals
    • Maximum: Fluvastatin capsules 40 mg twice daily
    • Doses individualized according to the goal of therapy
  • Patients taking cyclosporine - fluvastatin capsules
    • Do not exceed a dose of 20 mg b.i.d. fluvastatin
    • Maximum: 20 mg b.i.d.
  • Patients taking fluconazole - fluvastatin capsules
    • Do not exceed a dose of 20 mg b.i.d. fluvastatin
    • Maximum: 20 mg b.i.d.
  • Adults - fluvastatin sodium extended-release tablets (Lescol XL)
    • 80 mg once daily, taken as a single dose
    • Can be taken with or without food at any time of the day; do not break, crush or chew; only available as 80 mg tablet and cannot be titrated
  • Pediatric patients 10 years of age and older with HeFH - extended-release tablets
    • 80 mg once daily in patients who require 80 mg of fluvastatin
    • Not recommended for dosage initiation, use another fluvastatin product to initiate dosing
    • Starting dosage cannot be achieved with the available 80 mg strength
Read the label’s full dosing text

2 DOSAGE AND ADMINISTRATION Dose range: 20 mg to 80 mg/day ( 2.1 ) Fluvastatin capsules can be taken with or without food. ( 2.1 ) Do not open fluvastatin capsules prior to administration ( 2.1 ) Adults: the recommended starting dose is 40 mg to 80 mg (administered as one fluvastatin capsule, 40 mg twice daily) ( 2.2 ) Do not take two fluvastatin capsules, 40 mg at one time Children with heterozygous familial hypercholesterolemia (ages 10 to 16, inclusive): the recommended starting dose is fluvastatin capsule, 20 mg once daily ( 2.3 ) 2.1 General Dosing Information Dose range: 20 mg to 80 mg/day. Fluvastatin capsules can be administered orally as a single dose, with or without food. Do not open fluvastatin capsules prior to administration. Do not take two fluvastatin capsules, 40 mg at one time. Since the maximal effect of a given dose is seen within 4 weeks, periodic lipid determinations should be performed at this time and dosage adjusted according to the patient’s response to therapy and established treatment guidelines. For patients requiring LDL-C reduction to a goal of ≥ 25%, the recommended starting dose is 40 mg as one capsule in the evening, or 80 mg in divided doses of the 40 mg capsule given twice daily. For patients requiring LDL-C reduction to a goal of < 25% a starting dose of 20 mg may be used. 2.2 Adult Patients With Hypercholesterolemia (Heterozygous Familial and Nonfamilial) and Mixed Dyslipidemia Adult patients can be started on fluvastatin capsules. The recommended starting dose for fluvastatin capsules is one 40 mg capsule in the evening, or one fluvastatin capsule, 40 mg twice daily. Do not take two fluvastatin capsules, 40 mg at one time. 2.3 Pediatric Patients (10 to 16 Years of Age) With Heterozygous Familial Hypercholesterolemia The recommended starting dose is one fluvastatin capsule, 20 mg. Dose adjustments, up to a maximum daily dose administered as fluvastatin capsules, 40 mg twice daily should be made at 6 week intervals. Doses should be individualized according to the goal of therapy [ see NCEP Pediatric Panel Guidelines and CLINICAL STUDIES ( 14 ) ] 1 . 1 National Cholesterol Education Program (NCEP): Highlights of the Report of the Expert Panel on Blood Cholesterol Levels in Children and Adolescents. Pediatrics. 89(3):495-501. 1992. 2.4 Use With Cyclosporine Do not exceed a dose of 20 mg b.i.d.

