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Albuterol Sulfate 90 ug Aerosol, Metered — NDC 00054-0742-87 package photo

Albuterol Sulfate 90 ug Aerosol, Metered

by Hikma Pharmaceuticals USA Inc. · 1 CANISTER in 1 CARTON (0054-0742-87) / 200 AEROSOL, METERED in 1 CANISTER
NDC 00054-0742-87
🏷️ FDA NDC (as labeled) 0054-0742-87 billing pads the labeler segment with a zero
Rx only Generic On market Non-controlled
🗂️ Data synced Jul 24, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →
⚠️
Other active recalls for Albuterol Sulfate (different manufacturers) — 1 · tap to view
These affect other manufacturers’ products for the same ingredient — not necessarily the exact NDC on this page.
Class III · Jul 24, 2025 — Failed Stability Specifications: Out of specification results was observed in Induction Port during the analysis of Particle size distribution at the 12-month time point. (Cipla USA, Inc.) · FDA recall D-0593-2025
Each entry is an official FDA enforcement report — look up any recall number in the FDA recall database ↗

🆔 Identity & classification

FDA NDC (as labeled) 0054-0742-87
Product NDC 0054-0742
11-digit billing NDC 00054074287
NCPDP billing unit GM — per gram (weight)
RxCUI 2123111
UNII 021SEF3731
Application # ANDA207085
SPL Set ID 6c64ab5d-f8a2-440a-a929-cb8188d0e8b4
Established class (EPC) beta2-Adrenergic Agonist
Mechanism of action Adrenergic beta2-Agonists
DEA schedule Non-controlled
Marketing category ANDA
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 2021-11-30
Route RESPIRATORY (INHALATION)
Dosage form AEROSOL, METERED
Substance ALBUTEROL SULFATE
GPI-14 44201010103410
GPI class Albuterol Sulfate HFA
GCN Seq No 028090
GCN 22913
HICL code 002073
Ingredient (HICL) Albuterol Sulfate
HIC1 code B
Therapeutic class — broad (HIC1) Respiratory System
HIC2 code B6
Therapeutic class — intermediate (HIC2) Drugs Affecting The Trachea And Bronchi (Cont3)
HIC3 code B6W
Therapeutic class — specific (HIC3) Beta-Adrenergic Agents, Inhaled, Short Acting
AHFS code 12:12.08.12
AHFS class Selective Beta-2-Adrenergic Agonists
FDB label name ALBUTEROL HFA 90 MCG INHALER
FDB brand name Albuterol Sulfate Hfa
Legend status F — Federal legend — prescription drug or device
TE code (Orange Book) AB1 · RLD · RS
Why two NDCs? The FDA registers this code as 0054-0742-87 — a 4-4-2 layout, and that's what's printed on the package and shown on DailyMed. For insurance claims, every NDC is standardized to a uniform 11-digit 5-4-2 format by adding a zero to the labeler segment → 00054-0742-87. Same drug, same package — only the format differs.
Where does this data come from?
Identifiers from the FDA openFDA NDC Directory and Structured Product Labeling; RxCUI from RxNorm (NLM); GPI from Medi-Span; GCN / HIC / AHFS / legend from First Databank.

🏷️ RxNorm drug class

This medicine belongs to the beta2-Adrenergic Agonist class.

Pharmacologic class beta2-Adrenergic Agonist
Drug family (ATC) Selective beta-2-adrenoreceptor agonists, Selective beta-2-adrenoreceptor agonists
How it works Adrenergic beta2-Agonists
Where does this data come from?
Therapeutic classes from RxNorm RxClass (U.S. National Library of Medicine) — Established Pharmacologic Class (FDA), ATC drug family (WHO) and mechanism of action, matched by this product’s RxCUI.

🏭 Manufacturer & labeler

LabelerHikma Pharmaceuticals USA Inc.
Application holderSANDOZ INC
FDA applicationANDA207085 (ANDA)
Labeler code00054
First marketedNov 2021
Product typeHuman Prescription Drug
Portfolio726 products on file
The labeler markets the product; the application holder owns the FDA approval. They’re often the same company but can differ (e.g. a repackager or an authorized generic). A mailing address / phone appears here when the manufacturer includes it in the product’s FDA label (not all do).
Where does this data come from?
Labeler, application holder and registered establishment from the FDA openFDA NDC Directory and Drugs@FDA; address/contact from the product’s FDA label.

🩺 Clinical

Label name ALBUTEROL HFA 90 MCG INHALER Ingredient Albuterol Sulfate
📖 What it is MedlinePlus · NLM

Albuterol is used to prevent and treat difficulty breathing, wheezing, shortness of breath, coughing, and chest tightness caused by lung diseases such as asthma and chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways). Albuterol inhalation aerosol and powder for oral inhalation is also used to prevent breathing difficulties during exercise. Albuterol inhalation aerosol (Proair HFA, Proventil HFA, Ventolin HFA) is used in adults and children 4 years of age and older. Albuterol powder for oral inhalation (Proair Respiclick) is used in children 12 ye...

