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Also known as: Etc-1002, 738606-46-7, 8-hydroxy-2,2,14,14-tetramethylpentadecanedioic acid, Nexletol, Esp-55016, Nilemdo
Molecular Formula
C19H36O5
Molecular Weight
344.5  g/mol
InChI Key
HYHMLYSLQUKXKP-UHFFFAOYSA-N
FDA UNII
1EJ6Z6Q368

Bempedoic Acid
High levels of LDL cholesterol (LDL-C) are a major risk factor for cardiovascular events. Caused by genetic mutations or lifestyle factors, hypercholesterolemia can significantly reduce quality of life and increase the risk of mortality from cardiovascular disease. About 1 in 4 patients, or 15 million Americans with elevated LDL-C, are insufficiently managed with maximally tolerated statin therapy alone, requiring additional treatment for hypercholesterolemia. Bempedoic acid is first-in-class adenosine triphosphate-citrate lyase (ACL) inhibitor used once a day for reducing LDL cholesterol levels in statin-refractory patients. It was developed by Esperion Therapeutics Inc. and approved by the FDA on February 21, 2020. A combination product of bempedoic acid and [ezetimibe] was approved on February 26, 2020 for increased control of LDL cholesterol levels in patients experiencing refractory elevations despite previous statin treatment.
Bempedoic acid is an Adenosine Triphosphate-Citrate Lyase Inhibitor. The mechanism of action of bempedoic acid is as an Adenosine Triphosphate-Citrate Lyase Inhibitor.
1 2D Structure

Bempedoic Acid

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
8-hydroxy-2,2,14,14-tetramethylpentadecanedioic acid
2.1.2 InChI
InChI=1S/C19H36O5/c1-18(2,16(21)22)13-9-5-7-11-15(20)12-8-6-10-14-19(3,4)17(23)24/h15,20H,5-14H2,1-4H3,(H,21,22)(H,23,24)
2.1.3 InChI Key
HYHMLYSLQUKXKP-UHFFFAOYSA-N
2.1.4 Canonical SMILES
CC(C)(CCCCCC(CCCCCC(C)(C)C(=O)O)O)C(=O)O
2.2 Other Identifiers
2.2.1 UNII
1EJ6Z6Q368
2.3 Synonyms
2.3.1 MeSH Synonyms

