Valsartan Recall

We are receiving calls regarding the recall on valsartan. Last week Teva Pharmaceuticals USA announced a voluntary recall of a number of valsartan products. Valsartan is a commonly used antihypertensive and is used for the treatment of heart failure.

While we hope patients will be able to pick up their medication in a reasonable amount of time, recent inventory reports suggest an across the board shortage of valsartan.  If you have patients that are unable to get their valsartan filled due to the pharmacy unable to get hold of the product, they may need to be switched to an alternative agent to avoid interruption in therapy.  A chart of comparable ARB doses used to treat hypertension has been posted. See below.  If a patient is switched, please have them come in for a follow-up BP check in 1-2 weeks to make sure their blood pressure remains controlled.  



Total daily dose. Comparable dose based on therapeutic interchange studies, comparative clinical trials, and manufacturers’ recommended dosing for hypertension.

340B Price for 30 Day Supply* (Approximate)
Valsartan (Diovan) 40mg 80mg 160mg 320mg $22 to $37
Candesartan (Atacand) 4mg 8mg 16mg 16mg to 32mg $26 to $60
Eprosartan (Teveten)** 400mg 600mg 800mg 800mg $67
Irbesartan (Avapro) 75mg 150mg 300mg 300mg $21 to $60
Losartan (Cozaar) 25mg 50mg 100mg - $21 to $60
Olmesartan (Benicar) 10mg 20mg 20mg to 40mg 40mg $25 to $21
Telmisartan (Micardis) 20mg 40mg 40mg to 80mg 80mg $21 to $60
Chart Adopted from : Pharmacist Letter August 2009,  Volume 25  
* Assuming $20 Dispensing Fee  
** Only 600mg tablet available