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Fosaprepitant

Official FDA data, not advice

Everything here comes from the U.S. Food and Drug Administration (FDA): the drug label, the NDC Directory, Drugs@FDA, recall reports and the drug shortage list. Each fact shows its source and date.

This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.

In an emergency, call 911. If someone may have taken too much of a medicine, call Poison Help: 1‑800‑222‑1222.

Quick answers

What is Fosaprepitant used for?
The FDA-approved label (Emend, Merck Sharp & Dohme LLC, February 20, 2026) says: “EMEND ® for injection, in combination with other antiemetic agents, is indicated in adults and pediatric patients 6 months of age and older for the prevention of: acute and delayed nausea and vomiting associated with initial and repeat courses of highly emetogenic cancer chemotherapy (HEC) including high-dose cisplatin. …” This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.
Does Fosaprepitant have a boxed warning?
No. None of the 24 FDA labels we found for this medicine has a boxed warning.
Is there a shortage of Fosaprepitant?
The FDA drug shortage list shows “To be discontinued” for a product of this medicine (updated April 8, 2026). Ask your pharmacist about alternatives.
Has Fosaprepitant been recalled?
FDA enforcement reports list 2 recalls of products of this medicine; the newest started January 10, 2024 (Class II). A recall usually concerns specific lots, not every product.
Who makes Fosaprepitant?
21 companies list prescription products of Fosaprepitant in the FDA NDC Directory, including Dr. Reddy's Laboratories Inc., BluePoint Laboratories and Hikma Pharmaceuticals USA Inc..

What Fosaprepitant is used for

Quoted from the “Indications and Usage” section of the FDA-approved label.

EMEND ® for injection, in combination with other antiemetic agents, is indicated in adults and pediatric patients 6 months of age and older for the prevention of: acute and delayed nausea and vomiting associated with initial and repeat courses of highly emetogenic cancer chemotherapy (HEC) including high-dose cisplatin. …

— FDA label: Emend, Merck Sharp & Dohme LLC, effective February 20, 2026. Read the full label on DailyMed →

The FDA has 24 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.

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 24 FDA labels for this medicine have a boxed warning.

Forms and how it is given

Dosage formsInjection, powder, lyophilized, for solution · Injection
RouteIntravenous
Prescription products27 in the FDA NDC Directory
Brand namesFocinvez, Emend, Navitrux

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.

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.
Brand and biologic applications
ApplicationSponsorApprovedLater changes approved
NDA022023
EMEND
Merck and Co IncJanuary 25, 2008 18, latest May 2, 2022
2022: Efficacy · 2019: Labeling · 2018: Efficacy
NDA210064
FOSAPREPITANT DIMEGLUMINE
Teva Pharms USASeptember 5, 2019 —
NDA216686
FOCINVEZ
SteriscienceAugust 22, 2023 2, latest March 30, 2026
2026: Labeling · 2025: Labeling
NDA220436
NAVITRUX
Avyxa HoldingsJune 24, 2026 —

Generic approvals (11)

Shortage status

To be discontinued · updated April 8, 2026 · first posted April 8, 2026

ProductFosaprepitant Dimeglumine, Injection, 150 mg/5 mL (NDC 63323-972-10)
CompanyFresenius Kabi USA, LLC

Ask your pharmacist whether your product is affected and what the options are.

FDA Drug Shortages database →

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.

  1. January 10, 2024 · Class II · Terminated · D-0262-2024

    Lack of Sterility Assurance: Aseptic process simulation failure.

    Fosaprepitant for Injection 150 mg per vial, Sterile lyophilized powder for Intravenous use only after reconstitution and dilution, Single Dose Vial, Rx Only, Distributed by BE Pharmaceuticals Inc. 203 New Edition Court — BE PHARMACEUTICALS AG

  2. July 13, 2020 · Class III · Terminated · D-1391-2020

    Labeling Error: Label Error on Declared Strength: Carton label and product insert incorrectly states the quantity of the excipient edetate disodium (EDTA) as 5.4 mg / vial, rather than the actual amount of 18.8 mg / vial.

    Fosaprepitant for Injection, 150 mg / vial in a 10 mL Single-Dose vial, Rx only, Fresenius Kabi, Lake Zurich, IL 60047; NDC 63323-972-10 — Fresenius Kabi USA, LLC

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

RxCUI (RxNorm)1731077, 1731082, 2745874
SPL set ID of the quoted label8d66803a-6811-4c29-9c57-e16acfa87f21
FDA labels (SPL)24
FDA applicationsNDA022023, NDA210064, NDA216686, NDA220436, 11 ANDA
Active ingredients (FDA)FOSAPREPITANT DIMEGLUMINE

Sources

  1. FDA-approved label on DailyMed (National Library of Medicine) — Emend, Merck Sharp & Dohme LLC, effective February 20, 2026; via openFDA, FDA data exported October 30, 2026, retrieved October 31, 2026
  2. NDC Directory (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
  3. Drugs@FDA (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
  4. Drug recall enforcement reports (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 27, 2026, retrieved October 31, 2026
  5. 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 →

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