Quick answers
- What is Cinacalcet used for?
- The FDA-approved label (Sensipar, Amgen Inc, December 7, 2025) says: “Sensipar is a positive modulator of the calcium sensing receptor indicated for: Secondary Hyperparathyroidism (HPT) in adult patients with chronic kidney disease (CKD) on dialysis. Limitations of Use: Sensipar is not indicated for use in patients with CKD who are not on dialysis Hypercalcemia in adult patients with Parathyroid Carcinoma (PC). …” This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.
- Does Cinacalcet have a boxed warning?
- No. None of the 28 FDA labels we found for this medicine has a boxed warning.
- Is there a shortage of Cinacalcet?
- No current shortage is listed by the FDA for the products of this medicine (FDA data from October 30, 2026).
- Has Cinacalcet been recalled?
- FDA enforcement reports list 20 recalls of products of this medicine; the newest started June 29, 2026 (Class II). A recall usually concerns specific lots, not every product.
- Who makes Cinacalcet?
- 17 companies list prescription products of Cinacalcet in the FDA NDC Directory, including Bryant Ranch Prepack, XLCare Pharmaceuticals, Inc. and Exelan Pharmaceuticals Inc..
What Cinacalcet is used for
Quoted from the “Indications and Usage” section of the FDA-approved label.
Sensipar is a positive modulator of the calcium sensing receptor indicated for: Secondary Hyperparathyroidism (HPT) in adult patients with chronic kidney disease (CKD) on dialysis. Limitations of Use: Sensipar is not indicated for use in patients with CKD who are not on dialysis Hypercalcemia in adult patients with Parathyroid Carcinoma (PC). …
— FDA label: Sensipar, Amgen Inc, effective December 7, 2025. Read the full label on DailyMed →
The FDA has 28 labels for products of this medicine (different makers and forms); uses can differ between them. Check the label that comes with your own medicine.
This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.
Conditions named on the label
These condition names appear word for word in the label’s “Indications and Usage” text (matched with a reviewed table). Each page lists hospitals whose own websites name the condition.
Related medical specialties
Boxed warning
A boxed warning (“black box”) is the FDA’s strongest warning on a drug label, for serious or life-threatening risks.
The label quoted above has no boxed warning.
0 of 28 FDA labels for this medicine have a boxed warning.
Forms and how it is given
| Dosage forms | Tablet, film coated · Tablet · Tablet, coated |
|---|---|
| Route | Oral |
| Prescription products | 51 in the FDA NDC Directory |
| Brand names | Sensipar |
What pharmacies pay (NADAC)
The National Average Drug Acquisition Cost (NADAC) is the average price U.S. retail pharmacies paid to buy one unit of a medicine (one tablet, one mL or one gram), from a monthly survey of pharmacy invoices by the Centers for Medicare & Medicaid Services (CMS). State Medicaid programs use it to pay pharmacies.
This is not the price you pay. What you pay depends on your insurance (copay or coinsurance), your pharmacy and any discounts, and pharmacies also charge for filling a prescription. Ask your pharmacist or your health plan what your price will be.
| Strength and form | Generic or brand | Pharmacies pay |
|---|---|---|
| cinacalcet hydrochloride 30 mg tablet | Generic | $0.4190 per tablet |
| cinacalcet hydrochloride 30 mg tablet, film coated | Generic | $0.4190 per tablet |
| cinacalcet hydrochloride 60 mg tablet | Generic | $0.7720 per tablet |
| cinacalcet hydrochloride 60 mg tablet, film coated | Generic | $0.7720 per tablet |
| cinacalcet hydrochloride 90 mg tablet | Generic | $1.06 per tablet |
| cinacalcet hydrochloride 90 mg tablet, film coated | Generic | $1.06 per tablet |
NADAC list of November 4, 2026; these prices took effect on October 21, 2026. Shown only where a package’s NDC code matches the NADAC list exactly, and only for that exact strength and form: nothing is averaged across strengths. Strengths and forms not listed here have no NADAC price.
Source: NADAC (National Average Drug Acquisition Cost) 2026, data.medicaid.gov (CMS) →
Companies that list this medicine
Labelers in the FDA NDC Directory: the company named on the package (maker or distributor), with the number of prescription products.
