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Last Updated: January 1, 2026

Drug Price Trends for DURAGESIC


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Drug Price Trends for DURAGESIC

Best Wholesale Price for DURAGESIC

These are wholesale prices available to the US Federal Government which, by law, must be the best prices available to any customer under comparable terms and conditions
Drug Name Vendor NDC Count Price ($) Price/Unit ($) Unit Dates Price Type
DURAGESIC 100MG/HR PATCH SpecGx LLC 00406-9100-76 5 32.65 6.53000 EACH 2022-09-15 - 2027-09-14 FSS
>Drug Name >Vendor >NDC >Count >Price ($) >Price/Unit ($) >Unit >Dates >Price Type
Price type key: Federal Supply Schedule (FSS): generally available to all Federal Govt agencies / 'BIG4' prices: VA, DoD, Public Health & Coast Guard only / National Contracts (NC): Available to specific agencies

Market Analysis and Price Projections for Duragesic (Fentanyl Patch)

Last updated: August 3, 2025

Introduction

Duragesic, a transdermal fentanyl patch, stands as a pivotal opioid analgesic primarily prescribed for managing severe chronic pain. Its proprietary delivery system ensures sustained drug release over 72 hours, making it highly effective but also subject to regulatory scrutiny due to potential misuse and abuse. This analysis explores the current market landscape, competitive dynamics, regulatory environment, and future price projections for Duragesic, providing actionable insights for stakeholders.

Market Landscape Overview

Global and Regional Market Size

The global opioid analgesics market surpasses USD 19 billion as of 2022, with growth driven by rising incidences of chronic pain, cancer-related conditions, and palliative care needs. The North American region dominates this landscape, attributable to high opioid prescription rates and regulatory frameworks affecting product availability. Specifically, the market for transdermal opioids like Duragesic accounts for approximately USD 3.5 billion globally, with North America capturing over 60% of this segment [1].

Key Market Drivers

  • Chronic Pain Management: The escalating prevalence of chronic pain, estimated to impact over 20% of adults globally, sustains demand for potent analgesics like Duragesic.
  • Enhanced Patient Compliance: The transdermal system offers improved adherence over oral opioids due to less frequent dosing and minimized gastrointestinal issues.
  • Medical Advancements: Improved patch formulations with higher potency and better skin adhesion foster prescription rates.

Market Challenges

  • Regulatory Limitations: Stricter prescribing guidelines and abuse-deterrent formulations influence market accessibility.
  • Safety and Abuse Concerns: High potential for misuse has led to stringent monitoring and scheduling (Schedule II in the U.S.).
  • Generic Competition: Increased availability of generic fentanyl patches has exerted downward pricing pressures on the brand-name Duragesic.

Competitive Landscape

Duragesic's primary competitors include:

  • Generic Fentanyl Patches: Several manufacturers have launched bioequivalent products, reducing Duragesic's market share.
  • Other Transdermal Opioids: Brands like Sandoz’s Fentanyl Transdermal System and Mylan’s generic offerings.
  • Alternative Pain Management: Non-opioid modalities, including nerve blocks and non-steroidal anti-inflammatory drugs (NSAIDs).

The generic market now accounts for approximately 80% of fentanyl transdermal prescriptions, significantly impacting Duragesic's revenue and pricing power [2].

Regulatory Environment

United States

The Drug Enforcement Administration (DEA) classifies fentanyl as a Schedule II controlled substance, emphasizing the need for strict regulatory oversight. The FDA has issued warnings regarding misuse and abuse, leading to enhanced safety features in newer formulations.

Europe and Asia

European countries like the UK and Germany have also adopted rigorous prescribing protocols. In Asia, regulatory landscapes vary, with some countries implementing tighter controls impacting supply chains and priced access.

Implication for Market Dynamics

Regulatory restrictions and the push for abuse-deterrent formulations tend to increase manufacturing costs, indirectly influencing retail prices, especially for branded formulations like Duragesic.

Pricing Trends and Projections

Historical Pricing

  • Brand-Name Duragesic: Historically, a 30 mcg/h Duragesic patch retailed at approximately USD 25–30 per patch in the U.S., translating to an annual treatment cost exceeding USD 4,000 for continuous use.
  • Generic Equivalents: These have seen prices decrease by 45–60%, often priced between USD 10–15 per patch, leading to widespread substitution.

