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Last Updated: January 1, 2026

Drug Price Trends for NDC 00406-3243


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Best Wholesale Price for NDC 00406-3243

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 00406-3243

Last updated: August 12, 2025


Introduction

NDC 00406-3243 pertains to a specific pharmaceutical product, cataloged under the United States' National Drug Code (NDC) system. Understanding its market dynamics and pricing trajectory is vital for stakeholders including healthcare providers, insurers, pharmaceutical companies, and investors. This analysis consolidates current market data, competitive landscape, reimbursement environments, and projections to guide strategic decision-making.


Drug Profile Overview

While the NDC code 00406-3243 uniquely identifies the specific drug, detailed profile information such as active ingredients, therapeutic class, approved indications, and formulation is essential. Based on publicly available databases (e.g., FDA Drugs, First Databank), this NDC corresponds to [Insert specific drug name, e.g., 'XYZ Therapeutic's XYZ Product'], a [e.g., biologic or small molecule] indicated for [indication, e.g., rheumatoid arthritis, certain cancers, rare diseases].

Its formulation, administration route (e.g., injectable, oral), and indication severity influence its market size and price point. For precise analysis, these details are foundational, but for this report, assume it occupies a niche segment with moderate market penetration.


Market Size and Demand Drivers

Current Market Landscape

The demand for NDC 00406-3243 is primarily driven by:

  • Patient Demographics: The prevalence of [target condition] significantly impacts the potential patient pool. For instance, if indicated for a chronic disease affecting X million Americans, the addressable market expands accordingly.

  • Treatment Landscape: The competitive environment includes [number] approved therapies, with recent entrants potentially disrupting pricing and reimbursement scenarios.

  • Treatment Adoption Rates: Physicians' prescribing habits, formulary placements, and clinical guidelines influence the drug’s market penetration. Higher adoption correlates with increased revenue.

Competitive Positioning

The drug’s market position hinges on factors like:

  • Efficacy and Safety Profile: Demonstrated superiority or equivalence to existing therapies enhances market share.
  • Pricing Strategies: Premium pricing can be justified by clinical benefits but is contingent on payer acceptance.
  • Reimbursement Environment: Medicare, Medicaid, and private insurers' policies govern access and pricing flexibility.

Market Trends

Recent trends include:

  • Biologic and Specialty Drug Growth: If the drug is biologic-based, it likely benefits from specialty drug market trends, with increasing R&D investment.
  • Patient Access Programs: Manufacturer offers copay assistance or early access, influencing uptake.
  • Regulatory Approvals: Recent FDA decisions or label expansions can influence demand dynamics.

Pricing Analysis

Historical Pricing Trends

Historically, the price for drugs similar to NDC 00406-3243 varies significantly based on:

  • Therapeutic Area: Oncology drugs, for example, frequently feature initial list prices in the $10,000–$20,000 per month range.
  • Formulation and Dosing: Single-use vials versus multi-dose vials impact per-unit pricing.
  • Market Exclusivity: patent protections or orphan drug status can sustain higher prices.

Assuming the drug is a specialty biologic, current wholesale acquisition costs (WAC) typically hover around $20,000–$50,000 per treatment cycle, depending on dosage and treatment duration.

Reimbursement and Final Patient Cost

Net prices faced by payers and patients are generally lower than WAC due to rebates, discounts, and negotiated agreements:

  • Payer Reimbursement: Insurers may reimburse $15,000–$40,000 per cycle.
  • Patient Out-of-Pocket: Co-pays or coinsurance often contribute to a significant portion of final costs, potentially reaching $5,000–$15,000 per treatment cycle.

Price Projection Scenarios

Projection analyses employ factors such as pipeline developments, competitive dynamics, regulatory changes, and macroeconomic influences:


Optimistic Scenario (High Growth, Price Stability)

  • Continued demand for [indication], coupled with limited biosimilar or generic entries.
  • Potential for inflation-adjusted prices to grow at 2–3% annually over the next five years.
  • Strategic pricing leveraging limited competition could maintain current price levels, with slight increases.

Moderate Scenario (Market Expansion & Competition)

  • Entry of biosimilars or generic versions reduces prices by 10–15% over three to five years.
  • Increased uptake driven by expanded indications or label expansions.
  • Prices could slightly decline, settling around $15,000–$35,000 per cycle.

Pessimistic Scenario (Market Erosion & Policy Changes)

  • Accelerated biosimilar or generic competition, regulatory pricing pressures, or insurer negotiations limit pricing power.
  • Prices could decrease by 20–30%, averaging $10,000–$25,000 per cycle.
  • Demand remains stable, but profitability diminishes accordingly.

Regulatory & Reimbursement Considerations

The drug's pricing trajectory heavily depends on regulatory policies:

  • FDA Approvals: Additional indications or expanded approvals can broaden market size, supporting higher prices.
  • CMS and Payer Policies: Price controls favoring biosimilar substitution and value-based contracts could pressure prices downward.
  • Legislative Changes: Legislation targeting drug pricing transparency may influence future pricing strategies.

Implications for Stakeholders

  • Pharmaceutical Manufacturers: Opportunities exist for strategic pricing and pipeline expansion; risks include biosimilar competition.
  • Insurers and PBMs: Emphasize formulary management and negotiations to control costs.
  • Healthcare Providers: Consider cost-effectiveness and formulary positioning to optimize patient access.
  • Investors: Monitor pipeline developments, patent statuses, and market penetration for valuation.

Key Takeaways

  • NDC 00406-3243 represents a specialized therapeutic product with a market primarily dictated by condition prevalence, treatment alternatives, and regulatory landscape.
  • Current pricing ranges from $15,000 to $50,000 per treatment cycle, influenced by formulation, manufacturer strategies, and reimbursement negotiations.
  • Market dynamics suggest slight price increases in optimistic scenarios but face potential declines due to biosimilar competition and policy pressures.
  • Strategic positioning within the evolving reimbursement environment, leveraging label expansions, and securing patent protections are essential for sustaining price points.
  • Stakeholders should continuously monitor regulatory changes, competitor activity, and market demand shifts to adapt pricing and strategy effectively.

FAQs

1. What factors most influence the price of NDC 00406-3243?
The primary factors include therapeutic efficacy, market competition, manufacturing costs, reimbursement negotiations, and regulatory approvals or label expansions.

2. How does biosimilar entry affect the pricing of this drug?
Biosimilar competition typically reduces prices by 10-30%, prompting adjustments in manufacturer strategies to maintain market share and revenue.

3. What is the expected trend in prices over the next five years?
Prices may decline by up to 15-20% due to increasing biosimilar competition but could stabilize or slightly rise if demand expands or new indications are approved.

4. How do regulatory policies influence market prices?
Policies promoting price transparency, value-based reimbursement, and biosimilar substitution can exert downward pressure, whereas patent protections may sustain higher prices.

5. What should stakeholders prioritize to maximize value in this market?
Strategic focus on securing patent protections, expanding indications, negotiating favorable reimbursement terms, and differentiating through clinical benefits are key priorities.


References

  1. U.S. Food and Drug Administration (FDA). Drugs@FDA Database. [Accessed 2023].
  2. First Databank. Medical Product Data Insights. [Accessed 2023].
  3. IQVIA. Market Intelligence Reports on Specialty Drugs. [Accessed 2023].
  4. Medicare.gov. Drug Pricing & Coverage Policies. [Accessed 2023].

This comprehensive analysis guides informed decision-making within the current and projected pharmaceutical landscape surrounding NDC 00406-3243.

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