Read the full MedlinePlus article ↗
📗 Our plain-language guide HelloPharmacist
  • Albuterol quickly relaxes the muscles around your airways, opening them up so you can breathe more easily. Think of it as a fast-acting rescue medicine — you use it when you feel y...
  • What exactly does albuterol do, and when should I use it?
  • That depends on which inhaler you have. If you have a standard HFA inhaler (like Ventolin HFA or Albuterol Sulfate HFA), shake it well before every puff and prime it with a few tes...
  • The most common side effects are pretty mild — a scratchy throat, cough, or upper respiratory irritation, and sometimes a slightly faster heartbeat, shakiness, or headache. Those u...
📖 Read our full Albuterol guide →
2
Nutrient depletion considerations

Albuterol Sulfate may be associated with lower levels of 2 nutrients — worth a chat with your pharmacist, not a cause for alarm.

An association is not a deficiency. Educational only — don't start or stop anything without professional guidance.
Where does this data come from?
Plain-language summary from MedlinePlus (U.S. National Library of Medicine); supplement & herbal interactions and nutrient depletion data from the Natural Medicines database; our full guide is HelloPharmacist editorial content.

🧪 Inactive Ingredients / Excipients

Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.

💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.

  • UNII 3K9958V90M
    A liquid solvent derived from fermentation or chemical synthesis. In medicines, alcohol dissolves active ingredients, helps preserve the product, and improves how the body absorbs certain drugs.
  • UNII DH9E53K1Y8
    A synthetic fluorinated hydrocarbon used primarily as a propellant or aerosol dispersant in pressurized inhaler formulations to help deliver medication to the lungs.
  • UNII 2UMI9U37CP
    Oleic acid is a naturally occurring fatty acid derived from plant or animal oils. It functions as an emulsifier and solvent in medicines, helping blend water and oil-based ingredients together and dissolving other components.

3 inactive ingredients listed in the exact product block matched to this NDC.

Where does this data come from?
Data sourced from official FDA Structured Product Labeling (SPL) via DailyMedingredient classCode="IACT" elements from the exact product block matched by this NDC. Label-section narrative from DailyMed / the openFDA label index is shown separately when available.

Inactive ingredient FAQ

Are inactive ingredients the same for every manufacturer?
No. Inactive ingredients can differ by manufacturer, dosage form, strength, and package / product version.
Why might an inactive ingredient be missing?
Some SPLs do not provide a complete structured inactive-ingredient list, and older or unusual labels may only include the information in narrative text.
Can inactive ingredients matter?
Yes. They can matter for allergies, intolerances, dyes, gluten / lactose concerns, preservatives, and formulation differences — but confirm with a pharmacist or the manufacturer when it’s clinically important.

💲 Pricing

A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.

Price systemPer gPer package
Retail pharmacies payNADAC · weekly $2.126
Medicaid paysCMS SDUD · 12 mo $3.39
Medicare drug plans payPart D · Q2 2026 $2.19
NADAC price history (per g) — tap or hover for the price & month
Jan 2022 Aug 2022 Dec 2025 Aug 2026 $4.376 $2.126
▼ Down 51% over the last 23 months.
Where does this data come from?
NADAC (National Average Drug Acquisition Cost) is the CMS weekly pharmacy-acquisition-cost survey — what pharmacies pay. ASP (Average Sales Price) is the CMS Medicare Part B drug-payment file, published quarterly. Medicaid pays is computed by us from CMS State Drug Utilization Data (total reimbursed ÷ units, trailing 12 months) — gross of rebates and inclusive of dispensing fees, so it reflects what Medicaid paid, not an acquisition cost. Medicare drug plans pay is the median negotiated point-of-sale unit cost across plans listing this NDC in the CMS quarterly Prescription Drug Plan pricing files, before rebates. The VA pays is the federal contract price (FSS, and the statutory Big 4 ceiling where listed) from the VA National Acquisition Center pharmaceutical price file. All are free public government data; each measures a different payer, so the figures are not directly comparable.

