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PlainMeds research, FDA and CMS files of October 8, 2026

Generic competition by drug class

Of 224 FDA pharmacologic classes with three or more medicines, 47 have every member listed from at least one generic labeler and 38 have none.

What the data shows

ClassMedicinesWith a generic listedShare (%)Median generic labelers
Thiazide diuretics21211006
ACE inhibitors19191005
Phenothiazine12121009.0
Methylxanthine11111005
Tricyclic antidepressants11111009
Alpha blockers101010017.0
Polymyxin-class Antibacterial10101003.5
Platelet Aggregation Inhibitor991005
Serotonin Reuptake Inhibitor9910038
Statins9910019
Muscle relaxants7710024
Barbiturates661005.0
General Anesthetic661009.5
H2 blockers6610017.0
Central alpha-2 Adrenergic Agonist5510036
Mood Stabilizer5510042
Sympathomimetic Amine Anorectic5510011
Antihistamines4410029.0
Arteriolar Vasodilator4410023.0
Loop diuretics4410028.0
Macrolides4410032.0
Nitrate Vasodilator4410019.0
Nondepolarizing Neuromuscular Blocker4410012.5
P2Y12 inhibitors (antiplatelets)4410019.0
Potassium-sparing Diuretic441002.5
Topoisomerase Inhibitor441005.0
Typical antipsychotics441003.0
5-alpha reductase inhibitors3310013
Aldosterone antagonists331009
Androgens331004
Antidote331006
Antirheumatic Agent3310016
Aromatase inhibitors3310019
Aromatic Amino Acid Decarboxylation Inhibitor331007
Bile Acid Sequestrant3310015
Dihydrofolate Reductase Inhibitor Antibacterial3310010
Direct thrombin inhibitors331009
Ergot Derivative331008
Folate Analog Metabolic Inhibitor3310015
Iron Chelator331004
Nitrogen Binding Agent331005
Platinum-based Drug3310010
Polyene Antifungal3310018
Prostacycline Vasodilator331004
Tetracycline-class Antimicrobial331005
Vinca Alkaloid331001
Vitamin D Analog331006
Opioids (opioid agonists)3029975.0
Beta blockers21209514
Stimulants1716947
Benzodiazepines16159413.5
Aminoglycoside Antibacterial1514932
Anti-seizure medicines14139320.5
Calcium channel blockers1211928.5
Proton pump inhibitors (PPIs)988920
Triptans98894
Calcium channel blockers (dihydropyridines)1614887.0
Antimalarial87884.0
beta-Adrenergic Agonist87889.0
Cholinesterase inhibitors878812.5

The table shows the first 60 of 224 rows.

Download all 224 rows as CSV.

Source: FDA NDC Directory and Drugs@FDA via openFDA, read October 8, 2026

How it was measured

FDA Established Pharmacologic Classes from the NDC Directory; a member counts as generic-listed when FDA's NDC Directory lists it from a labeler under an ANDA.

What it cannot show

A listing is a registration for sale, not proof of supply; classes are the FDA's and overlap.

What next?