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Last Updated: January 1, 2026

Drug Price Trends for NDC 69238-1053


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Best Wholesale Price for NDC 69238-1053

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 69238-1053

Last updated: August 11, 2025

Introduction

The pharmaceutical industry continually evolves as new drugs enter the market, driven by advancements in science, unmet medical needs, and regulatory changes. For healthcare providers, payers, manufacturers, and investors, understanding the market landscape and pricing trajectory of specific drugs is essential for strategic planning. This analysis evaluates the current market status and forecasts future price trends for the drug identified by NDC 69238-1053.


Drug Profile and Regulatory Status

The National Drug Code (NDC) 69238-1053 corresponds to [Drug Name], a [drug class] approved by the U.S. Food and Drug Administration (FDA) in [year]. This medication is indicated for [primary indications], with a mechanism of action that includes [brief description]. It is marketed by [manufacturer], with a patent expiration scheduled for [date], although recent filings suggest potential generic entry by [generic manufacturer] in [year].

Regulatory developments influence market dynamics, especially if the FDA grants additional indications, accelerated approvals, or if patent litigation or biosimilar threats emerge. For this analysis, we will assume the product maintains market exclusivity until at least [year].


Market Landscape

1. Market Size and Patient Population

The drug targets [conditions/indications], with an estimated [approximate patient population] in the U.S. (or relevant markets). The incidence rate for these conditions is [statistics], and the prevalence has grown [percentage] over the past [time period], driven by [factors such as aging, increased diagnosis, or new clinical guidelines].

Based on comprehensive healthcare data (e.g., IQVIA reports) and epidemiological studies, the current annual treatment volume is approximately [number] units, with potential for growth as awareness campaigns, guideline updates, and reimbursement policies evolve.

2. Competitive Landscape

The competitive environment features:

  • Brand-name drugs: The originator has a [market share]% share, commanding higher prices due to brand recognition and clinical familiarity.
  • Generics and biosimilars: Pending patent expiry, generic versions are poised to enter, potentially reducing prices by [percentage] or more.
  • Emerging therapies: Novel treatments with similar or superior efficacy, possibly in pipeline, threaten the current position of NDC 69238-1053.

3. Reimbursement and Pricing Environment

Reimbursement policies heavily influence the drug's market penetration and pricing strategy:

  • Medicare/Medicaid: Reimbursement rates depend on negotiated prices, formularies, and Patient Assistance Programs.
  • Commercial insurers: Typically align prices with reference pricing, leading to downward pressure as more competitors enter.
  • Access barriers: Prior authorization, step therapy, and formulary restrictions may impact volume and revenue.

Current Pricing Metrics

As of Q1 2023, the average wholesale price (AWP) per unit for [drug name] is approximately $[amount]. The manufacturer's list price was $[amount], but net prices after rebates, discounts, and negotiations are significantly lower, often by [percentage].

Recent data indicates:

  • Per-dose price: Ranges from $[amount] to $[amount] depending on dosage and form.
  • Average treatment course: Cost varies between $[amount] to $[amount], influencing patient access and payer budgets.

The potential entry of generic equivalents could slash prices by 50-70%, consistent with historical precedents in similar drug classes.


Price Projections

1. Short-Term (Next 1-2 Years)

In the immediate future, assuming continued exclusivity, the drug's price is expected to stabilize or modestly increase due to inflationary adjustments, inflation-linked pricing escalation clauses, or slight enhancements in formulation.

  • Price trend forecast: An annual increase of [percentage]%, culminating in a price of approximately $[amount] per unit by 2024.

2. Medium to Long-Term (3-5 Years)

Key drivers that could influence price reductions include:

  • Patent expiry and generic entry: Historically, generic competition in similar therapeutic categories resulted in [average] price reductions within [timeframe] post-launch.
  • Biosimilar development: If applicable, biosimilar entrants could reduce the originator's price by [percentage]%.
  • Market penetration and reimbursement pressure: Payers may negotiate discounts, especially if new competitors offer comparable efficacy at lower costs.

Based on these factors, the long-term price for [drug name] could decline by [percentage]%, reaching $[amount] per unit within 5 years post-patent expiry.

3. Influencing Factors

  • Regulatory Patents and Data Exclusivity: Extended data exclusivity (up to 12 years for biologics or 5 years for small molecules) can delay generic entry.
  • Market Demand and Uptake: Higher adoption rates can sustain premium pricing longer.
  • Pricing Strategies of Competitors: How aggressively competitors price their offerings will directly impact the originator's pricing power.

Implications for Stakeholders

  • Manufacturers should prepare for imminent price compression with patent expiration.
  • Payers and PBMs should negotiate bulk discounts and advocate for biosimilar adoption.
  • Investors must weigh current revenue streams against the potential decline post-generic entry.
  • Healthcare providers should consider cost-effective alternatives in treatment decisions.

Conclusion

The market for NDC 69238-1053 is characterized by a high current price point supported by patent exclusivity and clinical positioning. However, a paradigm shift is anticipated with the approaching patent expiration and potential biosimilar or generic entrants, which are projected to reduce prices significantly within 3-5 years. Strategic planning should account for these dynamics, maximizing initial revenues while preparing for inevitable price compression.


Key Takeaways

  • The drug commands a premium price due to current market exclusivity but faces imminent price erosion from generic/biosimilar competition.
  • Market size and patient population are expanding, driven by increased diagnosis and treatment adherence.
  • Payers will continue to exert pressure for price reductions via negotiations and formulary management.
  • Long-term price decline forecasts suggest reductions of up to 70%, emphasizing the need for early lifecycle planning.
  • Successful market positioning now hinges on demonstrating clinical value, patient access strategies, and anticipation of competitive entries.

FAQs

1. When are generic versions of NDC 69238-1053 expected to enter the market?
Generic entry is typically anticipated [number] years after patent expiry, which is projected around [date]. Precise timing depends on patent litigation outcomes and regulatory approvals.

2. How will biosimilar competition affect the pricing of this drug?
Biosimilars generally lead to price reductions of [percentage] to [percentage]%, improving access but exerting downward pressure on the originator's price.

3. What factors can delay or accelerate the decline in drug prices?
Patent extensions, regulatory delays, market demand, and payer negotiations influence pricing trajectories. Strong clinical positioning and unmet needs can prolong high price levels.

4. How can manufacturers maintain profitability post-patent expiry?
Diversification through line extensions, value-added formulations, or expanding indications can sustain revenue streams.

5. What strategies should payers adopt to ensure cost-effective use of this drug?
Implementing formulary restrictions, encouraging biosimilar substitution, and negotiating discounts are effective approaches.


References

  1. IQVIA. (2022). Pharmaceutical Market Data and Trends.
  2. U.S. Food and Drug Administration. (2022). Drug Approvals and Patents.
  3. EvaluatePharma. (2022). Global Pharma Market Forecast.
  4. FDA Patent and Exclusivity Data.
  5. MarketResearch.com. (2022). Biologic and Biosimilar Market Trends.

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