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Rizatriptan

Rizatriptan is a triptan medicine taken at the start of a migraine attack to treat migraine with or without aura in adults and children 6 to 17, available as tablets, orally disintegrating tablets and a dissolving oral film.

Brand names Maxalt-mltMaxaltRizafilmRizatriptan BenzoateRizatriptan Benzoate ODT
Drug class Serotonin-1b And Serotonin-1d Receptor Agonist
Rx Forms 3
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 54 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 · 3
Rizatriptan 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

Rizatriptan (Maxalt) is a fast-acting triptan, a usual first-choice prescription for stopping a migraine attack once it starts (not for preventing attacks), that works on serotonin receptors in the blood vessels and pain nerves of the head, and it has been on the market since about 1998 and is available generically. Most people tolerate it well, though some notice brief tiredness, sleepiness or dizziness, or a tight, heavy feeling in the chest, throat or jaw that is usually not from the heart. Because it can narrow blood vessels, it is not safe for people with heart disease, a past stroke or uncontrolled high blood pressure, and chest pressure that feels heart-related needs emergency help.

Clinical pearls

  • If you take propranolol, tell your prescriber, because it raises rizatriptan levels and the dose must be adjusted.
  • Never take it within 2 weeks of an MAO inhibitor, or within 24 hours of another triptan or an ergot medicine.
  • On SSRI, SNRI or tricyclic antidepressants, watch for agitation, fever, fast heartbeat or twitching, signs of serotonin syndrome.
  • Treating headaches on 10 or more days a month can cause medication overuse headache, so track how often you use it.
⚠️ FDA Boxed Warning — the FDA’s strongest safety alert ▾

BOXED WARNING

Read the full warning on DailyMed →
How you get itPrescription only
Comes asTablet, Orally disintegrating tablet, Dissolving oral film
Earliest FDA record1998
Companies listing it with the FDA23
FDA label last updatedJul 1, 2022
FDA’s strongest warning (boxed)Yes, read the warning

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

What Rizatriptan is used for

▾

Rizatriptan treats migraine attacks once they have begun.

  • Acute treatment of migraine with or without aura in adults and children 6 to 17 (tablets, orally disintegrating tablets including Maxalt-MLT, and Rizafilm oral film).
  • Not for preventing migraine.
  • Not indicated for cluster headache, or for hemiplegic or basilar migraine.

How Rizatriptan works

▾

Rizatriptan is a triptan. It binds tightly to serotonin 5-HT 1B/1D receptors on blood vessels inside the head and on trigeminal pain nerves. This is believed to be how it eases migraine headache.

Rizatriptan dosage

▾

Rizatriptan is taken by mouth as a single dose at the start of a migraine. A repeat dose may be taken at least 2 hours later if the headache returns, up to a daily maximum.

  • Tablets are swallowed. Orally disintegrating tablets and Rizafilm dissolve in the mouth, and Rizafilm goes on the tongue.
  • It can be taken with or without food.
  • Children's doses depend on weight. Safety of more than one dose in 24 hours in children has not been established.
  • Safety of treating more than about four headaches in 30 days has not been established.

Follow your prescriber and label directions.

Dosing details from the FDA-approved label

From the Rizatriptan 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 (acute treatment of migraine)
    • 5 mg or 10 mg single dose
    • If the migraine headache returns, a second dose may be administered 2 hours after the first dose
    • Separate repeat doses by at least two hours
    • Maximum: 30 mg in any 24-hour period
    • The 10 mg dose may provide a greater effect than the 5 mg dose, but may have a greater risk of adverse reactions; safety of treating, on average, more than four headaches in a 30-day period has not been established
  • Pediatric patients 6 to 17 years weighing less than 40 kg (88 lb)
    • 5 mg single dose
    • Efficacy and safety of more than one dose within 24 hours have not been established; not to be prescribed to propranolol-treated patients weighing less than 40 kg (88 lb)
  • Pediatric patients 6 to 17 years weighing 40 kg (88 lb) or more
    • 10 mg single dose
    • Efficacy and safety of more than one dose within 24 hours have not been established
  • Adult patients taking propranolol
    • Only the 5 mg dose is recommended, up to a maximum of 3 doses in any 24-hour period
    • Maximum: 15 mg in a 24-hour period (3 doses)
    • Dose adjustment for propranolol co-administration
  • Pediatric patients weighing 40 kg (88 lb) or more taking propranolol
    • Only a single 5 mg dose is recommended
    • Maximum: 5 mg in a 24-hour period
    • Dose adjustment for propranolol co-administration
Read the label’s full dosing text