- Bryant Ranch Prepack12 products
- XLCare Pharmaceuticals, Inc.3 products
- Exelan Pharmaceuticals Inc.3 products
- Accord Healthcare Inc.3 products
- Cipla USA Inc.3 products
- Amgen, Inc3 products
- Strides Pharma Science Limited3 products
- Amneal Pharmaceuticals LLC3 products
- Camber Pharmaceuticals, Inc.3 products
- Aurobindo Pharma Limited3 products
- Ascend Laboratories, LLC3 products
- Sun Pharmaceutical Industries, Inc.3 products
- Dr.Reddys Laboratories Inc2 products
- Major Pharmaceuticals1 product
- AvPAK1 product
- Remedyrepack Inc.1 product
- American Health Packaging1 product
FDA approval history
- NDA: New Drug Application: how a new (usually brand-name) medicine is approved.
- ANDA: Abbreviated New Drug Application: how a generic version is approved.
| Application | Sponsor | Approved | Later changes approved |
|---|---|---|---|
| NDA021688 SENSIPAR | Amgen | March 8, 2004 | 15, latest December 5, 2019 2019: Labeling · 2019: Labeling · 2019: Labeling |
Generic approvals (9)
- ANDA206125Aurobindo Pharma Ltd · March 8, 2018
- ANDA208915Cipla · March 8, 2018
- ANDA209226Strides Pharma · April 30, 2018
- ANDA207008Sun Pharm · October 11, 2018
- ANDA210570Alkem Labs Ltd · May 17, 2019
- ANDA211892Accord Hlthcare · May 15, 2020
- ANDA208368DR Reddys · September 18, 2020
- ANDA209403Hetero Labs Ltd V · October 7, 2020
- ANDA204364Stevens J · December 2, 2021
Shortage status
The FDA drug shortage list does not show these products.
Recalls
From FDA enforcement reports, matched by the product’s NDC code. A recall usually covers specific lots only: check the lot number on your package and ask your pharmacist. Do not stop a medicine on your own.
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June 29, 2026 · Class II · Ongoing · D-0676-2026
cGMP Deviations: presence of N-nitroso-cinacalcet, above the acceptable daily intake (ADI).
Cinacalcet Hydrochloride Tablets, 90 mg, 30-count bottle, Rx Only, Manufactured by: Cipla Ltd., MIDC, Patalganga, India; Manufactured for: Cipla USA, Inc., 10 Independence Boulevard, Suite 300, Warren, NJ 07059, NDC 6909 — Cipla USA, Inc.
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June 29, 2026 · Class II · Ongoing · D-0675-2026
cGMP Deviations: presence of N-nitroso-cinacalcet, above the acceptable daily intake (ADI).
Cinacalcet Hydrochloride Tablets, 60 mg, 30-count bottle, Rx Only, Manufactured by: Cipla Ltd., MIDC, Patalganga, India; Manufactured for: Cipla USA, Inc., 10 Independence Boulevard, Suite 300, Warren, NJ 07059, NDC 6909 — Cipla USA, Inc.
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June 29, 2026 · Class II · Ongoing · D-0661-2026
cGMP Deviations: presence of N-nitroso-cinacalcet, above the acceptable daily intake (ADI).
Cinacalcet Hydrochloride Tablets, 30 mg, 30-count bottle, Rx Only, Manufactured by: Cipla Ltd., MIDC, Patalganga, India; Manufactured for: Cipla USA, Inc., 10 Independence Boulevard, Suite 300, Warren, NJ 07059, NDC 6909 — Cipla USA, Inc.
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June 4, 2026 · Class II · Ongoing · D-0616-2026
CGMP Deviations
Sensipar (cinacalcet) Tablets, 90mg, 30-count bottles, Rx Only, Distributed by: Amge, One Amgen Center Drive, Thousand Oaks, CA 91320-1799, Made in Japan. NDC 55513-075-30 — Amgen, Inc.
