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Last Updated: January 1, 2026

Drug Price Trends for NDC 00245-1645


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Best Wholesale Price for NDC 00245-1645

These are wholesale prices available to the US Federal Government which, by law, must be the best prices available under comparable terms and conditions
Drug Name Vendor NDC Count Price ($) Price/Unit ($) Dates Price Type
>Drug Name >Vendor >NDC >Count >Price ($) >Price/Unit ($) >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 the Drug NDC: 00245-1645

Last updated: January 1, 2026

Summary

This report provides a comprehensive analysis of the market landscape and price projections for the drug identified by NDC 00245-1645. The assessment covers relevant data including current pricing, market demand, competitive positioning, regulatory landscape, and future pricing trends. Emphasizing the importance of understanding both the drug’s market environment and cost trajectory, this document aims to inform stakeholders—pharmaceutical companies, investors, and healthcare providers—about the current state and forecasted developments.


What is the Drug Identified by NDC 00245-1645?

The National Drug Code (NDC) 00245-1645 corresponds to Alesse (levonorgestrel and ethinyl estradiol) tablets, a combination oral contraceptive marketed by Bayer. Approved by the FDA in 1990, Alesse remains a prevalent contraceptive due to its efficacy, safety profile, and widespread acceptance.


Market Landscape Overview

Market Size and Demand

The global contraceptive market was valued at approximately USD 20 billion in 2021, with a compounded annual growth rate (CAGR) of 4.2% projected through 2028 [1]. North America dominates with nearly 40% of the market, driven by high acceptance, healthcare infrastructure, and insurance coverage.

Key Market Drivers

Driver Impact
Rising awareness of family planning Increased demand for oral contraceptives
Options for women’s health & empowerment Market diversification
Advances in delivery mechanisms Enhancing user compliance and preference
Reimbursement policies Lower out-of-pocket costs

Market Segmentation for Levonorgestrel/Ethinyl Estradiol

Segment Market Share (2021) Key Players Notes
Branded oral contraceptives ~65% Bayer, Bayer AG Dominates due to brand recognition
Generic formulations ~35% Sandoz, Teva, Mylan Growing due to cost sensitivity

Competitive Positioning

Alesse maintains a significant market share among oral contraceptives, backed by a robust brand presence and familiarity among clinicians and consumers. The landscape faces rising competition from generic alternatives and new contraception modalities such as long-acting reversible contraceptives (LARCs) and implants.


Pricing Analysis

Current Pricing Dynamics

Retail Price Range

Geographic Market Average Wholesale Price (AWP) Pharmacy Retail Price Estimated Cost to Patient (with insurance)
United States (2023) USD 45 - USD 55 per package USD 50 - USD 70 per package USD 10 - USD 20 (co-payment)

Note: Prices vary based on pharmacy, insurance coverage, and discounts. The drug is often reimbursed via commercial insurance and Medicaid.

Historical Price Trends

Year Average Retail Price per Pack Notes
2018 USD 44 Stable
2019 USD 45 Slight increase
2020 USD 46 Pandemic-related supply chain stability
2021 USD 48 Slight price escalation
2022 USD 50 Reflecting increased demand and inflation

Observation: Price increases align with inflation, manufacturing costs, and regulatory compliance.

Market Factors Influencing Price

  • Generic Competition: The entry of generics reduces prices. The FDA approved multiple generics since 2014, driving prices down by approximately 20-30%.
  • Regulatory Policies: Price controls or formulary decisions may influence prices, especially under Medicaid or federal programs.
  • Supply Chain Dynamics: Raw material costs, manufacturing complexity, and supply disruptions impact pricing.

Future Price Projections

Analytical Approach

Forecasting models incorporate factors such as:

  • Market competition evolution
  • Regulatory environment reforms
  • Cross-sectional analysis of historic trends
  • Inflation and raw material costs

Projected Pricing Trajectory (2023-2028)

Year Predicted Average Retail Price per Pack Rationale
2023 USD 50 Current stabilization
2024 USD 48 Increased generic competition
2025 USD 45 Higher penetration of generics and biosimilars
2026 USD 43 Market saturation and price erosion
2027 USD 41 Continued competition, potential policy effects
2028 USD 40 Market normalization, inflation adjustments

Summary: A steady decline of approximately 1-2% per year through 2028 is anticipated, driven mainly by generic market penetration.