2 DOSAGE AND ADMINISTRATION • Adults: 5 mg or 10 mg single dose; separate repeat doses by at least two hours; maximum dose in a 24-hour period: 30 mg ( 2.1 ) • Pediatric patients 6 to 17 years: 5 mg single dose in patients less than 40 kg (88 lb); 10 mg single dose in patients 40 kg (88 lb) or more ( 2.2 ) • Adjust dose if co-administered with propranolol ( 2.4 ) 2.1 Dosing Information in Adults The recommended starting dose of rizatriptan benzoate orally disintegrating tablets, USP is either 5-mg or 10-mg for the acute treatment of migraines in adults. The 10 mg dose may provide a greater effect than the 5 mg dose, but may have a greater risk of adverse reactions [see Clinical Studies ( 14.1 )] . Redosing in Adults Although the effectiveness of a second dose or subsequent doses has not been established in placebo-controlled trials, if the migraine headache returns, a second dose may be administered 2 hours after the first dose. The maximum daily dose should not exceed 30 mg in any 24-hour period. The safety of treating, on average, more than four headaches in a 30-day period has not been established. 2.2 Dosing Information in Pediatric Patients (Age 6 to 17 Years) Dosing in pediatric patients is based on the patient's body weight. The recommended dose of rizatriptan benzoate orally disintegrating tablets is 5 mg in patients weighing less than 40 kg (88 lb), and 10 mg in patients weighing 40 kg (88 lb) or more. The efficacy and safety of treatment with more than one dose of rizatriptan benzoate orally disintegrating tablets within 24 hours in pediatric patients 6 to 17 years of age have not been established. 2.3 Administration of Rizatriptan Benzoate Orally Disintegrating Tablets USP For rizatriptan benzoate Orally Disintegrating Tablets, USP, administration with liquid is not necessary. Orally disintegrating tablets are packaged in a blister within a carton and patients should not remove the tablet from the blister until just prior to dosing. The blister pack should then be peeled open with dry hands and the orally disintegrating tablet placed on the tongue, where it will dissolve and be swallowed with the saliva.

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

Rizatriptan side effects

▾

The most common side effects in adults were:

Common side effects

  • Tiredness or weakness (asthenia/fatigue)
  • Sleepiness (somnolence)
  • Pain or pressure sensations
  • Dizziness
  • Unusual sensations such as tingling (paresthesia)

When to get medical help

  • Get emergency help for chest pain or pressure, or tightness in the throat, neck or jaw that you think may be heart-related.
  • Get emergency help for signs of a stroke or brain bleed, such as sudden weakness, trouble speaking or severe sudden headache.
  • Seek help for a racing or irregular heartbeat.
  • Seek help for stomach pain with bloody diarrhea, or cold, numb or painful fingers or toes.
  • Seek help for possible serotonin syndrome: agitation, hallucinations, fast heartbeat, fever, muscle twitching or stiffness, nausea, vomiting or diarrhea.
  • Seek help for swelling of the face or throat or trouble breathing, which can be signs of a serious allergic reaction.
  • Call your doctor if you have vision loss or headaches that become more frequent from using migraine medicines too often.

Rizatriptan warnings and precautions

▾
  • Heart risks: heart attack, angina and dangerous heart rhythms have been reported. People with several heart risk factors need a heart check first.
  • Stroke and brain bleeds: some cases were fatal. Some happened when other symptoms were mistaken for migraine.
  • Reduced blood flow: can affect the gut, spleen, hands and feet. Vision loss has been reported.
  • Blood pressure: significant rises have occurred rarely.
  • Medication overuse headache: from using migraine medicines 10 or more days a month.
  • Serotonin syndrome: especially with antidepressants.

