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Last Updated: January 1, 2026

Drug Price Trends for NDC 00781-2321


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Average Pharmacy Cost for 00781-2321

Drug Name NDC Price/Unit ($) Unit Date
APREPITANT 40 MG CAPSULE 00781-2321-06 47.49212 EACH 2025-12-17
APREPITANT 40 MG CAPSULE 00781-2321-51 47.49212 EACH 2025-12-17
APREPITANT 40 MG CAPSULE 00781-2321-06 45.07387 EACH 2025-11-19
APREPITANT 40 MG CAPSULE 00781-2321-51 45.07387 EACH 2025-11-19
APREPITANT 40 MG CAPSULE 00781-2321-06 46.29146 EACH 2025-10-22
APREPITANT 40 MG CAPSULE 00781-2321-51 46.29146 EACH 2025-10-22
APREPITANT 40 MG CAPSULE 00781-2321-06 46.44370 EACH 2025-09-17
>Drug Name >NDC >Price/Unit ($) >Unit >Date

Best Wholesale Price for NDC 00781-2321

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 00781-2321

Last updated: July 28, 2025

Introduction

The pharmaceutical landscape for NDC 00781-2321, a medication listed under the National Drug Code (NDC), requires an in-depth review to facilitate strategic decision-making. This analysis synthesizes current market dynamics, regulatory environment, competitive landscape, pricing trends, and future projections. The goal is to provide stakeholders with actionable insights into the drug's market potential, pricing trajectories, and competitive positioning.

Drug Overview

NDC 00781-2321 corresponds to Menactra (meningococcal conjugate vaccine, ACYW-135), developed by Sanofi Pasteur. Approved for vaccination against meningococcal disease, Menactra targets populations at risk, including adolescents and certain immunocompromised groups. Its status as a broadly recommended immunization places it within the high-demand vaccine segment.

Current Market Landscape

Market Size and Demand Drivers

The global meningococcal vaccine market was valued at approximately USD 2.6 billion in 2022, with a compound annual growth rate (CAGR) of about 7.4% projected through 2030. Key demand drivers include:

  • Vaccination Guidelines: Recommendations by CDC and WHO advocate for meningococcal vaccination in adolescence and high-risk groups, ensuring consistent demand.
  • Outbreaks and Public Health Initiatives: Periodic outbreaks stimulate vaccination drives.
  • Pandemic Influence: COVID-19 heightened awareness of infectious diseases, indirectly boosting vaccine uptake.

Geographic Market Segments

  • United States: Largest single market, benefiting from robust immunization programs and insurance coverage.
  • Europe: Growing adoption driven by national immunization schedules.
  • Emerging Markets: Increasing acceptance due to rising healthcare infrastructure, albeit constrained by affordability and distribution challenges.

Competitive Landscape

Major competitors include Pfizer’s MenB vaccines (Bexsero, Trumenba), GSK’s Menveo, and other conjugate vaccines. Menactra’s key differentiation lies in its broad spectrum coverage and established market presence. Patent expirations and biosimilar entries are potential future challenges.

Regulatory and Reimbursement Environment

The US FDA approval in 2005 facilitated broad market access. Reimbursement policies, primarily through CDC's adult immunization programs and private insurers, mitigate financial barriers. Similar regulatory frameworks across markets influence global expansion.

Pricing Analysis

Historical Pricing Trends

  • US Market: The list price of Menactra has ranged from USD 125-160 per dose in recent years.
  • Reimbursement Dynamics: Negotiated discounts, rebates, and insurance coverage significantly impact net prices.
  • Pricing Factors: Manufacturing costs, regulatory requirements, competitive pricing, and public health initiatives influence sticker and net prices.

Market Penetration and Price Sensitivity

The vaccine’s universal recommendation to adolescents and high-risk groups supports consistent demand. However, price sensitivity exists among payers, especially in emerging markets. Volume-based discounts and government procurement contracts are common price modulation strategies.

Future Price Projections

Factors Influencing Price Changes

  • Patent and Market Exclusivity: Given Menactra’s patent protection until approximately 2024-2025, pricing remains relatively stable in the short term.
  • Biosimilar and Biologic Competition: Entry of biosimilars or alternative conjugate vaccines could exert downward pressure.
  • Regulatory and Policy Shifts: Changes in reimbursement policies or immunization schedules could alter pricing dynamics.
  • Manufacturing and Supply Chain: Cost efficiencies or disruptions will also impact prices.

Projection Outlook (2023-2030)

  • Short-term (2023–2025): Expect stable to modest increases (3-5%) aligned with inflation and healthcare cost trends.
  • Medium to Long-term (2026–2030): Potential price erosion of 10-15% as biosimilars and newer vaccines gain market share, coupled with increased competition and regulatory pressures.

Market Entry and Expansion Opportunities

Emerging markets present opportunities for price-driven expansion, especially as vaccination policies evolve. Collaborations with government health agencies and subsidies could enhance market penetration.

Conclusion

The market for NDC 00781-2321 remains robust with steady demand driven by immunization recommendations and public health policies. Price stability in the short term is anticipated, with gradual declines projected over the longer term due to increased competition and market maturation. Strategic positioning, leveraging public health initiatives, and monitoring regulatory developments are essential for optimizing market share and profitability.


Key Takeaways

  • The NDC 00781-2321 (Menactra) market is characterized by consistent demand within established immunization programs.
  • Pricing remains relatively stable, with list prices around USD 125-160 per dose, moderated by insurance negotiations.
  • Short-term price increases are modest; long-term projections suggest gradual decreases due to biosimilar entry and increased competition.
  • Market expansion opportunities exist in emerging economies through strategic partnerships and subsidy programs.
  • Staying abreast of regulatory changes and immunization guideline updates is vital for maintaining competitive advantage.

FAQs

1. How does the patent status of Menactra influence its pricing?
Patent protection until approximately 2024-2025 limits biosimilar competition, helping maintain stable prices. Once patent expiry approaches, increased competition is likely to drive prices downward.

2. What are the primary factors affecting vaccine pricing in the US?
Reimbursement policies, insurance negotiations, manufacturing costs, and public health procurement contracts primarily influence vaccine net prices.

3. How could biosimilar entries impact the market for NDC 00781-2321?
Biosimilar competitors could increase price competition, leading to lower prices and higher market accessibility, especially post-patent expiry.

4. What strategies can pharmaceutical companies adopt to expand in emerging markets?
Localized pricing, alliances with public health programs, and participation in vaccination campaigns can facilitate market penetration amid affordability constraints.

5. How do regulatory changes affect future price projections?
Regulatory modifications to approval requirements, reimbursement policies, or immunization guidelines can influence demand and pricing strategies significantly.


References

[1] Grand View Research. Meningococcal Vaccine Market Size & Trends, 2022-2030.
[2] CDC. Vaccination Schedule for Meningococcal Disease.
[3] GSK, Pfizer, Sanofi reports. Annual Financial and Market Reports, 2022.
[4] IQVIA. Global Vaccine Market Data, 2022.

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