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Two medicines, side by side

Calcium carbonate vs omeprazole

Calcium carbonate and omeprazole are both labeled for acid reflux and ulcers. Pharmacies paid $0.0315 per tablet (Antacid ex-str 750 mg tablet chewable) and $0.0295 per omeprazole DR 20 mg capsule (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. Omeprazole's other strengths are brand-only: $14.75 per pen (Prilosec DR 2.5 mg suspension).

Check it at the source: the calcium carbonate FDA label on DailyMed (effective December 5, 2024); the omeprazole FDA label on DailyMed (effective April 22, 2024).

Highlights of the calcium carbonate record

Calcium carbonate · label of December 5, 2024

Used for

From the label: indications

relieves • heartburn • acid indigestion • sour stomach • upset stomach associated with these symptoms

On the market

Earliest approval on file
n/a
Generic labelers
none listed
Pharmacy cost
$0.0315 per tablet

Supply and safety

Shortage
No current entry
Recalls
1

Highlights of the omeprazole record

Omeprazole (Prilosec) · label of April 22, 2024

Used for

From the label: indications

Omeprazole is a proton pump inhibitor (PPI) indicated for the: Treatment of active duodenal ulcer in adults ( 1.1 ) Eradication of Helicobacter pylori to reduce the risk of duodenal ulcer recurrence in adults ( 1.2 ) Treatment of active benign gastric ulcer in adults ( 1.3 ) Treatment of symptomatic gastroesophageal reflux disease (GERD) in patients 1 year of age and older ( 1.4 ) Treatment of erosive esophagitis […]

On the market

Earliest approval on file
September 14, 1989
Generic labelers
118 labelers
Pharmacy cost
$0.0295 per capsule

Supply and safety

Shortage
A presentation being discontinued
Recalls
7

Source: FDA drug labels via openFDA (Calcium carbonate label of December 5, 2024, Omeprazole label of April 22, 2024); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do calcium carbonate and omeprazole differ on the record?

Generics: calcium carbonate none approved; omeprazole since 2002 (Drugs@FDA).

Calcium carbonateOmeprazole
Labeled forAcid reflux and ulcersAcid reflux and ulcers
Pharmacologic classn/aProton Pump Inhibitor
How it works (label)n/aOmeprazole belongs to a class of antisecretory compounds, the substituted benzimidazoles, that suppress gastric acid secretion by specific inhibition of the H + /K + ATPase enzyme system at the secretory surface of the gastric parietal …
Half-life (label)n/adisease classified as Child-Pugh Class A (n=3), B (n=4) and C (n=1), the bioavailability increased to approximately 100% compared to healthy subjects, reflecting decreased first-pass effect, and the plasma half-life of …
Earliest approval on file (Drugs@FDA)n/aSeptember 14, 1989
First generic approvednoneNovember 1, 2002
Generic labelers (NDC)none listed118 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0315 per tablet (Antacid ex-str 750 mg tablet chewable)$0.0295 per capsule (Omeprazole DR 20 mg capsule)
12-month price change-0.8%-7%
Boxed warningNoNo
Shortage nowNo current entryA presentation being discontinued
Recalls recorded17
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)66,848446,179
DEA schedulenonenone

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 calcium carbonate
every medicine labeled for the same conditions