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Price type key:
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'BIG4' prices: VA, DoD, Public Health & Coast Guard only /
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Market Analysis and Price Projections for NDC 23155-0742
Last updated: February 25, 2026
What is the drug represented by NDC 23155-0742?
NDC 23155-0742 corresponds to Entyvio (vedolizumab), a biologic approved for ulcerative colitis and Crohn’s disease. Developed by Takeda Pharmaceutical, it was approved by the FDA in 2014. Entyvio is sold as a powder for intravenous infusion.
Market landscape overview
Key indications and patient population
Ulcerative colitis and Crohn’s disease are chronic inflammatory bowel diseases affecting approximately 3 million patients in the U.S. (UEG Week, 2022).
The target market includes adults with moderate to severe disease, refractory to conventional therapies.
Estimated annual prevalence: 1 million patients in the U.S.
Competitive landscape
Major competitors include:
Humira (adalimumab): Dominant TNF inhibitor
Remicade (infliximab): Monoclonal antibody
Stelara (ustekinumab): IL-12/23 inhibitor
Skyrizi (risankizumab): IL-23 inhibitor
Methotrexate, corticosteroids: Adjunct therapies
Market trends
Growing use of biologics for inflammatory bowel disease (IBD).
Increasing adoption of new mechanisms like integrin inhibitors.
Shift towards biosimilars reducing prices for some biologics, but Entyvio remains patent-protected with no biosimilar entry as of 2023.
Regulatory and reimbursement environment
Insurance coverage favors biologics with demonstrated efficacy.
Payment policies favor established products, but biosimilar and generic competition influences pricing.
Price analysis
List price
Average wholesale price (AWP): Approximately $5,200 per 300 mg vial (based on 2023 data).
Average selling price (ASP): Usually 20-30% below AWP, estimated around $3,600 per dose.
Cost per year: Patients typically receive 8-10 infusions annually, totaling $28,800 - $36,000 annually per patient.
Reimbursement landscape
Payers negotiate discounts ranging from 25% to 50% off list prices.
Actual net prices after rebates vary but typically render $2,000 - $3,000 per dose for payers.
Pricing compared to competitors
Drug
List Price per Dose
Estimated Net Price
Indications
Entyvio (vedolizumab)
~$5,200
$2,000 - $3,000
Ulcerative colitis, Crohn's disease
Humira (adalimumab)
~$6,000
$2,500 - $4,000
Multiple, including IBD
Remicade (infliximab)
~$4,800
$2,000 - $3,200
Several autoimmune conditions, including IBD
Price projections
Short-term (1-2 years)
No biosimilar competition is expected as of 2023.
Reimbursement discounts will likely stabilize between 20-30% of list prices.
Pricing for Entyvio remains steady with marginal adjustments for inflation and market forces.
Mid-term (3-5 years)
Patent expiration is projected in 2028.
Biosimilar or generic entrants could reduce price by up to 50%.
Market penetration of competing biologics and biosimilars might pressure prices downward.
Potential price decline to a range of $2,000 - $2,500 per dose.
Long-term (5+ years)
Entry of biosimilars could reduce the average net price by 50-60%.
Market share redistribution might impact total revenue, especially if biosimilars gain traction.
Adoption of oral small-molecule drugs could challenge biologic sales.
Revenue projections
Based on patient prevalence and pricing:
Scenario
Patients (Estimated)
Annual Revenue
Notes
Conservative
300,000
~$600 million
Assumes 60% market penetration at current prices
Optimistic
400,000
~$1 billion
Market expands with increased diagnosis rates
Biosimilar impact
400,000 (with biosimilar)
~$600 million
Reduced prices due to biosimilar entry, market share shifts
Key factors influencing future prices
Patent licensing and legal challenges; current patent rights last until 2028.
Regulatory approvals for biosimilars.
Market dynamics: adoption rates of biosimilars, small molecule therapeutics.
Reimbursement policies and payer negotiations.
Key takeaways
NDC 23155-0742 (Entyvio) is a leading biologic for IBD with a high list price averaging $5,200 per dose.
Competitive pressures, biosimilar entry in 2028, and payer discounts influence net revenue and prices.
Price stability is expected short-term with potential declines of up to 50% over the next 5 years.
Market expansion depends heavily on increasing diagnosis and treatment rates, alongside evolving competitive strategies.
FAQs
When will biosimilars for Entyvio enter the market?
Patent expiry is projected for 2028. Biosimilar development is ongoing, with FDA approval likely in the late 2020s.
What factors affect the net price paid by payers?
Negotiated rebates, discounts, and formularies largely determine net price, typically ranging from 20-50% below AWP.
How do biosimilars impact biologic pricing?
Biosimilars introduce price competition that can reduce biologic prices by 30-50%, especially after patent expiration.
What are the clinical advantages of Entyvio?
It offers an oral, gut-selective mechanism with fewer systemic side effects compared to some TNF inhibitors.
What is the trend in biologic adoption for IBD?
Biologics, including Entyvio, are increasingly prescribed, driven by higher efficacy and patient preference for less frequent dosing.
Sources:
[1] UEG Week. (2022). Epidemiology of inflammatory bowel diseases.
[2] FDA. (2014). Entyvio (vedolizumab) prescribing information.
[3] IQVIA. (2023). US Biologics Market Data.
[4] FDA. (2022). Biosimilar Development and Approval.
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