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Over-the-counter medicine

Carbamide peroxide

Carbamide peroxide is an over-the-counter medicine. No generic is listed; pharmacies paid $0.162 per mL (Ear wax removal 6.5% drop) in the October 7, 2026 NADAC survey.

  • No generic listed
  • Over the counter

Check it at the source: the carbamide peroxide FDA label on DailyMed (effective June 10, 2026); every carbamide peroxide label on DailyMed.

Highlights of the record

FDA label of June 10, 2026; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026; NADAC October 7, 2026

Used for

From the label: indications and usage

for occasional use as an aid to soften, loosen, and remove excessive earwax.

Forms and strengths

  • 0.065 mg/ml
  • 0.065 g/ml
  • 0.065 g/g
  • 6.5 g/100ml
  • 6.5 mg/ml
  • 7.8 mg/12ml
  • 65 mg/ml
  • 100 mg/ml

Liquid; solution/ drops; kit; solution.

On the market

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

Supply and safety

Pharmacy cost (NADAC)
$0.162 per mL Ear wax removal 6.5% drop
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
0 since 2022 0 Class I among all firms' recalls; 12 more by firms not listed as its makers
FAERS reports
487 through July 30, 2026

What is carbamide peroxide used for?

From the label: indications and usage

for occasional use as an aid to soften, loosen, and remove excessive earwax.

Source: FDA drug label (Quality Choice Earwax Removal Kit Earwax Removal Aid and Bulb), Chain Drug Marketing Association, Inc., effective June 10, 2026 (SPL set b2a641da-e070-4223-b836-5ca9ffb89f3f), via openFDA; the full label on DailyMed

Is there a generic for carbamide peroxide?

No generic carbamide peroxide is approved (Drugs@FDA, October 8, 2026).

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

What do pharmacies pay for carbamide peroxide?

In CMS's NADAC survey of October 7, 2026, pharmacies paid $0.162 per mL (Ear wax removal 6.5% drop), down 3% from $0.167 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.

  • Ear wax removal 6.5% drop (generic)
$0.169
$0.139
January 2024October 2026
NADAC per unit, October 7, 2026
Strength and formBrand or genericPharmacy cost30 tablets, or one pen or vial12-month change
Ear wax removal 6.5% dropGeneric$0.162 per mLn/a-3%
Ear wax removal 6.5% kitGeneric$0.162 per mLn/a-3%
Ft ear wax removal 6.5% dropGeneric$0.162 per mLn/a-3%
Ft ear wax removal 6.5% kitGeneric$0.162 per mLn/a-3%

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

Has carbamide peroxide been recalled?

The FDA's Enforcement Report lists 12 recalls naming carbamide peroxide since 2022: 0 Class I (the most serious), 12 Class II, 0 Class III; 11 still ongoing. 12 of them are by firms that FDA's NDC Directory does not list as a maker of carbamide peroxide and that hold no application for it in Drugs@FDA, such as compounding pharmacies or bulk-ingredient suppliers; the recall notice names the product recalled. A recall names products and lots, not every product of the medicine.

StartedClassCompanyReason
June 25, 2026Class IIBell Pharmaceuticals, Inc not a listed makerSubPotent Drug: low pH and significantly reduced assay (~0.6% vs expected ~6 7%).
June 29, 2022Class IIMckesson Medical-Surgical Inc. Corporate Office not a listed makerCGMP Deviations: products were stored outside the drug label specifications.

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

What do FAERS reports show for carbamide peroxide?

The FDA Adverse Event Reporting System holds 487 reports that list carbamide peroxide among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 50 are coded as a death and 171 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

  • Diarrhoea36
  • Fatigue26
  • Pain23
  • Fall20
  • Headache20
  • Nausea20
  • Dizziness19
  • Pneumonia19

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

What next?

Carbamide peroxide side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other