1. 8-hydroxy-2,2,14,14-tetramethylpentadecanedioic Acid

2. Esp-55016

3. Esp55016

4. Etc-1002

5. Nexletol

6. Nilemdo

2.3.2 Depositor-Supplied Synonyms

1. Etc-1002

2. 738606-46-7

3. 8-hydroxy-2,2,14,14-tetramethylpentadecanedioic Acid

4. Nexletol

5. Esp-55016

6. Nilemdo

7. Etc1002

8. Etc 1002

9. Esp 55016

10. 1ej6z6q368

11. Mfcd18800820

12. Etc-1002;esp-55016

13. Pentadecanedioic Acid, 8-hydroxy-2,2,14,14-tetramethyl-

14. Bempedoate

15. Unii-1ej6z6q368

16. Bempedoic Acid [usan:inn]

17. Bempedoic-acid

18. Bempedoic Acid

19. Esp-55016

20. Acido Bempedoico

21. Acide Bempedoique

22. Acidum Bempedoicum

23. Nexletol (tn)

24. Bempedoic Acid (usan/inn)

25. Bempedoic Acid [inn]

26. Bempedoic Acid [jan]

27. Bempedoic Acid [usan]

28. Schembl185768

29. Gtpl8321

30. Bempedoic Acid [who-dd]

31. Chembl3545313

32. Chebi:149601

33. Dtxsid401027952

34. Amy31933

35. Bcp16083

36. Esp55016

37. Ex-a1243

38. Zinc3948738

39. Bempedoic Acid [orange Book]

40. S7953

41. Akos027439916

42. Ccg-267969

43. Cs-3952

44. Db11936

45. Nexlizet Component Bempedoic Acid

46. Ac-29040

47. As-49804

48. Hy-12357

49. Sy244715

50. Bempedoic Acid Component Of Nexlizet

51. Bempedoic Acid(etc-1002;esp-55016)

52. Db-108321

53. D10691

54. N10681

55. A905695

56. Q27075007

57. 8-hydroxy-2,2,14,14-tetramethylpentadecanedioic Acid;etc-1002

2.4 Create Date
2006-10-25
3 Chemical and Physical Properties
Molecular Weight 344.5 g/mol
Molecular Formula C19H36O5
XLogP34.8
Hydrogen Bond Donor Count3
Hydrogen Bond Acceptor Count5
Rotatable Bond Count14
Exact Mass344.25627424 g/mol
Monoisotopic Mass344.25627424 g/mol
Topological Polar Surface Area94.8 Ų
Heavy Atom Count24
Formal Charge0
Complexity351
Isotope Atom Count0
Defined Atom Stereocenter Count0
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Indication

Bempedoic acid is indicated as an adjunct to diet and maximally tolerated statin therapy for adults with heterozygous familial hypercholesterolemia or existing atherosclerotic cardiovascular disease that warrants additional lowering of LDL-C. The combination of bempedoic and ezetimibe is also indicated with diet management and maximally tolerated statin therapy to treat elevated LDL-C levels in adults with heterozygous familial hypercholesterolemia or existing atherosclerotic cardiovascular disease who require further lowering of LDL-C.


FDA Label


Nilemdo is indicated in adults with primary hypercholesterolaemia (heterozygous familial and non familial) or mixed dyslipidaemia, as an adjunct to diet:

- in combination with a statin or statin with other lipid-lowering therapies in patients unable to reach LDL C goals with the maximum tolerated dose of a statin (see sections 4. 2, 4. 3, and 4. 4) or,

- alone or in combination with other lipid-lowering therapies in patients who are statin intolerant, or for whom a statin is contraindicated.


5 Pharmacology and Biochemistry
5.1 Pharmacology

Bempedoic acid inhibits the synthesis of cholesterol in the liver, reducing LDL-C levels. This reduces the development of atherosclerotic plaques that may increase the risk of cardiovascular events. Earlier clinical trials studying the effects of bempedoic acid showed a dosedependent reduction of LDLC levels in addition to decreased LDL particle number, and reduced levels of apolipoprotein B, nonHDL cholesterol, and highsensitivity Creactive protein. Due to its unique mechanism of action, bempedoic acid is not associated with myositis, an adverse effect that frequently accompanies statin therapy. More recent trials have supported that this drug significantly decreases LDL-C levels after 12 weeks of therapy and provides additional lowering of LDL-C when combined with ezetimibe and statin therapy. The effects of bempedoic acid on mortality are currently unknown.


5.2 MeSH Pharmacological Classification

Enzyme Inhibitors

Compounds or agents that combine with an enzyme in such a manner as to prevent the normal substrate-enzyme combination and the catalytic reaction. (See all compounds classified as Enzyme Inhibitors.)


Hypoglycemic Agents

Substances which lower blood glucose levels. (See all compounds classified as Hypoglycemic Agents.)


Hypolipidemic Agents

Substances that lower the levels of certain LIPIDS in the BLOOD. They are used to treat HYPERLIPIDEMIAS. (See all compounds classified as Hypolipidemic Agents.)


5.3 FDA Pharmacological Classification
5.3.1 Active Moiety
BEMPEDOIC ACID
5.3.2 FDA UNII
1EJ6Z6Q368
5.3.3 Pharmacological Classes
Adenosine Triphosphate-Citrate Lyase Inhibitors [MoA]; Adenosine Triphosphate-Citrate Lyase Inhibitor [EPC]
5.4 ATC Code

C10AX


C - Cardiovascular system

C10 - Lipid modifying agents

C10A - Lipid modifying agents, plain

C10AX - Other lipid modifying agents

C10AX15 - Bempedoic acid


5.5 Absorption, Distribution and Excretion

Absorption

Bempedoic acid is rapidly absorbed in the small intestine. The Tmax of the 180mg tablet is estimated at 3.5 hours.


