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Last Updated: December 16, 2025

Drug Price Trends for NDC 00039-0221


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Best Wholesale Price for NDC 00039-0221

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
AMARYL TABLETS, 1MG Sanofi Aventis U.S. LLC 00039-0221-10 100 97.50 0.97500 2023-06-01 - 2028-05-31 Big4
AMARYL TABLETS, 1MG Sanofi Aventis U.S. LLC 00039-0221-10 100 133.56 1.33560 2023-06-01 - 2028-05-31 FSS
>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 00039-0221

Last updated: July 27, 2025


Introduction

The drug with NDC 00039-0221 is a key pharmaceutical product within its therapeutic category, and understanding its market dynamics and pricing trajectory is essential for stakeholders—including manufacturers, healthcare providers, payers, and investors. This analysis evaluates current market conditions, competitive landscape, regulatory environment, and price trends to generate accurate forecasts.


Product Overview and Therapeutic Context

NDC 00039-0221 refers to Tympanogard (hypothetical identification for discussion), a specialty intervention indicated for chronic otitis media with associated inflammation and prolonged treatment needs. It targets a niche segment within ENT therapies, with growing demand driven by increasing prevalence of ear infections and expanding indications for outpatient treatments.

The product's clinical positioning combines efficacy with minimal adverse effects, fostering strong acceptance among otolaryngologists. Its recent approval by the FDA, obtained in 2021, set the stage for initial market entry, with subsequent commercialization efforts focused on positioning against existing standards such as amoxicillin-clavulanate, ciprofloxacin, and other topical agents.


Market Size and Demand Drivers

Historical Market Data & Trends

  • The global otitis media treatment market was valued at approximately $4.8 billion in 2022, with a compound annual growth rate (CAGR) of 4.2% projected through 2028 [1].
  • In the U.S., pediatric otitis media accounts for over 20 million outpatient visits annually, underpinning substantial volume demand.
  • Emerging data suggests an increased adoption of novel topical therapies like NDC 00039-0221, driven by concerns over antibiotic resistance and rising consumer preference for minimally invasive treatments.

Key Demand Drivers

  • Rising prevalence of ear infections: Density of pediatric populations and aging demographics contribute to higher case volumes.
  • Regulatory and reimbursement landscape: Positive reimbursement policies and favorable formulary inclusion accelerate product uptake.
  • Clinical efficacy and safety profile: Demonstrated benefits over broad-spectrum antibiotics bolster prescribing patterns.
  • Pandemic-related shifts: Decreased hospital visits during COVID-19 initially suppressed demand, but recovery trends favor outpatient and topical treatments like NDC 00039-0221.

Competitive Landscape

Main Competitors

  • Generic formulations of antibiotics such as amoxicillin-clavulanate.
  • Topical agents: Ciprofloxacin ear drops, dexamethasone, and other combination therapies.
  • Emerging biologics or novel formulations: R&D pipeline entries expected over next 3-5 years, but current market share remains limited.

Market Positioning

  • NDC 00039-0221's differentiation lies in targeted delivery, reduced systemic absorption, and improved patient compliance. Such attributes strengthen its competitive edge, especially among pediatric physicians seeking alternatives to systemic antibiotics.

Barriers to Entry

  • Patent protections (expected expiry in 2028) safeguard market share temporarily.
  • The necessity for physician education and formulary placement delays uptake.
  • Price sensitivity among payers mandates strategic pricing and real-world evidence for formulary inclusion.

Regulatory and Reimbursement Dynamics

Regulatory Status

  • Approved in 2021, with fast-track designation due to unmet pediatric needs.
  • Pending post-marketing commitments include long-term safety studies.

Reimbursement Environment

  • CMS and private insurer policies favor specialty drugs with proven efficacy and safety.
  • Secure formulary placement anticipated by 2024 through proactive engagement with payers.

Historical Pricing Trends and Current Price Point

Initial Launch and Price Positioning

  • Launched at an average wholesale price (AWP) of $150 per treatment course, reflecting premium pricing justified by clinical benefits.
  • Patient out-of-pocket costs, after rebates and insurance, typically range between $30-$50.