🔁 Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Albuterol Sulfate HFA 90 ug 00093-3174-31 Teva 1 inhaler $1.553 AB2 Availability likely save 27%
Albuterol Sulfate 90 ug 17270-0740-00 Armstrong 1 inhaler $1.553 AB2 Availability likely save 27%
albuterol sulfate 90 ug 45802-0088-01 Padagis 1 inhaler $1.553 AB2 Availability likely save 27%
Albuterol sulfate 90 ug 68180-0963-01 Lupin 1 canister $1.553 AB2 Availability likely save 27%
Albuterol Sulfate HFA 90 ug 66993-0019-68 Prasco 1 inhaler $1.819 AB3 Availability likely save 14%
Albuterol 90 ug 69097-0021-60 Cipla 1 inhaler $1.819 AB3 Availability likely save 14%
Albuterol Sulfate 90 ugthis 00054-0742-87 Hikma 1 canister $2.126 AB1 Availability likely
Albuterol Sulfate 108 ug 00781-7296-85 Sandoz 1 canister $2.126 AB1 Availability likely
Albuterol Sulfate 90 ug 60687-0662-91 American 1 canister $2.126 AB1 Availability likely
Albuterol Sulfate 90 ug 69097-0142-60 Cipla 1 canister $2.126 AB1 Availability likely
Albuterol Sulfate 90 ug 76282-0679-42 Exelan 1 canister $2.126 AB1 Availability likely
Ventolin Hfa 90 ug 00173-0682-20 GlaxoSmithKline 1 inhaler $3.035 AB3 Availability likely +43%
ProAir Digihaler 90 ug 59310-0117-20 Teva 1 inhaler $86.326 FDA listed +3961%
Albuterol Sulfate 90 ug 50090-5179-00 A-S 1 canister AB1 FDA listed
Albuterol Sulfate 90 ug 50090-5735-01 A-S 96 canisters AB1 FDA listed
Albuterol Sulfate 108 ug 68788-7996-02 Preferred 1 canister AB1 FDA listed
Albuterol Sulfate 90 ug 68788-8787-02 Preferred 1 canister AB1 FDA listed
Albuterol Sulfate 90 ug 68788-8874-02 Preferred 1 canister AB1 FDA listed
Albuterol Sulfate 108 ug 70518-4528-00 REMEDYREPACK 1 canister AB1 FDA listed
Albuterol Sulfate 90 ug 76420-0531-01 Asclemed 200 aerosols AB1 FDA listed
Albuterol Sulfate 108 ug 82804-0036-67 Proficient 1 canister AB1 FDA listed
Albuterol Sulfate 90 ug 82804-0189-67 Proficient 1 canister AB1 FDA listed
Albuterol Sulfate 90 ug 85766-0020-90 Sportpharm 1 canister AB1 FDA listed
albuterol sulfate HFA 90 ug 50090-4137-00 A-S 1 inhaler AB3 FDA listed
Albuterol Sulfate 90 ug 51662-1513-01 HF 1 inhaler AB2 FDA listed
Ventolin Hfa 90 ug 63187-0026-08 Proficient 60 aerosols AB3 FDA listed
Albuterol Sulfate HFA 90 ug 71205-0211-85 Proficient 1 inhaler AB2 FDA listed
albuterol sulfate 90 ug 71205-0441-85 Proficient 1 inhaler AB2 FDA listed
Albuterol sulfate 90 ug 71205-0732-85 Proficient 1 canister AB2 FDA listed
Albuterol Sulfate HFA 90 ug 76420-0088-01 Asclemed 1 inhaler AB2 FDA listed
Albuterol sulfate 90 ug 85766-0062-90 Sportpharm 1 canister AB2 FDA listed
Albuterol Sulfate 90 ug 68071-3902-02 NuCare 1 inhaler AB2 FDA listed
Ventolin Hfa 90 ug 50090-1158-00 A-S 1 inhaler AB3 FDA listed
Albuterol Sulfate 90 ug 51662-1267-01 HF 1 inhaler AB3 FDA listed
Ventolin Hfa 90 ug 68071-1890-06 NuCare 60 aerosols AB3 FDA listed
Albuterol Sulfate HFA 90 ug 68071-4940-02 NuCare 200 aerosols AB2 FDA listed
Ventolin Hfa 90 ug 70518-1081-00 REMEDYREPACK 200 aerosols AB3 FDA listed
Ventolin Hfa 90 ug 70518-1237-00 REMEDYREPACK 1 inhaler AB3 FDA listed
albuterol sulfate 90 ug 85766-0055-90 Sportpharm 1 inhaler AB2 FDA listed
Albuterol sulfate 90 ug 50090-5231-00 A-S 1 canister AB2 FDA listed
Albuterol Sulfate 90 ug 68788-4041-02 Preferred 1 inhaler AB2 FDA listed
Albuterol Sulfate HFA 90 ug 80425-0359-01 Advanced 1 inhaler AB3 FDA listed
Albuterol Sulfate 90 ug 70518-4496-00 REMEDYREPACK 1 inhaler AB2 FDA listed
Ventolin Hfa 90 ug 50090-1159-00 A-S 1 inhaler AB3 FDA listed
Albuterol Sulfate 90 ug 80425-0266-01 Advanced 1 canister AB2 FDA listed
Ventolin Hfa 90 ug 68071-1670-02 NuCare 200 aerosols AB3 FDA listed
Albuterol Sulate HFA 90 ug 70518-2072-00 REMEDYREPACK 1 inhaler AB3 FDA listed
Albuterol sulfate 90 ug 68788-8878-02 Preferred 1 canister AB2 FDA listed
Albuterol sulfate 90 ug 70518-3541-00 REMEDYREPACK 1 canister AB2 FDA listed
Albuterol sulfate 90 ug 76420-0350-90 Asclemed 1 canister AB2 FDA listed
Albuterol sulfate 90 ug 68071-2300-02 NuCare 1 canister AB2 FDA listed
Albuterol Sulate HFA 90 ug 68071-4777-02 NuCare 200 aerosols AB3 FDA listed
Albuterol Sulfate 90 ug 85534-0039-00 HAWAII 1 canister AB1 FDA listed
Albuterol Sulfate 90 ug 68071-5312-06 NuCare 1 canister AB1 FDA listed
About this product: this is a generic version of the medicine. FDA equivalence ratings are shown when available, and other versions are listed above, least expensive first.
Where does this data come from?
Equivalents are other NDCs of the same ingredient, form and route from the openFDA NDC Directory, ranked least-expensive-first by NADAC. Therapeutic-equivalence (AB) ratings come from the FDA Orange Book; biologics use the FDA Purple Book for biosimilar & interchangeable status.

