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Medicines labeled for the same conditions

Alternatives to exemestane

17 other medicines are given the same way (oral) and in the same FDA class as exemestane or labeled mainly for the same use (breast cancer); 2 are in its class, aromatase inhibitors: anastrozole and letrozole; the others include 6 kinase inhibitors, 2 estrogen agonist/antagonists and 2 poly(adp-ribose) polymerase inhibitors (FDA labels read October 8, 2026). In the same class, the lowest pharmacy cost is $0.142 per anastrozole 1 mg tablet (what pharmacies paid in the NADAC survey; strengths differ).

Which medicines are labeled for the same conditions as exemestane?

Breast cancer lists all 44 medicines labeled for it, by any route. Each row shows the conditions both labels name. They are listed as public records, not as substitutes: whether one can replace another depends on the person and is a prescriber's decision.

Medicine and FDA classShared indicationGeneric labelers (oral)Pharmacy costBoxed warningShortage
Exemestanearomatase inhibitorthis medicine10 labelers$0.748 per tablet 25 mg tabletNoNo current entry
Anastrozolearomatase inhibitor · same classBreast cancer24 labelers$0.142 per tablet 1 mg tabletNoNo current entry
Letrozolearomatase inhibitor · same classBreast cancer19 labelers$0.145 per tablet 2.5 mg tabletNoNo current entry
Everolimusmtor inhibitor immunosuppressantBreast cancer14 labelers$26.32 per tablet 10 mg tabletNoA presentation being discontinued
Tamoxifenestrogen agonist/antagonistBreast cancer10 labelers$0.277 per tablet 20 mg tabletYesNo current entry
Talazoparibpoly(adp-ribose) polymerase inhibitorBreast cancernone listedn/aNoNo current entry
Palbociclibkinase inhibitorBreast cancernone listedn/aNoA presentation being discontinued
Abemaciclibkinase inhibitorBreast cancernone listedn/aNoNo current entry
Lapatinib ditosylatekinase inhibitorBreast cancer3 labelersn/aYesNo current entry
Olaparibpoly(adp-ribose) polymerase inhibitorBreast cancernone listedn/aNoNo current entry
MethyltestosteroneandrogenBreast cancer2 labelersn/aNoNo current entry
Ribociclibkinase inhibitorBreast cancernone listed$289.72 per unit 600 mg daily doseNoNo current entry
Toremifeneestrogen agonist/antagonistBreast cancer2 labelers$19.60 per tablet 60 mg tabletYesNo current entry
CapivasertibBreast cancernone listedn/aNoNo current entry
Elacestrantestrogen receptor antagonistBreast cancernone listedn/aNoNo current entry
Tucatinibkinase inhibitorBreast cancernone listedn/aNoNo current entry
Imlunestrantestrogen receptor antagonistBreast cancernone listedn/aNoNo current entry
Neratinibkinase inhibitorBreast cancernone listedn/aNoNo current entry

Source: FDA drug labels (indications) via openFDA; FDA NDC Directory; CMS NADAC of October 7, 2026; FDA Drug Shortage Database (FDA files October 8, 2026)

What do pharmacies pay for each?

The headline NADAC price per unit of each medicine's most widely listed form; strengths differ, so compare like with like on each record.

Source: CMS National Average Drug Acquisition Cost (NADAC) survey, October 7, 2026: what retail pharmacies paid per unit; not a counter price

What next?

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