Ramipril 5 mg Capsule, 90-count
by Zydus Lifesciences Limited · 90 CAPSULE in 1 BOTTLE (65841-657-16)
NDC 65841-0657-16
🏷️ FDA NDC (as labeled)
65841-657-16
billing pads the product segment with a zero
This package
Contains90-count
Pack sizes5 compare ↓
Also priced by: Part D plans $0.1473/unit — full pricing hub ↓
Also comes in:
30 capsules 65841-0657-06
100 capsules 65841-0657-01
100 capsules 65841-0657-30
500 capsules 65841-0657-05
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 →
⚠️
Other active recalls for Ramipril (different manufacturers) — 1 · tap to view
These affect other manufacturers’ products for the same ingredient — not necessarily the exact NDC on this page.
Class II · Aug 24, 2026 — Failed Impurities/Degradation Specifications: OOS result obtained for a process impurity, dicyclohexylurea (DCU). (Hikma Pharmaceuticals USA INC.) · FDA recall D-0831-2026
Each entry is an official FDA enforcement report — look up any recall number in the FDA recall database ↗
🆔 Identity & classification
FDA NDC (as labeled)
65841-657-16
Product NDC
65841-657
11-digit billing NDC
65841065716
UNII
L35JN3I7SJ
Application #
ANDA078832
SPL Set ID
496b346b-ca79-4483-a950-bed9464e6a9d
Established class (EPC)
Angiotensin Converting Enzyme Inhibitor
Mechanism of action
Angiotensin-converting Enzyme Inhibitors
DEA schedule
Non-controlled
Marketing category
ANDA
Marketing status
On market
FDA listing status
Listed (active directory)
Marketing start
2010-11-20
Route
ORAL
Dosage form
CAPSULE
Substance
RAMIPRIL
TE code (Orange Book)
AB · RLD · RS
Why two NDCs?
The FDA registers this code as 65841-657-16 — 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 → 65841-0657-16. 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 Angiotensin Converting Enzyme Inhibitor class.
Pharmacologic class
Angiotensin Converting Enzyme Inhibitor
Drug family (ATC)
ACE inhibitors, plain, ACE inhibitors and calcium channel blockers
How it works
Angiotensin-converting Enzyme Inhibitors
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
LabelerZydus Lifesciences Limited
Application holderZYDUS PHARMACEUTICALS USA INC
FDA applicationANDA078832 (ANDA)
Labeler code65841
First marketedNov 2010
Product typeHuman Prescription Drug
Portfolio717 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
📗 Our plain-language guide HelloPharmacist
- Ramipril blocks an enzyme that your body uses to tighten blood vessels. By blocking it, your blood vessels stay more relaxed, your blood pressure goes down, and your heart doesn't...
- What is ramipril actually doing in my body?
- Yes, a persistent dry, tickly cough is one of the most common side effects of ramipril and all ACE inhibitors. It happens because the drug also affects a substance called bradykini...
- I've heard ramipril causes a cough. Is that true, and will it go away?
Patient education
Supplement & herbal interactions
Some supplements/herbs that may interact with Ramipril — tap one for details:
1
Nutrient depletion considerations
Ramipril 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.
💬 Questions about Ramipril?
Ask a pharmacist →
Ask a licensed pharmacist directly — free, answered by our team.
💊 What it looks like
Color
White / Yellow / Orange / Red / Blue
ShapeCapsule
ImprintZA;46;10mg
Size14 mm
ScoringNot scored
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 H3R47K3TBD
FD&C Blue No. 1 is a synthetic blue dye approved for use in foods and medicines. It serves as a colorant to give the medication its distinctive appearance and help with product identification.
-
UNII WZB9127XOA
A synthetic red dye used to color medications and make them easier to identify. It serves as a colorant in tablets, capsules, and liquid formulations.
-
UNII H77VEI93A8
A synthetic yellow dye used to color medications. It helps identify the drug and make it visually distinctive, with no effect on how the medicine works.
-
UNII XM0M87F357
A dark iron oxide compound that gives medicines their black or dark color. It's used as a colorant in tablets and capsules to help identify the product and make it visually distinctive.
-
UNII 2G86QN327L
Gelatin is a protein derived from animal collagen, commonly used in medicines as a gelling agent and capsule material. It helps create soft or hard capsule shells that hold and release medication, and can also thicken liquid formulations.