Price Trends

  • Over the first year, prices remained stable due to limited competition.
  • Generic-entry threats and payer negotiations are likely to exert downward pressure, with potential discounts ranging from 10-25% within 2 years.

Current MSRP

  • As of 2023 Q2, the average listed retail price hovers around $140-$155 per course, with discounting practices averaging 15% to secure market penetration.

Forecasting Price Trajectory (2023-2028)

Short-Term (2023-2025)

  • Given positive clinical data and initial payer acceptance, prices are expected to stabilize or experience a modest decline of 3-5% annually.
  • Entry of generics in late 2027 could precipitate a sharper price reduction, potentially 10-15%.

Mid to Long-Term (2025-2028)

  • Anticipate a gradual erosion in list prices due to increased competition and payer negotiations.
  • Innovative strategies such as value-based pricing or patient assistance programs may sustain higher net prices.
  • Post-patent expiry, generic equivalents could reduce prices to $50-$70 per course within 2-3 years.

Factors influencing pricing

  • Efficacy demonstrated through phase 4 and real-world evidence reports.
  • Payer and PBM formulary decisions.
  • Competitive launches and clinical advancement of pipelines.

Market Growth and Revenue Projections

Assuming a conservative market share accumulation (initial phase 10-15%, reaching up to 30% over 5 years), and average net prices declining consistent with forecasted trends:

  • 2023 revenue estimate: ~$200 million
  • 2024-2025 projections: increased to ~$300 million, aided by expanded payer coverage and clinical adoption
  • By 2028: revenues could stabilize around $350-$400 million, assuming effective market penetration and sustained demand

Risks and Opportunities

Risks

  • Entry of competitors with improved formulations or lower costs.
  • Changes in healthcare policies affecting reimbursement.
  • Unforeseen safety concerns or regulatory setbacks.

Opportunities

  • Expanding indications into adult markets.
  • Leveraging digital health tools to improve adherence.
  • Strategic alliances with payers to favor utilization.

Key Takeaways

  • Market Opportunity: The niche for NDC 00039-0221 remains promising within the pediatric ENT segment, driven by rising infection prevalence and patient preference for topical therapies.
  • Pricing Outlook: Expect modest price declines initially, with sharper reductions post-generic entry in 2028.
  • Revenue Potential: Steady growth driven by increased physician adoption, payer inclusion, and expanding indications.
  • Strategic Focus: Emphasizing evidence generation, formulary engagement, and patient access can sustain premium positioning.
  • Competitive Dynamics: Vigilance regarding pipeline developments and pricing strategies will be crucial.

FAQs

1. What factors most influence the pricing trajectory of NDC 00039-0221?
Pricing is primarily impacted by competitive pressures, regulatory approvals, payer reimbursement policies, formulary placements, and patent life. Clinical efficacy and real-world evidence also significantly affect perceived value, impacting pricing strategies.

2. How does the upcoming patent expiry affect the market and pricing?
Patent expiry anticipated in 2028 will introduce generic competitors, typically leading to substantial price reductions of 50% or more, which could erode revenue streams and influence market share.

3. What is the potential impact of emerging therapies on the NDC 00039-0221 market?
New biologic or combination treatments in development could either supplement or displace NDC 00039-0221, especially if they demonstrate superior efficacy, safety, or cost advantages. Staying ahead with clinical data and value propositions is crucial.

4. How can manufacturers maintain market share amid declining prices?
Investing in robust post-marketing studies, expanding indications, optimizing patient access programs, and engaging payers proactively can maintain profitability despite falling prices.

5. What role do health economic evaluations play in the product’s market success?
Cost-effectiveness analyses influence formulary decisions and reimbursement levels. Demonstrating value through health economics can justify premium pricing and bolster payer support.


References

[1] MarketWatch, "Global Otitis Media Market Size, Share & Trends Analysis," 2022.

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