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GEMFIBROZIL 600 mg Tablet, 60-count — NDC 31722-0128-60 package photo

GEMFIBROZIL 600 mg Tablet, 60-count

by Camber Pharmaceuticals, Inc. · 60 TABLET in 1 BOTTLE (31722-128-60)
NDC 31722-0128-60
🏷️ FDA NDC (as labeled) 31722-128-60 billing pads the product segment with a zero
This package
Contains60-count Cost per ea$0.1045 NADAC Per package$6.27 / 60 tablets Pack sizes2 compare ↓
Also priced by: Medicaid pays $0.1942/unit · Part D plans $0.2303/unit — full pricing hub ↓
Also comes in: 500 tablets 31722-0128-05
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 →

🆔 Identity & classification

FDA NDC (as labeled) 31722-128-60
Product NDC 31722-128
11-digit billing NDC 31722012860
NCPDP billing unit EA — each (per item)
RxCUI 310459
UNII Q8X02027X3
UPC 0331722128056
Application # ANDA214603
SPL Set ID f6a2362a-21e1-442d-9f5d-9e600b5a2ea8
Established class (EPC) Peroxisome Proliferator Receptor alpha Agonist
Mechanism of action Peroxisome Proliferator-activated Receptor alpha Agonists
Chemical class Fibric Acids
DEA schedule Non-controlled
Marketing category ANDA
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 2021-01-20
Route ORAL
Dosage form TABLET
Substance GEMFIBROZIL
GPI-14 39200030000310
GPI class Gemfibrozil
GCN Seq No 006416
GCN 25540
HICL code 002766
Ingredient (HICL) Gemfibrozil
HIC1 code M
Therapeutic class — broad (HIC1) Blood
HIC2 code M4
Therapeutic class — intermediate (HIC2) Affect Blood Lipids/Sugar/Amino Acids
HIC3 code M4E
Therapeutic class — specific (HIC3) Lipotropics
AHFS code 24:06.06.00
AHFS class Fibric Acid Derivatives
FDB label name GEMFIBROZIL 600 MG TABLET
FDB brand name Gemfibrozil
Legend status F — Federal legend — prescription drug or device
TE code (Orange Book) AB · RLD · RS
Why two NDCs? The FDA registers this code as 31722-128-60 — a 5-3-2 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 product segment → 31722-0128-60. 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 Peroxisome Proliferator-activated Receptor alpha Agonist class.

Pharmacologic class Peroxisome Proliferator-activated Receptor alpha Agonist
Drug family (ATC) Fibrates
How it works Peroxisome Proliferator-activated Receptor alpha 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

LabelerCamber Pharmaceuticals, Inc.
Application holderASCENT PHARMACEUTICALS INC
FDA applicationANDA214603 (ANDA)
Labeler code31722
First marketedJan 2021
Product typeHuman Prescription Drug
Portfolio603 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 GEMFIBROZIL 600 MG TABLET Ingredient Gemfibrozil
📖 What it is MedlinePlus · NLM

Gemfibrozil is used to reduce the amount of cholesterol (a fat-like substance that can build up in blood vessels leading to heart attack or strokes or other medical conditions) and triglycerides (other fatty substances) in the blood. Gemfibrozil is in a class of lipid-regulating medications called fibrates. It works by reducing the production of triglycerides in the liver.

Read the full MedlinePlus article ↗
📗 Our plain-language guide HelloPharmacist
  • It depends on why your doctor prescribed it. For most people, it's either bringing down dangerously high triglycerides — the type that can cause pancreatitis — or, in a specific gr...
  • What exactly is gemfibrozil supposed to do for me?
  • Yes, timing actually matters with this one. You take it twice a day — once about 30 minutes before breakfast and once about 30 minutes before your evening meal. Taking it before yo...
  • When should I take it and does it matter if I take it with food?
📖 Read our full Gemfibrozil guide →
1
Nutrient depletion considerations

Gemfibrozil may be associated with lower levels of 1 nutrient — 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.

💊 What it looks like

Color white
ShapeOval
Imprint1
Size18 mm
ScoringScored — splits in 2
One label can cover several strengths, so colors may be combined — always confirm a loose pill against the dispensed prescription label or a pharmacist.
Where does this data come from?
Physical description (imprint, shape, color, scoring, coating) from this product’s FDA Structured Product Labeling (SPL), mirrored from DailyMed / openFDA.

