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Prescription medicine

Rosuvastatin Brand names: Crestor

Rosuvastatin (Crestor) is a prescription medicine with an FDA approval on record since 2003. FDA's NDC Directory lists it from 45 generic labelers, and pharmacies paid $0.0692 per rosuvastatin calcium 40 mg tablet in the October 7, 2026 NADAC survey.

  • Generic listed

Check it at the source: the rosuvastatin FDA label on DailyMed (effective September 4, 2026, ScieGen Pharmaceuticals, Inc.); the NDA 21366 record on Drugs@FDA; every rosuvastatin label on DailyMed.

Highlights of the record

FDA label of September 4, 2026; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026; NADAC October 7, 2026

Used for

From the label: indications and usage

Rosuvastatin tablets are indicated: To reduce the risk of major adverse cardiovascular (CV) events (CV death, nonfatal myocardial infarction, nonfatal stroke, or an arterial revascularization procedure) in adults at increased risk for CV events.

Forms and strengths

  • 5 mg
  • 10 mg
  • 20 mg
  • 40 mg

Film-coated tablet; tablet; coated tablet.

On the market

Earliest approval on file
August 12, 2003 Crestor, Astrazeneca; Drugs@FDA’s file, where older or withdrawn approvals can be missing
Generic approvals
29 first April 29, 2016; 19 with a marketed status in Drugs@FDA
Labelers listed (NDC)
46 of which 45 under generic applications, 1 under brand applications, repackagers included
Last listed patent
February 12, 2036 Ezallor Sprinkle capsules; not a generic launch date

Supply and safety

Pharmacy cost (NADAC)
$0.0692 per tablet Rosuvastatin calcium 40 mg tablet
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
13 since 2013 0 Class I among all firms' recalls; latest December 31, 2025
FAERS reports
110,043 through July 30, 2026

What is rosuvastatin used for?

From the label: indications and usage

Rosuvastatin tablets are indicated: To reduce the risk of major adverse cardiovascular (CV) events (CV death, nonfatal myocardial infarction, nonfatal stroke, or an arterial revascularization procedure) in adults at increased risk for CV events. As an adjunct to diet and exercise to reduce low-density lipoprotein cholesterol (LDL-C): in adults with hypercholesterolemia. and slow the progression of atherosclerosis in adults. in adults and pediatric patients aged 8 years and older with heterozygous familial hypercholesterolemia (HeFH). in adults and pediatric patients aged 7 years and older with homozygous familial hypercholesterolemia (HoFH). […]

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

From other rosuvastatin labels

High triglycerides: Hypertriglyceridemia.

Stroke prevention: • reduce the risk of stroke

FDA pharmacologic class: HMG-CoA Reductase Inhibitor.

Source: FDA drug label (Rosuvastatin), ScieGen Pharmaceuticals, Inc., effective September 4, 2026 (SPL set ee4933c5-0d97-494d-ac0f-2083e0100836), via openFDA; the full label on DailyMed

Is there a generic for rosuvastatin (Crestor)?

The FDA approved the first generic rosuvastatin on April 29, 2016. 29 generic applications are approved; 19 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 rosuvastatin from 45 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.

The Orange Book lists no patent for Crestor tablets; a patent listed only for Ezallor Sprinkle capsules runs to February 12, 2036. A patent or exclusivity date is not the date a generic goes on sale: court cases and settlements move it either way.

  • 2003 earliest approval on file
  • 2016 first generic approved
  • 2036 last listed patent
  • red ticks recalls

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

What do pharmacies pay for rosuvastatin (Crestor)?

In CMS's NADAC survey of October 7, 2026, pharmacies paid $0.0692 per Rosuvastatin calcium 40 mg tablet, down 7% from $0.0742 on October 8, 2025. Prices per unit in the table differ many-fold by strength, form and brand, so compare like with like. 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.

  • Rosuvastatin calcium 40 mg tablet (generic)
  • Crestor 20 mg tablet (brand)
$8.86
$0.0591
January 2024October 2026
NADAC per unit, October 7, 2026
Strength and formBrand or genericPharmacy cost30 tablets, or one pen or vial12-month change
Rosuvastatin calcium 10 mg tabletGeneric$0.036 per tablet$1.08-10%
Rosuvastatin calcium 20 mg tabletGeneric$0.0454 per tablet$1.36-17%
Rosuvastatin calcium 40 mg tabletGeneric$0.0692 per tablet$2.08-7%
Rosuvastatin calcium 5 mg tabletGeneric$0.0321 per tablet$0.964-16%
Crestor 10 mg tabletBrand$8.81 per tablet many times the lowest per-tablet cost; NADAC records the price, not why$264.33-0.2%
Crestor 20 mg tabletBrand$8.81 per tablet many times the lowest per-tablet cost; NADAC records the price, not why$264.19-0.3%
Crestor 40 mg tabletBrand$8.81 per tablet many times the lowest per-tablet cost; NADAC records the price, not why$264.20-0.2%
Crestor 5 mg tabletBrand$8.81 per tablet many times the lowest per-tablet cost; NADAC records the price, not why$264.43-0.3%

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

Has rosuvastatin been recalled?