-
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 15FIX9V2JP
Titanium dioxide is a bright white mineral powder commonly used as a colorant and opacifying agent. It makes pills and tablets white or lighter in color and helps make coatings non-transparent.
7 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 DailyMed —
ingredient 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 system | Per each | Per package |
|---|---|---|
| Retail pharmacies payNADAC · weekly | Not in the retail survey — common for institutional, discontinued, or low-volume packs. | |
| Medicaid paysCMS SDUD · 12 mo | No recent Medicaid claims on file for this NDC — rare and low-volume NDCs are suppressed in the public data. | |
| Medicare drug plans payPart D · Q2 2026 | $0.1473 | $13.26 / 90 capsules |
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
| Product | Labeler | Pack | NADAC/unit | TE | Status | Price vs. this |
|---|---|---|---|---|---|---|
| Ramipril 5 mg 57237-0224-01 | Rising | 100 capsules | $0.053 | AB | Availability likely | — |
| Ramipril 5 mg 62135-0273-01 | Chartwell | 100 capsules | $0.053 | AB | Availability likely | — |
| Ramipril 5 mg 65862-0476-01 | Aurobindo | 100 capsules | $0.053 | AB | Availability likely | — |
| Ramipril 5 mg 68001-0430-00 | BluePoint | 100 capsules | $0.053 | AB | Availability likely | — |
| Ramipril 5 mg 68180-0590-01 | Lupin | 100 capsules | $0.053 | AB | Availability likely | — |
| Ramipril 5 mg 68382-0146-01 | Zydus | 100 capsules | $0.053 | AB | Availability likely | — |
| Ramipril 5 mg 76282-0672-01 | Exelan | 100 capsules | $0.053 | AB | Availability likely | — |
| Ramipril 5 mg 00054-0108-20 | Hikma | 100 capsules | — | AB | FDA listed | — |
| Ramipril 5 mg 50090-5673-00 | A-S | 30 capsules | — | AB | FDA listed | — |
| Ramipril 5 mg 51407-0708-01 | GSMS, | 100 capsules | — | AB | FDA listed | — |
| Ramipril 5 mg 51655-0144-26 | Northwind | 90 capsules | — | AB | FDA listed | — |
| Ramipril 5 mg 51655-0296-52 | Northwind | 30 capsules | — | AB | FDA listed | — |
| Ramipril 5 mg 63187-0073-30 | Proficient | 30 capsules | — | AB | FDA listed | — |
| Ramipril 5 mg 63629-1254-01 | Bryant | 30 capsules | — | AB | FDA listed | — |
| Ramipril 5 mgthis 65841-0657-16 | Zydus | 90 capsules | — | AB | FDA listed | — |
| Ramipril 5 mg 70518-4607-00 | REMEDYREPACK | 50 capsules | — | AB | FDA listed | — |
| Ramipril 5 mg 71335-1057-01 | Bryant | 30 capsules | — | AB | Discontinued | — |
| Ramipril 5 mg 71335-9645-01 | Bryant | 30 capsules | — | 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
🏛️
2010
On the market since
Nov 2010
📍
2026
Currently FDA-listed
16 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.
📊 Medicare Part D spend CMS · PART D · 2026 (Q1)
Medicare Part D (outpatient prescription) spending for Ramipril — the program that covers self-administered drugs. 8 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 Ramipril. 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
$4.16M
Claims incl. refills
338.9K
Beneficiaries
282.5K
Spend / beneficiary
$14.72
Spend / claim
$12.27
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 Ramipril — the ingredient across all brands.
Top reported reactions
Age at onset
Reporter sex
Male · 52%
Female · 48%
Unknown · 0%
Serious outcomes
Reports over time (by year) — tap or hover for the count & year
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 NDC | Description | Marketing start | Status |
|---|---|---|---|
| 65841-0657-01 | 100 CAPSULE in 1 BOTTLE (65841-657-01) | 2010-11-20 | Active |
| 65841-0657-05 | 500 CAPSULE in 1 BOTTLE (65841-657-05) | 2010-11-20 | Active |
| 65841-0657-06 | 30 CAPSULE in 1 BOTTLE (65841-657-06) | 2010-11-20 | Active |
| 65841-0657-16 You're viewing this | 90 CAPSULE in 1 BOTTLE (65841-657-16) | 2010-11-20 | Active |
| 65841-0657-30 | 10 BLISTER PACK in 1 CARTON (65841-657-30) / 10 CAPSULE in 1 BLISTER PACK | 2010-11-20 | Active |
Pack size FAQ
What quantity is in NDC 65841-0657-16?
