Amicar Shortage Update: What Patients Need to Know in 2026

Updated:

March 25, 2026

Author:

Peter Daggett

Summarize this blog with AI:

Is Amicar still in shortage in 2026? Get the latest update on Aminocaproic Acid availability, pricing, and what you can do to find it.

Is Amicar Still Hard to Find in 2026?

If you're a patient who depends on Amicar (Aminocaproic Acid) and you've been struggling to fill your prescription, you're probably wondering: is the shortage over yet?

The short answer is that the situation has improved since 2023, but Aminocaproic Acid availability remains uneven across the country. Some pharmacies have it in stock; others don't. Some formulations are available; others have been permanently discontinued. Here's the full picture as of early 2026.

What Happened: A Timeline of the Amicar Shortage

The Amicar supply problem didn't happen overnight. Here's how we got here:

  • February 2023: Akorn, a major manufacturer of brand-name Amicar products (tablets, syrup, and injection), ceased all operations. Every Amicar-branded product from Akorn was discontinued.
  • 2023-2024: Vistapharm discontinued their aminocaproic acid oral solution, further reducing supply for patients who need the liquid form.
  • 2024-2025: Remaining manufacturers confirmed they would continue to supply the market. Generic tablets from companies like Luitpold Pharmaceuticals and others remained in production.
  • 2026: Oral tablets are generally available through pharmacies that stock them. The oral solution remains harder to find. Spot shortages continue to occur, particularly in certain regions.

The FDA and the American Society of Health-System Pharmacists (ASHP) have been tracking aminocaproic acid oral products on their drug shortage lists.

Is Amicar Still in Shortage?

It depends on which formulation you need:

Oral Tablets (500 mg and 1,000 mg)

Generic Aminocaproic Acid tablets are currently in production by multiple manufacturers. Most patients should be able to obtain tablets, though not every pharmacy keeps them on the shelf. If your pharmacy doesn't stock it, they can typically order it within 1 to 2 business days.

Oral Solution (250 mg/mL)

The liquid form has been more difficult to find. With Akorn and Vistapharm both discontinuing their versions, the number of suppliers is limited. If you or your child needs the liquid form, you may need to work with a compounding pharmacy or switch to tablets if appropriate.

IV Injection (250 mg/mL)

The injectable form is primarily used in hospital settings. Hospital supply has generally been more stable, though individual institutions may experience periodic shortages depending on their distributor.

Why Is Amicar Still Hard to Find?

Even though the initial crisis has eased, several ongoing factors keep Amicar harder to find than most medications:

  • Fewer manufacturers: With Akorn gone, there are simply fewer companies making this drug. Any production hiccup from a remaining manufacturer has an outsized impact.
  • Low demand = low priority: Aminocaproic Acid serves a relatively small patient population. Pharmaceutical companies prioritize high-volume drugs, which means Aminocaproic Acid production gets less attention and investment.
  • Pharmacy stocking patterns: Many pharmacies only stock what they dispense regularly. If a pharmacy doesn't fill many Aminocaproic Acid prescriptions, they won't keep it on the shelf — even if it's available from their wholesaler.
  • Supply chain vulnerabilities: The raw materials for Aminocaproic Acid are sourced globally. Any disruption in the ingredient supply chain can delay production for weeks or months.

How Much Does Amicar Cost in 2026?

Cost is another barrier for many patients. Here's what you can expect:

  • Average retail price: About $280 for a supply of generic Aminocaproic Acid tablets (without insurance)
  • With a discount coupon: As low as $32 to $40 through GoodRx or SingleCare
  • Oral solution: Around $510 for 236.5 mL at retail (higher because of limited supply)

If cost is a concern, read our full guide on how to save money on Amicar in 2026, including coupon cards, patient assistance programs, and other strategies.

Are There New Options for Patients?

While no brand-new antifibrinolytic drugs have entered the market, there are options worth discussing with your doctor:

Tranexamic Acid

Tranexamic Acid (Lysteda, Cyklokapron) works through the same mechanism as Amicar but is about 10 times more potent. It's more widely available and stocked at most pharmacies. If you've been unable to fill your Amicar prescription, this is the most direct substitute. See our full comparison in alternatives to Amicar.

Compounding Pharmacies

If you need the oral solution form and can't find a commercially manufactured version, a compounding pharmacy can prepare Aminocaproic Acid liquid for you. Your doctor will need to write a prescription specifically for the compounded version. Ask your doctor or pharmacist for a referral to a reputable compounding pharmacy.

Hospital Outpatient Pharmacies

Some hospital-based pharmacies maintain stock of Aminocaproic Acid because it's used in surgical settings. If you're affiliated with a hospital system, check whether their outpatient pharmacy can fill your prescription.

How to Find Amicar in Stock Right Now

Here are the most effective steps you can take today:

  1. Search on Medfinder: Use Medfinder to check real-time availability at pharmacies near your zip code.
  2. Call independent pharmacies: They're more likely to order it for you, even if they don't normally stock it.
  3. Ask your pharmacy to order it: If it's available from their wholesaler, most pharmacies can get it in 1 to 2 days.
  4. Talk to your doctor: Your prescriber may know which local pharmacies carry it, or they can help you switch to an alternative if needed.

For a complete walkthrough, see our guide on how to find Amicar in stock near you.

Final Thoughts

The Amicar shortage has improved since 2023, but it's not fully resolved. Patients who need Aminocaproic Acid — especially the oral solution — may still face challenges. The best strategy is to stay proactive: use Medfinder to check availability, refill early, explore independent pharmacies, and keep an open conversation with your doctor about alternatives.

We'll continue updating this article as the situation changes. For more information about Amicar, explore these related articles:

Is Amicar still in shortage in 2026?

The situation has improved since key manufacturers shut down in 2023, but Aminocaproic Acid availability is still uneven. Generic tablets are in production and generally obtainable, though not every pharmacy stocks them. The oral solution remains harder to find due to manufacturer discontinuations. Use Medfinder to check current availability near you.

When will the Amicar shortage end?

There is no official end date for Aminocaproic Acid availability issues. The shortage has eased for oral tablets as remaining manufacturers have maintained production. However, the oral solution supply remains limited. The FDA and ASHP continue to monitor the situation. Patients should check availability regularly and work with their doctors on backup plans.

Can I get Amicar in liquid form in 2026?

The commercially manufactured oral solution is limited in availability due to manufacturer discontinuations. If you need the liquid form, options include asking your doctor to prescribe a compounded version from a specialty compounding pharmacy, or discussing with your doctor whether switching to the tablet form is appropriate for your situation.

What caused the Amicar shortage?

The shortage was primarily caused by Akorn ceasing all operations in February 2023, discontinuing all brand-name Amicar products. Vistapharm subsequently discontinued their aminocaproic acid oral solution. With fewer manufacturers in a market that already had limited producers, supply became strained. Ongoing factors include the small patient population, limited manufacturer interest, and supply chain vulnerabilities.

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