🧪 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 776XM7047L
    Calcium stearate is a white powder derived from stearic acid and calcium. It works as a lubricant and glidant to help the medicine flow smoothly during manufacturing and prevent ingredients from sticking to equipment.
  • UNII M28OL1HH48
    Croscarmellose sodium is a plant-based substance derived from cellulose. It acts as a disintegrant, helping tablets and capsules break down quickly in the digestive system so the medicine can be absorbed.
  • UNII 9XZ8H6N6OH
    A plant-based cellulose derivative used as a binder to hold tablet ingredients together, a thickener in liquids, and a coating agent to control how fast the medicine dissolves.
  • UNII OP1R32D61U
    Microcrystalline cellulose is a purified form of cellulose, a natural fiber from plant sources. It acts as a binder and filler in tablets and capsules, helping hold ingredients together and give the medicine its shape and size.
  • UNII 6OZP39ZG8H
    Polysorbate 80 is a synthetic emulsifier derived from sorbitol and oleic acid. It helps mix oil and water-based ingredients together in medications and improves how the product disperses in the body.
  • UNII FZ989GH94E
    Povidone is a synthetic polymer made from a plastic-like material. It acts as a binder to hold tablet ingredients together and as a disintegrant to help the tablet break apart in your stomach so the medicine can be absorbed.
  • UNII ETJ7Z6XBU4
    Silicon dioxide is a naturally occurring mineral used as a glidant and anti-caking agent. It helps powder ingredients flow smoothly and prevents clumping during manufacturing and storage.
  • UNII O8232NY3SJ
    A plant-based carbohydrate derived from corn kernels. It acts as a filler to add bulk, a binder to hold ingredients together, and a disintegrant to help the tablet break apart in your stomach for absorption.
  • UNII 7SEV7J4R1U
    A powder made from a naturally occurring mineral. In medicines, talc works as a glidant and anti-caking agent, helping tablets and capsules flow smoothly during manufacturing and preventing clumping.

