Mycophenolate mofetil Pregnancy: see this medicine in the DysNet teratogen register

ATC L04AA06 · WHO DDD 2 g (oral) · 500 mg tablet

Class: Immunosuppressants. ATC code L04AA06 stands for "mycophenolic acid" in the WHO index, whose DDD is 2 g by the oral route [1].

The WHO DDD of 2 g applies to mycophenolate mofetil; mycophenolic acid as sodium salt is left out. [2]

WHO Model List of Essential Medicines 2025: not listed [3].

Summary by country, in euros at the ECB rate of 9 October 2026 [4]
CountryPacksKind of figure Cost per DDDAnnual cost at the WHO standard dose
France 7 List price €4.12 €1,504
Spain 19 List price €6.05 €2,208
United Kingdom 1 Reimbursement tariff €0.57 €208.76 £176.95

Names, authorisations and literature

Trade names (60)
European Union, central authorisation (4)
CellCept, Myclausen, Mycophenolate mofetil Teva, Myfenax [5]
France (8)
CELLCEPT, MYCOPHENOLATE MOFETIL ARROW, MYCOPHENOLATE MOFETIL BIOGARAN, MYCOPHENOLATE MOFETIL SANDOZ, MYCOPHENOLATE MOFETIL VIATRIS, MYFENAX, MYFORTIC, MYCOPHENOLATE MOFETIL TEVA* [6] [7]
Spain (18)
ACIDO MICOFENOLICO STADA, CELLCEPT, CEPTAVA, MICOFENOLATO DE MOFETIL STADA, MICOFENOLATO DE MOFETILO ACCORD, MICOFENOLATO DE MOFETILO ARISTO, MICOFENOLATO DE MOFETILO AUROVITAS, MICOFENOLATO DE MOFETILO CINFA, MICOFENOLATO DE MOFETILO KERN PHARMA, MICOFENOLATO DE MOFETILO SANDOZ, MICOFENOLATO DE MOFETILO TECNIGEN, MICOFENOLATO MOFETILO ACTAVIS, MICOFENOLATO MOFETILO NORMON, MYFENAX, MYFORTIC, MICOFENOLATO DE MOFETILO STADA*, MICOFENOLATO DE MOFETILO TILLOMED*, MICOFENOLATO MOFETILO TEVA* [8] [7]
Italy (13)
ACIDO MICOFENOLICO ACCORD, ACIDO MICOFENOLICO TILLOMED, CELLCEPT, CEPTAVA, MICOFENOLATO MOFETILE ACCORD, MICOFENOLATO MOFETILE AHCL, MICOFENOLATO MOFETILE AUROBINDO, MICOFENOLATO MOFETILE SANDOZ, MICOFENOLATO MOFETILE TILLOMED, MICOFENOLATO MOFETILE TILLOMED ITALIA, MYCOPHENOLATE MOFETIL TEVA, MYFENAX, MYFORTIC [7]
United States (3)
Cellcept, Myfortic, Myhibbin [7]
Canada (14)
ACH-MYCOPHENOLATE, APO-MYCOPHENOLIC ACID, CELLCEPT, CELLCEPT I.V., JAMP MYCOPHENOLIC ACID, JAMP-MYCOPHENOLATE, JAMP-MYCOPHENOLATE CAPSULES, MAR-MYCOPHENOLATE MOFETIL, MAR-MYCOPHENOLIC ACID, MYCOPHENOLATE MOFETIL, MYCOPHENOLATE MOFETIL FOR INJECTION, MYFORTIC, SANDOZ MYCOPHENOLATE MOFETIL, TEVA-MYCOPHENOLATE [7]
In other languages
acide mycophenolique, mycophénolate mofétil (French); Mycophenolat-Mofetil, Mycophenolsäure (German); acido micofenolico (Spanish); acido micofenolico, Micofenolato mofetile (Italian); mycofenolzuur (Dutch); mofetil micofenolato, Ácido micofenólico (Portuguese); acidum mycophenolicum (Latin) [7]

Links lead to the official product page: the EPAR for the European Union, the public medicines database for France, the CIMA summary of product characteristics for Spain, the dm+d for the United Kingdom. An asterisk marks a name taken from the DysNet register only.