Route of Elimination

Bempedoic acid's conjugates are primarily eliminated via the urine (70%) and the feces (30%). A total of 5% of the unchanged drug is excreted in the urine and feces, combined.


Volume of Distribution

The apparent volume of distribution of bempedoic acid is about 18L.


Clearance

The clearance (CL/F) of bempedoic acid at steady state was estimated at 11.2 mL/min during clinical trials.


5.6 Metabolism/Metabolites

The two main metabolites of bempedoic metabolism are ETC-1002-CoA and ESP15228. Bempedoic acid is primarily eliminated via the metabolism of its acyl glucuronide. This drug is reversibly converted to an active metabolite (ESP15228) based on observations during in vitro studies. Both compounds resulting from the metabolism of bempedoic acid are metabolized to become inactive glucuronide conjugates by the enzyme UGT2B7.


5.7 Biological Half-Life

The half-life of bempedoic acid ranges between 15 and 24 hours. Prescribing information indicates a clearance of 21 hours +/- 11 hours.


5.8 Mechanism of Action

Normally, LDL cholesterol is produced in the liver and circulates in the blood. When the blood becomes saturated, excess LDL deposits in blood vessels including the coronary arteries, increasing the risk of cardiovascular events. Bempedoic acid is a prodrug that requires activation in the liver. The very-long-chain acyl-CoA synthetase-1 (ACSVL1) enzyme is responsible for its activation to ETC-1002-CoA, the pharmacologically active metabolite. ATP lyase (also known as ATP synthase) plays an important part of cholesterol synthesis. BETC-1002-CoA directly inhibits this enzyme after the parent drug is activated in the liver by coenzyme A (CoA). This inhibition leads to upregulation of the LDL cholesterol receptor, reducing serum LDL-C via increased uptake and LDL clearance in the liver. By the above mechanisms, bempedoic acid causes a total decrease of circulating LDL-C that normally damages blood vessels and leads to atherosclerosis. Lastly, ETC-1002 activates AMP-activated protein kinase (AMPK) in rodents, which inhibits the synthesis of cholesterol via the inhibition of HMG-CoA reductase. The relevance of this to humans is unknown.


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24-Jan-2022
27-Jun-2025
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Listed Dossiers

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01

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Virtual BoothCohance Lifesciences, offers full range of CDMO services for small molecule APIs, intermediates, ADCs, Pellets and Formulations.

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Regulatory Info :

Registration Country : India

Bempedoic Acid

Brand Name :

Dosage Form : Tablet

Dosage Strength : 180MG

Packaging :

Approval Date :

Application Number :

Regulatory Info :

Registration Country : India

Cohance

01

  • fda
  • EDQM
  • WHO-GMP

Virtual BoothCohance Lifesciences, offers full range of CDMO services for small molecule APIs, intermediates, ADCs, Pellets and Formulations.

Flag India
Digital Content Digital Content

Packaging :

Regulatory Info :

Bempedoic Acid

Dosage : Tablet

Dosage Strength : 180MG

Brand Name :

Approval Date :

Application Number :

Registration Country : India

Cohance

02

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  • EDQM
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Virtual BoothDRL offers a portfolio of products & services, including APIs, CMO services, generics, biosimilars & differentiated formulations.

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Regulatory Info : Lead Market Dossiers- Under De...

Registration Country : India

Bempedoic Acid

Brand Name :

Dosage Form : Oral Solid Dosage Form

Dosage Strength : 120MG

Packaging :

Approval Date :

Application Number :

Regulatory Info : Lead Market Dossiers- Under De...

Registration Country : India

Dr Reddy Company Banner

02

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Virtual BoothDRL offers a portfolio of products & services, including APIs, CMO services, generics, biosimilars & differentiated formulations.

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Packaging :

Regulatory Info : Lead Market Dossiers- Under De...

Bempedoic Acid

Dosage : Oral Solid Dosage Form

Dosage Strength : 120MG

Brand Name :

Approval Date :

Application Number :

Registration Country : India

Dr Reddy Company Banner

03

  • fda
  • EDQM
  • WHO-GMP

Virtual BoothDRL offers a portfolio of products & services, including APIs, CMO services, generics, biosimilars & differentiated formulations.