9 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 eaPer package
Retail pharmacies payNADAC · weekly $0.105 $6.27 / 60 tablets
Medicaid paysCMS SDUD · 12 mo $0.1942 $11.65 / 60 tablets
Medicare drug plans payPart D · Q2 2026 $0.2303 $13.82 / 60 tablets
NADAC price history (per ea) — tap or hover for the price & month
Dec 2021 Jul 2022 Dec 2025 Aug 2026 $0.114 $0.098
Flat over the last 24 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
Gemfibrozil 600 mg 75834-0131-05 Nivagen 500 tablets $0.103 AB Discontinued save 1%
Gemfibrozil 600 mg 16571-0784-06 Rising 60 tablets $0.105 AB Availability likely
Gemfibrozil 600 mg 16714-0101-02 Northstar 60 tablets $0.105 AB Availability likely
Gemfibrozil 600 mgthis 31722-0128-60 Camber 60 tablets $0.105 AB Availability likely
Gemfibrozil 600 mg 50268-0350-15 AvPAK 50 tablets $0.105 AB Availability likely
Gemfibrozil 600 mg 60687-0224-01 American 100 tablets $0.105 AB Availability likely
Gemfibrozil 600 mg 65862-0624-05 Aurobindo 500 tablets $0.105 Availability likely
Gemfibrozil 600 mg 69097-0821-03 Cipla 60 tablets $0.105 AB Availability likely
Gemfibrozil 600 mg 72603-0206-01 NorthStar 60 tablets $0.105 AB Availability likely
Gemfibrozil 600 mg 76282-0225-05 Exelan 500 tablets $0.105 AB Availability likely
Lopid 600 mg 00071-0737-20 Parke-Davis 60 tablets AB FDA listed
Gemfibrozil 600 mg 00615-8354-39 NCS 30 tablets AB FDA listed
Gemfibrozil 600 mg 43063-0745-60 PD-Rx 60 tablets AB FDA listed
Gemfibrozil 600 mg 50090-5808-00 A-S 60 tablets AB FDA listed
Gemfibrozil 600 mg 50090-6913-00 A-S 60 tablets AB FDA listed
Gemfibrozil 600 mg 50090-6939-00 A-S 90 tablets AB FDA listed
Gemfibrozil 600 mg 50090-7233-00 A-S 60 tablets AB FDA listed
Gemfibrozil 600 mg 50090-7234-00 A-S 90 tablets AB FDA listed
Gemfibrozil 600 mg 50090-7809-00 A-S 90 tablets AB FDA listed
Gemfibrozil 600 mg 51655-0143-26 Northwind 90 tablets AB FDA listed
Gemfibrozil 600 mg 62135-0160-31 Chartwell 300 tablets AB FDA listed
Gemfibrozil 600 mg 63187-0772-30 Proficient 30 tablets AB FDA listed
Gemfibrozil 600 mg 66267-0436-30 NuCare 30 tablets AB FDA listed
Gemfibrozil 600 mg 67046-0233-03 Coupler 30 tablets AB FDA listed
Gemfibrozil 600 mg 68071-1733-06 NuCare 60 tablets AB FDA listed
Gemfibrozil 600 mg 68071-2387-03 NuCare 30 tablets AB FDA listed
Gemfibrozil 600 mg 68382-0553-01 Zydus 100 tablets FDA listed
Gemfibrozil 600 mg 68788-7964-03 Preferred 30 tablets AB FDA listed
Gemfibrozil 600 mg 70518-1563-00 REMEDYREPACK 45 tablets AB Discontinued
Gemfibrozil 600 mg 70518-4305-00 REMEDYREPACK 180 tablets AB FDA listed
Gemfibrozil 600 mg 70771-1431-00 Zydus 1000 tablets FDA listed
Gemfibrozil 600 mg 71209-0008-03 Cadila 60 tablets AB FDA listed
Gemfibrozil 600 mg 71335-0051-01 Bryant 60 tablets AB FDA listed
Gemfibrozil 600 mg 71335-0971-01 Bryant 60 tablets AB Discontinued
Gemfibrozil 600 mg 71335-1902-01 Bryant 60 tablets AB FDA listed
Gemfibrozil 600 mg 71335-1996-01 Bryant 60 tablets AB FDA listed
Gemfibrozil 600 mg 71335-2025-01 Bryant 60 tablets AB FDA listed
Gemfibrozil 600 mg 71610-0107-53 Aphena 60 tablets AB FDA listed
Gemfibrozil 600 mg 71610-0200-60 Aphena 90 tablets AB FDA listed
Gemfibrozil 600 mg 71610-0601-53 Aphena 60 tablets AB FDA listed
Gemfibrozil 600 mg 71610-0824-30 Aphena 30 tablets AB FDA listed
Gemfibrozil 600 mg 72162-2119-06 Bryant 60 tablets AB FDA listed
Gemfibrozil 600 mg 72578-0066-01 Viona 100 tablets FDA listed
Gemfibrozil 600 mg 72865-0186-05 XLCare 500 tablets AB FDA listed
Gemfibrozil 600 mg 82804-0221-90 Proficient 90 tablets AB 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
Jan 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 31722-0128-60, 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
14.5K
Units reimbursed last 4 qtrs
1.1M
Gross reimbursed last 4 qtrs
$213K
Avg / prescription
$14.67
Avg / unit
$0.1942
Latest quarter Q4 2025
2.6KRx
Medicaid pays / ea
$0.1942
gross reimbursed
vs
NADAC / ea
$0.1045
acquisition cost
=
Spread
+$0.0897
+86% vs cost
What Medicaid paid per ea (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
49% FFS 51% MCO
Fee-for-service · 7,181 Rx Managed care · 7,342 Rx
State Medicaid map
Alaska: no data reported AK Maine: no data reported ME Washington: 28,762 units · 368 per 100k residents WA Idaho: 3,854 units · 196 per 100k residents ID Montana: 3,910 units · 345 per 100k residents MT North Dakota: no data reported ND Minnesota: 8,968 units · 156 per 100k residents MN Wisconsin: 14,963 units · 253 per 100k residents WI Michigan: 75,275 units · 750 per 100k residents MI New York: 121,802 units · 622 per 100k residents NY Vermont: 1,246 units · 193 per 100k residents VT New Hampshire: 4,688 units · 334 per 100k residents NH Oregon: 14,582 units · 344 per 100k residents OR Nevada: 16,408 units · 514 per 100k residents NV Wyoming: no data reported WY South Dakota: 508 units · 55.3 per 100k residents SD Iowa: 7,788 units · 243 per 100k residents IA Illinois: 17,684 units · 141 per 100k residents IL Indiana: 19,218 units · 280 per 100k residents IN Ohio: 22,476 units · 191 per 100k residents OH Pennsylvania: 43,834 units · 338 per 100k residents PA New Jersey: 33,038 units · 356 per 100k residents NJ Massachusetts: 2,816 units · 40.2 per 100k residents MA California: 390,432 units · 1,002 per 100k residents CA Utah: 1,380 units · 40.4 per 100k residents UT Colorado: 8,268 units · 141 per 100k residents CO Nebraska: 4,004 units · 202 per 100k residents NE Missouri: 4,229 units · 68.3 per 100k residents MO Kentucky: 19,564 units · 432 per 100k residents KY West Virginia: no data reported WV Virginia: 11,274 units · 129 per 100k residents VA Maryland: 5,286 units · 85.5 per 100k residents MD Connecticut: 6,794 units · 188 per 100k residents CT Rhode Island: no data reported RI Arizona: 39,353 units · 530 per 100k residents AZ New Mexico: 3,888 units · 184 per 100k residents NM Kansas: 2,632 units · 89.5 per 100k residents KS Arkansas: 5,750 units · 187 per 100k residents AR Tennessee: 23,853 units · 335 per 100k residents TN North Carolina: 11,057 units · 102 per 100k residents NC South Carolina: 1,674 units · 31.2 per 100k residents SC Delaware: 2,220 units · 215 per 100k residents DE Oklahoma: no data reported OK Louisiana: 27,506 units · 601 per 100k residents LA Mississippi: 4,554 units · 155 per 100k residents MS Alabama: no data reported AL Georgia: 9,240 units · 83.8 per 100k residents GA D.C.: 566 units · 83.4 per 100k residents DC Hawaii: no data reported HI Texas: 19,061 units · 62.5 per 100k residents TX Florida: 11,057 units · 48.9 per 100k residents FL
Units reimbursed · per 100k residents
31.21,002
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 California 1,002 /100k
2 Michigan 750 /100k
3 New York 622 /100k
4 Louisiana 601 /100k
5 Arizona 530 /100k
6 Nevada 514 /100k
7 Kentucky 432 /100k
8 Washington 368 /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.

