CaroSpir vs. its authorized generic and generics

How to pay the least

Ask for the cash price

Generic spironolactone

No pharmacy we check posts a price for it.

Ask your pharmacy for the cash price of generic spironolactone.Find pharmacies near you
Ask one or two other pharmacies too. Cash prices for the same generic can differ a lot from store to store.

A regular generic has the same active ingredient as CaroSpir, and the FDA requires it to work the same way.

Compare every option

Brand nameCaroSpir

Authorized genericspironolactone

Regular genericspironolactone

What you’d pay

Cash priceAsk the pharmacyUsually the highest price

Cash priceAsk the pharmacyUsually among the lowest

Same as CaroSpir?

The original

Same medicine

Same active ingredientFillers and dyes can differ

Brand nameNo maker’s card

We didn’t find a savings card or cash price from CaroSpir’s maker. Ask the pharmacy for CaroSpir’s cash price. With insurance, ask what your plan charges.

Authorized genericThe NDC to ask for

The same medicine as CaroSpir, without the brand name. Give the pharmacy its NDC to get it.

spironolactone

Sold by

Padagis

NDC to ask for

25 mg/5 mLsuspension
- 0574-1133-0411-digit: 00574-1133-04118 mL per bottle
- 0574-1133-1011-digit: 00574-1133-1010 unit-dose cups, 5 mL each
- 0574-1133-1611-digit: 00574-1133-16473 mL per bottle

Source: FDA, updated October 30, 2026

What to say at the pharmacy

“Before you fill my CaroSpir, can you tell me what I’d pay for the brand, for the authorized generic from Padagis (NDC 0574-1133-04), and for a regular generic?”

Paying cash? Ask for each one’s cash price. With insurance, ask what your plan charges for each.

Brand and authorized generic labels

Official labels and ingredient lists from DailyMed (U.S. National Library of Medicine).

Same active and inactive ingredients as CaroSpir.

Authorized generic package label from Padagis — Authorized genericPadagis

See the ingredients

Active: spironolactone 25 mg/5 mL

Inactive, on both labels:

Ammonium glycyrrhizate
Anhydrous citric acid
Dimethicone
Glycerin
Potassium sorbate
Saccharin sodium
Sorbic acid
Trisodium citrate dihydrate
Water
Xanthan gum

Regular genericWho makes it

2 companies sell a generic of CaroSpir that the FDA rates a substitute. A pharmacy fills whichever one it stocks. To get a certain maker, ask for it by name; most pharmacies can order it in a day or two.

Amneal Pharmaceuticals25 mg/5 mL

How it looks, what’s in it, NDCs

25 mg/5 mL White to off-white

Package NDC
Bottle of 118 mL 69238-2027-8
Bottle of 473 mL 69238-2027-2

Inactive ingredients: sorbic acid, potassium sorbate, malic acid, dimethicone, silicon dioxide, saccharin sodium, tragacanth, ammonium glycyrrhizate, glycerin, water
FDA label
Camber Pharmaceuticals25 mg/5 mL

Made by Hetero Labs

Product page on camberpharma.com

How it looks, what’s in it, NDCs

25 mg/5 mL OFF-WHITE

Package NDC
Bottle of 118 mL 31722-691-11
Bottle of 473 mL 31722-691-47

Inactive ingredients: ammonium glycyrrhizate, sodium phosphate, dibasic, anhydrous, glycerin, malic acid, potassium sorbate, saccharin sodium, dimethicone, sorbic acid, water, microcrystalline cellulose, propylene glycol, carboxymethylcellulose sodium
FDA label

Package	NDC
Bottle of 118 mL	69238-2027-8
Bottle of 473 mL	69238-2027-2

Package	NDC
Bottle of 118 mL	31722-691-11
Bottle of 473 mL	31722-691-47

Who sells it: FDA and Medicaid records, updated weekly. Each maker’s page, card and program is from its own site.

What it’s used for

What the FDA label says

CAROSPIR is an antagonist of aldosterone indicated for:

the treatment of NYHA Class III-IV heart failure and reduced ejection fraction to increase survival, manage edema, and to reduce the need for hospitalization for heart failure
use as an add-on therapy for the treatment of hypertension, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions
the management of edema in adult cirrhotic patients when edema is not responsive to fluid and sodium restrictions

Source: the FDA label for CaroSpir (CMP Pharma, Inc.), September 15, 2023. Full label on DailyMed

Good to know

It may look different from CaroSpir (color, shape, or markings). That’s normal for an authorized generic.
If your prescription says “dispense as written,” the pharmacy needs your prescriber’s OK to give you the authorized generic.
Cash prices can differ a lot from one pharmacy to the next, so it can pay to ask two. With insurance, what you pay depends on your plan.
If your pharmacy doesn’t stock it, they can often order it within a day or two.
Don’t stop or change a medicine without talking to your pharmacist or prescriber.

Prices change: confirm with the pharmacy before you fill. drugalt.com/drug/carospir/