Flag India
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Regulatory Info : Lead Market Dossiers- Under De...

Registration Country : India

Bempedoic Acid

Brand Name :

Dosage Form : Oral Solid Dosage Form

Dosage Strength : 240MG

Packaging :

Approval Date :

Application Number :

Regulatory Info : Lead Market Dossiers- Under De...

Registration Country : India

Dr Reddy Company Banner

03

  • fda
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Virtual BoothDRL offers a portfolio of products & services, including APIs, CMO services, generics, biosimilars & differentiated formulations.

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Packaging :

Regulatory Info : Lead Market Dossiers- Under De...

Bempedoic Acid

Dosage : Oral Solid Dosage Form

Dosage Strength : 240MG

Brand Name :

Approval Date :

Application Number :

Registration Country : India

Dr Reddy Company Banner

04

  • fda
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Virtual BoothDRL offers a portfolio of products & services, including APIs, CMO services, generics, biosimilars & differentiated formulations.

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Regulatory Info : Lead Market Dossiers- Under De...

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Bempedoic Acid; Ezetimibe

Brand Name :

Dosage Form : Oral Solid Dosage Form

Dosage Strength : 180MG; 10MG

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Approval Date :

Application Number :

Regulatory Info : Lead Market Dossiers- Under De...

Registration Country : India

Dr Reddy Company Banner

04

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Virtual BoothDRL offers a portfolio of products & services, including APIs, CMO services, generics, biosimilars & differentiated formulations.

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Packaging :

Regulatory Info : Lead Market Dossiers- Under De...

Bempedoic Acid; Ezetimibe

Dosage : Oral Solid Dosage Form

Dosage Strength : 180MG; 10MG

Brand Name :

Approval Date :

Application Number :

Registration Country : India

Dr Reddy Company Banner

05

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Virtual BoothEgis is a Hungarian generic pharma company with 110 years history. Our activities incorporate all areas of the pharma value chain.

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Regulatory Info :

Registration Country : Hungary

Bempedoic Acid

Brand Name : Bempedoic acid

Dosage Form : Film-Coated Tablet

Dosage Strength : 180MG

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Approval Date :

Application Number :

Regulatory Info :

Registration Country : Hungary

Egis Pharmaceuticals

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Virtual BoothEgis is a Hungarian generic pharma company with 110 years history. Our activities incorporate all areas of the pharma value chain.

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Bempedoic Acid

Dosage : Film-Coated Tablet

Dosage Strength : 180MG

Brand Name : Bempedoic acid

Approval Date :

Application Number :

Registration Country : Hungary

Egis Pharmaceuticals

06

AGGSpend
Not Confirmed
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AGGSpend
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Bempedoic Acid

Brand Name : Bempalip

Dosage Form : Tablet

Dosage Strength : 180MG

Packaging :

Approval Date :

Application Number :

Regulatory Info :

Registration Country : India

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06

AGGSpend
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AGGSpend
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Bempedoic Acid

Dosage : Tablet

Dosage Strength : 180MG

Brand Name : Bempalip

Approval Date :

Application Number :

Registration Country : India

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07

Zeta Pharma

Egypt
AGGSpend
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Zeta Pharma

Egypt
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AGGSpend
Not Confirmed

Bempedoic Acid

Brand Name : Zetacolest

Dosage Form : Film-Coated Tablet

Dosage Strength : 180MG

Packaging :

Approval Date :

Application Number :

Regulatory Info :

Registration Country : Egypt

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07

Zeta Pharma

Egypt
AGGSpend
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Zeta Pharma

Egypt
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AGGSpend
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Bempedoic Acid

Dosage : Film-Coated Tablet

Dosage Strength : 180MG

Brand Name : Zetacolest

Approval Date :

Application Number :

Registration Country : Egypt

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ABOUT THIS PAGE

Looking for 738606-46-7 / Bempedoic Acid API manufacturers, exporters & distributors?