European public assessment reports, EPAR (4)
  • CellCept · authorised · reference medicine · Roche Registration GmbH · authorised 14 February 1996
    Indication (EMA text)

    CellCept is indicated in combination with ciclosporin and corticosteroids for the prophylaxis of acute transplant rejection in adult and paediatric (1 to 18 years of age) patients receiving allogeneic renal, cardiac or hepatic transplants.

  • Myclausen · authorised · generic · Passauer Pharma GmbH · authorised 7 October 2010
    Indication (EMA text)

    Myclausen is indicated in combination with ciclosporin and corticosteroids for the prophylaxis of acute transplant rejection in patients receiving allogeneic renal, cardiac or hepatic transplants.

  • Mycophenolate mofetil Teva · authorised · generic · Teva Pharma B.V. · authorised 21 February 2008
    Indication (EMA text)

    Mycophenolate mofetil Teva is indicated in combination with ciclosporin and corticosteroids for the prophylaxis of acute transplant rejection in patients receiving allogeneic renal, cardiac or hepatic transplants.

  • Myfenax · authorised · generic · Teva B.V. · authorised 21 February 2008
    Indication (EMA text)

    Myfenax is indicated in combination with ciclosporin and corticosteroids for the prophylaxis of acute transplant rejection in patients receiving allogeneic renal, cardiac or hepatic transplants.

European Medicines Agency list of 09/10/2026 - 18:00 [5].

Literature (PubMed, 11,125 papers)

PubMed counts 11,125 papers on this medicine [9]. The selection gives the most recent of each type; the Method page says how it is made. See the search in PubMed ↗

Cochrane reviews (24)

  • Larkins NG, et al. Non-corticosteroid immunosuppressive medications for steroid-sensitive nephrotic syndrome in children. Cochrane Database Syst Rev. 2024. PubMed 39513526 ↗ doi ↗
  • Alladin A, et al. Immunosuppressive therapy for IgA nephropathy in children. Cochrane Database Syst Rev. 2024. PubMed 38864363 ↗ doi ↗
  • Edwards Mayhew RG, et al. Non-biologic, steroid-sparing therapies for non-infectious intermediate, posterior, and panuveitis in adults. Cochrane Database Syst Rev. 2022. PubMed 36315029 ↗ doi ↗
  • Azukaitis K, et al. Interventions for minimal change disease in adults with nephrotic syndrome. Cochrane Database Syst Rev. 2022. PubMed 35230699 ↗ doi ↗
  • Hodson EM, et al. Interventions for focal segmental glomerulosclerosis in adults. Cochrane Database Syst Rev. 2022. PubMed 35224732 ↗ doi ↗

All 24 results in PubMed ↗

Systematic reviews and meta-analyses (206)
  • Bautista K, et al. Optimizing Initial Dosing for Tacrolimus and Mycophenolate in Living Donor Liver Transplantation: A Systematic Critical Review. Ther Drug Monit. 2026. PubMed 42208050 ↗ doi ↗
  • Qamhieh Z, et al. Clinical Significance of Therapeutic Drug Level Monitoring for Mycophenolate in Patients With Extrarenal Systemic Lupus Erythematosus-A Systematic Review and Meta-Analysis. Arthritis Care Res (Hoboken). 2026. PubMed 41801058 ↗ doi ↗
  • Wu D, et al. Effectiveness of tacrolimus in patients with lupus nephritis: A randomized controlled trials meta-analysis. Clin Nephrol. 2026. PubMed 42057645 ↗ doi ↗
  • Sarkar S, et al. Efficacy of mycophenolate mofetil versus cyclophosphamide in the management of childhood-onset lupus nephritis: a systematic review and meta-analysis. Pediatr Nephrol. 2026. PubMed 41501260 ↗ doi ↗
  • Jin T, et al. Efficacy and safety of various immunosuppressive agents for pediatric Henoch-Schönlein purpura nephritis (IgA vasculitis nephritis) in Chinese children: a systematic review and network meta-analysis. Front Immunol. 2026. PubMed 42602030 ↗ doi ↗

