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Prescription medicine

Acetic acid and hydrocortisone

Acetic acid and hydrocortisone is a prescription medicine. FDA's NDC Directory lists it from 2 generic labelers, and pharmacies paid $5.44 per mL (Hydrocortisone 1%-acetic acid 2% ear drop) in the October 7, 2026 NADAC survey.

  • Generic listed

Check it at the source: the acetic acid and hydrocortisone FDA label on DailyMed (effective April 25, 2025); every acetic acid and hydrocortisone label on DailyMed.

Highlights of the record

FDA label of April 25, 2025; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026; NADAC October 7, 2026

Used for

From the label: indications and usage

For the treatment of superficial infections of the external auditory canal caused by organisms susceptible to the action of the antimicrobial, complicated by inflammation.

Forms and strengths

  • 10.4 mg/ml / 20.8 mg/ml
  • 20 mg/ml / 10 mg/ml
  • 20.75 mg/ml / 10.375 mg/ml

Solution.

On the market

Generic approvals
No generic approved
Labelers listed (NDC)
3 of which 2 under generic applications, 0 under brand applications, repackagers included

Supply and safety

Pharmacy cost (NADAC)
$5.44 per mL Hydrocortisone 1%-acetic acid 2% ear drop
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
2 since 2023 0 Class I among all firms' recalls; latest August 7, 2024
FAERS reports
40 through July 30, 2026

What is acetic acid and hydrocortisone used for?

From the label: indications and usage

For the treatment of superficial infections of the external auditory canal caused by organisms susceptible to the action of the antimicrobial, complicated by inflammation.

FDA pharmacologic class: Corticosteroid.

Source: FDA drug label (hydrocortisone and acetic acid), Saptalis Pharmaceuticals, LLC, effective April 25, 2025 (SPL set d9a3597c-2c9d-46cc-818b-8bb3aa5c4f32), via openFDA; the full label on DailyMed

Is there a generic for acetic acid and hydrocortisone?

No generic acetic acid and hydrocortisone is approved (Drugs@FDA, October 8, 2026).

FDA's NDC Directory lists acetic acid and hydrocortisone from 2 labelers under a generic (ANDA) application. A listing means the company has registered the product for sale; it does not show that every pharmacy stocks it.

Source: Drugs@FDA, FDA NDC Directory and the Orange Book (openFDA bulk files, October 8, 2026)

What do pharmacies pay for acetic acid and hydrocortisone?

In CMS's NADAC survey of October 7, 2026, pharmacies paid $5.44 per mL (Hydrocortisone 1%-acetic acid 2% ear drop), down 17% from $6.55 on October 8, 2025. The chart's scale runs from the lowest to the highest price shown, not from zero. NADAC is what retail pharmacies paid their wholesalers, per unit, in CMS's monthly survey; what a patient pays depends on insurance and the pharmacy.

  • Hydrocortisone 1%-acetic acid 2% ear drop (generic)
$9.92
$5.36
February 2024October 2026
NADAC per unit, October 7, 2026
Strength and formBrand or genericPharmacy cost30 tablets, or one pen or vial12-month change
Hydrocortisone 1%-acetic acid 2% ear dropGeneric$5.44 per mLn/a-17%

Source: CMS National Average Drug Acquisition Cost (NADAC) survey, October 7, 2026: what retail pharmacies paid per unit; not a counter price

Has acetic acid and hydrocortisone been recalled?

The FDA's Enforcement Report lists 2 recalls naming acetic acid and hydrocortisone since 2023: 0 Class I (the most serious), 0 Class II, 2 Class III; 0 still ongoing. A recall names products and lots, not every product of the medicine.

StartedClassCompanyReason
August 7, 2024Class IIITaro Pharmaceuticals U.S.A., Inc.Failed Impurities/Degradation Specifications: Out-of-specification results obtained for related impurities and slightly lower than the established level of the …
November 6, 2023Class IIITaro Pharmaceuticals Inc.Failed Impurities/Degradation Specifications:Out-of-Specification result for Hydrocortisone related impurity and slightly lower than the established level of …

Source: FDA Enforcement Report (drug recalls) via openFDA, through October 8, 2026

What do FAERS reports show for acetic acid and hydrocortisone?

The FDA Adverse Event Reporting System holds 40 reports that list acetic acid and hydrocortisone among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 1 are coded as a death and 10 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is.

The most reported reactions

  • Asthenia5
  • Covid-195
  • Fatigue4
  • Pain4
  • Vomiting4
  • Abdominal Discomfort3
  • Fall3
  • Influenza3

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026

What next?

Other corticosteroids
the pharmacologic class, with prices and generics
Acetic acid and hydrocortisone side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other