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Prescription medicine

Abiraterone Brand names: Zytiga, Yonsa, Abirtega

Abiraterone (Zytiga) is a prescription medicine with an FDA approval on record since 2011. FDA's NDC Directory lists it from 23 generic labelers, and pharmacies paid $0.774 per abiraterone acetate 250 mg tablet in the October 7, 2026 NADAC survey.

  • Generic listed

Check it at the source: the abiraterone FDA label on DailyMed (effective March 28, 2025, Janssen Biotech, Inc.); the NDA 202379 record on Drugs@FDA; every abiraterone label on DailyMed.

Highlights of the record

FDA label of March 28, 2025; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026; NADAC October 7, 2026

Used for

From the label: indications and usage

ZYTIGA is indicated in combination with prednisone for the treatment of patients with Metastatic castration-resistant prostate cancer (CRPC) Metastatic high-risk castration-sensitive prostate cancer (CSPC) ZYTIGA is a CYP17 inhibitor indicated in combination with prednisone for the treatment of patients with metastatic castration-resistant prostate cancer (CRPC).

Forms and strengths

  • 125 mg
  • 250 mg
  • 500 mg

Tablet; film-coated tablet.

On the market

Earliest approval on file
April 28, 2011 Zytiga, Janssen Biotech; Drugs@FDA’s file, where older or withdrawn approvals can be missing
Generic approvals
15 first October 31, 2018; 12 with a marketed status in Drugs@FDA
Labelers listed (NDC)
25 of which 23 under generic applications, 3 under brand applications, repackagers included
Last listed patent
May 20, 2034 Yonsa tablets; not a generic launch date

Supply and safety

Pharmacy cost (NADAC)
$0.774 per tablet Abiraterone acetate 250 mg tablet
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
No recall recorded
FAERS reports
40,909 through July 30, 2026

What is abiraterone used for?

From the label: indications and usage

ZYTIGA is indicated in combination with prednisone for the treatment of patients with Metastatic castration-resistant prostate cancer (CRPC) Metastatic high-risk castration-sensitive prostate cancer (CSPC) ZYTIGA is a CYP17 inhibitor indicated in combination with prednisone for the treatment of patients with metastatic castration-resistant prostate cancer (CRPC). ( 1 ) metastatic high-risk castration-sensitive prostate cancer (CSPC).

Conditions named in the indications of abiraterone's FDA labels, with every medicine labeled for each:

FDA pharmacologic class: Cytochrome P450 17A1 Inhibitor.

Source: FDA drug label (Zytiga), Janssen Biotech, Inc., effective March 28, 2025 (SPL set 4e338e89-3cf2-48eb-b6e2-a06c608c6513), via openFDA; the full label on DailyMed

Is there a generic for abiraterone (Zytiga)?

The FDA approved the first generic abiraterone on October 31, 2018. 15 generic applications are approved; 12 of them carry a current (not discontinued) marketing status in Drugs@FDA; that status is not evidence that the generic is on sale.

FDA's NDC Directory lists abiraterone from 23 labelers under a generic (ANDA) application and from 3 brand labelers. A listing means the company has registered the product for sale; it does not show that every pharmacy stocks it.

The Orange Book lists no patent for Zytiga tablets; a patent listed only for Yonsa tablets runs to May 20, 2034. A patent or exclusivity date is not the date a generic goes on sale: court cases and settlements move it either way.

  • 2011 earliest approval on file
  • 2018 first generic approved
  • 2034 last listed patent

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

What do pharmacies pay for abiraterone (Zytiga)?

In CMS's NADAC survey of October 7, 2026, pharmacies paid $0.774 per Abiraterone acetate 250 mg tablet, down 27% from $1.06 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.

  • Abiraterone acetate 250 mg tablet (generic)
$1.17
$0.692
January 2024October 2026
NADAC per unit, October 7, 2026
Strength and formBrand or genericPharmacy cost30 tablets, or one pen or vial12-month change
Abiraterone acetate 250 mg tabletGeneric$0.774 per tablet$23.22-27%
Abiraterone acetate 500 mg tabletGeneric$2.59 per tablet$77.83-71%
Abirtega 250 mg tabletGeneric$0.774 per tablet$23.22-27%

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

What does the abiraterone label say about other medicines?

The abiraterone label names 10 other medicines in its interaction, contraindication or warning sections. The labels of 4 other medicines name abiraterone. The sentences are the labels' own; a label lists what its studies and reports found, not every interaction.