All 206 results in PubMed ↗

Practice guidelines (17)
  • Liu S, et al. A practice guideline for therapeutic drug monitoring of mycophenolic acid for solid organ transplants. J Zhejiang Univ Sci B. 2025. PubMed 40987557 ↗ doi ↗
  • Reis-Neto ETD, et al. II Brazilian Society of Rheumatology consensus for lupus nephritis diagnosis and treatment. Adv Rheumatol. 2024. PubMed 38890752 ↗ doi ↗
  • Kreuter A, et al. S2k guideline: Diagnosis and therapy of localized scleroderma. J Dtsch Dermatol Ges. 2024. PubMed 38426689 ↗ doi ↗

All 17 results in PubMed ↗

Names and identifiers
INN
mycophenolic acid source ↗
CAS
128794-94-5
ATC
L04AA06 (systemic)
SNOMED CT
386976000, 409330005, 409331009, 441632007
RxNorm
68149 ↗, 7145 ↗
Wikidata
Q420553 ↗, Q4567614 ↗

Names and identifiers taken from the DysNet register [7].

Health technology assessments (7)

The opinions of the assessment bodies of the pilot countries and of Germany, with a link to each opinion. The status shown is the one each body publishes.

France, HAS Transparency Committee (4)

SMR: actual clinical benefit. ASMR: improvement in actual clinical benefit, from I (major) to V (none). Opinions taken from the BDPM [6].

  • CT-21391 · 19 November 2025 · Extension d'indication · SMR Important · ASMR IV · CELLCEPT
    Wording of the opinion, in French

    SMR : Le service médical rendu par CELLCEPT 250 mg, 500 mg, 1 g/5 mL (mycophénolate mofétil) est important dans l’extension d’indications de l’AMM.

    ASMR : CELLCEPT 250 mg, 500 mg, 1 g/5 mL (mycophénolate mofétil), gélule, comprimé pelliculé, poudre pour suspension buvable, apporte une amélioration mineure (ASMR IV) dans la stratégie thérapeutique actuelle qui comprend les comparateurs pertinents (cf. paragraphe 5.2).

  • CT-17036 · 4 September 2019 · Renouvellement d'inscription (CT) · SMR Important · CELLCEPT
    Wording of the opinion, in French

    SMR : Le service médical rendu par CELLCEPT reste important dans les indications de l’AMM.

  • CT-13925 · 22 June 2016 · Renouvellement d'inscription (CT) · SMR Important · MYFORTIC
    Wording of the opinion, in French

    SMR : Le service médical rendu par les spécialités MYFORTIC 180 et 360 mg reste important dans l’indication : « en association avec la ciclosporine et les corticoïdes, pour la prévention du rejet aigu d'organe chez les patients adultes ayant bénéficié d'une allogreffe rénale ».

  • CT-432 · 28 January 2004 · Inscription (CT) · ASMR V · MYFORTIC
    Wording of the opinion, in French

    ASMR : Cette forme gastro-résistante de mycophénolate sodique (MYFORTIC comprimé) n’apporte pas d’amélioration du service médical par rapport à CELLCEPT comprimé et gélule (forme non gastro-résistante).

England, NICE (2)
  • TA481 · Immunosuppressive therapy for kidney transplant in adults · 11 October 2017 · published
  • TA482 · Immunosuppressive therapy for kidney transplant in children and young people · 11 October 2017 · published
  • NICE list [10]
Scotland, SMC (1)
  • SMC 144/04 · 10 January 2005 · Mycophenolate sodium (Myfortic®) · accepted · Full
    Indication

    In combination with ciclosporin and corticosteroids for the prophylaxis of acute transplant rejection in adult patients receiving allogeneic renal transplants

  • SMC advice [11]
Germany, G-BA (0)

The G-BA has run no early benefit assessment (AMNOG) of this medicine on its own [12].