Rizatriptan interactions

▾

Several medicines change how rizatriptan works or add risk.

  • Propranolol: raises rizatriptan levels, so dose adjustment is needed.
  • MAO inhibitors: raise levels, so they are not allowed together or within 2 weeks.
  • Other triptans and ergot medicines: additive blood vessel narrowing, so keep 24 hours apart.
  • SSRIs, SNRIs, tricyclics: risk of serotonin syndrome.

Interactions listed in the FDA-approved label

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

  • Propranolol: Propranolol increased the plasma AUC of rizatriptan by 70% (a four-fold increase was observed in one subject); the AUC of the active N-monodesmethyl metabolite was not affected. Adjust the rizatriptan dose in propranolol-treated patients (see dosing).
  • Ergot-containing drugs (ergotamine, dihydroergotamine, methysergide): Ergot-containing drugs have been reported to cause prolonged vasospastic reactions, and these effects may be additive. Use within 24 hours of rizatriptan is contraindicated.
  • Other 5-HT1 agonists: Vasospastic effects may be additive. Co-administration within 24 hours of each other is contraindicated.
  • SSRIs/SNRIs: Cases of serotonin syndrome have been reported during co-administration of triptans and SSRIs or SNRIs.
  • Monoamine oxidase inhibitors (MAO-A inhibitors and non-selective MAO inhibitors): A specific MAO-A inhibitor (moclobemide) increased rizatriptan AUC by 119% and Cmax by 41%, and the AUC of the active N-monodesmethyl metabolite by more than 400%. Rizatriptan is contraindicated in patients taking MAO-A inhibitors and non-selective MAO inhibitors.
  • Selective MAO-B inhibitors: No pharmacokinetic interaction is anticipated.
  • Nadolol/Metoprolol: No pharmacokinetic interactions were observed with nadolol 80 mg or metoprolol 100 mg every 12 hours and a single 10 mg dose of rizatriptan.
  • Paroxetine: Paroxetine 20 mg/day for two weeks did not affect plasma concentrations of rizatriptan or its safety profile.
  • Oral contraceptives: Rizatriptan did not affect plasma concentrations of ethinyl estradiol or norethindrone.
Read the label’s full interactions text

7 DRUG INTERACTIONS 7.1 Propranolol The dose of rizatriptan benzoate should be adjusted in propranolol-treated patients, as propranolol has been shown to increase the plasma AUC of rizatriptan by 70% [see Dosage and Administration ( 2.4 ) and Clinical Pharmacology ( 12.3 )] . 7.2 Ergot-Containing Drugs Ergot-containing drugs have been reported to cause prolonged vasospastic reactions. Because these effects may be additive, use of ergotamine-containing or ergot-type medications (like dihydroergotamine or methysergide) and rizatriptan benzoate within 24 hours is contraindicated [see Contraindications ( 4 )] . 7.3 Other 5-HT 1 Agonists Because their vasospastic effects may be additive, co-administration of rizatriptan benzoate and other 5-HT 1 agonists within 24 hours of each other is contraindicated [see Contraindications ( 4 )] . 7.4 SSRIs/SNRIs and Serotonin Syndrome Cases of serotonin syndrome have been reported during co-administration of triptans and selective serotonin reuptake inhibitors (SSRIs) or serotonin norepinephrine reuptake inhibitors (SNRIs) [see Warnings and Precautions ( 5.7 )] . 7.5 Monoamine Oxidase Inhibitors Rizatriptan benzoate is contraindicated in patients taking MAO-A inhibitors and non-selective MAO inhibitors. A specific MAO-A inhibitor increased the systemic exposure of rizatriptan and its metabolite [see Contraindications ( 4 ) and Clinical Pharmacology ( 12.3 )] .

