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Prescription medicine

Ferric maltol Brand names: Accrufer

Ferric maltol (Accrufer) is a prescription medicine with an FDA approval on record since 2019. No generic is listed; pharmacies paid $10.09 per Accrufer 30 mg capsule in the October 7, 2026 NADAC survey.

  • No generic listed

Check it at the source: the ferric maltol FDA label on DailyMed (effective January 2, 2026, Shield TX (UK) Ltd); the NDA 212320 record on Drugs@FDA; every ferric maltol label on DailyMed.

Highlights of the record

FDA label of January 2, 2026; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026; NADAC October 7, 2026

Used for

From the label: indications and usage

ACCRUFER is indicated for the treatment of iron deficiency in adult and pediatric patients 10 years of age and older.

Forms and strengths

  • 30 mg

Capsule.

On the market

Earliest approval on file
July 25, 2019 Accrufer, Shield Tx; Drugs@FDA’s file, where older or withdrawn approvals can be missing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
October 23, 2035 Accrufer capsules; not a generic launch date

Supply and safety

Pharmacy cost (NADAC)
$10.09 per capsule Accrufer 30 mg capsule
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
No recall recorded
FAERS reports
1,038 through July 30, 2026

What is ferric maltol used for?

From the label: indications and usage

ACCRUFER is indicated for the treatment of iron deficiency in adult and pediatric patients 10 years of age and older. ACCRUFER is an iron replacement product indicated for the treatment of iron deficiency in adult and pediatric patients 10 years of age and older.

FDA pharmacologic class: Parenteral Iron Replacement and Phosphate Binder.

Source: FDA drug label (ACCRUFER), Shield TX (UK) Ltd, effective January 2, 2026 (SPL set 367ac157-2d25-4f34-99ce-b126e0f03851), via openFDA; the full label on DailyMed

Is there a generic for ferric maltol (Accrufer)?

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

The Orange Book lists 3 patents for Accrufer capsules: the compound patent runs to October 23, 2035. A patent or exclusivity date is not the date a generic goes on sale: court cases and settlements move it either way.

  • 2019 earliest approval on file
  • 2035 last listed patent

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

What do pharmacies pay for ferric maltol (Accrufer)?

In CMS's NADAC survey of October 7, 2026, pharmacies paid $10.09 per Accrufer 30 mg capsule, up 6% from $9.54 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.

  • Accrufer 30 mg capsule (brand)
$10.09
$8.98
January 2024October 2026
NADAC per unit, October 7, 2026
Strength and formBrand or genericPharmacy cost30 tablets, or one pen or vial12-month change
Accrufer 30 mg capsuleBrand$10.09 per capsule$302.55+6%

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 ferric maltol label say about other medicines?

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

Medicine namedSectionWhat the label says
Ciprofloxacindrug interactionsOral Medications Concomitant use of ACCRUFER may decrease the bioavailability of some drugs, including mycophenolate, ethinyl estradiol, ciprofloxacin and doxycycline [see Clinical Pharmacology ( 12.3 )].
Doxycyclinedrug interactionsOral Medications Concomitant use of ACCRUFER may decrease the bioavailability of some drugs, including mycophenolate, ethinyl estradiol, ciprofloxacin and doxycycline [see Clinical Pharmacology ( 12.3 )].

Check ferric maltol against other medicines

Source: FDA drug label (ACCRUFER), Shield TX (UK) Ltd, effective January 2, 2026 (SPL set 367ac157-2d25-4f34-99ce-b126e0f03851), via openFDA; the full label on DailyMed

What do FAERS reports show for ferric maltol?

The FDA Adverse Event Reporting System holds 1,038 reports that list ferric maltol among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 37 are coded as a death and 84 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

  • Constipation (named in the label)158
  • Abdominal Discomfort (named in the label)103
  • Diarrhoea (named in the label)103
  • Inappropriate Schedule Of Product Administration (a use or a product term, not a reaction)103
  • Nausea (named in the label)99
  • Abdominal Pain Upper75
  • Maternal Exposure During Pregnancy (a use or a product term, not a reaction)70
  • Treatment Noncompliance60

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 next?

Other parenteral iron replacements
the pharmacologic class, with prices and generics
Ferric maltol side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other