Spain, AEMPS therapeutic positioning reports (0)

The AEMPS database of therapeutic positioning reports holds no report on this medicine [13].

How the figure is computed

Example, France: the pack MYFENAX 500 mg, comprimé pelliculé, plaquettes thermoformée(s) PVC PVDC aluminium de 50 comprimés, costs €51.52. It holds 25 g, which is 12.5 DDD. The cost per DDD is €51.52 ÷ 12.5 = €4.12, and the annual cost at the WHO standard dose, list price, is that cost × 365 = €1,504.38.

France

Public price in France, including VAT and the per-pack dispensing fee. Source [6], read on 9 October 2026. ATC match: through the active substance (BDPM substance code), since the BDPM gives no ATC code.

Show the 7 packs
ProductPackPrice DDD per packCost per DDDAnnual cost at the WHO standard doseSource line
MYFENAX 500 mg, comprimé pelliculéTEVA (PAYS-BAS) plaquettes thermoformée(s) PVC PVDC aluminium de 50 comprimés €51.52 12.5 €4.12 €1,504 CIS 61673680 / CIP13 3400938499773substance code 19698 (MYCOPHÉNOLATE MOFÉTIL) in CIS_COMPO_bdpm
CELLCEPT 500 mg, comprimés pelliculésROCHE REGISTRATION (ALLEMAGNE) 5 plaquette(s) thermoformée(s) PVC-Aluminium de 10 comprimé(s) €51.52 12.5 €4.12 €1,504 CIS 62173094 / CIP13 3400935952707substance code 19698 (MYCOPHÉNOLATE MOFÉTIL) in CIS_COMPO_bdpm
CELLCEPT 500 mg, comprimés pelliculésROCHE REGISTRATION (ALLEMAGNE) 5 plaquette(s) thermoformée(s) PVC-Aluminium de 10 comprimé(s) (distributeur parallèle : Laboratoire Mediwin Ldt) €51.52 12.5 €4.12 €1,504 CIS 62173094 / CIP13 3400949504541substance code 19698 (MYCOPHÉNOLATE MOFÉTIL) in CIS_COMPO_bdpm
MYCOPHENOLATE MOFETIL BIOGARAN 500 mg, comprimé pelliculéBIOGARAN plaquette(s) PVC PVDC aluminium de 50 comprimé(s) €51.52 12.5 €4.12 €1,504 CIS 63101055 / CIP13 3400949297153substance code 19698 (MYCOPHÉNOLATE MOFÉTIL) in CIS_COMPO_bdpm
MYCOPHENOLATE MOFETIL ARROW 500 mg, comprimé pelliculéARROW GENERIQUES plaquettes PVC aluminium de 50 comprimé( €51.52 12.5 €4.12 €1,504 CIS 64980414 / CIP13 3400930297049substance code 19698 (MYCOPHÉNOLATE MOFÉTIL) in CIS_COMPO_bdpm
MYCOPHENOLATE MOFETIL VIATRIS 500 mg, comprimé pelliculéVIATRIS SANTE 50 plaquette(s) (ACLAR RX) polytrifluorochloroéthylène PVC aluminium de 1 comprimé(s) €51.52 12.5 €4.12 €1,504 CIS 66950569 / CIP13 3400949793921substance code 19698 (MYCOPHÉNOLATE MOFÉTIL) in CIS_COMPO_bdpm
MYCOPHENOLATE MOFETIL SANDOZ 500 mg, comprimé pelliculéSANDOZ plaquette(s) thermoformée(s) PVC polyéthylène PVDC aluminium de 50 comprimé(s) €51.52 12.5 €4.12 €1,504 CIS 67086615 / CIP13 3400949244515substance code 19698 (MYCOPHÉNOLATE MOFÉTIL) in CIS_COMPO_bdpm

Spain

Retail price including VAT (PVP IVA). Source [14][8], read on 9 October 2026. ATC match: ATC code of each national code, checked in CIMA.

