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zuplenz

Zuplenz (Ondansetron) is a serotonin-3 receptor antagonist used to treat Alcoholism.

Ondansetron · by Aquestive

Available as a generic: Ondansetron

Not yet rated· sourced from the FDA label
Rated against independent regulatory sources·Last updated June 30, 2026·How we rate
Verified againstopenFDANIH DailyMedRxClass

Key facts

Active ingredient
Ondansetron
Form
Film
Strength
Ondansetron 4MG · Ondansetron 8MG
Type
Prescription (Rx)
Brand or generic
Brand-name
May treat
alcoholism
Manufacturer
Aquestive
Half-life
about 3 to 5 hours (roughly 4 hours) in healthy adults (how long it stays in your system)
What the pharmacy pays
~$0.15 per ml — not your price
FDA application
NDA022524
Availability
Discontinued (per FDA)

How long does Ondansetron stay in your body?

The elimination half-life of ondansetron is about 3 to 5 hours (roughly 4 hours) in healthy adults — the time it takes the body to clear about half of it. As a rule of thumb, a medicine is mostly gone after roughly 4 to 5 half-lives, though this varies from person to person with age and kidney or liver function. Not a prodrug. Ondansetron has some nonconjugated metabolites with pharmacologic activity, but the label states they are not present in plasma at concentrations likely to significantly contribute to its effect, so no active metabolite meaningfully outlasts the parent. Half-life lengthens with age (increase seen in patients over 75, to roughly 5-6 hours) and especially with liver disease: mean half-life rises to about 11.6 hours in mild-to-moderate hepatic impairment and to about 20 hours in severe hepatic impairment (Child-Pugh 10+). In severe renal impairment (CrCl under 30 mL/min) mean plasma clearance falls about 50%, though the label gives no specific half-life. Rule of thumb: it takes roughly 4-5 half-lives (about a day in a healthy adult) to clear the drug from the body.

This is general information, not medical advice. It doesn’t tell you when a drug test would read negative (tests detect substances for different, often longer, windows) or when it’s safe to take another dose — ask your pharmacist or prescriber. Source: Ondansetron hydrochloride tablet, film coated — FDA label (DailyMed), Clinical Pharmacology / Pharmacokinetics.

Drug class

May treat (source: NIH RxClass)

Dosage forms

Film

The forms currently marketed in the U.S., per the FDA National Drug Code Directory.

Ways to save

Ask for the generic

Same active ingredient, far cheaper. Is there a generic? →

Request a 90-day supply

Bulk fills usually lower the per-dose price vs monthly refills.

Use copay cards

Manufacturer copay cards & patient-assistance programs — especially for brand drugs.

Compare alternatives

A same-class option may cost less. See alternatives →

Frequently asked questions

What does Zuplenz treat?
Zuplenz (Ondansetron) may be used to treat alcoholism, based on NIH RxClass drug-classification data (conditions a drug may treat — not a verbatim copy of the FDA-approved label). This is general reference, not medical advice.
How much does Zuplenz cost?
Nobody can tell you what you will pay — your price is set by your insurer's formulary, your deductible and the pharmacy's markup, and none of those are published. What IS published is what the pharmacy paid to acquire it: about $0.15 per ml, per the CMS NADAC survey. Treat that as the floor, not the quote — ask the pharmacist for the cash price as well as your copay, because for cheap generics the cash price often wins.
Is there a coupon or discount for Zuplenz?
pharmaranks is an independent ratings site, not a pharmacy — we don't issue coupons or sell Zuplenz. To pay less, ask your prescriber or pharmacist whether a generic equivalent exists, check the manufacturer's copay/savings card and patient-assistance program, and compare a pharmacy discount card against your insurance copay. Prices vary by pharmacy, insurance, and location, so always confirm at the counter. This is general reference, not medical or financial advice.
Who makes Zuplenz?
Zuplenz is marketed by Aquestive. You can see Aquestive's full profile, rating, and other products on pharmaranks.
Is Zuplenz a brand-name or generic drug?
Zuplenz is a brand-name product with the active ingredient Ondansetron. Lower-cost generic equivalents containing Ondansetron are available — ask your pharmacist.
Is Zuplenz available over the counter?
No. Zuplenz is a prescription (Rx) medication in the US — you need a prescription from a licensed clinician (in person or via telehealth); it isn't sold over the counter. For some conditions there are OTC alternatives — ask your pharmacist.
What forms does Zuplenz come in?
Zuplenz is currently marketed as film, per the FDA's National Drug Code Directory.
What class of drug is Zuplenz?
Zuplenz is classified as serotonin-3 receptor antagonist, per the FDA's Established Pharmacologic Class.
Is Zuplenz FDA-registered?
Zuplenz is on record with the U.S. FDA under application number NDA022524. You can verify this on its official FDA label.

Information is sourced from public FDA regulatory data. Provided for general reference only — not medical advice. Always consult a licensed professional and the current prescribing information.

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