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

Fluvastatin side effects

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Most side effects are mild. Reported ones include:

Common side effects

  • Headache
  • Muscle aches (myalgia)
  • Stomach pain
  • Indigestion (dyspepsia)
  • Nausea
  • Diarrhea
  • Flu-like symptoms
  • Sinus infection (sinusitis)
  • Flu-like symptoms, sinusitis, bronchitis
  • Urinary tract infection

When to get medical help

  • Call your doctor promptly for unexplained muscle pain, tenderness or weakness, especially with fever or feeling unwell.
  • Seek help for signs of liver problems, such as yellowing of the skin or eyes (jaundice).
  • Get urgent help for signs of a serious allergic reaction, such as swelling of the face or lips, trouble breathing, or a severe rash.
  • Report muscle weakness that continues even after stopping a statin.
  • Tell your doctor about memory loss or confusion while taking a statin.
  • Tell your doctor if you develop new or worsening myasthenia gravis, a condition causing muscle weakness.

Fluvastatin warnings and precautions

▾
  • Muscle injury: myopathy and rhabdomyolysis can occur, especially with age 65 or older, kidney problems, poorly treated underactive thyroid, or interacting drugs. Report unexplained muscle pain, tenderness or weakness promptly.
  • Liver effects: liver enzymes can rise. Tests are recommended before starting and if symptoms appear. Rare liver failure has been reported.
  • Immune-mediated necrotizing myopathy: a rare autoimmune muscle disease linked to statins.
  • Blood sugar: HbA1c and fasting glucose can rise.
  • Therapy may be paused in serious acute illness that can lead to kidney failure, such as sepsis or major surgery.

Fluvastatin interactions

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Several medicines can raise fluvastatin levels or the risk of muscle injury.

  • Gemfibrozil: more muscle injury risk; avoid with extended-release tablets.
  • Cyclosporine and fluconazole: raise fluvastatin levels; avoid with extended-release tablets.
  • Fibrates, niacin (≥1 g/day) and colchicine: higher muscle risk; benefit must outweigh risk.
  • Warfarin: INR may change, so it needs monitoring.
  • Glyburide: blood sugar needs monitoring.
  • Phenytoin: levels need monitoring.

Interactions listed in the FDA-approved label

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

  • Gemfibrozil: There is an increased risk of myopathy/rhabdomyolysis when administered with gemfibrozil. Avoid concomitant use.
  • Cyclosporine: Cyclosporine coadministration increases fluvastatin exposure; the risk of myopathy and rhabdomyolysis may be increased. Avoid concomitant use.
  • Fluconazole: Fluconazole coadministration increases fluvastatin exposure; the risk of myopathy and rhabdomyolysis may be increased. Avoid concomitant use.
  • Niacin (lipid-modifying doses ≥ 1 g/day): Risk of myopathy and rhabdomyolysis may be enhanced. Consider if the benefit outweighs the increased risk; if used together, monitor for signs and symptoms of myopathy, particularly during initiation and upward dose titration.
  • Fibrates: Fibrates may cause myopathy when given alone; the risk of myopathy and rhabdomyolysis may be increased with concomitant use. Consider if the benefit outweighs the increased risk; if used together, monitor for signs and symptoms of myopathy, particularly during initiation and upward dose titration.
  • Colchicine: Cases of myopathy and rhabdomyolysis have been reported with concomitant use. Consider if the benefit outweighs the increased risk; if used together, monitor for signs and symptoms of myopathy, particularly during initiation and upward dose titration.
  • Warfarin: There are postmarketing reports of clinically evident bleeding and/or increased INR in patients taking concomitant statins and warfarin. Obtain an INR before starting fluvastatin and frequently enough after initiation or discontinuation to ensure no significant INR alteration; once stable, monitor INR at regularly recommended intervals.
  • Glyburide: Concomitant administration of fluvastatin and glyburide increased glyburide exposures. Monitor blood glucose levels when fluvastatin is initiated.
  • Phenytoin: Concomitant administration of fluvastatin and phenytoin increased phenytoin exposures. Monitor plasma phenytoin levels when fluvastatin is initiated.
Read the label’s full interactions text