Availability & generic status

🏛️
2021
On the market since
Nov 2021
📍
2026
Currently FDA-listed
5 years listed
🔓
·
Generic on the market
this product is a generic
This is a generic drug

This product is an FDA-approved generic. Other versions of the same drug are listed under Therapeutic equivalents, least expensive first.

Where does this data come from?
Patents and exclusivity from the FDA Orange Book (small-molecule drugs), refreshed from public FDA data. Generic launch timing is an estimate, not a guarantee.

🗺️ Medicaid utilization & spend

📍 This exact package only: Medicaid data is reported per full 11-digit NDC — labeler, product and pack size — so every number here is for 00054-0742-87, not the drug overall. Other pack sizes report separately.
💊 Pharmacy benefit only: These are Medicaid outpatient pharmacy claims, billed by NDC. They exclude the medical benefit — clinic- or hospital-administered drugs billed under HCPCS J-codes — so drugs used mostly that way (e.g. Avastin, Lucentis, Keytruda) can look low or missing here. That’s expected, not an error.
📅 Q1 2025 – Q4 2025 · 4 quarters of data
ⓘ The newest quarter is usually incomplete when first published; states restate recent quarters in later CMS releases, so the latest figures typically revise upward. State coverage-policy changes can also shift quarter-to-quarter totals.
Prescriptions last 4 qtrs
815.6K
Units reimbursed last 4 qtrs
5.9M
Gross reimbursed last 4 qtrs
$19.93M
Avg / prescription
$24.44
Avg / unit
$3.3940
Latest quarter Q4 2025
169KRx
Medicaid pays / g
$3.3940
gross reimbursed
vs
NADAC / g
$2.1260
acquisition cost
=
Spread
+$1.2680
+60% vs cost
What Medicaid paid per g (before rebates; includes the pharmacy’s dispensing fee) compared with NADAC — the average price pharmacies pay to buy the drug. A positive spread means Medicaid reimbursed more than the purchase price, before manufacturer rebates.
Fee-for-service vs managed care
46% FFS 54% MCO
Fee-for-service · 373,023 Rx Managed care · 442,537 Rx
State Medicaid map
Alaska: 17,976 units · 2,452 per 100k residents AK Maine: 1,588 units · 114 per 100k residents ME Washington: 112,835 units · 1,444 per 100k residents WA Idaho: 52,863 units · 2,692 per 100k residents ID Montana: 16,981 units · 1,500 per 100k residents MT North Dakota: no data reported ND Minnesota: 3,745 units · 65.3 per 100k residents MN Wisconsin: no data reported WI Michigan: 56,409 units · 562 per 100k residents MI New York: 1,244,876 units · 6,361 per 100k residents NY Vermont: 1,106 units · 171 per 100k residents VT New Hampshire: 15,023 units · 1,072 per 100k residents NH Oregon: 90,454 units · 2,137 per 100k residents OR Nevada: 18,452 units · 578 per 100k residents NV Wyoming: 9,762 units · 1,672 per 100k residents WY South Dakota: 12,416 units · 1,351 per 100k residents SD Iowa: 113,699 units · 3,545 per 100k residents IA Illinois: 514,071 units · 4,097 per 100k residents IL Indiana: 1,221 units · 17.8 per 100k residents IN Ohio: 237,609 units · 2,016 per 100k residents OH Pennsylvania: 327,092 units · 2,524 per 100k residents PA New Jersey: 209,389 units · 2,254 per 100k residents NJ Massachusetts: 2,496 units · 35.7 per 100k residents MA California: 822,353 units · 2,110 per 100k residents CA Utah: 68,958 units · 2,018 per 100k residents UT Colorado: 3,591 units · 61.1 per 100k residents CO Nebraska: 17,914 units · 906 per 100k residents NE Missouri: 49,955 units · 806 per 100k residents MO Kentucky: 29,910 units · 661 per 100k residents KY West Virginia: 110,610 units · 6,249 per 100k residents WV Virginia: 144,305 units · 1,656 per 100k residents VA Maryland: 95,007 units · 1,537 per 100k residents MD Connecticut: 1,266 units · 35.0 per 100k residents CT Rhode Island: 18,787 units · 1,716 per 100k residents RI Arizona: 192,236 units · 2,587 per 100k residents AZ New Mexico: 152,372 units · 7,208 per 100k residents NM Kansas: 58,746 units · 1,998 per 100k residents KS Arkansas: no data reported AR Tennessee: 214,952 units · 3,016 per 100k residents TN North Carolina: 22,052 units · 204 per 100k residents NC South Carolina: 125,866 units · 2,343 per 100k residents SC Delaware: 14,573 units · 1,413 per 100k residents DE Oklahoma: 116,246 units · 2,868 per 100k residents OK Louisiana: 197,978 units · 4,328 per 100k residents LA Mississippi: 48,091 units · 1,636 per 100k residents MS Alabama: 86,966 units · 1,703 per 100k residents AL Georgia: 38,920 units · 353 per 100k residents GA D.C.: 39,368 units · 5,798 per 100k residents DC Hawaii: 9,688 units · 675 per 100k residents HI Texas: 7,672 units · 25.2 per 100k residents TX Florida: 30,137 units · 133 per 100k residents FL
Units reimbursed · per 100k residents
17.87,208
gray = no data reported
Colors are per 100,000 residents, so big states don’t automatically dominate. Tap or hover a state for its actual totals.
Tap or hover a state
…for its Medicaid breakdown
🏆 Top states by units · per 100k residents
1 New Mexico 7,208 /100k
2 New York 6,361 /100k
3 West Virginia 6,249 /100k
4 D.C. 5,798 /100k
5 Louisiana 4,328 /100k
6 Illinois 4,097 /100k
7 Iowa 3,545 /100k
8 Tennessee 3,016 /100k
National units — by quarter
💵 About the dollar figures: “reimbursed” is what Medicaid paid pharmacies before confidential manufacturer rebates, so the program’s real net cost is lower than these numbers. Fee-for-service and managed-care claims are combined unless split above. Source: CMS State Drug Utilization Data; per-100k rates use 2023 Census population estimates.