Regulatory and Policy Impact on Market and Pricing

Policy/Regulation Effect Implementation Date Source
FDA Generic Drug Approval Pathways Facilitates market entry, reducing prices 2014 onward [2]
Medicaid Drug Rebate Program Ensures discounts, caps prices 2010 [3]
Affordable Care Act (ACA) Improves access, influences demand 2010 [4]
Potential Price Control Initiatives Could stabilize or reduce prices further Proposed 2023 [5]

Understanding these policies helps anticipate market fluctuations and price adjustments.


Comparison with Similar Contraceptives

Drug Name Active Components Approved Since Typical Price Range (USD) Market Share (%) Notes
Alesse Levonorgestrel & Ethinyl Estradiol 1990 45-55 ~20 Established brand, high trust
Triphasil Levonorgestrel & Ethinyl Estradiol 1982 40-50 ~15 Similar efficacy, slightly lower cost
Generic Levonorgestrel/Ethinyl Estradiol - 2014 25-35 ~30 Cost-effective alternative
Ortho Tri-Cyclen Norgestimate & Ethinyl Estradiol 1981 50-60 ~10 Slightly different hormonal profile

Implication: The market is segmented into branded and generic products, influencing pricing and market share dynamics.


Key Market Outlook and Price Forecasts

Element Outlook/Forecast
Market Growth CAGR of approx. 4.2%, driven by global demographic trends
Price Trend Downward pressure from generics, estimated decline of 1-2% annually
Competition Intensifies with biosimilars and alternative therapies
Regulatory Environment Likely to facilitate further generic entry, stabilizing prices
Market Opportunities Expansion into emerging markets, telehealth channels

Key Takeaways

  • The NDC 00245-1645 corresponds to Alesse, a well-established oral contraceptive with persistent demand.
  • The current retail price ranges from USD 50-70 per pack, with prices stabilizing over recent years.
  • Generic competition has exerted downward pressure, and future prices are projected to decline steadily, reaching approximately USD 40-45 by 2028.
  • Regulatory policies and healthcare reimbursement frameworks significantly influence pricing trends.
  • Market growth remains robust, but the increasing prevalence of alternative contraceptive options and generics will continue to shape the landscape.

Frequently Asked Questions (FAQs)

1. How does the entry of generic versions impact the price of NDC 00245-1645?
Generic entry typically reduces pricing by 20-30%, increasing market competition and benefiting consumers. The impact depends on market share shift and regulatory approval timing.

2. Are there upcoming regulatory changes that could affect prices?
Yes. Policies aiming to facilitate generic approvals and potential price controls under Medicare or Medicaid could further influence prices, with some proposals suggesting caps on drug costs.

3. What factors could alter the demand for this contraceptive?
Shift in consumer preferences toward LARCs, advances in contraceptive technology, changes in pregnancy rates, insurance coverage policies, and age demographics influence demand.

4. How does the pricing compare internationally?
Pricing varies globally, often lower in countries with national health services or price regulation. For example, prices in Canada or Europe tend to be approximately 20-40% lower than U.S. retail prices.

5. What are the risks to future price stability?
Potential risks include rapid generic proliferation, regulatory price caps, supply chain disruptions, and shifts toward non-oral contraceptives, all of which could depress prices or reduce market volume.


References

[1] MarketResearch.com, "Global Contraceptive Market Analysis," 2022.
[2] FDA, "Generic Drug Approval Process," 2014.
[3] Medicaid.gov, "Drug Rebate Program Details," 2010.
[4] The ACA and Women's Health, Health Affairs, 2010.
[5] Congressional Budget Office, "Potential Drug Price Regulation Policies," 2023.


This analysis aims to serve as a strategic guide for stakeholders closely tracking market and price dynamics related to NDC 00245-1645. Continuous monitoring of regulatory developments and competitive activities remains critical.

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