Drug Interactions [See also Drug Interactions ( 7 )]. Monoamine oxidase inhibitors: Rizatriptan is principally metabolized via monoamine oxidase, ‘A’ subtype (MAO-A). Plasma concentrations of rizatriptan may be increased by drugs that are selective MAO-A inhibitors (e.g., moclobemide) or nonselective MAO inhibitors [type A and B] (e.g., isocarboxazid, phenelzine, tranylcypromine, and pargyline).

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.

Before taking Rizatriptan

▾
  • Do not use with heart disease, past stroke or TIA, peripheral vascular disease, ischemic bowel disease or uncontrolled high blood pressure.
  • Do not use for hemiplegic or basilar migraine, or with an allergy to rizatriptan.
  • Pregnancy: human data are limited, and animal studies showed harm at high exposures.
  • Breastfeeding: no human milk data. Discuss benefits and risks with your doctor.
  • Children under 6: not established.
  • Older adults: start at the low end, and get a heart evaluation if you have risk factors.
  • Orally disintegrating tablets contain phenylalanine.

Rizatriptan overdose

▾

In studies, higher doses caused dizziness and sleepiness. At much higher doses some people had fainting, slow heart rate, vomiting or loss of bladder control. High blood pressure or reduced heart blood flow could occur. Seek emergency care. Monitoring for at least 12 hours is advised.

What Rizatriptan does in the body

▾

Rizatriptan binds with high affinity to 5-HT 1B/1D receptors on blood vessels in the head and on trigeminal sensory nerves, which is thought to relieve migraine headache. Maximal doses caused only slight blood pressure increases of about 2 to 3 mmHg in healthy adults.

How your body processes Rizatriptan

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Rizatriptan is well absorbed by mouth, with peak levels in about 1 to 1.5 hours. Food delays the peak by about an hour but does not change how much is absorbed. It is mostly broken down by the enzyme MAO-A and cleared mainly through urine. Its half-life is about 2 to 3 hours.

How to store Rizatriptan

▾

Store at 20º to 25ºC (68º to 77ºF).

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

38

Supplements & herbs that interact with Rizatriptan

38 supplements and herbal products have documented interactions with Rizatriptan 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 · 2
  • Moderate · 25
  • Minor · 11
Every supplement checked against Rizatriptan — ranked by severity The full interaction hub: 2 major · 25 moderate · 11 minor · every one linked to its full report. Check Rizatriptan 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.

Rizatriptan: pharmacist answers to common questions

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

What is rizatriptan for?

▾
It treats a migraine attack once it has started, with or without aura. It works for adults and for children 6 to 17. It does not prevent migraines and is not for cluster headache.

How do I take it?

▾
Take it by mouth when a migraine begins. Tablets are swallowed, while the dissolving tablets and Rizafilm melt in your mouth. You can take it with or without food. If the headache returns, you can repeat at least 2 hours later, but stay under the daily maximum on your label.

What side effects should I expect?

▾
The most common are tiredness, sleepiness, dizziness, tingling and pain or pressure sensations. Tightness in the chest, throat or jaw can happen and is usually not heart-related, but get checked if you are worried.

When should I get help right away?

▾
Seek emergency help for chest pain, sudden weakness or trouble speaking, a racing heartbeat, swelling of the face or throat, or severe stomach pain with bloody diarrhea. Also seek help for agitation, fever, muscle twitching or heavy sweating, which could be serotonin syndrome.

Can I take it with my other medicines?

▾
Tell me everything you take. It cannot be used with MAO inhibitors, other triptans or ergot medicines within the timeframes on the label. Antidepressants like SSRIs raise the risk of serotonin syndrome, and propranolol needs a dose change.

Is it safe in pregnancy?

▾
Human data are not enough to draw conclusions, and animal studies showed harm at high exposures. Talk with your doctor before using it if you are pregnant or breastfeeding.

Is Rizatriptan available over the counter?

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

▾
The earliest FDA record we hold for Rizatriptan is from 1998: 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 Rizatriptan was first used.

Who makes Rizatriptan?

▾
23 companies currently list Rizatriptan products in the FDA's NDC Directory, including Bryant Ranch Prepack, Direct Rx, A-S Medication Solutions. 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 Rizatriptan on HelloPharmacist

Detailed data & references for Rizatriptan 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.