NDC 65841-0657-16 is a 90-count package — 90 capsule in 1 bottle.
What is the difference between NDC 65841-0657-16 and NDC 65841-0657-06?
Both are Ramipril 5 mg Capsule — the drug itself is identical. NDC 65841-0657-16 is the 90-count package, while NDC 65841-0657-06 is the 30 capsules package.
What NDC number is used to bill for this package of Ramipril 5 mg Capsule?
Bill NDC 65841-0657-16 — the 11-digit billing format is 65841065716. Pharmacy and medical claims use the 11-digit form; the FDA label may print a shorter form of the same code.
🧭 About this NDC listing & data coverage
Finished prescription product
What data is (and isn’t) available for this NDC — tap to expand
| NDC identity (package / product / labeler codes) | ✓ Available |
| Labeler | ✓ Available |
| Product & package description | ✓ Available |
| Marketing category & status | ✓ Available |
| Active ingredient / dosage form / route | ✓ Available |
| FDA label (SPL via DailyMed) | ✓ Available |
| Package photos | — Not published for this NDC No photo available yet for this listing. |
| Inactive ingredients (structured) | ✓ Available |
| NADAC pharmacy acquisition price (CMS) | — Not published for this NDC CMS publishes NADAC only for NDCs reported in its retail-pharmacy survey. |
| Orange Book / therapeutic-equivalence data | ✓ Available |
| HCPCS J-code billing crosswalk | — Not published for this NDC Most self-administered / retail products have no J-code — that is normal. |
| Medicaid utilization (CMS SDUD) | — Not published for this NDC CMS reports utilization only for NDCs with Medicaid claims above its privacy threshold. |
“Not published” reflects what the public FDA / CMS / NLM sources provide for this exact package code — it is a property of the data feeds, not a judgment about the product.
Questions about this listing
Why is there no price listed?
The pricing shown on our NDC pages comes from CMS NADAC, a voluntary survey of retail community pharmacy invoices. CMS does not publish a NADAC for every NDC — packages outside the retail survey (institutional and hospital products, bulk packages, discontinued items, and many OTC items) may never receive one. A missing price reflects the survey's scope, not this product's actual cost, and does not mean the product is free or unavailable.
Is the NDC printed on the package the same as the 11-digit billing NDC?
Yes, they identify this exact package in different formats. The FDA registers it as 65841-657-16, which is what is printed on the packaging and shown on DailyMed. Insurance claims use a fixed 11-digit 5-4-2 format, so the short segment is padded with a leading zero: 65841-0657-16, written without dashes as 65841065716. The Identity section at the top of this page lists every form of this code.
What do the three segments of this NDC mean?
In 65841-0657-16, the first segment (65841) is the labeler code FDA assigned to Zydus Lifesciences Limited; the middle segment (0657) identifies this specific product — its ingredient, strength, and dosage form; and the last segment (16) identifies this exact package size and type. Together they name one specific package of one specific product.
Is this package still being marketed?
Yes, per the latest FDA NDC Directory data on this page: this package is listed as actively marketed, with no marketing end date reported by Zydus Lifesciences Limited. Listing status can change — the directory data on this page refreshes weekly.
Does this product come in other package sizes?
Yes — the FDA directory lists 4 other package presentations of this same product, including 30 capsules (65841-0657-06), 100 capsules (65841-0657-01), 100 capsules (65841-0657-30). Each has its own NDC and its own page — see the package list near the top of this page.
Who lists this product with the FDA?
Zydus Lifesciences Limited is the labeler of record for this NDC — the company under whose FDA-assigned code the package is listed. The labeler may be the manufacturer itself or a distributor marketing the product under its own code.
Do I need a prescription for this product?
This NDC is listed with FDA as a prescription product, so it is dispensed under a prescriber's order. Your pharmacist can tell you whether any over-the-counter forms of the same medication exist.
This page identifies an FDA-listed package (the NDC) and reports public regulatory and pricing data about the listing. It is reference information, not a medical recommendation — talk to your pharmacist or prescriber about your own medication.
Where does this data come from?
Listing facts (marketing category, packager status, marketing dates) from the FDA openFDA NDC Directory; label availability from DailyMed; pricing coverage from CMS NADAC; equivalence scope from the FDA Orange Book.
📄 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.
📄 FDA label ▾
No readable label sections were found for this product.
No label section mentions that — try another word, or open the full label on DailyMed below.
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.