💊 Medicaid utilization by pack size

Medicaid (SDUD) totals over the four most recent reported quarters for every package size of this drug — handy when a specific package (e.g. a starter/titration pack) carries little or no Medicaid volume on its own.
500 tablets31722-0128-05 84,954 Rx · $1,121,770
60 tablets this page31722-0128-60 14,523 Rx · $212,985
Drug total (last 4 qtrs): 99,477 Rx · 7,063,382 units · $1,334,755 gross reimbursed
Tap a pack size to open its page. Source: CMS State Drug Utilization Data, last 4 quarters.

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

Medicare Part D (outpatient prescription) spending for Gemfibrozil — the program that covers self-administered drugs. 10 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 Gemfibrozil. 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
$3.19M
Claims incl. refills
159.6K
Beneficiaries
119.4K
Spend / beneficiary
$26.71
Spend / claim
$19.98
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 Gemfibrozil — the ingredient across all brands.

Top reported reactions

Nausea886
Fatigue833
Diarrhoea731
Pain695
Dizziness618
Rhabdomyolysis605
Dyspnoea602

Reporter sex

0 reports
Reports over time (by year) — tap or hover for the count & year
2022 2023 2024 2026 356 131
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 Per unit Per pack Marketing startStatus
31722-0128-05 500 TABLET in 1 BOTTLE (31722-128-05) $0.1045 / ea $52.26 2021-01-20 Active
31722-0128-60 You're viewing this 60 TABLET in 1 BOTTLE (31722-128-60) $0.1045 / ea $6.27 2021-01-20 Active

You're viewing the smallest of 2 pack sizes for this product.

This pack effectively ties for the lowest per-ea cost of the 2 priced pack sizes ($0.1045 NADAC).

