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Last Updated: November 11, 2025

Drug Price Trends for FEXOFENADINE-PSE ER


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Drug Price Trends for FEXOFENADINE-PSE ER

Average Pharmacy Cost for FEXOFENADINE-PSE ER

These are average pharmacy acquisition costs (net of discounts) from a US national survey
Drug Name NDC Price/Unit ($) Unit Date
FEXOFENADINE-PSE ER 60-120 TAB 43598-0823-14 0.41170 EACH 2025-10-22
FEXOFENADINE-PSE ER 60-120 TAB 55111-0447-14 0.41170 EACH 2025-10-22
FEXOFENADINE-PSE ER 60-120 TAB 43598-0823-31 0.41170 EACH 2025-10-22
FEXOFENADINE-PSE ER 60-120 TAB 43598-0823-35 0.41170 EACH 2025-10-22
FEXOFENADINE-PSE ER 60-120 TAB 43598-0823-35 0.41188 EACH 2025-09-17
FEXOFENADINE-PSE ER 60-120 TAB 43598-0823-14 0.41188 EACH 2025-09-17
FEXOFENADINE-PSE ER 60-120 TAB 55111-0447-14 0.41188 EACH 2025-09-17
>Drug Name >NDC >Price/Unit ($) >Unit >Date

Market Analysis and Price Projections for FEXOFENADINE-PSE ER

Last updated: July 28, 2025


Introduction

The combination drug Fexofenadine-PSE ER (Extended Release), a dual-acting antihistamine and decongestant, addresses common upper respiratory allergies and nasal congestion. As an over-the-counter (OTC) or prescription medication, its market dynamics hinge on factors like patent status, competition, regulatory landscape, and consumer demand. This analysis evaluates current market positioning, competitive landscape, regulatory considerations, and provides price projections for Fexofenadine-PSE ER over the next five years.


Market Overview

Indications and Therapeutic Position

Fexofenadine-PSE ER combines fexofenadine hydrochloride, a non-sedating antihistamine effective against allergic rhinitis and chronic urticaria, with pseudoephedrine extended-release, a nasal decongestant. FDA-approved formulations primarily target moderate to severe allergic rhinitis and associated congestion [1]. The medication's once-daily dosing enhances patient compliance and position it favorably against traditional multi-dose boxed formulations.

Market Size and Growth Drivers

The global antihistamine market was valued at approximately $5 billion in 2022, with an expected compound annual growth rate (CAGR) of ~6%, driven by increasing prevalence of allergic conditions and demand for OTC therapies [2]. The combined antihistamine and decongestant segment currently accounts for about 25-30% of this market.

Growth drivers include rising environmental allergens, urbanization, and a shift toward OTC medications for self-care, reducing healthcare system burdens. The COVID-19 pandemic further underscored the need for accessible allergy relief options.


Competitive Landscape

Key Players and Market Share

Major competitors include:

  • Non-prescription antihistamines (Loratadine, Cetirizine, Levocetirizine) with established market penetration.
  • Combination products like Claritin-D (loratadine+pseudoehedrine), Zyrtec-D (cetirizine+pseudoehedrine).
  • Prescription antihistamines with decongestants, e.g., Azelastine nasal spray combined with other decongestants.
  • Emerging generics and drug reformulations.

Fexofenadine-PSE ER's market share remains modest but is poised for expansion owing to its favorable side effect profile and extended-release benefits. Its key differentiators are non-sedating antihistamine activity, reduced dosing frequency, and efficacy.

Patent Status and Regulatory Environment

While original patents expired in the early 2010s, patent protection for specific formulations, including extended-release variants, may still afford exclusivity. Regulatory approval status varies regionally; in the U.S., the drug typically exists as a branded or generic OTC product, while certain formulations may require prescription.

FDA approvals specify safety profiles, labeling, and contraindications, influencing market uptake. Regulatory barriers for new formulations or delivery systems could impact future developments.


Pricing Strategies and Trends

Current Pricing Landscape

In the U.S., generic versions of fexofenadine and pseudoephedrine are widely available at retail prices ranging from $10 to $30 for a 30-day supply [3]. Branded formulations often command higher prices, exceeding $15 per month.