Rizatriptan forms and strengths (how it comes)

Rizatriptan is available in 3 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 Rizatriptan inactive ingredients by manufacturer.

Tablet

By mouth
Brands Maxalt Rizatriptan Benzoate
How this form is used
What it may be used for
  • Maxalt and rizatriptan benzoate tablets are used for acute treatment of migraine with or without aura in adults and children 6 to 17.
  • These tablets are not for migraine prevention or hemiplegic or basilar migraine.
Important instructions
  • Rizatriptan benzoate tablets: repeat doses are at least 2 hours apart, within a daily maximum.
  • Rizatriptan benzoate tablets: only the lower dose is used in adults taking propranolol, per the label's adjustment.
  • Rizatriptan benzoate tablets: children's dose depends on body weight.
Available strengths 2 strengths
77 FDA-listed product records ⓘ

Orally disintegrating tablet

By mouth
Brands Maxalt-mlt Rizatriptan Benzoate Rizatriptan Benzoate ODT
How this form is used
What it may be used for
  • Maxalt-MLT and rizatriptan benzoate orally disintegrating tablets are used for acute treatment of migraine with or without aura in adults and children 6 to 17.
  • These tablets are not for migraine prevention or hemiplegic or basilar migraine.
Important instructions
  • Rizatriptan benzoate orally disintegrating tablets: repeat doses are at least 2 hours apart, within a daily maximum.
  • Rizatriptan benzoate orally disintegrating tablets contain phenylalanine, which matters for people with phenylketonuria.
  • Rizatriptan benzoate orally disintegrating tablets are absorbed somewhat more slowly than regular tablets.
Available strengths 2 strengths
54 FDA-listed product records ⓘ

Dissolving oral film

By mouth
Brands Rizafilm
How this form is used
What it may be used for
  • Rizafilm is used for acute treatment of migraine with or without aura in adults and children 6 to 17.
  • Rizafilm is not for preventing migraine or for cluster headache.
Important instructions
  • Rizafilm is placed on the tongue, and taking it with liquid is not necessary.
  • Rizafilm repeat doses must be at least 2 hours apart, within a daily maximum.
  • Rizafilm comes in individual child-resistant pouches with a tear notch.
  • Rizafilm dosing for children 6 to 17 depends on body weight.
Available strengths 2 strengths
4 FDA-listed product records ⓘ

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

How Rizatriptan 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 72 Rizatriptan product records with the FDA, mostly as tablet, orally disintegrating tablet, dissolving oral film; the earliest marketing or approval year on record is 1998. Brand names on the directory include Maxalt-mlt, Maxalt, Rizafilm and 2 more; the rest are generics.

3
Dose forms ⓘ
23
Labelers (makers, repackagers, distributors)
6
Brand names
72
FDA-listed product records ⓘ
1998
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 (13) — bulk drug substance sold to compounders/manufacturers and multi-item kits. These aren’t counted in the dose-form total above.

Bryant Ranch Prepack13%
Direct Rx11%
A-S Medication Solutions6%
Aurobindo Pharma Limited6%
Glenmark Pharmaceuticals Inc., USA6%
Golden State Medical Supply, Inc.6%
Other makers54%

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

How widely Rizatriptan is used (Medicaid data)

A general measure of how commonly Rizatriptan 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 Rizatriptan 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.

745,530
Medicaid prescriptions filled (Q1–Q4 2025)
$9.8M gross Medicaid reimbursement (before mandatory rebates — net cost is lower)

How commonly is Rizatriptan prescribed? Of the 1,601 medications we measure, Rizatriptan ranks #209 by Medicaid prescriptions — more than 87% of them.