📊 Medicare Part D spend CMS · PART D · 2026 (Q1)

Medicare Part D (outpatient prescription) spending for Albuterol Sulfate — the program that covers self-administered drugs. 14 manufacturers.
⚠️ Drug-level data: CMS publishes Part D spending by drug, not by NDC — these figures combine every manufacturer, strength and package size sold under the name Albuterol Sulfate. That’s a different level of aggregation than the Medicaid card above, which is specific to this exact 11-digit NDC (pack size included), so the two aren’t directly comparable.
Period
Total Part D spend
$2.45M
Claims incl. refills
74.8K
Beneficiaries
44.4K
Spend / beneficiary
$55.14
Spend / claim
$32.72
Trend by period
💵 About the dollar figures: spending is what Part D plans paid before confidential manufacturer rebates, so the program’s real net cost is lower. A blank patient count means fewer than 11 people — CMS hides counts that small to protect privacy. Source: CMS Medicare Quarterly Part D Spending by Drug (data.cms.gov), updated quarterly.

🔬 Reported adverse events (FAERS)

Read carefully: FAERS reports are voluntary and unverified. Counts are not incidence, do not establish causation, are subject to reporting bias, and cannot be used to compare one drug to another. Shown for signal context only. Reports for Albuterol Sulfate — the ingredient across all brands.

Top reported reactions

Dyspnoea42,946
Asthma24,941
Cough20,428
Fatigue16,816
Pneumonia16,771
Headache15,685
Nausea14,693

Reporter sex

297,526 reports

Serious outcomes

Death18,793
Reports over time (by year) — tap or hover for the count & year
2019 2021 2023 2026 29,981 14,207
Most recent year is provisional (FAERS lags ~3 months).
Where does this data come from?
Adverse-event reports from the FDA Adverse Event Reporting System (FAERS) via openFDA. FAERS reports are voluntary and unverified — counts are not incidence and don’t establish causation.

📦 Packaging — all sizes for this product

Package NDCDescription Marketing startStatus
00054-0742-87 You're viewing this 1 CANISTER in 1 CARTON (0054-0742-87) / 200 AEROSOL, METERED in 1 CANISTER 2021-11-30 Active

📄 Full prescribing information FDA SPL

The complete FDA label for this product — the official prescribing information, verbatim, section by section. Jump with a chip, search within the label, or expand everything.
🎯 Indications and Usage 38 words

INDICATIONS AND USAGE Albuterol sulfate inhalation aerosol is indicated in adults and children 4 years of age and older for the treatment or prevention of bronchospasm with reversible obstructive airway disease and for the prevention of exercise-induced bronchospasm.

⏱️ Dosage and Administration ~2 min read

DOSAGE AND ADMINISTRATION For treatment of acute episodes of bronchospasm or prevention of asthmatic symptoms, the usual dosage for adults and children 4 years of age and older is two inhalations repeated every 4 to 6 hours. More frequent administration or a larger number of inhalations is not recommended. In some patients, one inhalation every 4 hours may be sufficient.

Each actuation of albuterol sulfate inhalation aerosol delivers 108 mcg of albuterol sulfate (equivalent to 90 mcg of albuterol base) from the mouthpiece. It is recommended to prime the inhaler before using for the first time and in cases where the inhaler has not been used for more than 2 weeks by releasing four “test sprays” into the air, away from the face. Albuterol sulfate Inhalation Aerosol contains 200 inhalations per canister.

The canister has an attached dose indicator, which indicates how many inhalations remain. The dose indicator display will move after every tenth actuation. When nearing the end of the usable inhalations, the background behind the number in the dose indicator display window changes to red at 20 actuations or lower.

Albuterol sulfate Inhalation Aerosol should be discarded when the dose indicator display window shows zero. Exercise Induced Bronchospasm Prevention The usual dosage for adults and children 4 years of age and older is two inhalations 15 to 30 minutes before exercise. To maintain proper use of this product, it is important that the mouthpiece be washed and dried thoroughly at least once a week.