7 DRUG INTERACTIONS • Gemfibrozil : Avoid use with fluvastatin sodium extended-release tablets. ( 7.1 ) • Cyclosporine and Fluconazole : Avoid use with fluvastatin sodium extended-release tablets. ( 7.1 ) • Fibrates, Lipid-modifying doses (≥ 1 g/day) of Niacin, and Colchicine : Consider if the benefit of concomitant use with fluvastatin sodium extended-release tablets outweighs the increased risk of myopathy and rhabdomyolysis. If concomitant use is decided, monitor patients for signs and symptoms of myopathy, particularly during initiation of therapy and during upward dose titration. ( 7.1 ) • Warfarin : Obtain an International Normalized Ratio (INR) before starting and frequently enough after initiation or discontinuation to ensure that no significant alteration in INR occurs. Once the INR is stable, monitor INR at regular intervals. ( 7.2 ) • Glyburide : Monitor blood glucose levels when fluvastatin sodium extended-release tablets are initiated. ( 7.2 ) • Phenytoin : Monitor plasma phenytoin levels when fluvastatin sodium extended-release tablets treatment is initiated. ( 7.2 ) 7.1 Drug Interactions that Increase the Risk of Myopathy and Rhabdomyolysis with Fluvastatin Sodium Extended-Release Tablets Table 3 includes a list of drugs that increase the risk of myopathy and rhabdomyolysis when used concomitantly with fluvastatin and instructions for preventing or managing them [see Warnings and Precautions ( 5.1 ), Clinical Pharmacology ( 12.3 )] . Table 3. Drug Interactions That Increase the Risk of Myopathy and Rhabdomyolysis with Fluvastatin Sodium Extended-Release Tablets Gemfibrozil Clinical impact There is an increased risk of myopathy/rhabdomyolysis when fluvastatin sodium extended-release tablets are administered with gemfibrozil Intervention Avoid concomitant use of gemfibrozil with fluvastatin sodium extended-release tablets. Cyclosporine Clinical impact Cyclosporine coadministration increases fluvastatin exposure.

Excerpted — the section continues on the label. 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.

🌿128 supplements and herbs with documented Fluvastatin interactions, ranked by severity Check Fluvastatin against a supplement or herb →

Before taking Fluvastatin

▾
  • Do not use if allergic to any component.
  • Do not use with active liver disease or unexplained persistent liver enzyme elevations.
  • Pregnancy: may cause fetal harm; stop and tell your doctor if you become pregnant.
  • Breastfeeding is not recommended.
  • Tell your doctor about a history of liver disease or heavy alcohol use.
  • Older adults (65+) have higher muscle risk and should be monitored.
  • Severe kidney problems: use with caution and monitor for muscle problems.
  • Children: approved only for ages 10 and older with heterozygous familial hypercholesterolemia, by product.

Fluvastatin overdose

▾

Experience with overdose is limited. Treatment is symptom-based, with lab monitoring and supportive care. In reports involving children, some had no symptoms, while teen overdoses led to liver enzyme elevations, seizures and stomach upset. Call poison control or seek emergency care if too much is taken.

What Fluvastatin does in the body

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Fluvastatin raises LDL receptor activity, so more LDL cholesterol moves from the blood into the liver. This lowers LDL and total cholesterol and also lowers very-low-density lipoproteins. The maximum LDL reduction is usually reached by about 4 weeks and is maintained after that.

How your body processes Fluvastatin

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The extended-release tablet peaks in about 3 hours when taken fasting. A high-fat meal delays absorption and increases the amount absorbed. Fluvastatin is mostly broken down in the liver, mainly by the CYP2C9 enzyme. About 90% leaves in the stool, and its half-life is about 3 hours. Liver impairment raises drug levels roughly 2.5-fold.

How to store Fluvastatin

▾

Store at 20° to 25°C (68° to 77°F). Protect from light. Dispense in a tight, light-resistant container as defined in the USP using a child-resistant closure.

