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Two medicines, side by side

Lovastatin vs simvastatin

Lovastatin and simvastatin are both labeled for heart attack and coronary artery disease and high cholesterol. Drugs@FDA records approvals of lovastatin since 1987 and of simvastatin since 1991. Pharmacies paid $0.0436 per lovastatin 20 mg tablet and $0.0321 per simvastatin 20 mg tablet (NADAC, October 7, 2026).

Check it at the source: the lovastatin FDA label on DailyMed (effective May 6, 2026); the simvastatin FDA label on DailyMed (effective March 28, 2025).

Highlights of the lovastatin record

Lovastatin (Mevacor) · label of May 6, 2026

Used for

From the label: indications

Therapy with lovastatin tablets USP should be a component of multiple risk factor intervention in those individuals with dyslipidemia at risk for atherosclerotic vascular disease. […]

On the market

Earliest approval on file
August 31, 1987
Generic labelers
19 labelers
Pharmacy cost
$0.0436 per tablet

Supply and safety

Shortage
No current entry
Recalls
4

Highlights of the simvastatin record

Simvastatin (Zocor) · label of March 28, 2025

Used for

From the label: indications

ZOCOR ® is indicated: To reduce the risk of total mortality by reducing risk of coronary heart disease death, non-fatal myocardial infarction and stroke, and the need for coronary and non-coronary revascularization procedures in adults with established coronary heart disease, cerebrovascular disease, peripheral vascular disease, and/or diabetes, who are at high risk of coronary heart disease events. […]

On the market

Earliest approval on file
December 23, 1991
Generic labelers
27 labelers
Pharmacy cost
$0.0321 per tablet

Supply and safety

Shortage
No current entry
Recalls
26

Source: FDA drug labels via openFDA (Lovastatin label of May 6, 2026, Simvastatin label of March 28, 2025); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do lovastatin and simvastatin differ on the record?

Both are in FDA's class HMG-CoA reductase inhibitors.

Generics: lovastatin since 2001; simvastatin since 2006 (Drugs@FDA).

LovastatinSimvastatin
Labeled forHigh cholesterol, Heart attack and coronary artery diseaseHeart attack and coronary artery disease, High cholesterol, High triglycerides
Pharmacologic classHMG-CoA Reductase InhibitorHMG-CoA Reductase Inhibitor
How it works (label)n/aSimvastatin is a prodrug and is hydrolyzed to its active β-hydroxyacid form, simvastatin acid, after administration.
Half-life (label)n/an/a
Earliest approval on file (Drugs@FDA)August 31, 1987December 23, 1991
First generic approvedDecember 17, 2001June 23, 2006
Generic labelers (NDC)19 labelers27 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0436 per tablet (Lovastatin 20 mg tablet)$0.0321 per tablet (Simvastatin 20 mg tablet)
12-month price change-6%+5%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded426
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)25,526248,728
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 lovastatin
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