Prescription medicine
Tetraferric tricitrate decahydrate Brand names: Auryxia
Tetraferric tricitrate decahydrate (Auryxia) is a prescription medicine. No generic is listed; pharmacies paid $6.28 per ferric citrate 210 mg tablet in the October 7, 2026 NADAC survey.
- No generic listed
Check it at the source: the tetraferric tricitrate decahydrate FDA label on DailyMed (effective December 4, 2024, Akebia Therapeutics, Inc.); every tetraferric tricitrate decahydrate label on DailyMed.
Highlights of the record
FDA label of December 4, 2024; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026; NADAC October 7, 2026
Used for
From the label: indications and usageAuryxia is a phosphate binder indicated for the control of serum phosphorus levels in adult patients with chronic kidney disease on dialysis.
Forms and strengths
- 210 mg
Film-coated tablet.
On the market
- Generic approvals
- No generic approved
- Labelers listed (NDC)
- 2 of which 0 under generic applications, 1 under brand applications, repackagers included
Supply and safety
- Pharmacy cost (NADAC)
- $6.28 per tablet Ferric citrate 210 mg tablet
- Shortage (FDA)
- No current entry
- Recalls by its makers (FDA)
- No recall recorded
- FAERS reports
- 2,194 through July 30, 2026
What is tetraferric tricitrate decahydrate used for?
From the label: indications and usageAuryxia is a phosphate binder indicated for the control of serum phosphorus levels in adult patients with chronic kidney disease on dialysis. ( 1 ) Auryxia is an iron replacement product indicated for the treatment of iron deficiency anemia in adult patients with chronic kidney disease not on dialysis. ( 1 ) 1.1 Hyperphosphatemia in Chronic Kidney Disease on Dialysis Auryxia is indicated for the control of serum phosphorus levels in adult patients with chronic kidney disease on dialysis. 1.2 Iron Deficiency Anemia in Chronic Kidney Disease Not on Dialysis Auryxia is indicated for the treatment of iron deficiency anemia in adult patients with chronic kidney disease not on dialysis.
Conditions named in the indications of tetraferric tricitrate decahydrate's FDA labels, with every medicine labeled for each:
FDA pharmacologic class: Parenteral Iron Replacement and Phosphate Binder.
Source: FDA drug label (Auryxia), NDA205874 (Keryx Biopharms), as published by Akebia Therapeutics, Inc., effective December 4, 2024 (SPL set aadd18e0-3752-11e4-8510-0800200c9a66), via openFDA; the full label on DailyMed
Is there a generic for tetraferric tricitrate decahydrate (Auryxia)?
No generic tetraferric tricitrate decahydrate is approved (Drugs@FDA, October 8, 2026).
Source: Drugs@FDA, FDA NDC Directory and the Orange Book (openFDA bulk files, October 8, 2026)
What do pharmacies pay for tetraferric tricitrate decahydrate (Auryxia)?
In CMS's NADAC survey of October 7, 2026, pharmacies paid $6.28 per Ferric citrate 210 mg tablet, up 6% from $5.89 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.
- Ferric citrate 210 mg tablet (generic)
- Auryxia 210 mg tablet (brand)
| Strength and form | Brand or generic | Pharmacy cost | 30 tablets, or one pen or vial | 12-month change |
|---|---|---|---|---|
| Ferric citrate 210 mg tablet | Generic | $6.28 per tablet | $188.25 | +6% |
| Auryxia 210 mg tablet | Brand | $7.48 per tablet | $224.43 | +0.9% |
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 tetraferric tricitrate decahydrate label say about other medicines?
The tetraferric tricitrate decahydrate label names 20 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 named | Section | What the label says |
|---|---|---|
| Amlodipine | drug interactions | Amlodipine Aspirin Atorvastatin Calcitriol Clopidogrel Digoxin Diltiazem Doxercalciferol Enalapril Fluvastatin Glimepiride Levofloxacin Losartan; Metoprolol Pravastatin Propranolol Sitagliptin Warfarin |
| Aspirin | drug interactions | Amlodipine Aspirin Atorvastatin Calcitriol Clopidogrel Digoxin Diltiazem Doxercalciferol Enalapril Fluvastatin Glimepiride Levofloxacin Losartan; Metoprolol Pravastatin Propranolol Sitagliptin Warfarin |
| Atorvastatin | drug interactions | Amlodipine Aspirin Atorvastatin Calcitriol Clopidogrel Digoxin Diltiazem Doxercalciferol Enalapril Fluvastatin Glimepiride Levofloxacin Losartan; Metoprolol Pravastatin Propranolol Sitagliptin Warfarin |
| Calcitriol | drug interactions | Amlodipine Aspirin Atorvastatin Calcitriol Clopidogrel Digoxin Diltiazem Doxercalciferol Enalapril Fluvastatin Glimepiride Levofloxacin Losartan; Metoprolol Pravastatin Propranolol Sitagliptin Warfarin |
| Ciprofloxacin | drug interactions | Ciprofloxacin; Take at least 2 hours before or after Auryxia |
| Clopidogrel | drug interactions | Amlodipine Aspirin Atorvastatin Calcitriol Clopidogrel Digoxin Diltiazem Doxercalciferol Enalapril Fluvastatin Glimepiride Levofloxacin Losartan; Metoprolol Pravastatin Propranolol Sitagliptin Warfarin |
