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Prescription medicine

Potassium citrate Brand names: Urocit-K

Potassium citrate (Urocit-K) is a prescription medicine with an FDA approval on record since 1985. FDA's NDC Directory lists it from 12 generic labelers, and pharmacies paid $0.175 per potassium citrate ER 10 mEq tablet in the October 7, 2026 NADAC survey.

  • Generic listed

Check it at the source: the potassium citrate FDA label on DailyMed (effective December 2, 2021, Mission Pharmacal Company); the NDA 19071 record on Drugs@FDA; every potassium citrate label on DailyMed.

Highlights of the record

FDA label of December 2, 2021; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026; NADAC October 7, 2026

Used for

From the label: indications and usage

Acidosis (RTA) with Calcium Stones Potassium citrate is indicated for the management of renal tubular acidosis [see Clinical Studies (14.1)].

Forms and strengths

  • 5 meq
  • 10 meq
  • 15 meq
  • 540 mg
  • 1080 mg

Extended-release tablet; tablet.

On the market

Earliest approval on file
August 30, 1985 Urocit-K, Mission Pharma; Drugs@FDA’s file, where older or withdrawn approvals can be missing
Generic approvals
9 first June 8, 2006; 8 with a marketed status in Drugs@FDA
Labelers listed (NDC)
15 of which 12 under generic applications, 2 under brand applications, repackagers included

Supply and safety

Pharmacy cost (NADAC)
$0.175 per tablet Potassium citrate ER 10 mEq tablet
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
2 since 2018 0 Class I among all firms' recalls; latest July 18, 2018
FAERS reports
5,453 through July 30, 2026

What is potassium citrate used for?

From the label: indications and usage

Acidosis (RTA) with Calcium Stones Potassium citrate is indicated for the management of renal tubular acidosis [see Clinical Studies (14.1)]. 1.2 Hypocitraturic Calcium Oxalate Nephrolithiasis of any Etiology Potassium citrate is indicated for the management of Hypocitraturic calcium oxalate nephrolithiasis [see Clinical Studies (14.2)]. 1.3 Uric Acid Lithiasis with or without Calcium Stones Potassium citrate is indicated for the management of Uric acid lithiasis with or without calcium stones [see Clinical Studies (14.3)]. […]

FDA pharmacologic class: Anti-coagulant and Calculi Dissolution Agent.

Source: FDA drug label (UROCIT-K), Mission Pharmacal Company, effective December 2, 2021 (SPL set 72cdea1b-2240-41db-987d-86d5c6aaa978), via openFDA; the full label on DailyMed

Is there a generic for potassium citrate (Urocit-K)?

The FDA approved the first generic potassium citrate on June 8, 2006. 9 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 potassium citrate from 12 labelers under a generic (ANDA) application and from 2 brand labelers. A listing means the company has registered the product for sale; it does not show that every pharmacy stocks it.

  • 1985 earliest approval on file
  • 2006 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 potassium citrate (Urocit-K)?

In CMS's NADAC survey of October 7, 2026, pharmacies paid $0.175 per Potassium citrate ER 10 mEq tablet, up 5% from $0.167 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.

  • Potassium citrate ER 10 mEq tablet (generic)
$0.286
$0.167
January 2024October 2026
NADAC per unit, October 7, 2026
Strength and formBrand or genericPharmacy cost30 tablets, or one pen or vial12-month change
Potassium citrate ER 10 mEq tabletGeneric$0.175 per tablet$5.25+5%
Potassium citrate ER 15 mEq tabletGeneric$0.174 per tablet$5.23-19%
Potassium citrate ER 5 mEq tabletGeneric$0.123 per tablet$3.70-6%

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

Has potassium citrate been recalled?

The FDA's Enforcement Report lists 2 recalls naming potassium citrate since 2018: 0 Class I (the most serious), 2 Class II, 0 Class III; 0 still ongoing. A recall names products and lots, not every product of the medicine.

StartedClassCompanyReason
July 18, 2018Class IIVENSUN PHARMACEUTICALS INCFailed Tablet/Capsule Specifications: Tablet breakage

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

What does the potassium citrate label say about other medicines?

The potassium citrate label names 5 other medicines in its interaction, contraindication or warning sections. The labels of 1 other medicine name potassium citrate. The sentences are the labels' own; a label lists what its studies and reports found, not every interaction.

Medicine namedSectionWhat the label says
Aliskirendrug interactionsDrugs that inhibit the renin-angiotensin-aldosterone system (RAAS) including angiotensin converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), spironolactone, eplerenone, or aliskiren produce potassium retention by inhibiting aldosterone production.
AmiloridecontraindicationsSuch conditions include: chronic renal failure, uncontrolled diabetes mellitus, acute dehydration, strenuous physical exercise in unconditioned individuals, adrenal insufficiency, extensive tissue breakdown or the administration of a potassium-sparing agent (such as triamterene, spironolactone or amiloride).
Eplerenonedrug interactionsDrugs that inhibit the renin-angiotensin-aldosterone system (RAAS) including angiotensin converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), spironolactone, eplerenone, or aliskiren produce potassium retention by inhibiting aldosterone production.
SpironolactonecontraindicationsSuch conditions include: chronic renal failure, uncontrolled diabetes mellitus, acute dehydration, strenuous physical exercise in unconditioned individuals, adrenal insufficiency, extensive tissue breakdown or the administration of a potassium-sparing agent (such as triamterene, spironolactone or amiloride).
TriamterenecontraindicationsSuch conditions include: chronic renal failure, uncontrolled diabetes mellitus, acute dehydration, strenuous physical exercise in unconditioned individuals, adrenal insufficiency, extensive tissue breakdown or the administration of a potassium-sparing agent (such as triamterene, spironolactone or amiloride).

Check potassium citrate against other medicines

Source: FDA drug label (UROCIT-K), Mission Pharmacal Company, effective December 2, 2021 (SPL set 72cdea1b-2240-41db-987d-86d5c6aaa978), via openFDA; the full label on DailyMed

What do FAERS reports show for potassium citrate?

The FDA Adverse Event Reporting System holds 5,453 reports that list potassium citrate among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 316 are coded as a death and 1,706 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

  • Drug Ineffective (a use or a product term, not a reaction)451
  • Fatigue368
  • Nausea (named in the label)335
  • Diarrhoea (named in the label)332
  • Pain306
  • Nephrolithiasis (a use or a product term, not a reaction)276
  • Off Label Use (a use or a product term, not a reaction)262
  • Dizziness241

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 anti-coagulants
the pharmacologic class, with prices and generics
Potassium citrate side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other