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

Utilization by Rizatriptan 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 10 mg oral tablet is the most-dispensed Rizatriptan product — about 49% of these Medicaid prescriptions.

rizatriptan 10 MG Oral Tablet Most dispensed

362,054 Medicaid prescriptions (Q1–Q4 2025) 49% of Rizatriptan prescriptions shown $4.5M gross reimbursement (before rebates) ≈ $12 per prescription (gross)

Summed across the 8 of 83 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 314209

rizatriptan 10 MG Disintegrating Oral Tablet

237,823 Medicaid prescriptions (Q1–Q4 2025) 32% of Rizatriptan prescriptions shown $3.3M gross reimbursement (before rebates) ≈ $14 per prescription (gross)

Summed across the 8 of 57 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 312837

rizatriptan 5 MG Oral Tablet

73,385 Medicaid prescriptions (Q1–Q4 2025) 10% of Rizatriptan prescriptions shown $960,995 gross reimbursement (before rebates) ≈ $13 per prescription (gross)

Summed across the 8 of 70 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 312840

rizatriptan 5 MG Disintegrating Oral Tablet

72,268 Medicaid prescriptions (Q1–Q4 2025) 10% of Rizatriptan prescriptions shown $1M gross reimbursement (before rebates) ≈ $14 per prescription (gross)

Summed across the 6 of 44 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 312839

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 Rizatriptan, 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 30 of 254 listed Rizatriptan NDCs with Medicaid activity.

Compare Rizatriptan products

A representative set of FDA-listed product records for Rizatriptan — 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 72 of 72 products — FDA National Drug Code Directory. See every product, package size and price: browse all 72 Rizatriptan NDCs →

Rizatriptan 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 Rizatriptan — a signal of what to watch for, not proof the drug caused it.

The effects most often named in FDA reports that mention Rizatriptan are nausea, headache, migraine; about 58% of the reports were classed as serious. These are voluntary reports, so they show what people report, not how often it happens.

16,158
Reports mentioning it
58%
Reported as serious
12
Distinct effects shown
Most reported effects
Nausea
1,767
Headache
1,631
Migraine
1,504
Fatigue
1,074
Pain
922
Vomiting
763
Dizziness
722
Diarrhoea
706
Dyspnoea
628
Hyperhidrosis
602
Age groups
Adult · 2,284Elderly · 336Adolescent · 62Child · 27Infant · 9Neonate · 7

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 Rizatriptan 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.

Rizatriptan FDA approval history

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

Rizatriptan was first approved by the FDA in 1998 (Brand: MAXALT · Organon Llc); the first generic version was approved in 2012. It remains available in U.S. pharmacies today.

1998
Brand approved
Brand: MAXALT · Organon Llc
2012
First generic approved
Lower-cost ANDA competition begins
2026
Available today
Active in U.S. pharmacies

Source: Drugs@FDA.

