Cholinesterase Inhibitor
Where is Pyridostigmine made?
15 companies sell it under their own name and 4 repackagers rebottle it. Their labels name 10 factories in the United States, India and Canada.
United States 7India 2Canada 1
Companies and their factories
| Company on the label | Factory | Where | Last FDA inspection |
|---|---|---|---|
| Amneal Pharmaceuticals Pyridostigmine bromide30 mg, 60 mg, 60 mg per 5 mL, 105 mg, 180 mg · NDC 60846-559, 0115-1404, 0115-2134 +2 | Amneal Complex Products Research LLCMakes it and tests it | Bridgewater, NJ, United States | No problems foundMay 2025 |
| Amneal Pharmaceuticals Private LimitedMakes it, tests it, packages it and labels it | Ahmedabad, India | Problems found, fixed voluntarilyJan 2025 | |
| Amneal Pharmaceuticals of New York, LLCMakes it, tests it, packages it and labels it | Brookhaven, NY, United States | No problems foundSep 2026 | |
| Amneal Pharmaceuticals, LLCMakes it, tests it, packages it and labels it | Branchburg, NJ, United States | No problems foundAug 2026 | |
| Alvogen Inc.180 mg · NDC 47781-335 | Norwich Pharmaceuticals, Inc.Makes it, tests it and packages it | Norwich, NY, United States | No problems foundMay 2026 |
| Apnar Pharma LP60 mg per 5 mL · NDC 24689-104 | InvaTech Pharma Solutions LLCMakes it, tests it, packages it and labels it | East Brunswick, NJ, United States | Problems found, fixed voluntarilyMay 2026 |
| Bausch Health US, LLC Mestinon60 mg, 60 mg per 5 mL, 180 mg · NDC 0187-3013, 0187-3010, 0187-3012 | Bausch Health Companies Inc.Makes it, packages it and labels it | Laval, Canada | No problems foundJan 2024 |
| Novadoz Pharmaceuticals LLC60 mg per 5 mL · NDC 72205-098 | MSN Pharmaceuticals IncMakes it and tests it | Piscataway, NJ, United States | No problems foundMar 2026 |
| Novitium Pharma LLC60 mg per 5 mL · NDC 70954-148 | Novitium Pharma LLCMakes it and packages it | East Windsor, NJ, United States | No problems foundFeb 2024 |
| Rising Pharma Holdings, Inc.180 mg · NDC 64980-220 | Centaur Pharmaceuticals Private LimitedMakes it, tests it and packages it | Pune, India | Serious problems, FDA actionFeb 2023 |
| Rising Pharma Holdings, Inc.60 mg per 5 mL · NDC 16571-833 | InvaTech Pharma Solutions LLCMakes it, tests it, packages it and labels it | East Brunswick, NJ, United States | Problems found, fixed voluntarilyMay 2026 |
| Surgeon General-Department of the Army (TSG-DA) Pyridostigmine Bromide30 mg · NDC 72458-128 | Bausch Health Companies Inc.Makes it | Laval, Canada | No problems foundJan 2024 |
| ANI Pharmaceuticals, Inc.60 mg · NDC 62559-470 | The label doesn't name the factory. Plants this company names for other drugs | ||
| Acella Pharmaceuticals, LLC60 mg per 5 mL · NDC 42192-626 | The label doesn't name the factory. Plants this company names for other drugs | ||
| Cadila Healthcare Limited60 mg · NDC 65841-819 | The label doesn't name the factory. Plants this company names for other drugs | ||
| Method Pharmaceuticals, LLC.30 mg, 60 mg · NDC 58657-810, 58657-811 | The label doesn't name the factory. Plants this company names for other drugs | ||
| Sandoz Inc. Regonol5 mg per 1 mL · NDC 0781-3040 | The label doesn't name the factory. Plants this company names for other drugs | ||
| Zydus Pharmaceuticals (USA) Inc.60 mg · NDC 68382-659 | The label doesn't name the factory. Plants this company names for other drugs | ||
Repackaged by
These companies buy Pyridostigmine in bulk and rebottle it, often for mail-order, clinic or hospital pharmacies. If your bottle shows one of these names, open its NDC to see who made the pills inside.
- American Health Packaging:
68084-494 - Golden State Medical Supply, Inc.:
51407-590 - Major Pharmaceuticals:
0904-6622 - VistaPharm, LLC:
66689-406
Recalls
- Sep 30, 2022 · Class II · VistaPharm, Inc.
cGMP Deviations: Out of specification for assay of one of the preservative ingredients.
Class I recalls are the most serious; Class III the least. A recall covers specific lots, listed on each recall.