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Generic competition · all medicines · read 12 November 2026

Is there a generic of Pyridostigmine Bromide, and who makes it?

Pyridostigmine Bromide appears in 4 dosage-form groups in the FDA Orange Book as of 12 November 2026, with 10 generic makers listed as marketed across them. 1 group has a brand listed as marketed and no generic listed as marketed. The data does not state why, and it does not state that one is coming. This is the Orange Book's listing, not a forecast.

Compiled and checked by Vincent Wesley Couey (ORCID 0009-0005-6869-308X) from the Orange Book data files, downloaded 12 November 2026.

Not medical advice. This page reports what the FDA's Orange Book lists, not what a pharmacy has in stock, what anything costs, or whether a generic is right for you. Ask your pharmacist or prescriber about your own medicine.
Pyridostigmine Bromide4 dosage-form groups in the Orange Book
10generic makers listed
  1. Pyridostigmine Bromide appears in 4 dosage-form groups in the FDA Orange Book as of 12 November 2026, with 10 generic makers listed as marketed across them.
  2. 1 group has a brand listed as marketed and no generic listed as marketed. The data does not state why, and it does not state that one is coming.
  3. Patents and exclusivities are shown as listed by the application holder; the Orange Book does not rule on them, and a listed patent is not a statement that a generic is blocked. This says nothing about price, supply or quality.

Tablet, Oral

Four or more generic makers listed

Brand listed as marketed: Mestinon. 4 generic makers with 6 generic products listed as marketed; the first generic approval is dated 27 November 1990.

200020052010201520202025203004brand 2003Impax Laboratories Inc, first approval 24 April 2003Ani Pharmaceuticals Inc, first approval 8 October 2003Zydus Pharmaceuticals Usa Inc, first approval 22 June 2015Mlv Pharma Llc, first approval 20 July 2018data date
generic makers listed as marketed, by first approvallisted patent expiryexclusivity end
Generic maker (applicant)First approvalProducts
Impax Laboratories Inc24 April 20032
Ani Pharmaceuticals Inc8 October 20031
Zydus Pharmaceuticals Usa Inc22 June 20151
Mlv Pharma Llc20 July 20182

Patents and exclusivities still listed

No unexpired patent or exclusivity is listed against the marketed brand products in this group.

Syrup, Oral

Four or more generic makers listed

Brand listed as marketed: Mestinon. 5 generic makers with 5 generic products listed as marketed; the first generic approval is dated 8 March 2019.

201520202025203005Novitium Pharma Llc, first approval 8 March 2019Rising Pharma Holding Inc, first approval 9 January 2020Amneal Pharmaceuticals Llc, first approval 10 January 2020Milla Pharmaceuticals Inc, first approval 19 April 2022Msn Laboratories Private Ltd, first approval 21 September 2023data date
generic makers listed as marketed, by first approvallisted patent expiryexclusivity end
Generic maker (applicant)First approvalProducts
Novitium Pharma Llc8 March 20191
Rising Pharma Holding Inc9 January 20201
Amneal Pharmaceuticals Llc10 January 20201
Milla Pharmaceuticals Inc19 April 20221
Msn Laboratories Private Ltd21 September 20231

Patents and exclusivities still listed

No unexpired patent or exclusivity is listed against the marketed brand products in this group.

Tablet, Extended Release, Oral

One to three generic makers listed

Brand listed as marketed: Mestinon. 2 generic makers with 2 generic products listed as marketed; the first generic approval is dated 26 June 2015.

201520202025203002brand 2024Alvogen Inc, first approval 26 June 2015Rising Pharma Holdings Inc, first approval 15 August 2017data date
generic makers listed as marketed, by first approvallisted patent expiryexclusivity end
Generic maker (applicant)First approvalProducts
Alvogen Inc26 June 20151
Rising Pharma Holdings Inc15 August 20171

Patents and exclusivities still listed

No unexpired patent or exclusivity is listed against the marketed brand products in this group.

Injectable, Injection

Brand listed, no generic listed as marketed

Brand listed as marketed: Mestinon and Regonol. No generic is listed as marketed.

Patents and exclusivities still listed

No unexpired patent or exclusivity is listed against the marketed brand products in this group.

US Food and Drug Administration, Orange Book data files, downloaded 12 November 2026. A listed patent is not a ruling that a generic is blocked, and no figure here says anything about price, supply or quality. Check the Orange Book.

Where can you go from this result?

Open it in the check to search another medicine, or see every brand with no generic listed. The FDA explains generic approval in how generic drugs are approved and the FDA generic drug facts, and the Orange Book itself is the FDA Orange Book. To check what is available now, ask your pharmacist, and see the FDA drug shortages page.