Two medicines, side by side
Bisoprolol vs olmesartan
Bisoprolol and olmesartan are both labeled for high blood pressure. Drugs@FDA records approvals of bisoprolol since 1992 and of olmesartan since 2002. Pharmacies paid $0.114 per bisoprolol fumarate 5 mg tablet and $0.0805 per olmesartan medoxomil 20 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. In FDA's classes, bisoprolol is a beta-adrenergic blocker and olmesartan an angiotensin 2 receptor blocker.
Check it at the source: the bisoprolol FDA label on DailyMed (effective March 11, 2026); the olmesartan FDA label on DailyMed (effective September 23, 2025).
Highlights of the bisoprolol record
Bisoprolol (Zebeta) · label of March 11, 2026
Used for
From the label: indicationsBisoprolol fumarate tablets are indicated in the management of hypertension. It may be used alone or in combination with other antihypertensive agents.
On the market
- Earliest approval on file
- July 31, 1992
- Generic labelers
- 24 labelers
- Pharmacy cost
- $0.114 per tablet
Supply and safety
- Shortage
- No current entry
- Recalls
- 2
Highlights of the olmesartan record
Olmesartan (Benicar) · label of September 23, 2025
FETAL TOXICITY When pregnancy is detected, discontinue Benicar as soon as possible ( 5.1 , 8.1 ). Drugs that act directly on the renin-angiotensin system can cause injury and death to the developing fetus ( 5.1 , 8.1 ). WARNING: FETAL TOXICITY See full prescribing information for complete boxed warning. When pregnancy is detected, discontinue Benicar as soon as possible ( 5.1 , 8.1 ).
Used for
From the label: indicationsBenicar is indicated for the treatment of hypertension in adults and children six years of age and older, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. […]
On the market
- Earliest approval on file
- April 25, 2002
- Generic labelers
- 30 labelers
- Pharmacy cost
- $0.0805 per tablet
Supply and safety
- Shortage
- No current entry
- Recalls
- 2
Source: FDA drug labels via openFDA (Bisoprolol label of March 11, 2026, Olmesartan label of September 23, 2025); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)
How do bisoprolol and olmesartan differ on the record?
In FDA's classes, bisoprolol is a beta-adrenergic blocker and olmesartan an angiotensin 2 receptor blocker.
Half-life, in each label's words: Bisoprolol, “The plasma elimination half-life is 9 to 12 hours and is slightly longer in elderly patients, in part because of …”; Olmesartan, “Olmesartan appears to be eliminated in a biphasic manner with a terminal elimination half-life of approximately 13 …”
Only the olmesartan label carries a boxed warning.
Generics: bisoprolol since 2000; olmesartan since 2016 (Drugs@FDA).
| Bisoprolol | Olmesartan | |
|---|---|---|
| Labeled for | High blood pressure | High blood pressure |
| Pharmacologic class | beta-Adrenergic Blocker | Angiotensin 2 Receptor Blocker |
| How it works (label) | n/a | Angiotensin II is formed from angiotensin I in a reaction catalyzed by angiotensin converting enzyme (ACE, kininase II). |
| Half-life (label) | The plasma elimination half-life is 9 to 12 hours and is slightly longer in elderly patients, in part because of decreased renal function in that population. | Olmesartan appears to be eliminated in a biphasic manner with a terminal elimination half-life of approximately 13 hours. |
| Earliest approval on file (Drugs@FDA) | July 31, 1992 | April 25, 2002 |
| First generic approved | November 16, 2000 | October 26, 2016 |
| Generic labelers (NDC) | 24 labelers | 30 labelers |
| Pharmacy cost (NADAC, each one's most listed form; strengths differ) | $0.114 per tablet (Bisoprolol fumarate 5 mg tablet) | $0.0805 per tablet (Olmesartan medoxomil 20 mg tablet) |
| 12-month price change | -39% | +1% |
| Boxed warning | No | Yes |
| Shortage now | No current entry | No current entry |
| Recalls recorded | 2 | 2 |
| FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used) | 135,060 | 35,743 |
| DEA schedule | none | none |
Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)
What next?
- Alternatives to bisoprolol
- every medicine labeled for the same conditions