Rizatriptan 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 4 Rizatriptan recalls since July 2021, covering 9 product listings. Three of them are still ongoing or began in the last six months and are 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 Jul 9, 2025 · Ascend Laboratories, LLC
CGMP Deviations: detection of N-nitroso-dimethyl-rizatriptan impurity, above the FDA recommended acceptable intake limit.
  • Rizatriptan Benzoate Tablets, USP, 10 mg, 18 (3x6) Unit Dose Tablets, Rx Only, Manufactured by: Alkem Laboratories Ltd., INDIA, Distributed by: Ascend Laboratories LLC, Parsippany, NJ 07054, NDC 6787… Lots: Lot 22143653, 22143675, Exp Date: July 2025; Lot 22144528, Exp Date: September 2025; Lot 22144977, Exp Date: November 2025; Lot 23140257, Exp Date: December 2025; Lot 23140999, Exp Date: Feb. 2026; Lot 23141900, 23142118, 23142120, 2314212… FDA record D-0534-2025 →
  • Rizatriptan Benzoate Tablets, USP, 5 mg, 18 (3x6) Unit Dose Tablets, Rx Only, Manufactured by: Alkem Laboratories Ltd., INDIA, Distributed by: Ascend Laboratories LLC, Parsippany, NJ 07054, NDC 67877… Lots: Lot 23142117, 23142119, 23142122, Exp Date: May 2026; Lot 24142625, Exp Date: Jun. 2027 FDA record D-0533-2025 →
Ongoing Class II May 13, 2024 · Glenmark Pharmaceuticals Inc., USA
CGMP Deviations: N-Nitroso Desmethyl Rizatriptan Impurity results that are above the FDA acceptable limit.
  • Rizatriptan Benzoate Orally Disintegrating Tablets, USP 10mg, 18 (3 x 6) Unit-Dose Tablets, Manufactured for: Glenmark Pharmaceuticals Inc., USA Mahwah, NJ 07430, Product of India, NDC 68462-468-06 Lots: Lot#: 19223402; Exp. 7/2024 Lot#: 19224858; Exp. 11/2024 Lot#: 19232492; Exp. 6/2025 FDA record D-0535-2024 →
  • Rizatriptan Benzoate Orally Disintegrating Tablets, USP 5mg, 18 (3 x 6) Unit-Dose Tablets, Manufactured for: Glenmark Pharmaceuticals Inc., USA Mahwah, NJ 07430, Product of India, NDC 68462-467-06 Lots: Lot#: 19224857; Exp. 11/2024 Lot#: 19232493; Exp. 6/2025 FDA record D-0534-2024 →
Ongoing Class II May 10, 2024 · Glenmark Pharmaceuticals Inc., USA
CGMP Deviations: N-Nitroso Desmethyl Rizatriptan Impurity results that are above the FDA acceptable limit.
  • Rizatriptan Benzoate Tablets USP, 10 mg, 18 (3 X 6) Unit-Dose Tablets, Manufactured for: Glenmark Pharmaceuticals Inc., USA Mahwah, NJ 07430 Product of India, NDC 68462-466-99 Lots: Lot#: 19224217; Exp. 9/2024 Lot#: 19233789; Exp. 9/2025 Lot#: 19224444; Exp. 9/2024 FDA record D-0533-2024 →
  • Rizatriptan Benzoate Tablets USP, 5mg, 18 (3 X 6) Unit-Dose Tablets, Manufactured for: Glenmark Pharmaceuticals Inc., USA Mahwah, NJ 07430 Product of India, NDC 68462-465-99 Lots: Lot#: 19233788; Exp. 9/2025 Lot#: 19224445; Exp. 9/2024 FDA record D-0532-2024 →
Class III Oct 18, 2021 · Terminated · MACLEODS PHARMA USA, INC
Out-of-specification test results obtained in Organic Impurities test during analysis of controlled samples.
  • Rizatriptan Benzoate Orally Disintegrating Tablets 10mg, 18 Tablets (3 x 6 Unit-Dose Tablets) Blister Packs, Rx only, Manufactured for: Macleods Pharma USA Inc. Plainsboro, NJ 08536, Manufactured by:… Lots: Lot #: BRM2111A, BRM2112A, BRM2113A, BRM2114A, BRM2115A, BRM2116A, exp. date 04/2025 FDA record D-0080-2022 →
  • Rizatriptan Benzoate Orally Disintegrating Tablets 5mg, 12 Tablets (2 x 6 Unit-Dose Tablets) Blister Packs, Rx only, Manufactured for: Macleods Pharma USA Inc. Plainsboro, NJ 08536, Manufactured by:… Lots: Lot #: BRL2102A, BRL2103A, exp. date 04/2025 FDA record D-0079-2022 →
  • Rizatriptan Benzoate Film Coated Tablets, 10 mg, packaged in a) 12 Tablets (2X6 Unit-Dose Tablets) Blister Packs, NDC 33342-088-45), b) 18 Tablets (3 x 6 Unit-Dose Tablets, NDC 33342-088-41) Rx only,… Lots: Lot #: BRJ2112A, BRJ2113A, BRJ2114A, BRJ2114B, exp. date 04/2024 FDA record D-0078-2022 →