This pack accounts for about 15% of this product's recent Medicaid fills; most go to the 500 tablets pack. See all packs ↓

Pack size FAQ

What quantity is in NDC 31722-0128-60?
NDC 31722-0128-60 is a 60-count package — 60 tablet in 1 bottle.
What is the difference between NDC 31722-0128-60 and NDC 31722-0128-05?
Both are GEMFIBROZIL 600 mg Tablet — the drug itself is identical. NDC 31722-0128-60 is the 60-count package, while NDC 31722-0128-05 is the 500 tablets package.
What NDC number is used to bill for this package of GEMFIBROZIL 600 mg Tablet?
Bill NDC 31722-0128-60 — the 11-digit billing format is 31722012860. Pharmacy and medical claims use the 11-digit form; the FDA label may print a shorter form of the same code.

Prices are the latest CMS NADAC pharmacy acquisition cost per NDC; per-pack figures are per-unit × pack quantity, shown only when the pack is denominated in the same measure NADAC prices.

📄 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 ~3 min read

INDICATIONS AND USAGE Gemfibrozil Tablets are indicated as adjunctive therapy to diet for: Treatment of adult patients with very high elevations of serum triglyceride levels (Types IV and V hyperlipidemia) who present a risk of pancreatitis and who do not respond adequately to a determined dietary effort to control them. Patients who present such risk typically have serum triglycerides over 2000 mg/dL and have elevations of VLDL-cholesterol as well as fasting chylomicrons (Type V hyperlipidemia). Subjects who consistently have total serum or plasma triglycerides below 1000 mg/dL are unlikely to present a risk of pancreatitis.

Gemfibrozil therapy may be considered for those subjects with triglyceride elevations between 1000 and 2000 mg/dL who have a history of pancreatitis or of recurrent abdominal pain typical of pancreatitis. It is recognized that some Type IV patients with triglycerides under 1000 mg/dL may, through dietary or alcoholic indiscretion, convert to a Type V pattern with massive triglyceride elevations accompanying fasting chylomicronemia, but the influence of gemfibrozil therapy on the risk of pancreatitis in such situations has not been adequately studied.

Drug therapy is not indicated for patients with Type I hyperlipoproteinemia, who have elevations of chylomicrons and plasma triglycerides, but who have normal levels of very low density lipoprotein (VLDL). Inspection of plasma refrigerated for 14 hours is helpful in distinguishing Types I, IV, and V hyperlipoproteinemia. Reducing the risk of developing coronary heart disease only in Type IIb patients without history of or symptoms of existing coronary heart disease who have had an inadequate response to weight loss, dietary therapy, exercise, and other pharmacologic agents (such as bile acid sequestrants and nicotinic acid, known to reduce LDL- and raise HDL-cholesterol) and who have the following triad of lipid abnormalities: low HDL-cholesterol levels in addition to elevated LDL-cholesterol and elevated triglycerides (see WARNINGS, PRECAUTIONS , and CLINICAL PHARMACOLOGY ).

The National Cholesterol Education Program has defined a serum HDL-cholesterol value that is consistently below 35 mg/dL as constituting an independent risk factor for coronary heart disease. Patients with significantly elevated triglycerides should be closely observed when treated with gemfibrozil. In some patients with high triglyceride levels, treatment with gemfibrozil is associated with a significant increase in LDL-cholesterol.

BECAUSE OF POTENTIAL TOXICITY SUCH AS MALIGNANCY, GALLBLADDER DISEASE, ABDOMINAL PAIN LEADING TO APPENDECTOMY AND OTHER ABDOMINAL SURGERIES, AN INCREASED INCIDENCE IN NON-CORONARY MORTALITY, AND THE 44% RELATIVE INCREASE DURING THE TRIAL PERIOD IN AGE-ADJUSTED ALL-CAUSE MORTALITY SEEN WITH THE CHEMICALLY AND PHARMACOLOGICALLY RELATED DRUG, CLOFIBRATE, THE POTENTIAL BENEFIT OF GEMFIBROZIL IN TREATING TYPE IIA PATIENTS WITH ELEVATIONS OF LDL-CHOLESTEROL ONLY IS NOT LIKELY TO OUTWEIGH THE RISKS. GEMFIBROZIL IS ALSO NOT INDICATED FOR THE TREATMENT OF PATIENTS WITH LOW HDL-CHOLESTEROL AS THEIR ONLY LIPID ABNORMALITY.

