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ACIPHEX vs PRILOSEC OTC

Independent side-by-side comparison.

Rated against independent regulatory sources·Last updated August 17, 2026·How we rate

Rating

New
70/100

Pharmacy pays

Type

RX
OTC

Active ingredient

RABEPRAZOLE SODIUM
OMEPRAZOLE MAGNESIUM

Dosage forms

Tablet, delayed release
Tablet, delayed release

Drug class

Proton Pump Inhibitor
Proton Pump Inhibitor

Boxed warning

None
None

Half-life

about 0.5 to 1 hour (roughly half an hour to an hour) in healthy adults

Treats

Duodenal Ulcer, Gastroesophageal Reflux, Heartburn
Duodenal Ulcer, Esophagitis, Gastroesophageal Reflux

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Where to buy

Buy over-the-counter from trusted retailers.

Frequently asked questions

What is the difference between Aciphex and Prilosec OTC?

Aciphex contains Rabeprazole Sodium, while Prilosec OTC contains Omeprazole Magnesium — they have different active ingredients.

Ratings are based on FDA regulatory (recall-safety) data. This comparison is for general reference only — not medical advice. Always consult a licensed professional before choosing or switching a medication.