Show the 19 packs
ProductPackPrice DDD per packCost per DDDAnnual cost at the WHO standard doseSource line
MICOFENOLATO DE MOFETILO SANDOZ 500 mg comprimidos recubiertos con pelicula , 50 comprimidosSANDOZ FARMACEUTICA, S.A 50 comprimidos €75.60 12.5 €6.05 €2,208 Código Nacional 651472AEMPS CIMA, registration 70003
MICOFENOLATO DE MOFETIL STADA 500 mg comprimidos recubiertos con pelicula , 50 comprimidosSTADA, S.L 50 comprimidos €75.60 12.5 €6.05 €2,208 Código Nacional 663248AEMPS CIMA, registration 70658
MICOFENOLATO MOFETILO ACTAVIS 500 mg comprimidos recubiertos con pelicula , 50 comprimidosAUROVITAS SPAIN, S.A.U 50 comprimidos €75.60 12.5 €6.05 €2,208 Código Nacional 672281AEMPS CIMA, registration 71151
MICOFENOLATO DE MOFETILO ACCORD 500 mg comprimidos recubiertos con pelicula , 50 comprimidosACCORD HEALTHCARE, S.L.U 50 comprimidos €75.60 12.5 €6.05 €2,208 Código Nacional 672567AEMPS CIMA, registration 72743
CELLCEPT 500 MG COMPRIMIDOS RECUBIERTOS CON PELICULA. 50 comprimidosROCHE FARMA, S.A. 50 comprimidos €75.60 12.5 €6.05 €2,208 Código Nacional 679373AEMPS CIMA, registration 96005002
MICOFENOLATO MOFETILO NORMON 500 mg comprimidos recubiertos con pelicula , 50 comprimidosNORMON S.A. 50 comprimidos €75.60 12.5 €6.05 €2,208 Código Nacional 680418AEMPS CIMA, registration 74053
MICOFENOLATO DE MOFETILO KERN PHARMA 500 MG COMPRIMIDOS RECUBIERTOS CON PELICULA , 50 comprimidosKERN PHARMA, S.L. 50 comprimidos €75.60 12.5 €6.05 €2,208 Código Nacional 683032AEMPS CIMA, registration 74562
MICOFENOLATO DE MOFETILO TECNIGEN 500 mg COMPRIMIDOS RECUBIERTOS CON PELICULA , 50 comprimidosTECNIMEDE ESPAÑA INDUSTRIA FARMACEUTICA S.A. 50 comprimidos €75.60 12.5 €6.05 €2,208 Código Nacional 691756AEMPS CIMA, registration 76128
MYFENAX 500 mg comprimidos recubiertos con pelicula 50x1 comprimidosTEVA PHARMA, S.L.U 50x1 comprimidos €75.60 12.5 €6.05 €2,208 Código Nacional 700471AEMPS CIMA, registration 107438005
MICOFENOLATO DE MOFETILO ARISTO 500 MG COMPRIMIDOS RECUBIERTOS CON PELICULA EFG , 50 comprimidosARISTO PHARMA IBERIA, S.L. 50 comprimidos €75.60 12.5 €6.05 €2,208 Código Nacional 704620AEMPS CIMA, registration 79323
MICOFENOLATO DE MOFETILO CINFA 500 MG COMPRIMIDOS RECUBIERTOS CON PELICULA EFG , 50 comprimidosCINFA S.A. 50 comprimidos €75.60 12.5 €6.05 €2,208 Código Nacional 707836AEMPS CIMA, registration 80225
CELLCEPT 500 MG COMPRIMIDOS RECUBIERTOS CON PELICULA, 50 comprimidosDIFARMED, S.L.U 50 comprimidos €75.60 12.5 €6.05 €2,208 Código Nacional 725107AEMPS CIMA, registration 96005002IP
CELLCEPT 500 mg COMPRIMIDOS RECUBIERTOS CON PELICULA, 50 comprimidosELAM PHARMA LABS, S.L. 50 comprimidos €75.60 12.5 €6.05 €2,208 Código Nacional 728915AEMPS CIMA, registration 96005002IP1
CELLCEPT 500 MG COMPRIMIDOS RECUBIERTOS CON PELICULA, 50 comprimidosECOFAR PRODUCTOS, S.L. 50 comprimidos €75.60 12.5 €6.05 €2,208 Código Nacional 739026AEMPS CIMA, registration 96005002IP2
CELLCEPT 500 MG COMPRIMIDOS RECUBIERTOS CON PELICULA, 50 comprimidosMELYFARMA, S.L. 50 comprimidos €75.60 12.5 €6.05 €2,208 Código Nacional 749367AEMPS CIMA, registration 96005002IP3
CELLCEPT 500 MG COMPRIMIDOS RECUBIERTOS CON PELICULA, 50 comprimidosABACUS MEDICINE A/S 50 comprimidos €75.60 12.5 €6.05 €2,208 Código Nacional 765004AEMPS CIMA, registration 96005002IP4
MYFENAX 500 MG COMPRIMIDOS RECUBIERTOS CON PELICULA EFG, 50 comprimidosABACUS MEDICINE A/S 50 comprimidos €75.60 12.5 €6.05 €2,208 Código Nacional 765712AEMPS CIMA, registration 07438003IP
MICOFENOLATO DE MOFETILO AUROVITAS 500 MG COMPRIMIDOS RECUBIERTOS CON PELICULA EFG, 50 comprimidosAUROVITAS SPAIN, S.A.U 50 comprimidos €75.60 12.5 €6.05 €2,208 Código Nacional 766025AEMPS CIMA, registration 89895
CELLCEPT 500 MG COMPRIMIDOS RECUBIERTOS CON PELICULA, 50 comprimidosEUROMED PHARMA SPAIN, S.L. 50 comprimidos €75.60 12.5 €6.05 €2,208 Código Nacional 768024AEMPS CIMA, registration 96005002IP5