In a subgroup analysis of patients in the Helsinki Heart Study with above-median HDL-cholesterol values at baseline (greater than 46.4 mg/dL), the incidence of serious coronary events was similar for gemfibrozil and placebo subgroups (see Table I). The initial treatment for dyslipidemia is dietary therapy specific for the type of lipoprotein abnormality. Excess body weight and excess alcohol intake may be important factors in hypertriglyceridemia and should be managed prior to any drug therapy.

Physical exercise can be an important ancillary measure, and has been associated with rises in HDL-cholesterol. Diseases contributory to hyperlipidemia such as hypothyroidism or diabetes mellitus should be looked for and adequately treated. Estrogen therapy is sometimes associated with massive rises in plasma triglycerides, especially in subjects with familial…

⏱️ Dosage and Administration 28 words

DOSAGE AND ADMINISTRATION The recommended dose for adults is 1200 mg administered in two divided doses 30 minutes before the morning and evening meals (see CLINICAL PHARMACOLOGY ).

Contraindications 64 words

CONTRAINDICATIONS 1. Hepatic or severe renal dysfunction, including primary biliary cirrhosis. 2.

Preexisting gallbladder disease (see WARNINGS ). 3. Hypersensitivity to gemfibrozil.

4. Combination therapy of gemfibrozil with simvastatin (see WARNINGS and PRECAUTIONS ). 5.

Combination therapy of gemfibrozil with repaglinide (see PRECAUTIONS ). 6. Combination therapy of gemfibrozil with dasabuvir (see PRECAUTIONS ).

7. Combination therapy of gemfibrozil with selexipag (see PRECAUTIONS ).

⚠️ Warnings ~3 min read

WARNINGS 1. Because of chemical, pharmacological, and clinical similarities between gemfibrozil and clofibrate, the adverse findings with clofibrate in two large clinical studies may also apply to gemfibrozil. In the first of those studies, the Coronary Drug Project, 1000 subjects with previous myocardial infarction were treated for five years with clofibrate.

There was no difference in mortality between the clofibrate-treated subjects and 3000 placebo-treated subjects, but twice as many clofibrate-treated subjects developed cholelithiasis and cholecystitis requiring surgery. In the other study, conducted by the World Health Organization (WHO), 5000 subjects without known coronary heart disease were treated with clofibrate for five years and followed one year beyond. There was a statistically significant (44%) higher age-adjusted total mortality in the clofibrate-treated group than in a comparable placebo-treated control group during the trial period.

The excess mortality was due to a 33% increase in non-cardiovascular causes, including malignancy, post-cholecystectomy complications, and pancreatitis. The higher risk of clofibrate-treated subjects for gallbladder disease was confirmed. Because of the more limited size of the Helsinki Heart Study, the observed difference in mortality from any cause between the gemfibrozil and placebo groups is not statistically significantly different from the 29% excess mortality reported in the clofibrate group in the separate WHO study at the nine year follow-up (see CLINICAL PHARMACOLOGY ).

Noncoronary heart disease related mortality showed an excess in the group originally randomized to gemfibrozil primarily due to cancer deaths observed during the open-label extension. During the five year primary prevention component of the Helsinki Heart Study, mortality from any cause was 44 (2.2%) in the gemfibrozil group and 43 (2.1%) in the placebo group; including the 3.5 year follow-up period since the trial was completed, cumulative mortality from any cause was 101 (4.9%) in the gemfibrozil group and 83 (4.1%) in the group originally randomized to placebo (hazard ratio 1:20 in favor of placebo).

Because of the more limited size of the Helsinki Heart Study, the observed difference in mortality from any cause between the gemfibrozil and placebo groups at Year-5 or at Year-8.5 is not statistically significantly different from the 29% excess mortality reported in the clofibrate group in the separate WHO study at the nine year follow-up. Noncoronary heart disease related mortality showed an excess in the group originally randomized to gemfibrozil at the 8.5 year follow-up (65 gemfibrozil versus 45 placebo noncoronary deaths).

The incidence of cancer (excluding basal cell carcinoma) discovered during the trial and in the 3.5 years after the trial was completed was 51 (2.5%) in both originally randomized groups. In addition, there were 16 basal cell carcinomas in the group originally randomized to gemfibrozil and 9 in the group originally randomized to placebo (p=0.22). There were 30 (1.5%) deaths attributed to cancer in the group originally randomized to gemfibrozil and 18 (0.9%) in the group originally randomized to placebo (p=0.11).

