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Prescription medicine · generic available

Trientine

Also listed by the FDA as: trientine hydrochloride · trientine tetrahydrochloride

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 Trientine used for?
The FDA-approved label (Syprine, Bausch Health US LLC, September 1, 2020) says: “Syprine is indicated in the treatment of patients with Wilson’s disease who are intolerant of penicillamine. Clinical experience with Syprine is limited and alternate dosing regimens have not been well-characterized; all endpoints in determining an individual patient’s dose have not been well defined. Syprine and penicillamine cannot be considered interchangeable. …” This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.
Does Trientine have a boxed warning?
No. None of the 8 FDA labels we found for this medicine has a boxed warning.
Is there a shortage of Trientine?
No current shortage is listed by the FDA for the products of this medicine (FDA data from October 30, 2026).
Has Trientine been recalled?
No recall linked to the products of this medicine appears in the FDA enforcement reports we use.
Who makes Trientine?
8 companies list prescription products of Trientine in the FDA NDC Directory, including Rising Pharma Holdings, Inc., Navinta LLC and Camber Pharmaceuticals, Inc..

What Trientine is used for

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

Syprine is indicated in the treatment of patients with Wilson’s disease who are intolerant of penicillamine. Clinical experience with Syprine is limited and alternate dosing regimens have not been well-characterized; all endpoints in determining an individual patient’s dose have not been well defined. Syprine and penicillamine cannot be considered interchangeable. …

— FDA label: Syprine, Bausch Health US LLC, effective September 1, 2020. Read the full label on DailyMed →

The FDA has 8 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 8 FDA labels for this medicine have a boxed warning.

Forms and how it is given

Dosage formsCapsule · Tablet, film coated
RouteOral
Prescription products9 in the FDA NDC Directory
Brand namesSyprine, Cuvrior

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 Trientine, by strength and form
Strength and formGeneric or brandPharmacies pay
trientine hydrochloride 250 mg
capsule
Generic $2.30 per capsule

NADAC list of November 4, 2026; these prices took effect on July 22, 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
NDA019194
SYPRINE
BauschNovember 8, 1985 8, latest March 3, 2015
2015: Manufacturing (CMC) · 2001: Manufacturing (CMC) · 2001: Labeling
NDA215760
CUVRIOR
OrphalanApril 28, 2022 —

Generic approvals (6)

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)208720, 313472, 2611544, 2611550, 2619912
SPL set ID of the quoted labelc34f77a7-996b-4470-b5df-d946a7fe5dbe
FDA labels (SPL)8
FDA applicationsNDA019194, NDA215760, 6 ANDA
Active ingredients (FDA)TRIENTINE

Sources

  1. FDA-approved label on DailyMed (National Library of Medicine) — Syprine, Bausch Health US LLC, effective September 1, 2020; 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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