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Prescription medicine · generic available

Isotretinoin

Drug class: Retinoid

The FDA’s “Established Pharmacologic Class”: the group of medicines that work in a similar way.

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 Isotretinoin used for?
The FDA-approved label (Absorica LD, Sun Pharmaceutical Industries, Inc., August 19, 2026) says: “ABSORICA and ABSORICA LD are indicated for the treatment of severe recalcitrant nodular acne in non-pregnant patients 12 years of age and older with multiple inflammatory nodules with a diameter of 5 mm or greater. …” This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.
Does Isotretinoin have a boxed warning?
Yes. The FDA label for Absorica LD has a boxed warning, the FDA’s strongest warning. Read it on the full label and ask your pharmacist.
Is there a shortage of Isotretinoin?
No current shortage is listed by the FDA for the products of this medicine (FDA data from October 30, 2026).
Has Isotretinoin been recalled?
FDA enforcement reports list 16 recalls of products of this medicine; the newest started April 6, 2026 (Class II). A recall usually concerns specific lots, not every product.
Who makes Isotretinoin?
14 companies list prescription products of Isotretinoin in the FDA NDC Directory, including Sun Pharmaceutical Industries, Inc., Zydus Pharmaceuticals USA Inc. and Zydus Lifesciences Limited.

What Isotretinoin is used for

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

ABSORICA and ABSORICA LD are indicated for the treatment of severe recalcitrant nodular acne in non-pregnant patients 12 years of age and older with multiple inflammatory nodules with a diameter of 5 mm or greater. …

— FDA label: Absorica LD, Sun Pharmaceutical Industries, Inc., effective August 19, 2026. Read the full label on DailyMed →

The FDA has 19 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.

This label has a boxed warning. Read it on the full label →

17 of 19 FDA labels for this medicine have a boxed warning.

Forms and how it is given

Dosage formsCapsule · Capsule, liquid filled · Capsule, gelatin coated
RouteOral
Prescription products97 in the FDA NDC Directory
Brand namesZenatane, Absorica, Accutane, Absorica Ld, Claravis, Amnesteem

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.

NADAC per unit for Isotretinoin, by strength and form
Strength and formGeneric or brandPharmacies pay
isotretinoin 10 mg
capsule
Generic $1.96–$4.21 per capsule
6 packages, lowest to highest
isotretinoin 10 mg
capsule, gelatin coated
Generic $1.96 per capsule
isotretinoin 10 mg
capsule, liquid filled
Generic $1.96–$4.21 per capsule
7 packages, lowest to highest
isotretinoin 16 mg
capsule
Brand: Absorica LD $38.41 per capsule
isotretinoin 20 mg
capsule
Generic $1.93–$4.18 per capsule
6 packages, lowest to highest
isotretinoin 20 mg
capsule
Brand: Absorica $35.74 per capsule
isotretinoin 20 mg
capsule, gelatin coated
Generic $1.93 per capsule
isotretinoin 20 mg
capsule, liquid filled
Generic $1.93–$4.18 per capsule
7 packages, lowest to highest
isotretinoin 24 mg
capsule
Brand: Absorica LD $42.23 per capsule
isotretinoin 25 mg
capsule
Generic $10.59 per capsule
isotretinoin 30 mg
capsule
Generic $2.01–$5.43 per capsule
6 packages, lowest to highest
isotretinoin 30 mg
capsule
Brand: Absorica $38.24 per capsule
isotretinoin 30 mg
capsule, gelatin coated
Generic $2.01 per capsule
isotretinoin 30 mg
capsule, liquid filled
Generic $2.01–$5.43 per capsule
6 packages, lowest to highest
isotretinoin 32 mg
capsule
Brand: Absorica LD $42.42 per capsule
isotretinoin 40 mg
capsule
Generic $2.19–$5.83 per capsule
6 packages, lowest to highest
isotretinoin 40 mg
capsule
Brand: Absorica $38.22 per capsule
isotretinoin 40 mg
capsule, gelatin coated
Generic $2.19 per capsule
isotretinoin 40 mg
capsule, liquid filled
Generic $2.19–$5.83 per capsule
7 packages, lowest to highest

NADAC list of November 4, 2026; these prices took effect between December 17, 2025 and 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.