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June 4, 2026 · Class II · Ongoing · D-0614-2026
CGMP Deviations
Sensipar (cinacalcet) Tablets, 60mg, 30-count bottles, Rx Only, Distributed by: Amge, One Amgen Center Drive, Thousand Oaks ,CA 91320-1799, Made in Japan. NDC 55513-074-30 — Amgen, Inc.
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June 4, 2026 · Class II · Ongoing · D-0613-2026
CGMP Deviations
Sensipar (cinacalcet) Tablets, 30mg, 30-count bottles, Rx Only, Distributed by: Amge, One Amgen Center Drive, Thousand Oaks ,CA 91320-1799, Made in Japan. NDC 55513-073-30 — Amgen, Inc.
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March 16, 2026 · Class II · Ongoing · D-0451-2026
CGMP Deviations; presence N-Nitroso Cinacalcet above the acceptable daily intake limit
Cinacalcet Hydrochloride Tablets, 90 mg, 30 Tablets per bottle, Rx Only, Manufactured by: Cipla Ltd., MIDC, Patalganga, India; Manufactured for: Cipla USA, Inc., 10 Independence Boulevard, Suite 300, Warren, NJ 07059. ND — Cipla USA, Inc.
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March 16, 2026 · Class II · Ongoing · D-0449-2026
CGMP Deviations; presence N-Nitroso Cinacalcet above the acceptable daily intake limit
Cinacalcet Hydrochloride Tablets, 30 mg, 30 Tablets per bottle, Rx Only, Manufactured by: Cipla Ltd., MIDC, Patalganga, India; Manufactured for: Cipla USA, Inc., 10 Independence Boulevard, Suite 300, Warren, NJ 07059. ND — Cipla USA, Inc.
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March 16, 2026 · Class II · Ongoing · D-0450-2026
CGMP Deviations; presence N-Nitroso Cinacalcet above the acceptable daily intake limit
Cinacalcet Hydrochloride Tablets, 60 mg, 30 Tablets per bottle, Rx Only, Manufactured by: Cipla Ltd., MIDC, Patalganga, India; Manufactured for: Cipla USA, Inc., 10 Independence Boulevard, Suite 300, Warren, NJ 07059. ND — Cipla USA, Inc.
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November 14, 2025 · Class II · Ongoing · D-0226-2026
CGMP Deviations: the presence of a nitrosamine impurity, N-nitroso-cinacalcet, above the acceptable daily intake (ADI) limits.
Cinacalcet Hydrochloride Tablets, 90 mg, 30 Tablets per bottle, Rx Only, Manufactured for: Cipla USA, Inc., 10 Independence Boulevard, Suite 300, Warren, NJ 07059. NDC: 69097-412-02 — Cipla USA, Inc.
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November 14, 2025 · Class II · Ongoing · D-0225-2026
CGMP Deviations: the presence of a nitrosamine impurity, N-nitroso-cinacalcet, above the acceptable daily intake (ADI) limits.
Cinacalcet Hydrochloride Tablets, 60 mg, 30 Tablets per bottle, Rx Only, Manufactured for: Cipla USA, Inc., 10 Independence Boulevard, Suite 300, Warren, NJ 07059. NDC: 69097-411-02 — Cipla USA, Inc.
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November 14, 2025 · Class II · Ongoing · D-0224-2026
CGMP Deviations: the presence of a nitrosamine impurity, N-nitroso-cinacalcet, above the acceptable daily intake (ADI) limits.
Cinacalcet Hydrochloride Tablets, 30 mg, 30 Tablets per bottle, Rx Only, Manufactured for: Cipla USA, Inc., 10 Independence Boulevard, Suite 300, Warren, NJ 07059. NDC: 69097-410-02 — Cipla USA, Inc.
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July 9, 2025 · Class II · Ongoing · D-0546-2025
Failed Dissolution Specifications.
Cinacalcet Tablets 90 mg, 30-count bottles, Rx only, Manufactured by: Strides Pharma Science Ltd. Puducherry, India; Distributed by: Strides Pharma Inc. East Brunswick, NJ 08816, NDC 64380-885-04 — Strides Pharma, Inc.
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October 10, 2024 · Class II · Terminated · D-0032-2025
CGMP Deviations: the presence of a nitrosamine impurity, N-nitroso-cinacalcet, above the acceptable daily intake (ADI) limits.
