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Last Updated: December 16, 2025

Drug Price Trends for NDC 00480-2596


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Best Wholesale Price for NDC 00480-2596

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 NDC 00480-2596

Last updated: November 22, 2025


Introduction

NDC 00480-2596 corresponds to the drug Bexarotene, a selective retinoid X receptor (RXR) agonist primarily approved for the treatment of cutaneous T-cell lymphoma (CTCL), particularly in patients who have failed other therapies. As an orphan drug with niche applications, Bexarotene's market dynamics are influenced by regulatory approval, patent status, competition, pricing strategies, and evolving clinical indications.

This analysis aims to provide a comprehensive view of the current market environment for NDC 00480-2596, projected pricing trends, and strategic positioning insights relevant for stakeholders including pharmaceutical companies, payers, and healthcare providers.


Market Landscape Overview

1. Therapeutic Context and Clinical Landscape

Bexarotene, marketed as Targretin by Eisai, gained FDA approval in 1999 for the treatment of CTCL. Its mechanism involves modulating retinoid receptors to induce apoptosis in malignant T cells. While its primary indication remains in dermatological oncology, recent investigational trials explore off-label uses, notably in neurodegenerative diseases and other cancers, potentially expanding its market scope.

2. Market Size and Patient Demographics

The CTCL market is relatively niche, with a prevalence estimated at approximately 2.5 per million individuals globally, amounting to roughly 10,000–15,000 patients in the United States alone. The but limited patient pool constrains volume but often supports premium pricing owing to the high unmet medical need.

3. Regulatory and Patent Considerations

Bexarotene's exclusivity period has largely expired, reducing barriers for biosimilars and generics. However, Eisai maintains patent protections on specific formulations and delivery mechanisms until approximately 2025–2027, allowing continued premium pricing in the short term. Regulatory designations, such as orphan drug status, further incentivize market exclusivity.

4. Competitive Landscape

The market features limited direct competitors; however, other systemic agents like bexarotene's alternative therapies (e.g., mogamulizumab) offer competitive options. The advent of more targeted or biologic therapies could influence demand and pricing dynamics over the coming years.


Market Dynamics and Pricing Trends

1. Current Pricing Environment

As of 2023, the wholesale acquisition cost (WAC) for Bexarotene (brand and generic forms) ranges between $15,000 to $25,000 per month for typical doses, translating to approximately $180,000 to $300,000 annually. This premium reflects its orphan drug status, unique mechanism, and the limited patient base, which counters the volume-based pricing pressure.

2. Dose and Formulation Impact

Bexarotene is administered orally, typically as 300 mg capsules. The standard regimen involves daily dosing with adjustments based on patient response and toxicity management. Pricing varies depending on formulation exclusivity, packaging, and whether payers negotiate sizable discounts or rebates.

3. Price Projection Factors

Several factors influence future price trajectories:

  • Patent Expirations and Generics: Generic versions are expected to enter market post-2025, exerting downward pressure on prices.
  • Regulatory and Reimbursement Policies: Increased scrutiny on high-cost orphan drugs and potential value-based agreements could lead to negotiated price caps.
  • Clinical Evidence and Indication Expansion: Positive results in new indications might sustain or increase demand, stabilizing or boosting prices.
  • Market Competition: Emergence of novel therapies, especially targeted biologics, could reduce Bexarotene’s market share, prompting strategic price adjustments for market retention.

Based on current trends and considering the typical lifecycle of niche oncology drugs, a gradual price decline of 5-10% annually is projected from 2025 onward, aligned with patent expiry and increased generic penetration.

4. Future Price Projections (2023-2030)

Year Estimated Monthly Price (USD) Rationale
2023 $17,000 – $20,000 Current premium due to orphan status
2024 $16,500 – $19,000 Slight discount negotiations, stable demand
2025 $14,000 – $17,000 Patent expiry, generic entry begins
2026 $12,000 – $15,000 Increased generic competition, downward pricing pressure
2027 $10,000 – $13,000 Market commoditization, continued biosimilar entry
2028–2030 $8,000 – $11,000 Consolidation of generics, potential biosimilar competition

Strategic Insights

  • Market Penetration and Positioning: Currently benefitting from orphan drug exclusivity, manufacturers can maximize revenue through optimal pricing and patient access programs.
  • Biosimilar and Generic Entry: Once generics are introduced, companies must prepare for significant price erosion. Early planning for differentiation, such as companion diagnostics or formulation improvements, will be crucial.
  • Indication Expansion: Investing in clinical trials that demonstrate efficacy in broader or new indications could sustain or moderately increase prices and extend market viability.
  • Pricing Negotiations: Stakeholders should focus on value-based agreements, especially as healthcare payers seek cost-effective care options.

Key Takeaways

  • NDC 00480-2596 (Bexarotene) remains a high-value, niche therapeutic with substantial pricing premiums driven by its orphan status and limited competition.
  • Current monthly pricing averages around $17,000 to $20,000, with a trajectory toward lower prices post-patent expiration, primarily due to generics entering the market.
  • A gradual annual price decline of approximately 5-10% is anticipated from 2025 onward, commensurate with generic competition and evolving reimbursement policies.
  • Strategic initiatives such as expanding indications and differentiating formulations can help sustain revenue streams amid increased competition.
  • Stakeholders should monitor patent timelines, regulatory developments, and emerging therapies to optimize market positioning and pricing strategies.

FAQs

1. When will generics likely enter the market for Bexarotene (NDC 00480-2596)?
Generics are typically expected to enter approximately 8-10 years after the original patent filing, targeting around 2025–2027 for Bexarotene, given the US patent expiration timeline and legal approvals.

2. How does orphan drug status influence pricing and market exclusivity?
Orphan drug designation grants market exclusivity for seven years in the US, allowing higher pricing due to limited competition and addressing unmet medical needs, although patent protection further influences longevity.

3. What factors could delay the entry of generics or biosimilars?
Patent extensions, legal challenges, or regulatory delays can postpone generic entry. Additionally, formulation patents and exclusivity periods might sustain higher prices temporarily.

4. Are there emerging therapies that threaten Bexarotene’s market share?
Yes, newer targeted therapies such as mogamulizumab and other biologics are gaining traction, potentially reducing demand for Bexarotene as alternative treatments emerge.

5. How can stakeholders optimize revenue in the face of declining prices?
By expanding indications, implementing value-based payment models, improving patient access, and engaging in early planning for biosimilar competition, stakeholders can mitigate revenue losses.


References

[1] Food and Drug Administration. Targretin (bexarotene) capsules. FDA.
[2] IMS Health Data. Oncology drug market analysis, 2022.
[3] IQVIA Institute. The Global Oncology Drug Market, 2021.
[4] Orphan Drug Designation Policy. FDA.
[5] Company Annual Reports and Patent Filings, 2023.

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