The Acamprosate Shortage Is Still Going — Here's Where Things Stand in 2026

If you rely on Acamprosate Calcium to support your recovery from alcohol dependence, you've probably noticed that getting your prescription filled has become a challenge. The Acamprosate shortage that began in 2023-2024 is still active in 2026, and it's affecting patients and pharmacies nationwide.

This article gives you the latest information on what's happening, why, and — most importantly — what you can do about it.

Is Acamprosate Still in Shortage?

Yes. As of early 2026, the American Society of Health-System Pharmacists (ASHP) continues to list Acamprosate Calcium 333 mg tablets as an active drug shortage. Zydus Pharmaceuticals has temporarily discontinued its generic version, and remaining manufacturers have experienced intermittent supply constraints.

This doesn't mean Acamprosate is completely unavailable — some pharmacies still have stock, and shipments are still going out. But supply is inconsistent, and many patients are finding their usual pharmacies can't fill their prescriptions.

Why Is Acamprosate Hard to Find?

Several factors are driving the shortage:

• Manufacturer exits: Zydus temporarily stopped making Acamprosate, reducing the number of active suppliers. The original brand (Campral) was discontinued years ago.
• Small market, few manufacturers: Acamprosate serves a specific patient population, which means fewer companies invest in manufacturing it. When one drops out, the remaining suppliers can't always fill the gap.
• Supply chain issues: Ongoing pharmaceutical supply chain disruptions — from raw materials to finished product distribution — continue to affect many generic medications, including Acamprosate.
• Increased demand for addiction medications: Growing awareness and treatment of alcohol use disorder has increased demand for all FDA-approved medications, including Acamprosate.

For a deeper dive into the causes, read our article on why Acamprosate is so hard to find in 2026.

What Does Acamprosate Cost in 2026?

The cost of Acamprosate varies widely depending on where you get it and whether you have insurance:

• Retail cash price: Around $300-$340 for a 30-day supply (180 tablets) without insurance
• With a discount coupon: As low as $68 with GoodRx; similar savings available through SingleCare and other programs
• With insurance: Most plans cover generic Acamprosate at a Tier 2 copay, typically $10-$40/month

During a shortage, some pharmacies may charge more due to limited supply. Using a coupon or discount card can help keep costs manageable. See our full guide on saving money on Acamprosate.

Are There Any New Options in 2026?

While no new Acamprosate formulations have hit the market, there are a few developments worth knowing about:

• Remaining generic manufacturers (Teva, Amneal, and others) continue to supply Acamprosate, though volumes may fluctuate
• Telehealth access for alcohol use disorder treatment has expanded, making it easier to see a prescriber and get an alternative medication if needed
• Alternative medications like Naltrexone, Disulfiram, Gabapentin, and Topiramate remain available and may be good options if Acamprosate is truly unavailable in your area

How to Find Acamprosate in Stock

Even during a shortage, Acamprosate is still being made and shipped. Here's how to track it down:

1. Use Medfinder: Medfinder shows real-time pharmacy stock levels for Acamprosate near your location. This is the fastest way to find it without calling dozens of pharmacies.
2. Try independent pharmacies: They often have different wholesale sources and may have stock when chains don't.
3. Ask about special orders: Your pharmacist may be able to order Acamprosate from their distributor, even if it's not currently on the shelf.
4. Consider mail-order: Mail-order pharmacies sometimes have better access to shortage medications.
5. Call early in the week: Pharmacy deliveries often arrive Monday or Tuesday.

For detailed strategies, read our guide on how to find Acamprosate in stock near you.

What to Do If You Can't Find It at All

If you've exhausted all options and can't find Acamprosate anywhere:

• Don't panic: Acamprosate doesn't cause physical withdrawal when stopped
• Contact your prescriber: Discuss switching to an alternative medication, even temporarily
• Stay connected to your support system: Whether that's a counselor, support group, or sponsor, don't let a medication shortage isolate you from your recovery resources
• Keep checking: Supply levels change frequently. Set up a reminder to check Medfinder every few days

Final Thoughts

The Acamprosate shortage is frustrating, especially for patients who depend on this medication as part of their recovery. But being informed gives you power — you know where to look, what alternatives exist, and how to save money in the process.

Your sobriety is worth fighting for, and a supply chain problem shouldn't stand in the way. Stay proactive, stay connected to your care team, and use every tool available to keep your recovery on track.