| Digoxin | drug interactions | Amlodipine Aspirin Atorvastatin Calcitriol Clopidogrel Digoxin Diltiazem Doxercalciferol Enalapril Fluvastatin Glimepiride Levofloxacin Losartan; Metoprolol Pravastatin Propranolol Sitagliptin Warfarin |
| Diltiazem | drug interactions | Amlodipine Aspirin Atorvastatin Calcitriol Clopidogrel Digoxin Diltiazem Doxercalciferol Enalapril Fluvastatin Glimepiride Levofloxacin Losartan; Metoprolol Pravastatin Propranolol Sitagliptin Warfarin |
| Doxercalciferol | drug interactions | Amlodipine Aspirin Atorvastatin Calcitriol Clopidogrel Digoxin Diltiazem Doxercalciferol Enalapril Fluvastatin Glimepiride Levofloxacin Losartan; Metoprolol Pravastatin Propranolol Sitagliptin Warfarin |
| Doxycycline | drug interactions | Doxycycline; Take at least 1 hour before Auryxia |
| Enalapril | drug interactions | Amlodipine Aspirin Atorvastatin Calcitriol Clopidogrel Digoxin Diltiazem Doxercalciferol Enalapril Fluvastatin Glimepiride Levofloxacin Losartan; Metoprolol Pravastatin Propranolol Sitagliptin Warfarin |
| Fluvastatin | drug interactions | Amlodipine Aspirin Atorvastatin Calcitriol Clopidogrel Digoxin Diltiazem Doxercalciferol Enalapril Fluvastatin Glimepiride Levofloxacin Losartan; Metoprolol Pravastatin Propranolol Sitagliptin Warfarin |
| Glimepiride | drug interactions | Amlodipine Aspirin Atorvastatin Calcitriol Clopidogrel Digoxin Diltiazem Doxercalciferol Enalapril Fluvastatin Glimepiride Levofloxacin Losartan; Metoprolol Pravastatin Propranolol Sitagliptin Warfarin |
| Levofloxacin | drug interactions | Amlodipine Aspirin Atorvastatin Calcitriol Clopidogrel Digoxin Diltiazem Doxercalciferol Enalapril Fluvastatin Glimepiride Levofloxacin Losartan; Metoprolol Pravastatin Propranolol Sitagliptin Warfarin |
Every other medicine the tetraferric tricitrate decahydrate label names
| Medicine named | Section | What the label says |
|---|---|---|
| Losartan | drug interactions | Amlodipine Aspirin Atorvastatin Calcitriol Clopidogrel Digoxin Diltiazem Doxercalciferol Enalapril Fluvastatin Glimepiride Levofloxacin Losartan; … |
| Metoprolol | drug interactions | Amlodipine Aspirin Atorvastatin Calcitriol Clopidogrel Digoxin Diltiazem Doxercalciferol Enalapril Fluvastatin Glimepiride Levofloxacin Losartan; … |
| Pravastatin | drug interactions | … Enalapril Fluvastatin Glimepiride Levofloxacin Losartan; Metoprolol Pravastatin Propranolol Sitagliptin Warfarin |
| Propranolol | drug interactions | … Fluvastatin Glimepiride Levofloxacin Losartan; Metoprolol Pravastatin Propranolol Sitagliptin Warfarin |
| Sitagliptin | drug interactions | … Glimepiride Levofloxacin Losartan; Metoprolol Pravastatin Propranolol Sitagliptin Warfarin |
| Warfarin | drug interactions | … Levofloxacin Losartan; Metoprolol Pravastatin Propranolol Sitagliptin Warfarin |
Check tetraferric tricitrate decahydrate against other medicines
Source: FDA drug label (Auryxia), NDA205874 (Keryx Biopharms), as published by Akebia Therapeutics, Inc., effective December 4, 2024 (SPL set aadd18e0-3752-11e4-8510-0800200c9a66), via openFDA; the full label on DailyMed
What do FAERS reports show for tetraferric tricitrate decahydrate?
The FDA Adverse Event Reporting System holds 2,194 reports that list tetraferric tricitrate decahydrate among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 260 are coded as a death and 420 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
Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026
What else is labeled for the same conditions as tetraferric tricitrate decahydrate?
6 other medicines are given the same way (oral) and in the same FDA class as tetraferric tricitrate decahydrate 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.
| Medicine | Shared indication | Generic labelers (oral) | Pharmacy cost | Shortage |
|---|---|---|---|---|
| Ferric citrate | Anemia | 1 labeler | n/a | No current entry |
| Eltrombopag | Anemia | 13 labelers | $25.85 per tablet 50 mg tablet | No current entry |
| Prednisolone | Anemia | 23 labelers | $0.568 per mL 15 mg/5 mL solution | No current entry |
| Daprodustat | Anemia | none listed | n/a | No current entry |
| Mitapivat | Anemia | none listed | n/a | No current entry |
| Vadadustat | Anemia | none listed | n/a | No current entry |
Every medicine labeled for the same conditions as tetraferric tricitrate decahydrate
Source: FDA drug labels (indications), NDC Directory, NADAC of October 7, 2026, FDA shortages (October 8, 2026)
What next?
- Alternatives to tetraferric tricitrate decahydrate
- 6 medicines for the same use
- Other parenteral iron replacements
- the pharmacologic class, with prices and generics
- Tetraferric tricitrate decahydrate side effects
- the label's list beside FAERS reports
- Check an interaction
- what two or more labels say about each other