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Last Updated: January 1, 2026

Drug Price Trends for REGRANEX


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Drug Price Trends for REGRANEX

Best Wholesale Price for REGRANEX

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
REGRANEX 0.01% GEL Smith & Nephew, Inc. 50484-0810-15 15GM 1140.36 76.02400 GM 2023-04-01 - 2028-03-31 FSS
REGRANEX 0.01% GEL Smith & Nephew, Inc. 50484-0810-15 15GM 965.20 64.34667 GM 2024-01-01 - 2028-03-31 Big4
REGRANEX 0.01% GEL Smith & Nephew, Inc. 50484-0810-15 15GM 1182.55 78.83667 GM 2024-01-01 - 2028-03-31 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 REGRANEX

Last updated: July 27, 2025

Introduction

REGRANEX (becaplermin) Gel is a topically applied recombinant human platelet-derived growth factor (PDGF-BB) indicated primarily for the treatment of diabetic foot ulcers (DFUs). Since its FDA approval in 1997, REGRANEX has established itself as a critical therapeutic option for chronic wounds. However, the drug's market dynamics are subject to evolution driven by patent expirations, emerging therapies, reimbursement policies, and healthcare provider preferences. This report provides a detailed market analysis and forward-looking price projections for REGRANEX, aiming to assist stakeholders in strategic decision-making.

Market Overview

Therapeutic Indication and Clinical Profile

REGRANEX addresses a significant unmet need in the management of diabetic foot ulcers, which afflict approximately 15% of diabetic patients globally [1]. Chronic ulcers complicate wound healing, often leading to amputations with substantial morbidity and healthcare costs.

The drug’s mechanism stimulates cellular proliferation and angiogenesis, expediting wound closure. Despite its long-standing presence, REGRANEX faces competition from advanced wound care products, including skin substitutes, negative pressure wound therapy, and newer growth factor formulations.

Market Size and Demographics

The global diabetic foot ulcer market was valued at USD 2.3 billion in 2021 and is projected to grow at a CAGR of approximately 7% through 2028 [2]. Within this, the U.S. remains the largest market, driven by diabetes prevalence and advanced wound care practices.

The high cost of chronic wound management—estimated at USD 20 billion annually in the U.S. alone—amplifies the importance of effective therapies like REGRANEX. However, prescription volumes for REGRANEX have declined over recent years due to generic competition and healthcare reimbursement challenges.

Market Drivers

  • Increasing diabetic population: Rising prevalence of diabetes globally (>500 million), projected to reach 700 million by 2045 [3], directly correlates with the incidence of DFUs.
  • Clinical efficacy: Demonstrated ability to accelerate wound healing positions REGRANEX as a preferred option in specific clinical scenarios.
  • Reimbursement policies: Favorable insurance coverage in certain regions has historically supported its use, although this is evolving.
  • Physician awareness and guidelines: Incorporation into wound care protocols sustains demand, although newer modalities challenge its market share.

Market Challenges

  • Patent expiration and generic entry: Becaplermin was granted a patent extension until 2020; generic versions have entered the market, exerting price pressure.
  • Pricing and reimbursement hurdles: The high cost (~USD 1,000 per 15-gram tube) limits accessibility and utilization.
  • Competition: Growth factors like Fiblast (via regional approvals), and non-growth factor therapies reduce reliance on REGRANEX.
  • Safety concerns: Rare but serious adverse events, such as malignancy risks, impact prescribing practices.

Patent and Regulatory Landscape

REGRANEX’s patent lifecycle significantly influences its pricing and market dynamics. The original patent expired in the late 2000s, with patent extensions granted until 2020. Post-expiry, biosimilar versions entered the market, intensifying price competition.

Regulatory actions have included high-profile safety warnings, necessitating prescriber caution and affecting overall market perception.

Pricing Analysis

Historical Pricing Trends

Historically, REGRANEX’s wholesale acquisition cost (WAC) was approximately USD 1,000 per 15-gram tube [4]. This premium pricing reflects manufacturing complexity and market exclusivity.

