Migranal vs. its authorized generic and generics

How to pay the least

Ask for the cash price

Generic dihydroergotamine

No pharmacy we check posts a price for it.

Ask your pharmacy for the cash price of generic dihydroergotamine.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 Migranal, and the FDA requires it to work the same way.

Compare every option

Brand nameMigranal

Authorized genericdihydroergotamine

Regular genericdihydroergotamine

What you’d pay

Not soldNo longer sold

Cash priceAsk the pharmacyOften less than Migranal

Cash priceAsk the pharmacyUsually the lowest

Same as Migranal?

–

Same medicine

Same active ingredientFillers and dyes can differ

Brand nameNot sold

Migranal itself isn’t sold as a prescription anymore. Its generic versions, if any, are in the other tabs.

See the authorized generic →

Authorized genericThe NDC to ask for

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

dihydroergotamine

Sold by

Oceanside PharmaceuticalsPart of Bausch Health, the company behind Migranal

NDC to ask for

4 mg/mLspray
- 68682-357-1011-digit: 68682-0357-108 vials, 1 mL each

Source: FDA, updated October 30, 2026

What to say at the pharmacy

“Before you fill my Migranal, can you tell me what I’d pay for the brand, for the authorized generic from Oceanside Pharmaceuticals (NDC 68682-357-10), 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).

Migranal itself isn’t sold anymore, so there’s no current brand label to compare. Here’s the authorized generic’s label.

Authorized generic package label from Oceanside Pharmaceuticals — Authorized genericOceanside Pharmaceuticals

See the ingredients

Active: dihydroergotamine mesylate 4 mg/mL

Inactive:

Anhydrous dextrose
Caffeine
Carbon dioxide
Water

Regular genericWho makes it

5 companies sell a generic of Migranal 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.

Advagen Pharma4 mg/mL

Made by Rubicon Research

How it looks, what’s in it, NDCs

4 mg/mL Colorless to light yellow

Package NDC
Kit of 1 mL 72888-096-34
Kit of 8 mL 72888-096-19

Inactive ingredients: caffeine, anhydrous dextrose, carbon dioxide, water
FDA label
Cipla4 mg/mL

How it looks, what’s in it, NDCs

4 mg/mL

Package NDC
Kit of 1 mL 69097-503-31
Kit of 8 mL 69097-503-27

Inactive ingredients: caffeine, anhydrous dextrose, carbon dioxide, water
FDA label
Hikma Pharmaceuticals4 mg/mL

How it looks, what’s in it, NDCs

4 mg/mL

Package NDC
Carton of 8 mL 24201-463-08

Inactive ingredients: caffeine, anhydrous dextrose, carbon dioxide, water
FDA label
Somerset Therapeutics4 mg/mL

Product page on somersetpharma.com

How it looks, what’s in it, NDCs

4 mg/mL

Package NDC
Kit of 8 mL 70069-880-08

Inactive ingredients: caffeine, anhydrous dextrose, carbon dioxide, water
FDA label
Trifluent Pharma4 mg/mL

Made by Rubicon Research

How it looks, what’s in it, NDCs

4 mg/mL Colorless to light yellow

Package NDC
Kit of 8 mL 73352-096-19

Inactive ingredients: caffeine, anhydrous dextrose, carbon dioxide, water
FDA label

Package	NDC
Kit of 1 mL	72888-096-34
Kit of 8 mL	72888-096-19

Package	NDC
Kit of 1 mL	69097-503-31
Kit of 8 mL	69097-503-27

Package	NDC
Carton of 8 mL	24201-463-08

Package	NDC
Kit of 8 mL	70069-880-08

Package	NDC
Kit of 8 mL	73352-096-19

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

Migraine attacks

What the FDA label says

Dihydroergotamine Mesylate Nasal Spray is indicated for the acute treatment of migraine headaches with or without aura.

Dihydroergotamine Mesylate Nasal Spray is not intended for the prophylactic therapy of migraine or for the management of hemiplegic or basilar migraine.

Source: the FDA label for Dihydroergotamine Mesylate (Oceanside Pharmaceuticals), March 6, 2025. Full label on DailyMed

Good to know

It may look different from Migranal (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/migranal/