Medicine namedSectionWhat the label says
Dextromethorphandrug interactionsIn a CYP2D6 drug-drug interaction trial, the C max and AUC of dextromethorphan (CYP2D6 substrate) were increased 2.8- and 2.9-fold, respectively, when dextromethorphan was given with abiraterone acetate 1,000 mg daily and prednisone 5 mg twice daily.
Ketoconazoledrug interactionsIn a dedicated drug interaction trial, co-administration of ketoconazole, a strong inhibitor of CYP3A4, had no clinically meaningful effect on the pharmacokinetics of abiraterone [see Clinical Pharmacology (12.3) ].
Methylprednisolonewarnings and precautionsUse of YONSA plus methylprednisolone in combination with radium Ra 223 dichloride is not recommended.
Pioglitazonedrug interactionsIn a CYP2C8 drug-drug interaction trial in healthy subjects, the AUC of pioglitazone (CYP2C8 substrate) was increased by 46% when pioglitazone was given together with a single dose of 1,000 mg abiraterone acetate.
Prednisolonewarnings and precautionsUse of ZYTIGA plus prednisone/prednisolone in combination with radium Ra 223 dichloride is not recommended.
Prednisonedrug interactionsIn a CYP2D6 drug-drug interaction trial, the C max and AUC of dextromethorphan (CYP2D6 substrate) were increased 2.8- and 2.9-fold, respectively, when dextromethorphan was given with abiraterone acetate 1,000 mg daily and prednisone 5 mg twice daily.
Radium ra 223 dichloridewarnings and precautionsMonitor liver function and modify, interrupt, or discontinue ZYTIGA dosing as recommended. ( 5.3 ) Increased fractures and mortality in combination with radium Ra 223 dichloride:
Repaglinidewarnings and precautionsSevere hypoglycemia has been reported in patients with pre-existing diabetes who are taking medications containing thiazolidinediones (including pioglitazone) or repaglinide.
Rifampindrug interactionsIn a dedicated drug interaction trial, co-administration of rifampin, a strong CYP3A4 inducer, decreased exposure of abiraterone by 55%.
Thioridazinedrug interactionsAvoid co-administration of abiraterone acetate with substrates of CYP2D6 with a narrow therapeutic index (e.g., thioridazine).

Other labels that name abiraterone

Check abiraterone against other medicines

Source: FDA drug label (Zytiga), Janssen Biotech, Inc., effective March 28, 2025 (SPL set 4e338e89-3cf2-48eb-b6e2-a06c608c6513), via openFDA; the full label on DailyMed

What do FAERS reports show for abiraterone?

The FDA Adverse Event Reporting System holds 40,909 reports that list abiraterone among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 8,375 are coded as a death and 11,020 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.

Reports received each year

The most reported reactions

  • Death (an outcome recorded in the report)6,189
  • Fatigue (named in the label)2,676
  • Prostatic Specific Antigen Increased2,013
  • Drug Ineffective (a use or a product term, not a reaction)1,989
  • Therapy Cessation1,563
  • Hot Flush (named in the label)1,490
  • Asthenia1,317
  • Disease Progression (a use or a product term, not a reaction)1,221

Side effects: the label's list and every FAERS reaction

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

What else is labeled for the same conditions as abiraterone?

5 other medicines are given the same way (oral) and in the same FDA class as abiraterone or labeled mainly for the same use (prostate cancer), the same class first. Prostate cancer lists all 17 medicines labeled for it, by any route. They are listed as records, not as substitutes: whether one can replace another is a prescriber's decision.

MedicineShared indicationGeneric labelers (oral)Pharmacy costShortage
EnzalutamideProstate cancernone listedn/aNo current entry
Rucaparib camsylateProstate cancernone listedn/aNo current entry
ApalutamideProstate cancernone listedn/aNo current entry
NilutamideProstate cancer1 labelern/aA presentation being discontinued
RelugolixProstate cancernone listedn/aNo current entry

Every medicine labeled for the same conditions as abiraterone

Source: FDA drug labels (indications), NDC Directory, NADAC of October 7, 2026, FDA shortages (October 8, 2026)

How does abiraterone compare with medicines for the same use?

2 side-by-side pages set abiraterone beside a medicine whose label shares a use: approvals, generics, pharmacy cost, warnings and supply.

What next?

Alternatives to abiraterone
5 medicines for the same use
Other cytochrome p450 17a1 inhibitors
the pharmacologic class, with prices and generics
Abiraterone side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other