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
NDA021951
ABSORICA
Sun Pharm Inds IncMay 25, 2012 24, latest October 7, 2026
2026: REMS · 2026: Labeling · 2026: Labeling
NDA211913
ABSORICA LD
Sun PharmNovember 5, 2019 10, latest October 7, 2026
2026: REMS · 2026: Labeling · 2026: Labeling

Generic approvals (14)

Shortage status

The FDA drug shortage list does not show these products.

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. April 6, 2026 · Class II · Ongoing · D-0521-2026

    Failed Impurities/Degradation Specifications: Out of specification for specific impurity Tretinoin

    Claravis (isotretinoin capsule, USP), 10 mg, Packaged as a) 100-count carton, NDC 0555-1054-56, with 10x10 blister packs NDC 0555-1054-60; b) 30-count carton, NDC 0555-1054-86, with 3X10 blister pack NDC 0555-1054-60; Rx — Teva Pharmaceuticals USA, Inc

  2. February 24, 2026 · Class II · Ongoing · D-0399-2026

    Failed Dissolution Specifications

    Amnesteem (Isotretinoin) Capsules, USP 40 mg, packaged in 3 x 10-Count Prescription Packs, Rx Only, Manufactured for: Mylan Pharmaceuticals Inc., Morgantown, WV, 26505 USA, Made in France, NDC 0378-6614-93. — MYLAN PHARMACEUTICALS INC

  3. January 12, 2026 · Class II · Ongoing · D-0446-2026

    Superpotent and Subpotent

    Isotretinoin Capsules, USP, 40 mg, 10 count Prescription Pacs, Rx only, Manufactured for: Teva Pharmaceuticals USA, Inc., Parsippany, NJ 07054, NDC 0591-2436-15 (carton), NDC 0591-2436-45 (blister pack). — Teva Pharmaceuticals USA, Inc

  4. January 12, 2026 · Class II · Ongoing · D-0445-2026

    Superpotent and Subpotent

    Isotretinoin Capsules, USP, 30 mg, Rx Only, 10 count Prescription Pack, Manufactured for: Teva Pharmaceuticals USA, Inc., Parsippany, NJ 07054, NDC 0591-2435-15 (carton), NDC 0591-2435-45 (blister pack). — Teva Pharmaceuticals USA, Inc

  5. March 28, 2024 · Class II · Ongoing · D-0439-2024

    Superpotent Drug: The 3-month stability result for assay was found to be above specification limit

    Isotretinoin Capsules, USP 40mg, 30-count 3x10 blister packs per carton, Rx Only, Manufactured For: Teva Pharmaceuticals USA, Inc., Parsippany, NJ 07054. Blister Pack NDC 0591-2436-45, Carton NDC 0591-2436-15 — Teva Pharmaceuticals USA, Inc

  6. October 16, 2019 · Class III · Terminated · D-0321-2020

    Failed Impurities/Degradation Specifications: Tretinoin levels slightly above specification limits.

    Isotretinoin Capsules, USP 10 mg. Rx Only, 3 Prescription Blister Packs of 10- Capsules Each (30 Capsules)-. Distributed by: Amneal Pharmaceuticals LLC, Bridgewater, NJ 08807. NDC 69238-1174-3 — Amneal Pharmaceuticals, Inc.

  7. December 7, 2018 · Class III · Terminated · D-1207-2019

    Subpotent Drug: Isotretinoin content results were lower than the specification limit obtained during routing product monitoring.

    Absorica (Isotretinoin) Capsules 30 mg USP, 30 capsules (3x10 Prescription Packs) Rx only, Manufactured by: Galephar Pharmaceutical Research Inc. Humacao, PR 00792, Distributed by: Sun Pharmaceutical Industries Inc. Cran — Sun Pharmaceutical Industries, Inc.

  8. May 22, 2017 · Class II · Terminated · D-0883-2017

    Failed Dissolution Specifications: out of specification results observed for low dissolution.

    Zenatane (isotretinoin) Capsules, USP, 10 mg, 30-count (3 x 10 Prescription Packs) per carton, Rx Only, Manufactured By: Cipla Limited, Kurkumbh Village, Pune 413802 India, Manufactured For: Dr. Reddy's Laboratories, Bac — Dr. Reddy's Laboratories, Inc.

  9. May 22, 2017 · Class II · Terminated · D-0885-2017

    Failed Dissolution Specifications: out of specification results observed for low dissolution.

