These are wholesale prices available to the US Federal Government which, by law, must be the best prices available under comparable terms and conditions
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 60505-1325
Last updated: March 13, 2026
What is NDC 60505-1325?
NDC 60505-1325 corresponds to a specific pharmaceutical product. Based on publicly available data, this NDC number represents Imvexxy (estradiol vaginal inserts), indicated for the treatment of atrophic vaginitis due to menopause in postmenopausal women. The product was approved by the FDA in 2020.
Market Size and Demand Dynamics
Market Overview
The global menopause market was valued at approximately $1.5 billion in 2022.
North America dominates this market, accounting for about 60% of sales, driven by an aging population and increased awareness of menopause treatments.
The U.S. accounts for 85% of the North American market, with ongoing approval of new hormone therapy options.
U.S. Market Size
In 2022, the U.S. menopause treatment market was estimated at ~$900 million.
The vaginal estrogen segment has grown at a compound annual growth rate (CAGR) of approximately 7% over the past five years.
The increase is fueled by labelling updates, rising awareness, and a shift from systemic to localized therapies.
Competitive Landscape
Existing products include Premarin Vaginal Cream, Vagifem (estradiol vaginal tablets), and Estring (estradiol ring).
Imvexxy entered a market with established brands but offers unique features such as its rapid dissolution and small dosage.
Adoption Drivers
Postmenopausal women seeking non-invasive, localized treatment.
Physicians favoring therapies with minimal systemic absorption and side effects.
Increased hormone replacement therapy utilization, especially among women aged 50-65.
Price Trends and Projections
Current Pricing
Average wholesale price (AWP): $250–$280 per box of 4 inserts.
Retail price (cash paying): approximately $300 per box.
Insurance reimbursements vary by plan but generally cover up to 90%, leaving patients responsible for $30–$60.
Pricing Factors
Market entry by biosimilar or generic alternatives could pressure prices downward.
Insurance negotiation dynamics influence net reimbursement rates.
Manufacturing costs are moderate due to the established nature of estradiol formulations.
Price Projection (Next 5 Years)
Year
Estimated Average Retail Price per Box
Notes
2023
$300
Current market price
2024
$290–$310
Slight decrease expected with increased competition or negotiating power of insurers
2025
$280–$300
Potential entry of generic options; price stabilization or slight decline
2026
$270–$290
Entry of biosimilars or biosimilar-like products could push prices lower
2027
$260–$280
Continued market maturation with potential downward pressure
Price Drivers and Risks
Introduction of biosimilars or generics would likely reduce prices by 15–20% within 2–3 years.
Changes in insurance reimbursement policies could either cushion price declines or enforce reductions.
Market expansion into international territories could affect U.S. pricing strategies.
Regulatory and Reimbursement Outlook
FDA approval in 2020 positioned Imvexxy as a preferred localized estrogen therapy.
CMS and private insurers tend to favor evidence-based therapies with proven safety profiles.
Price negotiations are ongoing; coverage expansion could improve access but exert downward pressure.
Investment and Commercialization Insights
Companies should monitor pipeline developments for biosimilars or competing formulations.
Large pharmaceutical players focusing on hormone therapies may enter this segment, influencing prices.
Market penetration depends on physician awareness programs and patient access strategies.
Key Takeaways
The NDC 60505-1325 product (Imvexxy) operates in a growing menopause treatment market, with steady demand driven by aging demographics.
Current prices are around $300 per box, with modest declines projected over five years due to competition.
Entry of biosimilar or generic competitors can reduce prices by 15–20%, impacting revenue potential.
Insurance reimbursement policies significantly influence net pricing and patient out-of-pocket costs.
FAQs
What factors influence the price of NDC 60505-1325?
Price determinants include manufacturing costs, competition from biosimilars and generics, insurance reimbursement rates, and market demand.
How is the market projected to evolve in the next five years?
Prices may decline gradually, influenced by new entrants and reimbursement policies, with a possible 10–15% reduction from current levels.
Are there biosimilars approved for this product?
As of 2023, no biosimilar versions of Imvexxy have been approved, but pipeline products may change this within the next few years.
What are the main competitors to Imvexxy?
Vaginal estrogen creams, tablets (Vagifem), and rings (Estring) are primary alternatives, with established brand presence.
How do insurance policies affect patient access and prices?
Reimbursement rates and formulary placements influence patient out-of-pocket costs and thus impact overall market demand and pricing strategies.
References
[1] Global Market Insights. (2022). Menopause Treatment Market Size.
[2] FDA. (2020). Approval documents for Imvexxy.
[3] IQVIA. (2022). Market Data and Trends for Vaginal Estrogen Products.
[4] Statista. (2022). U.S. Menopause Market Revenue Forecasts.
[5] CMS. (2023). National Reimbursement Policies for Hormone Therapies.
Drugs may be covered by multiple patents or regulatory protections. All trademarks and applicant names are the property of their respective owners or licensors.
Although great care is taken in the proper and correct provision of this service, thinkBiotech LLC does not accept any responsibility for possible consequences of errors or omissions in the provided data.
The data presented herein is for information purposes only. There is no warranty that the data contained herein is error free.
We do not provide individual investment advice. This service is not registered with any financial regulatory agency. The information we publish is educational only and based on our opinions plus our models.
By using DrugPatentWatch you acknowledge that we do not provide personalized recommendations or advice.
thinkBiotech performs no independent verification of facts as provided by public sources nor are attempts made to provide legal or investing advice. Any reliance on data provided herein is done solely at the discretion of the user.
Users of this service are advised to seek professional advice and independent confirmation before considering acting on any of the provided information. thinkBiotech LLC reserves the right to amend, extend or withdraw any part or all of the offered service without notice.
Alerts Available With Subscription
Alerts are available for users with active subscriptions.