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Prescription medicine · generic available

Lifitegrast

Drug class: Lymphocyte Function-Associated Antigen-1 Antagonist

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 Lifitegrast used for?
The FDA-approved label (Xiidra, Novartis Pharmaceuticals Corporation, August 18, 2025) says: “Xiidra ® (lifitegrast ophthalmic solution) 5% is indicated for the treatment of the signs and symptoms of dry eye disease (DED). Xiidra (lifitegrast ophthalmic solution) 5% is a lymphocyte function-associated antigen-1 (LFA-1) antagonist indicated for the treatment of the signs and symptoms of dry eye disease (DED).” This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.
Does Lifitegrast have a boxed warning?
No. None of the 3 FDA labels we found for this medicine has a boxed warning.
Is there a shortage of Lifitegrast?
No current shortage is listed by the FDA for the products of this medicine (FDA data from October 30, 2026).
Has Lifitegrast been recalled?
FDA enforcement reports list 2 recalls of products of this medicine; the newest started May 10, 2022 (Class III). A recall usually concerns specific lots, not every product.
Who makes Lifitegrast?
3 companies list prescription products of Lifitegrast in the FDA NDC Directory, including Aurobindo Pharma Limited, Bausch & Lomb Incorporated and Novartis Pharmaceuticals Corporation.

What Lifitegrast is used for

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

Xiidra ® (lifitegrast ophthalmic solution) 5% is indicated for the treatment of the signs and symptoms of dry eye disease (DED). Xiidra (lifitegrast ophthalmic solution) 5% is a lymphocyte function-associated antigen-1 (LFA-1) antagonist indicated for the treatment of the signs and symptoms of dry eye disease (DED).

— FDA label: Xiidra, Novartis Pharmaceuticals Corporation, effective August 18, 2025. Read the full label on DailyMed →

The FDA has 3 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 3 FDA labels for this medicine have a boxed warning.

Forms and how it is given

Dosage formsSolution/ drops · For solution
RouteOphthalmic
Prescription products3 in the FDA NDC Directory
Brand namesXiidra

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 Lifitegrast, by strength and form
Strength and formGeneric or brandPharmacies pay
lifitegrast 50 mg/mL
solution/ drops
Brand: Xiidra $11.83 per unit

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.

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
NDA208073
XIIDRA
Bausch and Lomb IncJuly 11, 2016 3, latest April 4, 2024
2024: Manufacturing (CMC) · 2020: Labeling · 2017: Labeling

Generic approvals (1)

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. May 10, 2022 · Class III · Terminated · D-0982-2022

    Failed Impurities/Degradation Specifications.

    Xiidra (lifitegrast ophthalmic solution), packaged in a) 60 Single-Use Containers: 12 pouches x 5 single-use containers (0.2 mL each vial) (NDC 0078-0911-12) and b) 5- Single-Use Containers (NDC 0078-0911-05) Rx Only, Ma — Novartis Pharmaceuticals Corporation

  2. May 10, 2022 · Class III · Terminated · D-0984-2022

    Failed Impurities/Degradation Specifications.

    Xiidra (lifitegrast ophthalmic solution) 5% PROFESSIONAL SAMPLE, packaged in a) 5 single-use containers (0.2 mL each vial) (NDC 0078-0911-95) and b) 4 pouches x 5 single-use containers (NDC 0078-0911-94), Rx Only, Manufa — Novartis Pharmaceuticals Corporation

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)1801835, 1801840
SPL set ID of the quoted label8589d376-ac10-4ddb-9c53-2e0c8d5675c4
FDA labels (SPL)3
FDA applicationsNDA208073, 1 ANDA
Active ingredients (FDA)LIFITEGRAST

Sources

  1. FDA-approved label on DailyMed (National Library of Medicine) — Xiidra, Novartis Pharmaceuticals Corporation, effective August 18, 2025; 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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