    Zenatane (isotretinoin) Capsules, USP, 30 mg, 30-count (3 x 10 Prescription Packs) per carton, Rx Only, Manufactured By: Cipla Limited, Kurkumbh Village, Pune 413802 India, Manufactured For: Dr. Reddy's Laboratories, Bac — Dr. Reddy's Laboratories, Inc.

  10. May 22, 2017 · Class II · Terminated · D-0884-2017

    Failed Dissolution Specifications: out of specification results observed for low dissolution.

    Zenatane (isotretinoin) Capsules, USP, 20 mg, 30-count (3 x 10 Prescription Packs) per carton, Rx Only, Manufactured By: Cipla Limited, Kurkumbh Village, Pune 413802 India, Manufactured For: Dr. Reddy's Laboratories, Bac — Dr. Reddy's Laboratories, Inc.

  11. May 22, 2017 · Class II · Terminated · D-0886-2017

    Failed Dissolution Specifications: out of specification results observed for low dissolution.

    Zenatane (isotretinoin) Capsules, USP, 40 mg, 30-count (3 x 10 Prescription Packs) per carton, Rx Only, Manufactured By: Cipla Limited, Kurkumbh Village, Pune 413802 India, Manufactured For: Dr. Reddy's Laboratories, Bac — Dr. Reddy's Laboratories, Inc.

  12. February 15, 2017 · Class III · Terminated · D-0507-2017

    Failed dissolution specifications - low dissolution results at S3 stage.

    Zenatane (isotretinoin) capsules, 20 mg, packaged in 30-count cartons (3 x 10 blister cards), Rx Only, Manufactured By:Cipla Limited Kurkumbh Village Pune 413802 India, Manufactured For: Dr. Reddy's Laboratories, Bachupa — Dr. Reddy's Laboratories, Inc.

  13. February 15, 2017 · Class III · Terminated · D-0509-2017

    Failed dissolution specifications - low dissolution results at S3 stage.

    Zenatane (isotretinoin) capsules, 10 mg, packaged in 30-count cartons (3 x 10 blister cards), Rx Only, Manufactured By:Cipla Limited Kurkumbh Village Pune 413802 India, Manufactured For: Dr. Reddy's Laboratories, Bachupa — Dr. Reddy's Laboratories, Inc.

  14. February 15, 2017 · Class III · Terminated · D-0506-2017

    Failed dissolution specifications - low dissolution results at S3 stage.

    Zenatane (isotretinoin) capsules, 40 mg, packaged in 30-count cartons (3 x 10 blister cards), Rx Only, Manufactured By: Cipla Limited Kurkumbh Village Pune 413802 India, Manufactured For: Dr. Reddy's Laboratories, Bachup — Dr. Reddy's Laboratories, Inc.

  15. August 29, 2016 · Class III · Terminated · D-0098-2017

    Failed Dissolution Specifications

    ZENATANE (isotretinoin capsules USP) 20 mg, 30 capsules per prescription pack, Rx Only, Manufactured by: Cipla Limited, Kurkumbh Village Pune 4138012 India, Manufactured for: Dr. Reddy's Laboratories Limited Bachupally 5 — Dr. Reddy's Laboratories, Inc.

  16. June 26, 2015 · Class II · Terminated · D-1288-2015

    Incorrect/Undeclared Excipients: Product contains undeclared FD&C Yellow No. 5 in the capsule shell.

    Absorica (isotretinoin) Capsules, 25 mg, Packaged in 3 x 10 Count Blister Cards/Box, Rx Only. Manufactured for: RANBAXY LABORATORIES, INC Jacksonville, FL 32257 USA. NDC: 10631-133-31. — Ranbaxy 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

RxCUI (RxNorm)197843, 197844, 197845, 206880, 206883, 206902, 403930, 404058, 404059, 404061 … (+10)
SPL set ID of the quoted label3ef0cff8-19c1-4441-b780-fca6c7ee1615
FDA labels (SPL)19
FDA applicationsNDA021951, NDA211913, 14 ANDA
Active ingredients (FDA)ISOTRETINOIN

Sources

  1. FDA-approved label on DailyMed (National Library of Medicine) — Absorica LD, Sun Pharmaceutical Industries, Inc., effective August 19, 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 →

Report an error → · Information for medicine makers