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

128

Supplements & herbs that interact with Fluvastatin

128 supplements and herbal products have documented interactions with Fluvastatin 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 · 7
  • Moderate · 97
  • Minor · 24
ACTIVATED CHARCOAL Major APPLE Major BEER Major GRAPEFRUIT Major SIBERIAN COCKLEBUR Major SWEET ORANGE Major WINE Major ADRAFINIL Moderate +120 more
Every supplement checked against Fluvastatin — ranked by severity The full interaction hub: 7 major · 97 moderate · 24 minor · every one linked to its full report. Check Fluvastatin 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.

1

Nutrient depletion considerations

Fluvastatin has been associated with lower levels of 1 nutrient in the clinical literature. This does not mean a deficiency will occur — it means these may be worth discussing with your pharmacist or healthcare provider, especially with long-term use.

COENZYME Q10 Insufficient Evidence
See the full Fluvastatin nutrient depletion report

Educational information from a licensed clinical database (Natural Medicines) — not medical advice. Do not start or stop medications or supplements without professional guidance.

Fluvastatin: pharmacist answers to common questions

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

What is fluvastatin for?

▾
It lowers cholesterol along with a healthy diet. It is also used in people with coronary heart disease to lower the chance of needing a procedure to open the heart arteries and to slow plaque buildup. The exact uses depend on whether you take capsules or extended-release tablets, so ask me if you are unsure.

How should I take it?

▾
Take it by mouth, with or without food. Swallow capsules whole and do not open them. If you have the extended-release tablet, do not break, crush or chew it. Follow the schedule your prescriber gave you.

What side effects are normal?

▾
Headache, mild muscle aches, stomach upset, nausea, diarrhea and flu-like symptoms are the more common ones. Most are mild. Let me or your doctor know if they bother you.

When should I call my doctor?

▾
Call promptly for unexplained muscle pain, tenderness or weakness, especially with fever. Also call for yellow skin or eyes, or signs of allergic reaction like swelling or trouble breathing.

Can I take it with my other medicines?

▾
Some medicines need extra care. These include gemfibrozil, cyclosporine, fluconazole, niacin, other fibrates, colchicine, warfarin, glyburide and phenytoin. Always show me your full medicine list so we can check.

Is it safe in pregnancy?

▾
No. Fluvastatin may harm an unborn baby, and the label advises against use during pregnancy and breastfeeding. If you become pregnant, stop it and tell your doctor right away.

Is Fluvastatin available over the counter?

▾
No. Fluvastatin is a prescription medicine: every Fluvastatin 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 Fluvastatin first available?

▾
The earliest FDA record we hold for Fluvastatin is from 1993: 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 Fluvastatin was first used.

Who makes Fluvastatin?

▾
5 companies currently list Fluvastatin products in the FDA's NDC Directory, including Bryant Ranch Prepack, Teva Pharmaceuticals USA, Inc., Mylan Pharmaceuticals Inc.. 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 Fluvastatin on HelloPharmacist

📊Fluvastatin supplement interactions128 checked — ranked by severity 🌿Drug & Supplement CheckerFluvastatin vs. vitamins & herbs 💬Ask a PharmacistFree answer, usually < 24h 🔎NDC & pricing lookupFind Fluvastatin NDCs & costs 🅰️Browse Drugs A–ZLook up any medication
Detailed data & references for Fluvastatin 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.

Fluvastatin forms and strengths (how it comes)

Fluvastatin 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 Fluvastatin inactive ingredients by manufacturer.

Capsule

By mouth
How this form is used
What it may be used for
  • Fluvastatin capsules are used with diet for primary hypercholesterolemia and mixed dyslipidemia in adults.
  • Fluvastatin capsules are used for heterozygous familial hypercholesterolemia in boys and post-menarchal girls ages 10 to 16.
  • Fluvastatin capsules are used in coronary heart disease to reduce the risk of revascularization procedures and slow atherosclerosis.
Important instructions
  • Fluvastatin capsules can be taken with or without food.
  • Do not open fluvastatin capsules before taking them.
  • Do not take two fluvastatin 40 mg capsules at one time.
Available strengths 2 strengths
20 mg 40 mg
16 FDA-listed product records ⓘ

