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Prescription medicine

Eptifibatide First approved as Integrilin

Eptifibatide (Integrilin) is a prescription medicine with an FDA approval on record since 1998. FDA's NDC Directory lists it from 8 generic labelers.

  • Generic listed

Check it at the source: the eptifibatide FDA label on DailyMed (effective May 28, 2021, Mylan Institutional LLC); the NDA 20718 record on Drugs@FDA; every eptifibatide label on DailyMed.

Highlights of the record

FDA label of May 28, 2021; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026

Used for

From the label: indications and usage

Eptifibatide injection is a platelet aggregation inhibitor indicated for:

Treatment of acute coronary syndrome (ACS) managed medically or with percutaneous coronary intervention (PCI) ( 1.1 )

Treatment of patients undergoing PCI (including intracoronary stenting) ( 1.2 ) 1.1 Acute Coronary Syndrome (ACS) Eptifibatide injection is indicated to decrease the rate of a combined endpoint of death or new myocardial inf

Forms and strengths

  • 0.75 mg/ml
  • 2 mg/ml
  • 20 mg/10ml
  • 75 mg/100ml
  • 200 mg/100ml

Injection (solution); injection.

On the market

Earliest approval on file
May 18, 1998 Integrilin, Msd Sub Merck; Drugs@FDA’s file, where older or withdrawn approvals can be missing
Generic approvals
14 first June 5, 2015; 8 with a marketed status in Drugs@FDA
Labelers listed (NDC)
8 of which 8 under generic applications, 0 under brand applications, repackagers included

Supply and safety

Pharmacy cost (NADAC)
Not in the survey
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
3 since 2016 0 Class I among all firms' recalls; latest February 12, 2026; 3 more by firms not listed as its makers
FAERS reports
766 through July 30, 2026

What is eptifibatide used for?

From the label: indications and usage

Eptifibatide injection is a platelet aggregation inhibitor indicated for:

Treatment of acute coronary syndrome (ACS) managed medically or with percutaneous coronary intervention (PCI) ( 1.1 )

Treatment of patients undergoing PCI (including intracoronary stenting) ( 1.2 ) 1.1 Acute Coronary Syndrome (ACS) Eptifibatide injection is indicated to decrease the rate of a combined endpoint of death or new myocardial infarction (MI) in patients with ACS (unstable angina [UA]/non-ST- elevation myocardial infarction [NSTEMI]), including patients who are to be managed medically and those undergoing percutaneous coronary intervention (PCI). 1.2 Percutaneous Coronary Intervention (PCI) Eptifibatide injection is indicated to decrease the rate of a combined endpoint of death, new MI, or need for urgent intervention in patients undergoing PCI, including those undergoing intracoronary stenting [see Clinical Studies (14.1 , 14.2) ]. […]

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

FDA pharmacologic class: Platelet Aggregation Inhibitor.

Source: FDA drug label (Eptifibatide), Mylan Institutional LLC, effective May 28, 2021 (SPL set 88a37f9c-496b-4a6b-9665-4550abba04f1), via openFDA; the full label on DailyMed

Is there a generic for eptifibatide (Integrilin)?

The FDA approved the first generic eptifibatide on June 5, 2015. 14 generic applications are approved; 8 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 eptifibatide from 8 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.

  • 1998 earliest approval on file
  • 2015 first generic approved
  • red ticks recalls

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

Has eptifibatide been recalled?

The FDA's Enforcement Report lists 6 recalls naming eptifibatide since 2016: 0 Class I (the most serious), 1 Class II, 5 Class III; 2 still ongoing. 3 of them are by firms that FDA's NDC Directory does not list as a maker of eptifibatide 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
February 12, 2026Class IIISlate Run PharmaceuticalsLabeling: Not Elsewhere Classified. The carton for Eptifibatide Injection 75 mg/100 mL states 75 mg/100 mL vial for weight-adjusted bolus dosing. …
May 22, 2024Class IIIEugia US LLCFailed Impurities/Degradation Specifications: failed related substance identified as Eptifibatide dimer.
August 6, 2019Class IIIAkorn, Inc. not a listed makerFailed Impurities/Degradation Specifications: Out of Specification (OOS) for known impurity, D-aspartic acid.
August 6, 2019Class IIIAkorn, Inc. not a listed makerShort Fill: fill volume was out of specification at 94 mL (specification: no less than 100 mL) and Failed Impurities/Degradation Specifications: Out of …
June 17, 2016Class IITeva North AmericaCGMP Deviations

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

What does the eptifibatide label say about other medicines?

The eptifibatide label names 2 other medicines in its interaction, contraindication or warning sections. The labels of 2 other medicines name eptifibatide. The sentences are the labels' own; a label lists what its studies and reports found, not every interaction.

Medicine namedSectionWhat the label says
Aspirindrug interactionsCoadministration of antiplatelet agents, thrombolytics, heparin, aspirin, and chronic NSAID use increases the risk of bleeding.
Heparindrug interactionsCoadministration of antiplatelet agents, thrombolytics, heparin, aspirin, and chronic NSAID use increases the risk of bleeding.

Check eptifibatide against other medicines

Source: FDA drug label (Eptifibatide), Mylan Institutional LLC, effective May 28, 2021 (SPL set 88a37f9c-496b-4a6b-9665-4550abba04f1), via openFDA; the full label on DailyMed

What do FAERS reports show for eptifibatide?

The FDA Adverse Event Reporting System holds 766 reports that list eptifibatide among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 131 are coded as a death and 290 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

  • Myocardial Infarction (a use or a product term, not a reaction)208
  • Thrombocytopenia (named in the label)65
  • Drug Ineffective (a use or a product term, not a reaction)52
  • Hypotension (named in the label)41
  • Haemoglobin Decreased37
  • Acute Myocardial Infarction33
  • Haemorrhage (named in the label)33
  • Cardiac Arrest29

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 eptifibatide?

2 other medicines are given the same way (intravenous) and in the same FDA class as eptifibatide or labeled mainly for the same use (heart attack and coronary artery disease), the same class first. Heart attack and coronary artery disease lists all 38 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 (intravenous)Pharmacy costShortage
TirofibanHeart attack and coronary artery disease4 labelersn/aNo current entry
CangrelorHeart attack and coronary artery disease1 labelern/aNo current entry

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

How does eptifibatide compare with medicines for the same use?

1 side-by-side page set eptifibatide beside a medicine whose label shares a use: approvals, generics, pharmacy cost, warnings and supply.

What next?

Other platelet aggregation inhibitors
the pharmacologic class, with prices and generics
Eptifibatide side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other