Bempedoic Acid manufacturers, exporters & distributors 1

20

PharmaCompass offers a list of Bempedoic Acid API manufacturers, exporters & distributors, which can be sorted by GMP, USDMF, JDMF, KDMF, CEP (COS), WC, Price,and more, enabling you to easily find the right Bempedoic Acid manufacturer or Bempedoic Acid supplier for your needs.

Send us enquiries for free, and we will assist you in establishing a direct connection with your preferred Bempedoic Acid manufacturer or Bempedoic Acid supplier.

PharmaCompass also assists you with knowing the Bempedoic Acid API Price utilized in the formulation of products. Bempedoic Acid API Price is not always fixed or binding as the Bempedoic Acid Price is obtained through a variety of data sources. The Bempedoic Acid Price can also vary due to multiple factors, including market conditions, regulatory modifications, or negotiated pricing deals.

API | Excipient name

Bempedoic Acid

Synonyms

Etc-1002, 738606-46-7, 8-hydroxy-2,2,14,14-tetramethylpentadecanedioic acid, Nexletol, Esp-55016, Nilemdo

Cas Number

738606-46-7

Unique Ingredient Identifier (UNII)

1EJ6Z6Q368

About Bempedoic Acid

High levels of LDL cholesterol (LDL-C) are a major risk factor for cardiovascular events. Caused by genetic mutations or lifestyle factors, hypercholesterolemia can significantly reduce quality of life and increase the risk of mortality from cardiovascular disease. About 1 in 4 patients, or 15 million Americans with elevated LDL-C, are insufficiently managed with maximally tolerated statin therapy alone, requiring additional treatment for hypercholesterolemia. Bempedoic acid is first-in-class adenosine triphosphate-citrate lyase (ACL) inhibitor used once a day for reducing LDL cholesterol levels in statin-refractory patients. It was developed by Esperion Therapeutics Inc. and approved by the FDA on February 21, 2020. A combination product of bempedoic acid and [ezetimibe] was approved on February 26, 2020 for increased control of LDL cholesterol levels in patients experiencing refractory elevations despite previous statin treatment.

Bempedoic Acid Manufacturers

A Bempedoic Acid manufacturer is defined as any person or entity involved in the manufacture, preparation, processing, compounding or propagation of Bempedoic Acid, including repackagers and relabelers. The FDA regulates Bempedoic Acid manufacturers to ensure that their products comply with relevant laws and regulations and are safe and effective to use. Bempedoic Acid API Manufacturers are required to adhere to Good Manufacturing Practices (GMP) to ensure that their products are consistently manufactured to meet established quality criteria.

click here to find a list of Bempedoic Acid manufacturers with USDMF, JDMF, KDMF, CEP, GMP, COA and API Price related information on PhamaCompass.

Bempedoic Acid Suppliers

A Bempedoic Acid supplier is an individual or a company that provides Bempedoic Acid active pharmaceutical ingredient (API) or Bempedoic Acid finished formulations upon request. The Bempedoic Acid suppliers may include Bempedoic Acid API manufacturers, exporters, distributors and traders.

click here to find a list of Bempedoic Acid suppliers with USDMF, JDMF, KDMF, CEP, GMP, COA and API Price related information on PharmaCompass.

Bempedoic Acid USDMF

A Bempedoic Acid DMF (Drug Master File) is a document detailing the whole manufacturing process of Bempedoic Acid active pharmaceutical ingredient (API) in detail. Different forms of Bempedoic Acid DMFs exist exist since differing nations have different regulations, such as Bempedoic Acid USDMF, ASMF (EDMF), JDMF, CDMF, etc.

A Bempedoic Acid DMF submitted to regulatory agencies in the US is known as a USDMF. Bempedoic Acid USDMF includes data on Bempedoic Acid's chemical properties, information on the facilities and procedures used, and details about packaging and storage. The Bempedoic Acid USDMF is kept confidential to protect the manufacturer’s intellectual property.

click here to find a list of Bempedoic Acid suppliers with USDMF on PharmaCompass.