United Kingdom

Drug Tariff basic price paid to the pharmacy, excluding VAT (Part VIIIA Category M). Source [15][16], read on 9 October 2026. ATC match: ATC code of the virtual product (VMP) in the dm+d.

Show the 1 pack
ProductPackPrice DDD per packCost per DDDAnnual cost at the WHO standard doseSource line
Mycophenolate mofetil 500mg tablets 50 tablet £6.06 12.5 £0.48 £176.95€208.76 VMPP SNOMED 3661211000001104dm+d browser, VMP 3679

References

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  11. Scottish Medicines Consortium. Medicines advice [Internet]. Glasgow: SMC; [cited 2026 Oct 9]. Available from: https://scottishmedicines.org.uk/medicines-advice/
  12. Gemeinsamer Bundesausschuss. Nutzenbewertung nach § 35a SGB V: Apixaban [Internet]. Berlin: G-BA; [cited 2026 Oct 9]. Available from: https://www.g-ba.de/bewertungsverfahren/nutzenbewertung/
  13. Agencia Española de Medicamentos y Productos Sanitarios. Informes de posicionamiento terapéutico [Internet]. Madrid: AEMPS; [cited 2026 Oct 9]. Available from: https://www.aemps.gob.es/medicamentos-de-uso-humano/evaluacion-de-tecnologias-sanitarias/informes-de-posicionamiento-terapeutico/
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  15. NHS Business Services Authority. Drug Tariff Part VIIIA, October 2026 [Internet]. Newcastle upon Tyne: NHSBSA; 2026 [cited 2026 Oct 9]. Available from: https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/drug-tariff/drug-tariff-part-viii
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