The FDA's Enforcement Report lists 13 recalls naming rosuvastatin since 2013: 0 Class I (the most serious), 13 Class II, 0 Class III; 4 still ongoing. A recall names products and lots, not every product of the medicine.

StartedClassCompanyReason
December 31, 2025Class IIAvKAREOut of specification for dissolution.
March 13, 2025Class IIGlenmark Pharmaceuticals Inc., USACGMP Deviations
March 23, 2023Class IIPreferred Pharmaceuticals, Inc.cGMP Deviations for the manufacturing Firm (Accord Healthcare) after their inspection.
March 20, 2023Class IIRemedyRepack Inc.cGMP Deviations
February 7, 2023Class IIAccord Healthcare, Inc.CGMP Deviations: recalling drug products following an FDA inspection.
July 2, 2013Class IIAidapak Services, LLCLabeling: Label Mixup: ROSUVASTATIN CALCIUM, Tablet, 5 mg may have potentially been mislabeled as one of the following drugs: IBUPROFEN, Tablet, 400 mg, NDC …

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

What does the rosuvastatin label say about other medicines?

The rosuvastatin label names 27 other medicines in its interaction, contraindication or warning sections. The labels of 47 other medicines name rosuvastatin. The sentences are the labels' own; a label lists what its studies and reports found, not every interaction.

Medicine namedSectionWhat the label says
Atazanavirdrug interactionsPrevention or Management:; Simeprevir Dasabuvir/ombitasvir/paritaprevir/ritonavir Elbasvir/grazoprevir Sofosbuvir/velpatasvir Glecaprevir/pibrentasvir Atazanavir/ritonavir Lopinavir/ritonavir; Initiate with rosuvastatin 5 mg once daily, and do not exceed a dosage of rosuvastatin 10 mg once daily.
Belumosudildrug interactionsMechanism and Clinical Effect (s): Belumosudil increased rosuvastatin exposure more than 4.6-fold.
Capmatinibdrug interactionsMechanism and Clinical Effect (s): Capmatinib increased rosuvastatin exposure more than 2.1-fold.
Colchicinedrug interactionsColchicine Prevention or Management: Consider if the benefit of using colchicine concomitantly with rosuvastatin outweighs the increased risk of myopathy and rhabdomyolysis.
Cyclosporinedrug interactionsMechanism and Clinical Effect (s): Cyclosporine increased rosuvastatin exposure 7-fold.
Darolutamidedrug interactionsMechanism and Clinical Effect (s): Darolutamide increased rosuvastatin exposure more than 5-fold.
Elbasvir and grazoprevirdrug interactionsAdditional Anti-Viral Medications Prevention or Management: Simeprevir Dasabuvir/ombitasvir/paritaprevir/ritonavir Elbasvir/grazoprevir Sofosbuvir/velpatasvir Glecaprevir/pibrentasvir Atazanavir/ritonavir Lopinavir/ritonavir Initiate with rosuvastatin 5 mg once daily, and do not exceed a dosage of rosuvastatin 10 mg …
Enasidenibdrug interactionsMechanism and Clinical Effect (s): Enasidenib increased rosuvastatin exposure more than 3.4-fold.
Febuxostatdrug interactionsMechanism and Clinical Effect (s): Febuxostat increased rosuvastatin exposure more than 1.9-fold.
Fenofibratedrug interactionsFenofibrates (e.g., fenofibrate and fenofibric acid) Prevention or Management: Consider if the benefit of using fibrates concomitantly with rosuvastatin outweighs the increased risk of myopathy and rhabdomyolysis.
Fenofibric aciddrug interactionsFenofibrates (e.g., fenofibrate and fenofibric acid) Prevention or Management: Consider if the benefit of using fibrates concomitantly with rosuvastatin outweighs the increased risk of myopathy and rhabdomyolysis.
Fostamatinibdrug interactionsMechanism and Clinical Effect (s): Fostamatinib increased rosuvastatin exposure more than 2.0-fold.
Gemfibrozildrug interactionsGemfibrozil Prevention or Management: Avoid concomitant use of gemfibrozil with rosuvastatin.
Glecaprevir and pibrentasvirdrug interactionsAdditional Anti-Viral Medications Prevention or Management: Simeprevir Dasabuvir/ombitasvir/paritaprevir/ritonavir Elbasvir/grazoprevir Sofosbuvir/velpatasvir Glecaprevir/pibrentasvir Atazanavir/ritonavir Lopinavir/ritonavir Initiate with rosuvastatin 5 mg once daily, and do not exceed a dosage of rosuvastatin 10 mg …

