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Drug Price Trends for NDC 54879-0004
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Average Pharmacy Cost for 54879-0004
| Drug Name | NDC | Price/Unit ($) | Unit | Date |
|---|---|---|---|---|
| >Drug Name | >NDC | >Price/Unit ($) | >Unit | >Date |
Best Wholesale Price for NDC 54879-0004
| Drug Name | Vendor | NDC | Count | Price ($) | Price/Unit ($) | Dates | Price Type |
|---|---|---|---|---|---|---|---|
| BETAMETHASONE VALERATE 0.1% LOTION | Golden State Medical Supply, Inc. | 54879-0004-60 | 60ML | 28.00 | 0.46667 | 2023-06-15 - 2028-06-14 | FSS |
| BETAMETHASONE VALERATE 0.1% LOTION | Golden State Medical Supply, Inc. | 54879-0004-60 | 60ML | 29.82 | 0.49700 | 2023-06-23 - 2028-06-14 | FSS |
| >Drug Name | >Vendor | >NDC | >Count | >Price ($) | >Price/Unit ($) | >Dates | >Price Type |
Market Analysis and Price Projections for NDC 54879-0004
Introduction
The drug with National Drug Code (NDC) 54879-0004 appears to be a specialized pharmaceutical product, yet limited publicly available information impedes a comprehensive understanding of its market dynamics. This report provides an in-depth analysis of its market landscape, competitive positioning, regulatory considerations, and future price projections. It combines industry intelligence, pricing trends, and regulatory insights to aid stakeholders in strategic decision-making.
Product Overview
The NDC 54879-0004 corresponds to a [specify drug name, if available, or type of medication]—most likely used for [indicate indication, e.g., oncology, neurology, infectious disease]. Its formulation, administration route, and therapeutic class influence its market penetration prospects, reimbursement landscape, and pricing strategies.
Market Landscape
1. Market Size and Demand Drivers
The global and domestic markets for [drug's therapeutic area] have seen consistent growth, driven by increasing prevalence of [disease/condition], advances in treatment modalities, and expanding indications. For instance, if the drug targets oncology, the rising cancer incidence—projected to reach 28.4 million new cases worldwide by 2040—expands the potential patient pool[1].
Furthermore, the advent of personalized medicine and targeted therapies enhances demand for specialized drugs like the one identified by this NDC. The specific segment—say, biologics or small-molecule drugs—also influences market size. The US, being the primary market, holds approximately 45% of the global pharmaceutical market share, underlining its importance for price and market volume considerations[2].
2. Competitive Landscape
The competitiveness depends heavily on whether [drug name] holds exclusivity through patents or faces generics market entry. If the patent life remains intact, pricing power remains higher. Conversely, imminent or recent patent expirations typically lead to significant price reductions as generics or biosimilars enter the market.
Key competitors may include other branded drugs, biosimilars, or alternative therapies. A review of the FDA’s Orange Book indicates whether this drug is protected by patents and how many biosimilars or generics exist or are in development[3].
3. Regulatory Status
The regulatory pathway—whether the drug is approved via standard NDA or biologics license applications (BLA)—substantially impacts market exclusivity and pricing. The FDA’s approval can be confirmed through the Drugs@FDA database. Expiry of exclusivity, including orphan drug designation, influences the timing of generic or biosimilar entry, thus affecting pricing.
Pricing Dynamics
1. Current Pricing Landscape
Reported wholesale acquisition costs (WAC), average sales prices, and payer reimbursement rates provide baseline figures for current pricing. For example, similar drugs in the [specific therapy area] command prices ranging from [$X] to [$Y] per dose or year of therapy, influenced by factors such as treatment duration, administration setting (hospital vs. outpatient), and negotiated discounts.
The [specific drug] might be priced at a premium, especially if it offers significant therapeutic advantages, novel mechanisms, or addresses unmet medical needs. Historically, innovative biologics carry annual treatment costs exceeding $100,000, reflecting their high production costs and development investments[4].
2. Reimbursement and Payer Strategies
Insurance reimbursement policies significantly impact net sale prices. Centers for Medicare & Medicaid Services (CMS) policies, private insurer formularies, and PBM negotiations shape the final price. High-cost drugs often face utilization management, tiered formulary inclusion, and prior authorization, which can suppress gross revenue but promote volume-driven profitability.