Extended-release tablet

By mouth
Brands Lescol
How this form is used
What it may be used for
  • Lescol XL is used with diet to lower LDL cholesterol in adults with primary hyperlipidemia.
  • Lescol XL is used in adults with coronary heart disease to reduce the risk of revascularization procedures and slow atherosclerosis.
  • Lescol XL is used in adults and children 10 and older with heterozygous familial hypercholesterolemia who require 80 mg of fluvastatin daily.
Important instructions
  • Lescol XL is taken once daily, with or without food, at any time of day.
  • Do not break, crush or chew Lescol XL tablets.
  • Lescol XL is only available as an 80 mg tablet and cannot be adjusted in dose.
Available strengths 1 strength
80 mg
9 FDA-listed product records ⓘ

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

How Fluvastatin 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.

5 companies list 13 Fluvastatin product records with the FDA, mostly as capsule, extended-release tablet; the earliest marketing or approval year on record is 1993. Brand names on the directory include Lescol, Lescol XL; the rest are generics.

2
Dose forms ⓘ
5
Labelers (makers, repackagers, distributors)
4
Brand names
13
FDA-listed product records ⓘ
1993
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 (8) — bulk drug substance sold to compounders/manufacturers and multi-item kits. These aren’t counted in the dose-form total above.

Bryant Ranch Prepack38%
Teva Pharmaceuticals USA, Inc.23%
Mylan Pharmaceuticals Inc.15%
Sandoz Inc15%
Lannett Company, Inc.8%

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

How widely Fluvastatin is used (Medicaid data)

A general measure of how commonly Fluvastatin 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 Fluvastatin 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.

208
Medicaid prescriptions filled (Q1–Q4 2025)
$32,273 gross Medicaid reimbursement (before mandatory rebates — net cost is lower)

How commonly is Fluvastatin prescribed? Of the 1,601 medications we measure, Fluvastatin ranks #1,445 by Medicaid prescriptions — more than 10% of them.

Where Fluvastatin ranks among the drugs we measure · Q1–Q4 2025 · neighbors ±5
Total prescriptions — #1,445 of 1,601
#1,440 Mogamulizumab-kpkc Inj... 230 Rx #1,441 Ciprofloxacin Otic 225 Rx #1,442 Molindone 217 Rx #1,443 Adefovir 213 Rx #1,444 Edoxaban 210 Rx #1,445 Fluvastatin 208 Rx #1,446 Ribavirin 202 Rx #1,447 Dihydroergotamine Inje... 201 Rx #1,448 Moxifloxacin Injection 200 Rx #1,449 Tebentafusp injection 200 Rx #1,450 Benzoyl Peroxide / Tre... 196 Rx

Utilization by Fluvastatin 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 20 mg oral capsule is the most-dispensed Fluvastatin product — about 63% of these Medicaid prescriptions.

fluvastatin 20 MG Oral Capsule Most dispensed

132 Medicaid prescriptions (Q1–Q4 2025) 63% of Fluvastatin prescriptions shown $20,700 gross reimbursement (before rebates) ≈ $157 per prescription (gross)

Summed across the 1 of 5 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 310404

fluvastatin 40 MG Oral Capsule

38 Medicaid prescriptions (Q1–Q4 2025) 18% of Fluvastatin prescriptions shown $7,004 gross reimbursement (before rebates) ≈ $184 per prescription (gross)

Summed across the 1 of 8 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 310405

24 HR fluvastatin 80 MG Extended Release Oral Tablet

38 Medicaid prescriptions (Q1–Q4 2025) 18% of Fluvastatin prescriptions shown $4,569 gross reimbursement (before rebates) ≈ $120 per prescription (gross)

Summed across the 1 of 12 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 360507

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 Fluvastatin, 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 3 of 25 listed Fluvastatin NDCs with Medicaid activity.

Compare Fluvastatin products

A representative set of FDA-listed product records for Fluvastatin — 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.)

