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Prescription medicine · generic available

Milnacipran hydrochloride

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 Milnacipran hydrochloride used for?
The FDA-approved label (Savella, Cardinal Health 107, LLC, January 26, 2026) says: “SAVELLA is indicated for the management of fibromyalgia. SAVELLA is not approved for use in pediatric patients […]. • SAVELLA ® is a selective serotonin and norepinephrine reuptake inhibitor (SNRI) indicated for the management of fibromyalgia. • SAVELLA is not approved for use in pediatric patients.” This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.
Does Milnacipran hydrochloride have a boxed warning?
Yes. The FDA label for Savella has a boxed warning, the FDA’s strongest warning. Read it on the full label and ask your pharmacist.
Is there a shortage of Milnacipran hydrochloride?
No current shortage is listed by the FDA for the products of this medicine (FDA data from October 30, 2026).
Has Milnacipran hydrochloride been recalled?
No recall linked to the products of this medicine appears in the FDA enforcement reports we use.
Who makes Milnacipran hydrochloride?
7 companies list prescription products of Milnacipran hydrochloride in the FDA NDC Directory, including Amneal Pharmaceuticals LLC, Macleods Pharmaceuticals Limited and Camber Pharmaceuticals, Inc..

What Milnacipran hydrochloride is used for

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

SAVELLA is indicated for the management of fibromyalgia. SAVELLA is not approved for use in pediatric patients […]. • SAVELLA ® is a selective serotonin and norepinephrine reuptake inhibitor (SNRI) indicated for the management of fibromyalgia. • SAVELLA is not approved for use in pediatric patients.

— FDA label: Savella, Cardinal Health 107, LLC, effective January 26, 2026. Read the full label on DailyMed →

The FDA has 5 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 →

5 of 5 FDA labels for this medicine have a boxed warning.

Forms and how it is given

Dosage formsTablet, film coated · Tablet
RouteOral
Prescription products25 in the FDA NDC Directory
Brand namesSavella

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 Milnacipran hydrochloride, by strength and form
Strength and formGeneric or brandPharmacies pay
milnacipran hydrochloride 100 mg
tablet
Generic $2.73 per tablet
milnacipran hydrochloride 100 mg
tablet, film coated
Generic $2.73 per tablet
milnacipran hydrochloride 100 mg
tablet, film coated
Brand: Savella $8.15 per tablet
milnacipran hydrochloride 12.5 mg
tablet
Generic $1.22 per tablet
milnacipran hydrochloride 12.5 mg
tablet, film coated
Generic $1.22 per tablet
milnacipran hydrochloride 12.5 mg
tablet, film coated
Brand: Savella $8.17 per tablet
milnacipran hydrochloride 25 mg
tablet
Generic $2.38 per tablet
milnacipran hydrochloride 25 mg
tablet, film coated
Generic $2.38 per tablet
milnacipran hydrochloride 25 mg
tablet, film coated
Brand: Savella $8.15 per tablet
milnacipran hydrochloride 50 mg
tablet
Generic $2.83 per tablet
milnacipran hydrochloride 50 mg
tablet, film coated
Generic $2.83 per tablet
milnacipran hydrochloride 50 mg
tablet, film coated
Brand: Savella $8.16 per tablet

NADAC list of November 4, 2026; these prices took effect between October 21, 2026 and October 28, 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
NDA022256
SAVELLA
AbbvieJanuary 14, 2009 24, latest September 10, 2025
2025: Labeling · 2024: Labeling · 2023: Labeling

Generic approvals (4)

Shortage status

The FDA drug shortage list does not show these products.

FDA Drug Shortages database →

Recalls

No recall linked to these products (by their NDC code) appears in the FDA enforcement reports.

Official identifiers

RxCUI (RxNorm)833135, 833139, 833141, 833143, 833144, 833146, 833147, 833149, 833150, 833151
SPL set ID of the quoted label8b720a1e-034b-4583-b80d-105a794cce74
FDA labels (SPL)5
FDA applicationsNDA022256, 4 ANDA
Active ingredients (FDA)MILNACIPRAN

Sources

  1. FDA-approved label on DailyMed (National Library of Medicine) — Savella, Cardinal Health 107, LLC, effective January 26, 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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