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ACETIC ACID

Generic: Acetic Acid

Verified·Apr 23, 2026
Manufacturer
Baxter
NDC
0338-0656
RxCUI
197305
Route
AURICULAR (OTIC)
ICD-10 indication
H60.30

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About ACETIC ACID

Acetic Acid Irrigation is a sterile solution indicated as a constant or intermittent bladder rinse to prevent the growth of ammonia-forming bacteria and maintain an acidic pH in the bladder, particularly for patients with indwelling catheters. It functions as an antimicrobial agent to help prevent encrustation and infection. This medication is intended for urologic irrigation and is distinct from the otic formulation used for ear infections.

Copay & patient assistance

Detailed copay and financial assistance information is not publicly available for this medication at this time. Please consult your pharmacist or the manufacturer's official patient support program for more details.

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Prescribing information

From the FDA-approved label for ACETIC ACID. Official source: DailyMed (NLM) · Label effective Feb 2, 2018

Indications and usage
INDICATIONS AND USAGE 0.25% Acetic Acid Irrigation, USP, is indicated as a constant or intermittent bladder rinse to help prevent the growth and proliferation of susceptible urinary pathogens (especially ammonia forming bacteria) in the management of patients who require prolonged placement of an indwelling urethral catheter. It also may be used for periodic irrigation of an indwelling catheter to help maintain patency by reducing the formation of calcium encrustations.
Dosage and administration
DOSAGE AND ADMINISTRATION The volume of solution needed will vary with nature and duration of the urologic procedure, according to physician’s instructions. Irrigation drug products should be inspected visually for particulate matter and discoloration prior to administration whenever solution and container permit.
Contraindications
CONTRAINDICATIONS None known
Warnings
WARNINGS Not for injection. Use of this solution in patients with mucosal lesions of the urinary bladder may be harmful due to irritation of the lesion. Absorption via open lesions of the bladder mucosa may result in systemic acidosis. The contents of an opened container should be used promptly to minimize the possibility of bacterial growth or pyrogen formation. Discard the unused portion of irrigating solution since no antimicrobial agent has been added.
Adverse reactions
ADVERSE REACTIONS Systemic acidosis, pain and hematuria have been reported in patients receiving urinary bladder irrigation with 0.25% Acetic Acid Irrigation, USP. Should adverse reactions occur, discontinue the irrigation and reevaluate the clinical status of the patient.
Use in pregnancy
Pregnancy Teratogenic Effects Animal reproduction studies have not been conducted with 0.25% Acetic Acid Irrigation, USP. It is also not known whether 0.25% Acetic Acid Irrigation, USP can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. 0.25% Acetic Acid Irrigation, USP should be given to a pregnant woman only if clearly needed.

Label text is reproduced as-is from the FDA-approved label. We do not paraphrase, summarize, or omit. Content above is for informational purposes only and is not medical advice. Always consult your prescribing clinician or pharmacist before making decisions about your medication.

Conditions we've indexed resources for

Click a condition to see copay cards, grants, and PA rules specific to it. For the full list of FDA-approved indications, see Prescribing information above.

Medicare Part D coverage

How ACETIC ACID appears across Medicare Part D plan formularies nationally. Source: CMS monthly Prescription Drug Plan file (2026-04-30).

Covered by plans

59%

3,229 of 5,509 plans

Most common tier

Tier 4

On 36% of covering formularies

Prior authorization required

0%

of covering formularies

TierFormularies on this tierShare
Tier 1 (preferred generic)81
25%
Tier 2 (generic)107
33%
Tier 3 (preferred brand)24
7%
Tier 4 (non-preferred brand)117
36%

Step therapy: 0% of formularies

Quantity limits: 0% of formularies

Coverage breadth: 329 of 65 formularies

How to read this:plans on the same formulary share tier + PA rules. Your specific plan's copay depends on (a) the tier above, (b) your plan's cost-share for that tier, (c) whether you're in the initial coverage phase or past the 2026 $2,000 out-of-pocket cap. For your exact plan, check its Summary of Benefits or log in to your Medicare.gov account. Copay cards don't apply to Medicare (federal law).

Prior authorization & coverage

PayerPAStep therapyCopay tier

Medicare Part D

Medicare Part D

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How this page is sourced

  • Drug identity verified against openFDA NDC Directory.
  • Label text (when shown) originates from NLM DailyMed.
  • Copay and assistance URLs verified periodically; if you hit a broken link, tell us.