Adverse outcomes, including coronary events, were higher in gemfibrozil patients in a corresponding study in men with a history of known or suspected coronary heart disease in the secondary prevention component of the Helsinki Heart Study (see CLINICAL PHARMACOLOGY ). A comparative carcinogenicity study was also done in rats comparing three drugs in this class: fenofibrate (10 and 60 mg/kg; 0.3 and 1.6 times the human dose, respectively), clofibrate (400 mg/kg; 1.6 times the human dose), and gemfibrozil (250 mg/kg; 1.7 times the human dose).

Pancreatic acinar adenomas were increased in males and females on fenofibrate; hepatocellular carcinoma and pancreatic acinar adenomas were increased in males and hepatic neoplastic nodules in females treated with clofibrate; hepatic…

🤒 Adverse Reactions ~1 min read

ADVERSE REACTIONS In the double-blind controlled phase of the primary prevention component of the Helsinki Heart Study, 2046 patients received gemfibrozil for up to five years. In that study, the following adverse reactions were statistically more frequent in subjects in the gemfibrozil group: Gallbladder surgery was performed in 0.9% of gemfibrozil and 0.5% of placebo subjects in the primary prevention component, a 64% excess, which is not statistically different from the excess of gallbladder surgery observed in the clofibrate group compared to the placebo group of the WHO study.

Gallbladder surgery was also performed more frequently in the gemfibrozil group compared to the placebo group (1.9% versus 0.3%, p=0.07) in the secondary prevention component. A statistically significant increase in appendectomy in the gemfibrozil group was seen also in the secondary prevention component (6 on gemfibrozil versus 0 on placebo, p=0.014). Nervous system and special senses adverse reactions were more common in the gemfibrozil group.

These included hypesthesia, paresthesias, and taste perversion. Other adverse reactions that were more common among gemfibrozil treatment group subjects but where a causal relationship was not established include cataracts, peripheral vascular disease, and intracerebral hemorrhage. From other studies it seems probable that gemfibrozil is causally related to the occurrence of MUSCULOSKELETAL SYMPTOMS (see WARNINGS ), and to ABNORMAL LIVER FUNCTION TESTS and HEMATOLOGIC CHANGES (see PRECAUTIONS ).

Reports of viral and bacterial infections (common cold, cough, urinary tract infections) were more common in gemfibrozil treated patients in other controlled clinical trials of 805 patients. Additional adverse reactions that have been reported for gemfibrozil are listed below by system. These are categorized according to whether a causal relationship to treatment with gemfibrozil is probable or not established: Additional adverse reactions that have been reported include cholecystitis and cholelithiasis ( see WARNINGS).

Adverse Reactions Additional Adverse Reactions

🆘 Overdosage 56 words

OVERDOSAGE There have been reported cases of overdosage with gemfibrozil. In one case, a 7-year-old child recovered after ingesting up to 9 grams of gemfibrozil. Symptoms reported with overdosage were abdominal cramps, abnormal liver function tests, diarrhea, increased CPK, joint and muscle pain, nausea and vomiting. Symptomatic supportive measures should be taken, should an overdose occur.

🧬 Clinical Pharmacology ~3 min read

CLINICAL PHARMACOLOGY Gemfibrozil is a lipid regulating agent which decreases serum triglycerides and very low density lipoprotein (VLDL) cholesterol, and increases high density lipoprotein (HDL) cholesterol. While modest decreases in total and low density lipoprotein (LDL) cholesterol may be observed with gemfibrozil therapy, treatment of patients with elevated triglycerides due to Type IV hyperlipoproteinemia often results in a rise in LDL-cholesterol. LDL-cholesterol levels in Type IIb patients with elevations of both serum LDL-cholesterol and triglycerides are, in general, minimally affected by gemfibrozil treatment; however, gemfibrozil usually raises HDL-cholesterol significantly in this group.

Gemfibrozil increases levels of high density lipoprotein (HDL) subfractions HDL 2 and HDL 3 , as well as apolipoproteins AI and AII. Epidemiological studies have shown that both low HDL-cholesterol and high LDL-cholesterol are independent risk factors for coronary heart disease. In the primary prevention component of the Helsinki Heart Study, in which 4081 male patients between the ages of 40 and 55 were studied in a randomized, double-blind, placebo-controlled fashion, gemfibrozil therapy was associated with significant reductions in total plasma triglycerides and a significant increase in high density lipoprotein cholesterol.