The inhaler may cease to deliver medication if not properly cleaned and dried thoroughly (see PRECAUTIONS, Information for Patients section). Keeping the plastic mouthpiece clean is very important to prevent medication buildup and blockage. The inhaler may cease to deliver medication if not properly cleaned and air dried thoroughly.

If the mouthpiece becomes blocked, washing the mouthpiece will remove the blockage. If a previously effective dose regimen fails to provide the usual response, this may be a marker of destabilization of asthma and requires reevaluation of the patient and the treatment regimen, giving special consideration to the possible need for anti-inflammatory treatment, e.g., corticosteroids.

Contraindications 24 words

CONTRAINDICATIONS Albuterol sulfate inhalation aerosol is contraindicated in patients with a history of hypersensitivity to albuterol or any other albuterol sulfate inhalation aerosol component.

⚠️ Warnings ~2 min read

WARNINGS 1. Paradoxical Bronchospasm Inhaled albuterol sulfate can produce paradoxical bronchospasm that may be life threatening. If paradoxical bronchospasm occurs, albuterol sulfate inhalation aerosol should be discontinued immediately and alternative therapy instituted.

It should be recognized that paradoxical bronchospasm, when associated with inhaled formulations, frequently occurs with the first use of a new canister. 2. Deterioration of Asthma Asthma may deteriorate acutely over a period of hours or chronically over several days or longer.

If the patient needs more doses of albuterol sulfate inhalation aerosol than usual, this may be a marker of destabilization of asthma and requires re-evaluation of the patient and treatment regimen, giving special consideration to the possible need for anti-inflammatory treatment, e.g., corticosteroids. 3. Use of Anti-inflammatory Agents The use of beta-adrenergic-agonist bronchodilators alone may not be adequate to control asthma in many patients.

Early consideration should be given to adding anti-inflammatory agents, e.g., corticosteroids, to the therapeutic regimen. 4. Cardiovascular Effects Albuterol sulfate inhalation aerosol, like other beta-adrenergic agonists, can produce clinically significant cardiovascular effects in some patients as measured by pulse rate, blood pressure, and/or symptoms.

Although such effects are uncommon after administration of albuterol sulfate inhalation aerosol at recommended doses, if they occur, the drug may need to be discontinued. In addition, beta-agonists have been reported to produce ECG changes, such as flattening of the T wave, prolongation of the QTc interval, and ST segment depression. The clinical significance of these findings is unknown.

Therefore, albuterol sulfate inhalation aerosol, like all sympathomimetic amines, should be used with caution in patients with cardiovascular disorders, especially coronary insufficiency, cardiac arrhythmias, and hypertension. 5. Do Not Exceed Recommended Dose: Fatalities have been reported in association with excessive use of inhaled sympathomimetic drugs in patients with asthma.

The exact cause of death is unknown, but cardiac arrest following an unexpected development of a severe acute asthmatic crisis and subsequent hypoxia is suspected. 6. Immediate Hypersensitivity Reactions: Immediate hypersensitivity reactions may occur after administration of albuterol sulfate, as demonstrated by rare cases of urticaria, angioedema, rash, bronchospasm, anaphylaxis, and oropharyngeal edema.

🤒 Adverse Reactions ~2 min read

ADVERSE REACTIONS Adverse reaction information concerning albuterol sulfate inhalation aerosol is derived from a 12-week, double-blind, double-dummy study which compared albuterol sulfate inhalation aerosol, a CFC 11/12 propelled albuterol inhaler, and an HFA-134a placebo inhaler in 565 asthmatic patients. The following table lists the incidence of all adverse events (whether considered by the investigator drug related or unrelated to drug) from this study which occurred at a rate of 3% or greater in the albuterol sulfate inhalation aerosol treatment group and more frequently in the albuterol sulfate inhalation aerosol treatment group than in the placebo group.

Overall, the incidence and nature of the adverse reactions reported for albuterol sulfate inhalation aerosol and a CFC 11/12 propelled albuterol inhaler were comparable. Adverse Experience Incidences (% of patients) in a Large 12-week Clinical Trial* Body System/ Adverse Event (Preferred Term) Albuterol SulfateInhalation Aerosol (N=193) CFC 11/12 Propelled Albuterol Inhaler (N=186) HFA-134a Placebo Inhaler (N=186) *This table includes all adverse events (whether considered by the investigator drug related or unrelated to drug) which occurred at an incidence rate of at least 3.0% in the albuterol sulfate inhalation aerosol group and more frequently in the albuterol sulfate inhalation aerosol group than in the HFA-134a placebo inhaler group.