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) Rizatriptan RxCUI 88014 3 dose forms · 6 strengths
  1. Dose form (SCDF) Disintegrating Oral Tablet RxCUI 374590 In current FDA listings
    Clinical drug / strength (SCD) 5 MG RxCUI 312839 10 MG RxCUI 312837
  2. Dose form (SCDF) Oral Film RxCUI 2634481 In current FDA listings
    Clinical drug / strength (SCD) 5 MG RxCUI 2634489 10 MG RxCUI 2634482
  3. Dose form (SCDF) Oral Tablet RxCUI 373798 In current FDA listings
    Clinical drug / strength (SCD) 5 MG RxCUI 312840 10 MG RxCUI 314209

Look up RxCUI 88014 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 Rizatriptan 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 10 mg $0.335 per tablet NDC details & price history
Tablet · Oral 5 mg $0.348 per tablet NDC details & price history
Tablet, Orally Disintegrating · Oral 10 mg $0.654 per tablet NDC details & price history
Tablet, Orally Disintegrating · Oral 5 mg $0.805 per tablet NDC details & price history
Tablet, Film Coated · Oral 10 mg $0.335–$0.366 per tablet NDC details & price history
Tablet, Film Coated · Oral 5 mg $0.348–$0.514 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.

Rizatriptan brand names

Rizatriptan is sold under 5 brand names in the FDA directory — Maxalt-mlt, Maxalt, Rizafilm, Rizatriptan Benzoate and others. A brand and its generic contain the same active ingredient; the brand name belongs to one company's product.

Maxalt-mlt Maxalt Rizafilm Rizatriptan Benzoate Rizatriptan Benzoate ODT

Who makes Rizatriptan: manufacturers and labelers

23 companies list Rizatriptan products with the FDA. By number of product records, the largest are Bryant Ranch Prepack, Direct Rx, A-S Medication Solutions. Labelers include manufacturers and repackagers; the product in your bottle depends on which one your pharmacy stocks.

Bryant Ranch Prepack 9 Direct Rx 8 A-S Medication Solutions 4 Aurobindo Pharma Limited 4 Glenmark Pharmaceuticals Inc., USA 4 Golden State Medical Supply, Inc. 4 Macleods Pharmaceuticals Limited 4 Proficient Rx LP 4 Rising Pharma Holdings, Inc. 4 Unichem Pharmaceuticals (USA), Inc. 4 Ascend Laboratories, LLC 2 Asclemed USA, Inc. 2 Bionpharma Inc., 2 Chartwell RX, LLC 2 Cipla USA Inc. 2 Creekwood Pharmaceuticals LLC 2 Gensco Laboratories LLC 2 Organon LLC 2 Panacea Biotec Limited 2 Teva Pharmaceuticals USA, Inc. 2 Advanced Rx of Tennessee, LLC 1 NuCare Pharmaceuticals,Inc. 1 Remedyrepack Inc. 1

Rizatriptan drug class (RxNorm)

Rizatriptan belongs to the Serotonin-1b and Serotonin-1d Receptor Agonist class.

Pharmacologic class Serotonin-1b and Serotonin-1d Receptor Agonist
Drug family (ATC) Selective serotonin (5HT1) agonists
How it works Serotonin 1b Receptor Agonists, Serotonin 1d Receptor Agonists

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 Rizatriptan 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 Jul 1, 2022
🏭
Forms, brands & labelersAggregated from ingredient-matched FDA National Drug Code Directory product records for Rizatriptan.
📈
Real-world reportsThe FDA Adverse Event Reporting System (FAERS), served through openFDA.
🚨
Recalls & shortagesopenFDA drug-enforcement reports and the FDA drug-shortage database.
🧾 Clinical label set — FDA-filed SPL labels retained for Rizatriptan after exact ingredient or ingredient-combination matching and applicable route/form matching
Clinical labels in scope
54
Finished products in the current FDA directory
72
Companies listing them (makers, repackagers, distributors)
23
FDA labeler codes behind them ⓘ
25
Linked representative label ⓘ
Macleods Pharmaceuticals Limited
Linked label effective
Jul 1, 2022
Composite sections available
22
Linked SPL Set ID
27bc2cfc-fefb-4b50-a0dc-6268c69b4902
Linked SPL Document ID
fe80232a-c329-47ed-8edd-7786e06f3c08
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. Macleods Pharmaceuticals Limited 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 →