Skip to main content

Prescription medicine

Ferric derisomaltose Brand names: Monoferric

Ferric derisomaltose (Monoferric) is a prescription medicine with an FDA approval on record since 2020. No generic is listed in FDA's NDC Directory.

  • No generic listed

Check it at the source: the ferric derisomaltose FDA label on DailyMed (effective November 25, 2025, Pharmacosmos Therapeutics Inc.); the NDA 208171 record on Drugs@FDA; every ferric derisomaltose label on DailyMed.

Highlights of the record

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

Used for

From the label: indications and usage

Monoferric is indicated for the treatment of iron deficiency anemia (IDA) in adult patients: who have intolerance to oral iron or have had unsatisfactory response to oral iron who have non-hemodialysis dependent chronic kidney disease (NDD-CKD) MONOFERRIC is an iron replacement product indicated for the treatment of iron deficiency anemia in adult patients: who have intolerance to oral iron or have had unsatisfactory

Forms and strengths

  • 100 mg/ml
  • 500 mg/5ml
  • 1000 mg/10ml

Injection (solution).

On the market

Earliest approval on file
January 16, 2020 Monoferric, Pharmacosmos; Drugs@FDA’s file, where older or withdrawn approvals can be missing
Generic approvals
No generic approved
Labelers listed (NDC)
1 of which 0 under generic applications, 1 under brand applications, repackagers included
Last listed patent
June 22, 2036 Monoferric injection; not a generic launch date

Supply and safety

Pharmacy cost (NADAC)
Not in the survey
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
No recall recorded
FAERS reports
1,305 through July 30, 2026

What is ferric derisomaltose used for?

From the label: indications and usage

Monoferric is indicated for the treatment of iron deficiency anemia (IDA) in adult patients: who have intolerance to oral iron or have had unsatisfactory response to oral iron who have non-hemodialysis dependent chronic kidney disease (NDD-CKD) MONOFERRIC is an iron replacement product indicated for the treatment of iron deficiency anemia in adult patients: who have intolerance to oral iron or have had unsatisfactory response to oral iron. ( 1 ) who have non-hemodialysis dependent chronic kidney disease.

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

Source: FDA drug label (Monoferric), Pharmacosmos Therapeutics Inc., effective November 25, 2025 (SPL set 55859d2d-0456-4fa9-b41f-f535accc97db), via openFDA; the full label on DailyMed

Is there a generic for ferric derisomaltose (Monoferric)?

No generic ferric derisomaltose is approved (Drugs@FDA, October 8, 2026).

The Orange Book lists 5 patents for Monoferric injection: the compound patent runs to August 14, 2029, and the last listed entry to June 22, 2036. A patent or exclusivity date is not the date a generic goes on sale: court cases and settlements move it either way.

  • 2020 earliest approval on file
  • 2036 last listed patent

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

What do FAERS reports show for ferric derisomaltose?

The FDA Adverse Event Reporting System holds 1,305 reports that list ferric derisomaltose among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 46 are coded as a death and 219 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

  • Dyspnoea (named in the label)275
  • Nausea (named in the label)154
  • Flushing (named in the label)149
  • Chest Discomfort141
  • Back Pain (named in the label)120
  • Infusion Related Reaction102
  • Dizziness (named in the label)99
  • Vomiting (named in the label)87

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 ferric derisomaltose?

8 other medicines are given the same way (intravenous) and in the same FDA class as ferric derisomaltose or labeled mainly for the same use (anemia), the same class first. Anemia lists all 25 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
EpoetinAnemianone listed$32.27 per mL 2,000 units/mL vialNo current entry
Darbepoetin alfaAnemianone listed$446.58 per mL 25 mcg/0.42 mL syringNo current entry
Iron sucroseAnemia3 labelersn/aA presentation being discontinued
Methoxy polyethylene glycol-epoetin betaAnemianone listedn/aNo current entry
FerumoxytolAnemia1 labelern/aNo current entry
Sodium ferric gluconate complexAnemia1 labelern/aNo current entry
ImetelstatAnemianone listedn/aNo current entry
NipocalimabAnemianone listedn/aNo current entry

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

What next?

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