Moderate reductions in total plasma cholesterol and low density lipoprotein cholesterol were observed for the gemfibrozil treatment group as a whole, but the lipid response was heterogeneous, especially among different Fredrickson types. The study involved subjects with serum non-HDL-cholesterol of over 200 mg/dL and no previous history of coronary heart disease. Over the five-year study period, the gemfibrozil group experienced a 1.4% absolute (34% relative) reduction in the rate of serious coronary events (sudden cardiac deaths plus fatal and nonfatal myocardial infarctions) compared to placebo, p=0.04 (see Table I).

There was a 37% relative reduction in the rate of nonfatal myocardial infarction compared to placebo, equivalent to a treatment-related difference of 13.1 events per thousand persons. Deaths from any cause during the double-blind portion of the study totaled 44 (2.2%) in the gemfibrozil randomization group and 43 (2.1%) in the placebo group. Among Fredrickson types, during the 5-year double-blind portion of the primary prevention component of the Helsinki Heart Study, the greatest reduction in the incidence of serious coronary events occurred in Type IIb patients who had elevations of both LDL-cholesterol and total plasma triglycerides.

This subgroup of Type IIb gemfibrozil group patients had a lower mean HDL-cholesterol level at baseline than the Type IIa subgroup that had elevations of LDL-cholesterol and normal plasma triglycerides. The mean increase in HDL-cholesterol among the Type IIb patients in this study was 12.6% compared to placebo. The mean change in LDL-cholesterol among Type IIb patients was –4.1% with gemfibrozil compared to a rise of 3.9% in the placebo subgroup.

The Type IIb subjects in the Helsinki Heart Study had 26 fewer coronary events per thousand persons over five years in the gemfibrozil group compared to placebo. The difference in coronary events was substantially greater between gemfibrozil and placebo for that subgroup of patients with the triad of LDL-cholesterol >175 mg/dL (>4.5 mmol), triglycerides >200 mg/dL (>2.2 mmol), and HDL-cholesterol <35 mg/dL (<0.90 mmol) (see Table I). Further information is available from a 3.5 year (8.5 year cumulative) follow-up of all subjects who had participated in the Helsinki Heart Study.

At the completion of the Helsinki Heart Study, subjects could choose to start, stop, or continue to receive gemfibrozil; without knowledge of their own lipid values or double-blind treatment, 60% of patients originally randomized to placebo began therapy with gemfibrozil and 60% of patients originally randomized to gemfibrozil continued medicat…

📦 How Supplied / Storage and Handling 90 words

HOW SUPPLIED Gemfibrozil Tablets, USP are supplied as: White to off white, film coated, oval tablets, debossed with “1” with two partial bisects on one side and two partial bisects on other side, each containing 600 mg gemfibrozil, USP are available as follows: NDC 31722-128-60; Bottles of 60 NDC 31722-128-05; Bottles of 500 Store at controlled room temperature 20° – 25°C (68° – 77°F) [see USP]. Protect from light and humidity. Manufactured by: Ascent Pharmaceuticals, Inc.

Central Islip, NY 11722 Manufactured for: Camber Pharmaceuticals, Inc. Piscataway, NJ 08854 Rev: 08/21

📋 Description 110 words

DESCRIPTION Gemfibrozil, USP is a lipid regulating agent. It is available as tablets for oral administration. Each tablet contains 600 mg gemfibrozil.

Each tablet also contains the following inactive ingredients: pregelatinized starch, microcrystalline cellulose, povidone, colloidal silicon dioxide, polysorbate, croscarmellose sodium, calcium stearate, hydroxypropyl cellulose, and talc. The chemical name is 5-(2,5-dimethylphenoxy)-2,2-dimethylpentanoic acid, with the following structural formula: The empirical formula is C 15 H 22 O 3 and the molecular weight is 250.35; the solubility in water and acid is 0.0019% and in dilute base it is greater than 1%. The melting point is 58° – 61°C.

Gemfibrozil is a white solid which is stable under ordinary conditions. Struct

Source: FDA Structured Product Labeling, mirrored from DailyMed / openFDA. Prefer the government’s original formatting? View this label on DailyMed ↗
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