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Medicines labeled for the same conditions

Alternatives to rivastigmine

4 other medicines are given the same way (oral) and in the same FDA class as rivastigmine or labeled mainly for the same use (alzheimer's disease); 3 are in its class, cholinesterase inhibitors: donepezil, galantamine and donepezil and memantine; the others include 1 n-methyl-d-aspartate receptor antagonist (FDA labels read October 8, 2026). In the same class, the lowest pharmacy cost is $0.0484 per donepezil HCl 10 mg tablet (what pharmacies paid in the NADAC survey; strengths differ).

Which medicines are labeled for the same conditions as rivastigmine?

Alzheimer's disease lists all 7 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
Rivastigminecholinesterase inhibitorthis medicine11 labelers$0.164 per capsule 1.5 mg capsuleNoA presentation being discontinued
Donepezilcholinesterase inhibitor · same classAlzheimer's disease31 labelers$0.0484 per tablet 10 mg tabletNoNo current entry
Galantaminecholinesterase inhibitor · same classAlzheimer's disease9 labelers$0.294 per tablet 4 mg tabletNoNo current entry
Donepezil and memantinen-methyl-d-aspartate receptor antagonist · same classAlzheimer's disease5 labelers$8.44 per unit 28-10 mgNoA presentation being discontinued
Memantinen-methyl-d-aspartate receptor antagonistAlzheimer's disease38 labelers$0.063 per tablet 10 mg tabletNoNo 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?

Rivastigmine: the full record
label, generics, price, shortages, recalls
Donepezil vs rivastigmine
two records side by side
Galantamine vs rivastigmine
two records side by side
Rivastigmine vs memantine
two records side by side