The combination's price reflects manufacturing costs, regulatory compliance, and competitive positioning. Over-the-counter availability pressures manufacturers to maintain affordable pricing to sustain market share.

Influence of Pseudoephedrine Regulations

Stringent pseudoephedrine purchase restrictions (e.g., requiring ID, logs) impact supply chains and, consequently, pricing. Manufacturers incorporating pseudoephedrine in ER formulations must factor compliance costs, influencing retail prices.


Price Projections (2023-2028)

Assumptions

  • Increased adoption driven by broadening indications and consumer awareness.
  • Entry of biosimilar or generic competitors dilutes prices.
  • No significant regulatory hurdles or patent litigations.
  • Fluctuations in raw material costs stabilized by supply chain optimizations.

Projection Summary

Year Estimated Average Retail Price (per 30-day supply) Key Drivers
2023 $15 Steady market presence, limited competition
2024 $14.50 Increased generic penetration, price competition
2025 $14 Market saturation, discounting strategies
2026 $13.50 Entry of biosimilars or new formulations
2027 $13 Cost efficiencies, patent expirations, increased sales
2028 $12.50 - $13 Mature market, price stabilization, pandemic effects

Note: Prices may vary regionally; OTC pricing tends to be more competitive. The trend indicates gradual price declines owing to generic competition and market mature-ness.


Future Market Trends

  • Growing Consumer Preference: Emphasis on non-sedating, once-daily formulations boosts demand.
  • Regulatory Developments: Potential for over-the-counter switches increases accessibility, influencing pricing strategies.
  • Digital and Direct-to-Consumer Channels: Rise in online pharmacy sales could pressure prices downward but expand market reach.
  • Global Expansion: Emerging markets' increased healthcare access may foster market growth, potentially supporting stable or slightly increased prices due to lower price elasticity.

Regulatory and Economic Considerations

Regulatory policies, particularly around pseudoephedrine sales, influence supply chains and pricing. Adoption of novel extended-release technologies and formulations may extend patent protections and enable premium pricing temporarily. Conversely, generic proliferation is likely to reduce retail prices over time.

Economic factors such as inflation, raw material costs, and manufacturing efficiencies also influence pricing. Price regulation in certain regions could cap increases, maintaining affordability.


Key Takeaways

  • Market Positioning: Fexofenadine-PSE ER serves a niche within allergy and cold relief predominantly valued for its sustained-release profile and tolerability.
  • Competitive Dynamics: Price is expected to decline gradually with increasing generic competition, but brand loyalty and formulation advantages could sustain higher margins temporarily.
  • Pricing Outlook: Prices will likely trend downward, averaging around $12.50 to $13 per 30-day supply by 2028, driven by market saturation and regulatory pressures.
  • Opportunities: Expanding indications or transitioning to OTC status could enlarge the user base, supporting volume-driven growth even as unit prices decline.
  • Risks: Regulatory hurdles, patent challenges, and pricing pressures from generics pose risks to profitability.

FAQs

1. What factors influence the retail price of Fexofenadine-PSE ER?
Pricing is dictated by manufacturing costs, competition from generics, regulatory requirements (especially for pseudoephedrine), supply chain dynamics, and regional market conditions.

2. How does patent expiry affect the price trend?
Patent expirations typically lead to increased generic entry, intensifying price competition and driving down retail prices over time.

3. What is the potential for Fexofenadine-PSE ER as an OTC medication?
Regulatory agencies may consider OTC switches as demand and safety data support broader access, potentially reducing costs and expanding market size.

4. How do regional regulations impact pricing strategies?
Regions with stricter pseudoephedrine sale restrictions may face supply limitations, increasing prices. Conversely, countries with relaxed controls may see more competitive pricing.

5. What are the future growth opportunities for this drug?
Expanding indications, OTC availability, and a growing allergy population present significant growth opportunities, offsetting price declines through increased sales volume.


References

[1] FDA Approval Documents, Fexofenadine Pseudoephedrine Extended Release Formulations.
[2] Research and Markets, Global Antihistamine Market Report, 2022.
[3] GoodRx, Average Retail Prices for Fexofenadine and Pseudoephedrine Products, 2023.

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