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Prescription medicine

Gatifloxacin Brand names: Zymaxid; first approved as Zymar

Gatifloxacin (Zymaxid) is a prescription medicine with an FDA approval on record since 2003. FDA's NDC Directory lists it from 3 generic labelers, and pharmacies paid $8.85 per mL (Gatifloxacin 0.5% eye drops) in the October 7, 2026 NADAC survey.

  • Generic listed

Check it at the source: the gatifloxacin FDA label on DailyMed (effective September 8, 2016, Allergan, Inc.); the NDA 21493 record on Drugs@FDA; every gatifloxacin label on DailyMed.

Highlights of the record

FDA label of September 8, 2016; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026; NADAC October 7, 2026

Used for

From the label: indications and usage

ZYMAXID ® is indicated for the treatment of bacterial conjunctivitis caused by susceptible strains of the following organisms: Aerobic gram-positive bacteria: Staphylococcus aureus Staphylococcus epidermidis Streptococcus mitis group * Streptococcus oralis * Streptococcus pneumoniae Aerobic gram-negative bacteria: Haemophilus influenzae *Efficacy for these organisms were studied in fewer than 10 infections.

Forms and strengths

  • 5 mg/ml

Solution/ drops; solution.

On the market

Earliest approval on file
March 28, 2003 Zymar, Allergan; Drugs@FDA’s file, where older or withdrawn approvals can be missing
Generic approvals
6 first August 19, 2011; 2 with a marketed status in Drugs@FDA
Labelers listed (NDC)
4 of which 3 under generic applications, 1 under brand applications, repackagers included

Supply and safety

Pharmacy cost (NADAC)
$8.85 per mL Gatifloxacin 0.5% eye drops
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
3 since 2013 0 Class I among all firms' recalls; latest December 22, 2021; 1 more by firms not listed as its makers
FAERS reports
1,776 through July 30, 2026

What is gatifloxacin used for?

From the label: indications and usage

ZYMAXID ® is indicated for the treatment of bacterial conjunctivitis caused by susceptible strains of the following organisms: Aerobic gram-positive bacteria: Staphylococcus aureus Staphylococcus epidermidis Streptococcus mitis group * Streptococcus oralis * Streptococcus pneumoniae Aerobic gram-negative bacteria: Haemophilus influenzae *Efficacy for these organisms were studied in fewer than 10 infections. […]

FDA pharmacologic class: Quinolone Antimicrobial.

Source: FDA drug label (ZYMAXID), NDA022548 (Abbvie), as published by Allergan, Inc., effective September 8, 2016 (SPL set 1160b16c-929a-4e85-9c0b-1d8c96a7678b), via openFDA; the full label on DailyMed

Is there a generic for gatifloxacin (Zymaxid)?

The FDA approved the first generic gatifloxacin on August 19, 2011. 6 generic applications are approved; 2 of them carry a current (not discontinued) marketing status in Drugs@FDA; that status is not evidence that the generic is on sale. Drugs@FDA also holds 1 tentative approval: the FDA found the generic approvable, but patents or exclusivity keep it from final approval for now.

FDA's NDC Directory lists gatifloxacin from 3 labelers under a generic (ANDA) application and from 1 brand labeler. A listing means the company has registered the product for sale; it does not show that every pharmacy stocks it.

  • 2003 earliest approval on file
  • 2011 first generic approved
  • red ticks recalls

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

What do pharmacies pay for gatifloxacin (Zymaxid)?

In CMS's NADAC survey of October 7, 2026, pharmacies paid $8.85 per mL (Gatifloxacin 0.5% eye drops), down 23% from $11.52 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.

  • Gatifloxacin 0.5% eye drops (generic)
$12.26
$7.50
January 2024October 2026
NADAC per unit, October 7, 2026
Strength and formBrand or genericPharmacy cost30 tablets, or one pen or vial12-month change
Gatifloxacin 0.5% eye dropsGeneric$8.85 per mLn/a-23%

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

Has gatifloxacin been recalled?

The FDA's Enforcement Report lists 4 recalls naming gatifloxacin since 2013: 0 Class I (the most serious), 1 Class II, 3 Class III; 0 still ongoing. 1 of them is by a firm that FDA's NDC Directory does not list as a maker of gatifloxacin and that holds 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
December 22, 2021Class IIILupin Pharmaceuticals Inc.Failed Stability Specifications: Out-of-specification results observed in a water loss test that might affect the assay content and alter drug concentration.
October 20, 2021Class IIILupin Pharmaceuticals Inc.Failed Stability Specifications: Out-of-specification results observed in a water loss test that might affect the assay content and alter drug concentration.
October 17, 2019Class IIISandoz IncLabeling: Incorrect or missing package insert.
October 19, 2013Class IISpecialty Medicine Compounding Pharmacy not a listed makerLack of Assurance of Sterility: All unexpired sterile compounded human and veterinary products are being recalled because they were compounded in the same …

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

What does the gatifloxacin label say about other medicines?

The gatifloxacin label names 1 other medicine in its interaction, contraindication or warning sections. The labels of 13 other medicines name gatifloxacin. The sentences are the labels' own; a label lists what its studies and reports found, not every interaction.

Medicine namedSectionWhat the label says
Fluoresceinwarnings and precautionsWhenever clinical judgment dictates, examine the patient with the aid of magnification, such as slit lamp biomicroscopy and where appropriate, fluorescein staining.

Other labels that name gatifloxacin

Check gatifloxacin against other medicines

Source: FDA drug label (ZYMAXID), NDA022548 (Abbvie), as published by Allergan, Inc., effective September 8, 2016 (SPL set 1160b16c-929a-4e85-9c0b-1d8c96a7678b), via openFDA; the full label on DailyMed

What do FAERS reports show for gatifloxacin?

The FDA Adverse Event Reporting System holds 1,776 reports that list gatifloxacin among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 105 are coded as a death and 687 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

  • Hypoglycaemia151
  • Hyperglycaemia96
  • Anaphylactic Reaction (named in the label)85
  • Drug Intolerance83
  • Drug Ineffective (a use or a product term, not a reaction)79
  • Diarrhoea71
  • Eye Pain (named in the label)67
  • Dizziness59

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 quinolone antimicrobials
the pharmacologic class, with prices and generics
Gatifloxacin side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other