Every other medicine the rosuvastatin label names

Medicine namedSectionWhat the label says
Ledipasvir and sofosbuvirdrug interactionsDrug Interactions that Increase the Risk of Myopathy and Rhabdomyolysis with Rosuvastatin Tablets Sofosbuvir/velpatasvir/voxilaprevir or Ledipasvir/sofosbuvir Prevention or Management:
Lopinavir and ritonavirdrug interactionsAdditional Anti-Viral Medications Prevention or Management: Simeprevir Dasabuvir/ombitasvir/paritaprevir/ritonavir Elbasvir/grazoprevir Sofosbuvir/velpatasvir Glecaprevir/pibrentasvir …
Magnesium hydroxidedrug interactionsMechanism and Clinical Effect (s):; Concomitant aluminum and magnesium hydroxide combination antacid administration decreased the mean exposure of rosuvastatin 50% [see ].
Momelotinibdrug interactionsMechanism and Clinical Effect (s): Momelotinib increased rosuvastatin exposure by 2.7-fold.
Niacindrug interactionsPrevention or Management:; Consider if the benefit of using lipid-modifying dosages (≥1 g/day) of niacin concomitantly with rosuvastatin outweighs the increased risk of myopathy and rhabdomyolysis. …
Regorafenibdrug interactionsMechanism and Clinical Effect (s): Regorafenib increased rosuvastatin exposure and may increase the risk of myopathy and rhabdomyolysis.
Ritonavirdrug interactionsPrevention or Management:; Simeprevir Dasabuvir/ombitasvir/paritaprevir/ritonavir Elbasvir/grazoprevir Sofosbuvir/velpatasvir Glecaprevir/pibrentasvir Atazanavir/ritonavir Lopinavir/ritonavir; …
Sofosbuvir and velpatasvirdrug interactionsAdditional Anti-Viral Medications Prevention or Management: Simeprevir Dasabuvir/ombitasvir/paritaprevir/ritonavir Elbasvir/grazoprevir Sofosbuvir/velpatasvir Glecaprevir/pibrentasvir …
Sofosbuvir and velpatasvir and voxilaprevirdrug interactionsDrug Interactions that Increase the Risk of Myopathy and Rhabdomyolysis with Rosuvastatin Tablets Sofosbuvir/velpatasvir/voxilaprevir or Ledipasvir/sofosbuvir Prevention or Management:
Tafamidisdrug interactionsTafamidis Prevention or Management: Avoid concomitant use of tafamidis with rosuvastatin.
Teriflunomidedrug interactionsMechanism and Clinical Effect (s): Teriflunomide increased rosuvastatin exposure more than 2.5-fold.
Ticagrelordrug interactionsMechanism and Clinical Effect (s): Ticagrelor increased rosuvastatin exposure by 2.3-fold.
Warfarindrug interactionsPrevention or Management:; In patients taking warfarin, obtain an INR before starting rosuvastatin and frequently enough after initiation, dosage titration or discontinuation to ensure that no …

Other labels that name rosuvastatin

Check rosuvastatin against other medicines

Source: FDA drug label (Rosuvastatin), ScieGen Pharmaceuticals, Inc., effective September 4, 2026 (SPL set ee4933c5-0d97-494d-ac0f-2083e0100836), via openFDA; the full label on DailyMed

What do FAERS reports show for rosuvastatin?

The FDA Adverse Event Reporting System holds 110,043 reports that list rosuvastatin among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 6,970 are coded as a death and 38,707 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

  • Fatigue8,482
  • Dyspnoea7,316
  • Drug Ineffective (a use or a product term, not a reaction)6,758
  • Nausea (named in the label)6,656
  • Off Label Use (a use or a product term, not a reaction)6,605
  • Diarrhoea6,323
  • Pain6,110
  • Headache (named in the label)5,561

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 rosuvastatin?

13 other medicines are given the same way (oral) and in the same FDA class as rosuvastatin 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. The first 8 are below. They are listed as records, not as substitutes: whether one can replace another is a prescriber's decision.

MedicineShared indicationGeneric labelers (oral)Pharmacy costShortage
AtorvastatinHeart attack and coronary artery disease, High cholesterol, High triglycerides61 labelers$0.0228 per tablet 10 mg tabletNo current entry
PravastatinHeart attack and coronary artery disease, High cholesterol, High triglycerides37 labelers$0.058 per tablet 20 mg tabletNo current entry
SimvastatinHeart attack and coronary artery disease, High cholesterol, High triglycerides27 labelers$0.0321 per tablet 20 mg tabletNo current entry
Amlodipine and atorvastatinHeart attack and coronary artery disease, High cholesterol, High triglycerides, Stroke prevention6 labelers$1.34 per unit 10-40 mgNo current entry
LovastatinHeart attack and coronary artery disease, High cholesterol19 labelers$0.0436 per tablet 20 mg tabletNo current entry
PitavastatinHigh cholesterol12 labelers$0.954 per tablet 2 mg tabletNo current entry
Ezetimibe and simvastatinHeart attack and coronary artery disease, High cholesterol7 labelers$0.285 per unit 10-80 mgNo current entry
FluvastatinHigh cholesterol4 labelers$2.88 per tablet 80 mg tabletA presentation being discontinued

Every medicine labeled for the same conditions as rosuvastatin

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

How does rosuvastatin compare with medicines for the same use?

13 side-by-side pages set rosuvastatin beside a medicine whose label shares a use: approvals, generics, pharmacy cost, warnings and supply.

What next?

Alternatives to rosuvastatin
13 medicines for the same use
Other statins
the pharmacologic class, with prices and generics
Rosuvastatin side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other