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Two medicines, side by side

Caspofungin vs voriconazole

Caspofungin and voriconazole are both labeled for fungal infections. Drugs@FDA records approvals of caspofungin since 2001 and of voriconazole since 2002. In FDA's classes, caspofungin is an echinocandin antifungal and voriconazole an azole antifungal.

Check it at the source: the caspofungin FDA label on DailyMed (effective October 11, 2024); the voriconazole FDA label on DailyMed (effective February 26, 2026).

Highlights of the caspofungin record

Caspofungin (Cancidas) · label of October 11, 2024

Used for

From the label: indications

CANCIDAS is an echinocandin antifungal indicated in adults and pediatric patients (3 months of age and older) for: Empirical therapy for presumed fungal infections in febrile, neutropenic patients. ( 1 ) Treatment of candidemia and the following Candida infections: intra-abdominal abscesses, peritonitis and pleural space infections. ( 1 ) Treatment of esophageal candidiasis. […]

On the market

Earliest approval on file
January 26, 2001
Generic labelers
5 labelers
Pharmacy cost
Not in the survey

Supply and safety

Shortage
A presentation being discontinued
Recalls
0

Highlights of the voriconazole record

Voriconazole (Vfend) · label of February 26, 2026

Used for

From the label: indications

VFEND is an azole antifungal indicated for the treatment of adults and pediatric patients 2 years of age and older with: • Invasive aspergillosis ( 1.1 ) • Candidemia in non-neutropenics and other deep tissue Candida infections ( 1.2 ) • Esophageal candidiasis ( 1.3 ) • Serious fungal infections caused by Scedosporium apiospermum and Fusarium species including Fusarium solani, in patients intolerant of, or […]

On the market

Earliest approval on file
May 24, 2002
Generic labelers
31 labelers
Pharmacy cost
$1.88 per tablet

Supply and safety

Shortage
A presentation being discontinued
Recalls
4

Source: FDA drug labels via openFDA (Caspofungin label of October 11, 2024, Voriconazole label of February 26, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do caspofungin and voriconazole differ on the record?

In FDA's classes, caspofungin is an echinocandin antifungal and voriconazole an azole antifungal.

How each works, in its label's words: Caspofungin, “Caspofungin is an echinocandin antifungal drug [see Microbiology (12.4) ].”; Voriconazole, “Voriconazole is an antifungal drug [see Microbiology (12.4) ].”

Generics: caspofungin since 2017; voriconazole since 2010 (Drugs@FDA).

CaspofunginVoriconazole
Labeled forFungal infectionsFungal infections
Pharmacologic classEchinocandin AntifungalAzole Antifungal
How it works (label)Caspofungin is an echinocandin antifungal drug [see Microbiology (12.4) ].Voriconazole is an antifungal drug [see Microbiology (12.4) ].
Half-life (label)A short α-phase occurs immediately postinfusion, followed by a β-phase (half-life of 9 to 11 hours) that characterizes much of the profile and exhibits clear log-linear behavior from 6 to 48 hours postdose during which …n/a
Earliest approval on file (Drugs@FDA)January 26, 2001May 24, 2002
First generic approvedSeptember 29, 2017April 22, 2010
Generic labelers (NDC)5 labelers31 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)n/a$1.88 per tablet (Voriconazole 200 mg tablet)
12-month price changen/a-2%
Boxed warningNoNo
Shortage nowA presentation being discontinuedA presentation being discontinued
Recalls recorded04
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)4,68430,201
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?

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