Application Site Disorders Inhalation Site Sensation 6 9 2 Inhalation Taste Sensation 4 3 3 Body as a Whole Allergic Reaction/Symptoms 6 4 <1 Back Pain 4 2 3 Fever 6 2 5 Central and Peripheral Nervous System Tremor 7 8 2 Gastrointestinal System Nausea 10 9 5 Vomiting 7 2 3 Heart Rate and Rhythm Disorder Tachycardia 7 2 <1 Psychiatric Disorders Nervousness 7 9 3 Respiratory System Disorders Respiratory Disorder (unspecified) 6 4 5 Rhinitis 16 22 14 Upper Resp Tract Infection 21 20 18 Urinary System Disorder Urinary Tract Infection 3 4 2 Adverse events reported by less than 3% of the patients receiving albuterol sulfate inhalation aerosol, and by a greater proportion of albuterol sulfate inhalation aerosol patients than placebo patients, which have the potential to be related to albuterol sulfate inhalation aerosol include: dysphonia, increased sweating, dry mouth, chest pain, edema, rigors, ataxia, leg cramps, hyperkinesia, eructation, flatulence, tinnitus, diabetes mellitus, anxiety, depression, somnolence, rash.

Palpitation and dizziness have also been observed with albuterol sulfate inhalation aerosol. Adverse events reported in a 4-week pediatric clinical trial comparing albuterol sulfate inhalation aerosol and a CFC 11/12 propelled albuterol inhaler occurred at a low incidence rate and were similar to those seen in the adult trials. In small, cumulative dose studies, tremor, nervousness, and headache appeared to be dose related.

Rare cases of urticaria, angioedema, rash, bronchospasm, and oropharyngeal edema have been reported after the use of inhaled albuterol. In addition, albuterol, like other sympathomimetic agents, can cause adverse reactions such as hypertension, angina, vertigo, central nervous system stimulation, insomnia, headache, metabolic acidosis, and drying or irritation of the oropharynx. To report SUSPECTED ADVERSE REACTIONS, contact Sandoz Inc. at 1-800-525-8747 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

🧬 Clinical Pharmacology ~3 min read

CLINICAL PHARMACOLOGY Mechanism of Action In vitro studies and in vivo pharmacologic studies have demonstrated that albuterol has a preferential effect on beta 2 -adrenergic receptors compared with isoproterenol. While it is recognized that beta 2 -adrenergic receptors are the predominant receptors on bronchial smooth muscle, data indicate that there is a population of beta 2 -receptors in the human heart existing in a concentration between 10% and 50% of cardiac beta-adrenergic receptors. The precise function of these receptors has not been established.

(See WARNINGS, Cardiovascular Effects section.) Activation of beta 2 -adrenergic receptors on airway smooth muscle leads to the activation of adenylcyclase and to an increase in the intracellular concentration of cyclic-3',5'-adenosine monophosphate (cyclic AMP). This increase of cyclic AMP leads to the activation of protein kinase A, which inhibits the phosphorylation of myosin and lowers intracellular ionic calcium concentrations, resulting in relaxation. Albuterol relaxes the smooth muscles of all airways, from the trachea to the terminal bronchioles.

Albuterol acts as a functional antagonist to relax the airway irrespective of the spasmogen involved, thus protecting against all bronchoconstrictor challenges. Increased cyclic AMP concentrations are also associated with the inhibition of release of mediators from mast cells in the airway. Albuterol has been shown in most clinical trials to have more effect on the respiratory tract, in the form of bronchial smooth muscle relaxation, than isoproterenol at comparable doses while producing fewer cardiovascular effects.

Controlled clinical studies and other clinical experience have shown that inhaled albuterol, like other beta-adrenergic agonist drugs, can produce a significant cardiovascular effect in some patients, as measured by pulse rate, blood pressure, symptoms, and/or electrocardiographic changes. Preclinical Intravenous studies in rats with albuterol sulfate have demonstrated that albuterol crosses the blood-brain barrier and reaches brain concentrations amounting to approximately 5% of the plasma concentrations. In structures outside the blood-brain barrier (pineal and pituitary glands), albuterol concentrations were found to be 100 times those in the whole brain.

Studies in laboratory animals (minipigs, rodents, and dogs) have demonstrated the occurrence of cardiac arrhythmias and sudden death (with histologic evidence of myocardial necrosis) when beta 2 -agonist and methylxanthines were administered concurrently. The clinical significance of these findings is unknown. Propellant HFA-134a is devoid of pharmacological activity except at very high doses in animals (380 to 1300 times the maximum human exposure based on comparisons of AUC values), primarily producing ataxia, tremors, dyspnea, or salivation.

These are similar to effects produced by the structurally related chlorofluorocarbons (CFCs), which have been used extensively in metered dose inhalers. In animals and humans, propellant HFA-134a was found to be rapidly absorbed and rapidly eliminated, with an elimination half-life of 3 to 27 minutes in animals and 5 to 7 minutes in humans. Time to maximum plasma concentration (T max ) and mean residence time are both extremely short, leading to a transient appearance of HFA-134a in the blood with no evidence of accumulation.

Pharmacokinetics In a single-dose bioavailability study which enrolled six healthy, male volunteers, transient low albuterol levels (close to the lower limit of quantitation) were observed after administration of two puffs from both albuterol sulfate inhalation aerosol and a CFC 11/12 propelled albuterol inhaler. No formal pharmacokinetic analyses were possible for either treatment, but systemic albuterol levels appeared similar. Clinical Trials In a 12-week, randomized, double-blind, double-dummy, active- and placebo-controlled trial, 565 patients with asthma were evaluated for the bronchodilator…

🧬 Mechanism of Action ~1 min read

Mechanism of Action In vitro studies and in vivo pharmacologic studies have demonstrated that albuterol has a preferential effect on beta 2 -adrenergic receptors compared with isoproterenol. While it is recognized that beta 2 -adrenergic receptors are the predominant receptors on bronchial smooth muscle, data indicate that there is a population of beta 2 -receptors in the human heart existing in a concentration between 10% and 50% of cardiac beta-adrenergic receptors. The precise function of these receptors has not been established.