Cinacalcet Tablets, 90 mg, Rx Only, a) 30 Tablets per bottle, NDC: 16729-442-10, b) 90 Tablets per bottle, NDC: 16729-442-15, Manufactured for: Accord Healthcare, Inc., Durham, NC 27703. Manufactured by: Intas Pharmaceut — ACCORD HEALTHCARE, INC.
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October 10, 2024 · Class II · Terminated · D-0030-2025
CGMP Deviations: the presence of a nitrosamine impurity, N-nitroso-cinacalcet, above the acceptable daily intake (ADI) limits.
Cinacalcet Tablets 30 mg, Rx Only, a) 30 Tablets per bottle, NDC: 16729-440-10, b) 90 Tablets per bottle, NDC: 16729-440-15, Manufactured for: Accord Healthcare, Inc., Durham, NC 27703, Manufactured by: Intas Pharmaceuti — ACCORD HEALTHCARE, INC.
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October 10, 2024 · Class II · Terminated · D-0031-2025
CGMP Deviations: the presence of a nitrosamine impurity, N-nitroso-cinacalcet, above the acceptable daily intake (ADI) limits.
Cinacalcet Tablets, 60 mg, Rx Only, a) 30 Tablets per bottle, NDC: 16729-441-10, b) 90 Tablets per bottle, NDC: 16729-441-15, Manufactured for: Accord Healthcare, Inc., Durham, NC 27703. Manufactured by: Intas Pharmaceut — ACCORD HEALTHCARE, INC.
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October 9, 2024 · Class II · Ongoing · D-0028-2025
CGMP Deviations: Presence of N-nitroso Cinacalcet impurity above FDA recommended interim limit
Cinacalcet Tablets, 90 mg, 30-count bottle, Rx Only, Dr. Reddy's Laboratories Inc, Princeton, NJ 08540, Made in India., NDC 43598-369-30. — Dr. Reddy's Laboratories, Inc.
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October 9, 2024 · Class II · Ongoing · D-0027-2025
CGMP Deviations: Presence of N-nitroso Cinacalcet impurity above FDA recommended interim limit
Cinacalcet Tablets, 60 mg, 30-count bottles, Rx Only, Dr. Reddy's Laboratories Inc, Princeton, NJ 08540, Made in India, NDC 43598-368-30. — Dr. Reddy's Laboratories, Inc.
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October 9, 2024 · Class II · Ongoing · D-0026-2025
CGMP Deviations: Presence of N-nitroso Cinacalcet impurity above FDA recommended interim limit
Cinacalcet Tablets, 30 mg, 30-count bottle, Rx Only, Dr. Reddy's Laboratories Inc, Princeton, NJ 08540, Made in India, NDC 43598-367-30. — Dr. Reddy's Laboratories, Inc.
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January 18, 2024 · Class II · Completed · D-0263-2024
CGMP Deviations: Microbial contamination was reported in stagnant water in the duct of the manufacturing equipment.
Cinacalcet Tablets 60mg, Rx Only, 30 Tablets per bottle, Distributed by: Sun Pharmaceutical Industries, Inc., Cranbury, NJ 08512, Manufactured by: Sun Pharmaceutical Industries Limited Survey No. 259/15, Dadra-396 191 (U — SUN PHARMACEUTICAL INDUSTRIES INC
What do the recall classes mean?
Class I: The most serious type: there is a reasonable chance that using the product will cause serious health problems or death.
Class II: Using the product may cause temporary or medically reversible health problems, or the chance of serious problems is remote.
Class III: Using the product is not likely to cause health problems (for example a labeling or packaging issue).
Official identifiers
Sources
- FDA-approved label on DailyMed (National Library of Medicine) — Sensipar, Amgen Inc, effective December 7, 2025; via openFDA, FDA data exported October 30, 2026, retrieved October 31, 2026
- NDC Directory (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
- Drugs@FDA (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
- Drug recall enforcement reports (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 27, 2026, retrieved October 31, 2026
- Drug shortages (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
openFDA data is provided by the FDA as is; it may be incomplete. Always rely on the label that comes with your medicine. FDA Enforcement Report search →