Drug facts

Molecule

Azithromycin (Zithromax)

Generics already compete: 19 makers on the market. 45 A-rated products from 19 makers substitute at the counter.

Zithromax was first approved by the FDA on 11/01/1991 under NDA 050670; the application holder is Pfizer Chemicals Div Pfizer Inc. The Orange Book lists NDA 050670 as discontinued.

The latest NADAC for AZITHROMYCIN 500 MG TABLET is $0.55 per unit (as of 10/28/2026).

Holder Pfizer Chemicals Div Pfizer IncApplication NDA 050670Approved 11/01/1991

01Patents and exclusivity

When competition can legally begin. A generic can launch once both exclusivity and the last listed patent expire, unless a court or settlement says otherwise.

Latest patent
No Zithromax patent listed in the Orange Book
Orange Book

02Competition

Generics
19 generic makers
Orange Book
First generic approved
11/14/2005
Orange Book
Every listingEach listing and maker behind the generics count.
Price erosionHow NADAC moves as generics enter.
PrescribersWho prescribes it, from Medicare data.
Available in the full Azithromycin profile.See what is included

03Supply and price

FDA drug shortage
ClearNot on the current shortage list
FDA shortages
NADAC
$0.55 per unitAZITHROMYCIN 500 MG TABLET, mid-priced of 3 strengths, as of 10/28/2026
CMS NADAC
Latest recall
04/13/2022Class II, Azithromycin, Mckesson Medical-Surgical Inc. Corporate Office
FDA enforcement

04Product

Application holder
Pfizer Chemicals Div Pfizer Inc
Orange Book
Application
NDA 050670
Orange Book
First approved
11/01/1991
Orange Book
Dosage forms
for suspension; injectable; solution/drops; tablet
Routes
injection, ophthalmic, oral
Other brand names
Azasite
Status
NDA 050670 discontinued
Orange Book

Sources: FDA Orange Book, FDA Purple Book, FDA drug shortages, FDA enforcement reports and CMS NADAC, read through QOPE. Not medical or legal advice.