Strength Route Manufacturer / Labeler Category ⓘ Details
💊Capsule
20 mg Oral Bryant Ranch Prepack ANDA View NDC →
40 mg Oral Bryant Ranch Prepack × 4 listings ANDA View NDC →
20 mg Oral Mylan Pharmaceuticals Inc. ANDA View NDC →
40 mg Oral Mylan Pharmaceuticals Inc. ANDA View NDC →
20 mg Oral Teva Pharmaceuticals USA, Inc. ANDA View NDC →
40 mg Oral Teva Pharmaceuticals USA, Inc. ANDA View NDC →
💊Extended-release tablet
80 mg Oral Lannett Company, Inc. ANDA View NDC →
80 mg Oral Sandoz Inc NDA AUTHORIZED GENERIC View NDC →
80 mg Oral Sandoz Inc NDA View NDC →
80 mg Oral Teva Pharmaceuticals USA, Inc. ANDA View NDC →

Showing 13 of 13 products — FDA National Drug Code Directory. See every product, package size and price: browse all 13 Fluvastatin NDCs →

Fluvastatin 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 no Fluvastatin recalls since July 2021.

✅No Fluvastatin recalls on record since July 2021

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) Fluvastatin RxCUI 41127 2 dose forms · 3 strengths
  1. Dose form (SCDF) Extended Release Oral Tablet RxCUI 375074 In current FDA listings
    Clinical drug / strength (SCD) 24 HR fluvastatin 80 MG RxCUI 360507
  2. Dose form (SCDF) Oral Capsule RxCUI 372255 In current FDA listings
    Clinical drug / strength (SCD) 20 MG RxCUI 310404 40 MG RxCUI 310405

Look up RxCUI 41127 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 Fluvastatin 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
Capsule · Oral 40 mg $2.86 per capsule NDC details & price history
Capsule · Oral 20 mg $2.67 per capsule NDC details & price history
Tablet, Film Coated, Extended Release · Oral 80 mg $2.88 per tablet NDC details & price history
Tablet, Extended Release · Oral 80 mg $2.88 per tablet 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.

Fluvastatin brand names

Fluvastatin is sold under 2 brand names in the FDA directory — Lescol, Lescol XL. A brand and its generic contain the same active ingredient; the brand name belongs to one company's product.

Lescol Lescol XL

Who makes Fluvastatin: manufacturers and labelers

5 companies list Fluvastatin products with the FDA. By number of product records, the largest are Bryant Ranch Prepack, Teva Pharmaceuticals USA, Inc., Mylan Pharmaceuticals Inc.. Labelers include manufacturers and repackagers; the product in your bottle depends on which one your pharmacy stocks.

Bryant Ranch Prepack 5 Teva Pharmaceuticals USA, Inc. 3 Mylan Pharmaceuticals Inc. 2 Sandoz Inc 2 Lannett Company, Inc. 1

Fluvastatin drug class (RxNorm)

Fluvastatin belongs to the HMG-CoA Reductase Inhibitor class.

Pharmacologic class HMG-CoA Reductase Inhibitor
Drug family (ATC) HMG CoA reductase inhibitors
How it works Hydroxymethylglutaryl-CoA Reductase 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 Fluvastatin 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 Aug 20, 2020
🏭
Forms, brands & labelersAggregated from ingredient-matched FDA National Drug Code Directory product records for Fluvastatin.
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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 Fluvastatin after exact ingredient or ingredient-combination matching and applicable route/form matching
Clinical labels in scope
11
Finished products in the current FDA directory
13
Companies listing them (makers, repackagers, distributors)
5
FDA labeler codes behind them ⓘ
8
Linked representative label ⓘ
Mylan Pharmaceuticals Inc.
Linked label effective
Aug 20, 2020
Composite sections available
23
Linked SPL Set ID
d0a7247c-5d83-4bc1-840f-c58314d14195
Linked SPL Document ID
f31c30b0-95b9-47d4-8ef8-f6fa51a2e5b9
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. Mylan Pharmaceuticals 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 →