Bempedoic Acid WC

A Bempedoic Acid written confirmation (Bempedoic Acid WC) is an official document issued by a regulatory agency to a Bempedoic Acid manufacturer, verifying that the manufacturing facility of a Bempedoic Acid active pharmaceutical ingredient (API) adheres to the Good Manufacturing Practices (GMP) regulations of the importing country. When exporting Bempedoic Acid APIs or Bempedoic Acid finished pharmaceutical products to another nation, regulatory agencies frequently require a Bempedoic Acid WC (written confirmation) as part of the regulatory process.

click here to find a list of Bempedoic Acid suppliers with Written Confirmation (WC) on PharmaCompass.

Bempedoic Acid NDC

National Drug Code is a comprehensive database maintained by the FDA that contains information on all drugs marketed in the US. This directory includes information about finished drug products, unfinished drug products, and compounded drug products, including those containing Bempedoic Acid as an active pharmaceutical ingredient (API).

Finished drug products

The FDA updates the NDC directory daily. The NDC numbers for Bempedoic Acid API and other APIs are published in this directory by the FDA.

Unfinished drugs

The NDC unfinished drugs database includes product listing information submitted for all unfinished drugs, such as active pharmaceutical ingredients (APIs), drugs intended for further processing and bulk drug substances for compounding.

Pharmaceutical companies that manufacture Bempedoic Acid as an active pharmaceutical ingredient (API) must furnish the FDA with an updated record of all drugs that they produce, prepare, propagate, compound, or process for commercial distribution in the US at their facilities.

Compounded drug products

The NDC directory also contains data on finished compounded human drug products that contain Bempedoic Acid and are produced by outsourcing facilities. While these outsourcing facilities are not mandated to assign a Bempedoic Acid NDC to their finished compounded human drug products, they may choose to do so.

click here to find a list of Bempedoic Acid suppliers with NDC on PharmaCompass.

Bempedoic Acid GMP

Bempedoic Acid Active pharmaceutical ingredient (API) is produced in GMP-certified manufacturing facility.

GMP stands for Good Manufacturing Practices, which is a system used in the pharmaceutical industry to make sure that goods are regularly produced and monitored in accordance with quality standards. The FDA’s current Good Manufacturing Practices requirements are referred to as cGMP or current GMP which indicates that the company follows the most recent GMP specifications. The World Health Organization (WHO) has its own set of GMP guidelines, called the WHO GMP. Different countries can also set their own guidelines for GMP like China (Chinese GMP) or the EU (EU GMP).

PharmaCompass offers a list of Bempedoic Acid GMP manufacturers, exporters & distributors, which can be sorted by USDMF, JDMF, KDMF, CEP (COS), WC, API price, and more, enabling you to easily find the right Bempedoic Acid GMP manufacturer or Bempedoic Acid GMP API supplier for your needs.

Bempedoic Acid CoA

A Bempedoic Acid CoA (Certificate of Analysis) is a formal document that attests to Bempedoic Acid's compliance with Bempedoic Acid specifications and serves as a tool for batch-level quality control.

Bempedoic Acid CoA mostly includes findings from lab analyses of a specific batch. For each Bempedoic Acid CoA document that a company creates, the USFDA specifies specific requirements, such as supplier information, material identification, transportation data, evidence of conformity and signature data.

Bempedoic Acid may be tested according to a variety of international standards, such as European Pharmacopoeia (Bempedoic Acid EP), Bempedoic Acid JP (Japanese Pharmacopeia) and the US Pharmacopoeia (Bempedoic Acid USP).

Inform the supplier about your product requirements, specifying if you need a product with particular monograph like EP (Ph. Eur.), USP, JP, BP, or any other quality. In addition, clarify whether you need hydrochloride (HCl), anhydricum, base, micronisatum or a specific level of purity. To find reputable suppliers, utilize the filters and select those certified by GMP, FDA, or any other certification as per your requirement.
For your convenience, we have listed synonyms and CAS numbers to help you find the best supplier. The use of synonyms and CAS numbers can be helpful in identifying potential suppliers, but it is crucial to note that they might not always indicate the exact same product. It is important to confirm the product details with the supplier before making a purchase to ensure that it meets your requirements.
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