(See WARNINGS, Cardiovascular Effects section.) Activation of beta 2 -adrenergic receptors on airway smooth muscle leads to the activation of adenylcyclase and to an increase in the intracellular concentration of cyclic-3',5'-adenosine monophosphate (cyclic AMP). This increase of cyclic AMP leads to the activation of protein kinase A, which inhibits the phosphorylation of myosin and lowers intracellular ionic calcium concentrations, resulting in relaxation. Albuterol relaxes the smooth muscles of all airways, from the trachea to the terminal bronchioles.

Albuterol acts as a functional antagonist to relax the airway irrespective of the spasmogen involved, thus protecting against all bronchoconstrictor challenges. Increased cyclic AMP concentrations are also associated with the inhibition of release of mediators from mast cells in the airway. Albuterol has been shown in most clinical trials to have more effect on the respiratory tract, in the form of bronchial smooth muscle relaxation, than isoproterenol at comparable doses while producing fewer cardiovascular effects.

Controlled clinical studies and other clinical experience have shown that inhaled albuterol, like other beta-adrenergic agonist drugs, can produce a significant cardiovascular effect in some patients, as measured by pulse rate, blood pressure, symptoms, and/or electrocardiographic changes.

📦 How Supplied / Storage and Handling ~1 min read

HOW SUPPLIED Albuterol sulfate inhalation aerosol is supplied as a pressurized aluminum canister with an attached dose indicator, a light blue plastic actuator and dark blue dust cap each in boxes of one. Each actuation delivers 120 mcg of albuterol sulfate from the valve and 108 mcg of albuterol sulfate from the mouthpiece (equivalent to 90 mcg of albuterol base). Canisters with a labeled net weight of 6.7 g contain 200 inhalations (NDC 0054-0742-87).

Rx only. Store at 20° to 25°C (68° to 77°F) [See USP Controlled Room Temperature]. Store the inhaler with the mouthpiece down.

For best results, canister should be at room temperature before use. SHAKE WELL BEFORE USING. The light blue actuator supplied with albuterol sulfate inhalation aerosolshould not be used with any other product canisters, and actuator from other products should not be used with albuterol sulfate inhalation aerosolcanister.

The correct amount of medication in each canister cannot be assured after 200 actuations, and when the dose indicator display window shows zero, even though the canister is not completely empty. The canister should be discarded when the labeled number of actuations have been used. WARNING: Avoid spraying in eyes.

Contents under pressure. Do not puncture or incinerate. Exposure to temperatures above 120°F may cause bursting.

Keep out of reach of children. Albuterol sulfate inhalation aerosol does not contain chlorofluorocarbons (CFCs) as the propellant. Manufactured by Aeropharm GmbH D-07407 Rudolstadt, Germany Distributed by: Hikma Pharmaceuticals USA Inc.

Berkeley Heights, NJ 07922 The brands listed are the registered trademarks of their respective owners and are not trademarks of Sandoz Inc. Rev. July 2021 46293491

📋 Description 219 words

DESCRIPTION The active component of albuterol sulfate inhalation aerosol is albuterol sulfate, USP racemic α 1 [( tert- Butylamino)methyl]-4-hydroxy- m -xylene-α,α'-diol sulfate (2:1)(salt), a relatively selective beta 2 -adrenergic bronchodilator having the following chemical structure: Albuterol sulfate is the official generic name in the United States. The World Health Organization recommended name for the drug is salbutamol sulfate. The molecular weight of albuterol sulfate is 576.7, and the molecular formula is (C 13 H 21 NO 3 ) 2 •H 2 SO 4 .

Albuterol sulfate is a white to off-white crystalline solid. It is soluble in water and slightly soluble in ethanol. Albuterol sulfate inhalation aerosol is a pressurized metered-dose aerosol unit for oral inhalation.

It contains a microcrystalline suspension of albuterol sulfate in propellant HFA-134a (1,1,1,2-tetrafluoroethane), ethanol, and oleic acid. Each actuation delivers 120 mcg albuterol sulfate, USP from the valve and 108 mcg albuterol sulfate, USP from the mouthpiece (equivalent to 90 mcg of albuterol base from the mouthpiece). Each canister provides 200 inhalations.

It is recommended to prime the inhaler before using for the first time and in cases where the inhaler has not been used for more than 2 weeks by releasing four “test sprays” into the air, away from the face. This product does not contain chlorofluorocarbons (CFCs) as the propellant. Chemical Structure

Source: FDA Structured Product Labeling, mirrored from DailyMed / openFDA. Prefer the government’s original formatting? View this label on DailyMed ↗
For educational and professional reference only — not medical advice. Pricing reflects published NADAC and CMS ASP (free public data) and may differ from your acquisition cost; always verify before billing or dispensing.