Current Market Price

Post-generic entry and increased competition, average prices have declined to around USD 700–900 per tube in the U.S. market, with variations across providers and payers.

Reimbursement and Cost-Effectiveness

Reimbursement policies affect net prices. In some cases, payers restrict coverage to specific clinical indications, further influencing prescribing patterns.

Price Projections

Given the expiration of patent exclusivity, future prices are expected to decline further, potentially stabilizing around USD 500–700 per tube over the next 3–5 years. The trajectory will depend on:

  • The regulatory environment and possible biosimilar approvals.
  • Payer policies favoring cost-effective alternatives.
  • Physician and patient acceptance of newer therapies.
  • Manufacturing and distribution efficiencies reducing production costs.

Market Forecasts (2023–2028)

The diabetic foot ulcer market, with REGRANEX as a component, is anticipated to experience moderate growth driven by increasing diabetes prevalence. However, declining utilization of REGRANEX due to price sensitivity and competition could lead to:

  • A 25–35% reduction in prescription volume over five years.
  • A downward pressure on average selling prices, with projections indicating a 30–50% decrease from peak pricing levels.

If biosimilars gain regulatory approval and market acceptance, prices could further decline, possibly reaching USD 300–500 per tube. Conversely, limited biosimilar penetration or regulatory hurdles could slow this decline.

Strategic Implications

Stakeholders should consider the following:

  • Manufacturers: Innovation in formulation, combination therapies, or improved delivery systems could preserve margins.
  • Payers: Cost containment pressures will favor biosimilar adoption and alternative therapies.
  • Providers: Emphasizing evidence-based selection based on wound severity and patient response can optimize outcomes and cost-effectiveness.

Key Takeaways

  • The market for REGRANEX is declining due to patent expirations, biosimilar competition, and evolving treatment paradigms.
  • Prices are projected to fall steadily over the next five years, with a potential 30–50% reduction from current levels.
  • The increasing prevalence of diabetes ensures sustained demand for diabetic wound therapies, but REGRANEX’s share will diminish relative to newer options.
  • Strategic focus on innovation, cost-effectiveness, and regulatory navigation is essential for market stakeholders.

Conclusion

REGRANEX faces significant market challenges in the current landscape, primarily driven by generic competition and high treatment costs. While the long-standing presence in diabetic foot ulcer management underscores its clinical value, pricing pressures and emerging therapies will shape its future trajectory. Industry participants must adapt through innovation and strategic positioning to sustain relevance and profitability in this evolving segment.


FAQs

1. What is the primary indication for REGRANEX?
REGRANEX is indicated for the topical treatment of diabetic foot ulcers that extend into the subcutaneous tissue without infection or ischemia to aid in wound healing.

2. How has patent expiration affected the pricing of REGRANEX?
Patent expiration has facilitated the entry of biosimilars and generics, resulting in significant price reductions and increased market competition, thereby decreasing revenue potential for the original product.

3. Are biosimilars available for REGRANEX?
As of 2023, no biosimilars for becaplermin have received regulatory approval in major markets, but biosimilar development remains underway, which could impact future pricing and market share.

4. What factors influence the future pricing of REGRANEX?
Regulatory approval of biosimilars, payer reimbursement policies, manufacturing costs, and clinical adoption rates are key determinants of future pricing trends.

5. What alternative therapies are replacing REGRANEX in diabetic foot ulcer management?
Advanced wound dressings, skin substitutes, negative pressure therapy, and newer recombinant growth factors or pharmacological agents are increasingly preferred based on individual patient needs and cost considerations.


References

[1] Boulton, A. J. M., et al. (2020). Diabetic Foot Disease: Unique Geographies and Future Challenges. Diabetes/Metabolism Research and Reviews.
[2] MarketsandMarkets. (2022). Diabetic Foot Ulcer Market by Product, End User – Global Forecast to 2028.
[3] International Diabetes Federation. (2021). IDF Diabetes Atlas, 9th Edition.
[4] Drug Price Checker. (2023). REGRANEX Pricing Data.

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