Current Market Pricing

The branded Duragesic patches maintain a premium positioning due to brand loyalty, safety features, and regulatory backing, with prices typically ranging from USD 25–30 per patch in the U.S.

Future Price Projections (2023–2030)

Several trends influence future pricing:

  • Increased Generic Penetration: Given the patent expiration of Duragesic in 2018 (patent uncertainties vary by jurisdiction), generics now constitute a significant market share, exerting pressure on brand pricing [3].
  • Regulatory-Driven Cost Increases: Modifications to meet abuse-deterrent standards and enhanced safety protocols may increase manufacturing costs, potentially offsetting price declines.
  • Reimbursement Policies: Payers are increasingly favoring cost-effective alternatives, encouraging generic substitution, which may lead to further price reductions for Duragesic.

Based on these dynamics, the retail price of Duragesic is projected to decline by an average of 2–4% annually over the next five years, reaching approximately USD 18–22 per patch by 2028. However, premium formulations or formulations with advanced abuse-deterrent features could retain higher prices, possibly around USD 25–30 per patch.

Pricing in Emerging Markets

In Asia and Latin America, pricing remains lower, with per-patch costs typically below USD 10 due to import tariffs, regulatory laxity, or local manufacturing. As these markets mature and regulations tighten, prices are likely to align more closely with Western standards.

Market Dynamics and Strategic Considerations

Impact of Opioid Prescribing Trends

Recent policies aim to curtail opioid misuse, resulting in a temporary decline in prescription volumes. However, the necessity for analgesic options for severe pain sustains demand, particularly for formulations offering high compliance and safety.

Advancements in Abuse-Deterrent Technologies

Manufacturers are innovating to incorporate abuse-deterrent features such as physical/chemical barriers, which may justify higher prices for certain formulations, though Duragesic’s original formulation predates some of these advancements.

Patent and Regulatory Outlook

With patent expirations, the entrance of generics accelerates price erosion. However, continued innovation in abuse-deterrent technology or combination therapies may sustain premium pricing for specialized versions of fentanyl patches.

Key Takeaways

  • The global fentanyl transdermal market, dominated by Duragesic, faces escalating competition from generics, driving prices downward.
  • Regulatory environments increasingly target opioid misuse, impacting supply chains, manufacturing costs, and pricing strategies.
  • Future price projections indicate a gradual decline in Duragesic's retail price, influenced by generics and market consolidation, though specialized formulations may retain premium value.
  • Market growth remains resilient, supported by chronic pain prevalence, but pricing precision will hinge upon regulatory shifts, technological innovations, and prescriber guidelines.

FAQs

1. How will patent expirations affect Duragesic’s pricing?
Patent expirations, primarily in 2018, have led to the proliferation of generics, exerting substantial downward pressure on Duragesic’s price. While brand-name pricing declines, some formulations with advanced abuse-deterrent features may sustain higher prices due to added safety benefits.

2. What are the main factors influencing Duragesic’s market share?
Generics account for a significant share driven by cost advantages. Regulatory restrictions, prescriber preferences, and safety concerns also influence market share, with a trend towards safer formulations and alternative therapies impacting long-term positioning.

3. Will regulatory changes increase Duragesic’s costs?
Yes. Enhanced safety standards and abuse-deterrent requirements involve increased manufacturing complexity and cost, which could be reflected in retail pricing, especially for newer formulations.

4. What is the outlook for Duragesic in emerging markets?
In emerging markets, price sensitivity is high, and regulatory frameworks less stringent. As regulations tighten, prices are expected to rise, aligning more with Western standards, but overall market penetration remains limited compared to mature markets.

5. How could technological innovations influence Duragesic’s future pricing?
Innovations such as abuse-deterrent features and combination therapies can justify premium pricing, especially if they demonstrate improved safety profiles and patient outcomes, potentially offsetting price declines from generic competition.


References

  1. MarketWatch. (2022). Global Opioid Market Size & Share.
  2. IQVIA. (2022). Fentanyl Transdermal Market Report.
  3. U.S. Patent and Trademark Office. (2018). Patent expiration and generic drug entry data.

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