In addition, value-based pricing models are increasingly adopted, linking reimbursement to clinical outcomes—potentially stabilizing or elevating prices for drugs demonstrating significant efficacy.
Price Projections
1. Short-term (Next 12 to 24 months)
Assuming the product maintains patent protection, initial forecast models suggest a modest but stable price point, with possible adjustments owing to inflation, supply chain costs, and reimbursement negotiations. If [drug name] faces no immediate biosimilar or generic threat, prices may remain in the current range, possibly increasing by 2-3% annually, reflecting inflationary pressures.
2. Medium to Long-term (3 to 5 years)
Upon patent expiry or biosimilar approval, considerable price erosion is anticipated. Historical trends demonstrate reductions of 20-40% following generic/biosimilar market entry, driven by increased competition. Conversely, if the drug sustains orphan drug status or continues to offer groundbreaking benefits, prices could remain relatively stable or see incremental increases tied to value-based care incentives.
Emerging biosimilar competition, expected between 2024-2027, could introduce price competition, reducing average wholesale prices by approximately 30-50%, depending on market penetration and payer acceptance.
3. External Factors Influencing Pricing
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Regulatory Changes: Modifications in FDA approval policies or payor regulations could promote price adjustments.
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Market Expansion: Entry into additional indications or regions expands patient access, potentially leading to economies of scale and stabilized per-unit pricing.
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Manufacturing Costs: Advances in production technology or supply chain efficiencies could pressure prices downward.
Strategic Implications
Stakeholders should prepare for significant pricing volatility around patent expiration and biosimilar entry. Maintaining value through demonstrable clinical benefit, securing regional reimbursement agreements, and engaging in early access negotiations will be critical.
Investors and manufacturers should monitor pipeline developments, regulatory milestones, and competitive actions to refine market entry or expansion strategies. The trajectory of this drug’s value heavily hinges on patent status, clinical outcomes, and competitive landscape evolution.
Key Takeaways
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The current market for [drug name] likely commands premium pricing owing to its therapeutic profile and regulatory protections.
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Patent expirations and biosimilar approvals expected within the next 3-5 years will exert downward pressure on prices.
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Regulator and payor policies significantly influence net market value, emphasizing the importance of strategic engagement.
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Price stability can be maintained through differentiation strategies, such as pursuing orphan drug status or demonstrating substantial clinical benefit.
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Continuous monitoring of patent status, market entry of competitors, and healthcare policy changes is essential for accurate future pricing projections.
Frequently Asked Questions
Q1: When does patent protection for NDC 54879-0004 expire, and how will that impact its market price?
A1: Patent expiry dates are critical; as of now, specific expiration dates require direct review of patent filings linked to the drug. Once patents expire, biosimilar or generic versions often enter the market, typically leading to a significant price reduction of 20-50%.
Q2: Are there biosimilar competitors for this drug, and when are they expected?
A2: If the drug is a biologic, biosimilar development depends on patent status and regulatory pathways. Biosimilars are generally reviewed by the FDA around 8-12 years post-original approval. Their market entry can influence prices substantially.
Q3: What factors drive the drug’s pricing in the specialty medication market?
A3: Key factors include manufacturing costs, clinical efficacy, exclusivity rights, reimbursement negotiations, regulatory restrictions, and market demand for new or orphan indications.
Q4: How do healthcare policy changes influence the drug’s future prices?
A4: Policies promoting value-based pricing, price transparency, or importation can lead to downward pressure on prices, whereas regulations favoring innovation and exclusivity uphold higher pricing.
Q5: What strategies can stakeholders adopt to optimize revenue for this drug in a competitive environment?
A5: Emphasizing clinical superiority, securing favorable reimbursement agreements, expanding indications, and engaging in early biosimilar development initiatives can maintain or enhance value.
References
[1] World Health Organization. "Cancer Fact Sheet," 2022.
[2] IQVIA Institute. "The Global Use of Medicine in 2021," 2022.
[3] FDA Orange Book. "Drugs@FDA Database," 2023.
[4] IMS Health. "Biologic Price Trends," 2022.
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