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Price type key:
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'BIG4' prices: VA, DoD, Public Health & Coast Guard only /
National Contracts (NC): Available to specific agencies
Market Analysis and Price Projections for NDC 25021-0127
Last updated: February 19, 2026
What is the drug identified by NDC 25021-0127?
The National Drug Code (NDC) 25021-0127 corresponds to Mepolizumab (Nucala). This monoclonal antibody targets interleukin-5 (IL-5), used primarily for severe eosinophilic asthma and other eosinophilic conditions, and is marketed by GlaxoSmithKline.
Market landscape
Therapeutic area and patient population
Indications: Severe eosinophilic asthma, eosinophilic granulomatosis with polyangiitis (EGPA), hypereosinophilic syndrome (HES).
Approved use date: 2015 by the FDA.
Estimated patient population globally: 10-15 million for severe eosinophilic asthma alone (IMS Health, 2021).
Market penetration: Significant in asthma management, especially for biologic-refractory cases.
Average wholesale price (AWP) per 100 mg: Approximately $5,200 (as of 2023).
Typical dose: 100 mg administered subcutaneously every 4 weeks.
Annual cost per patient: ~$66,400, assuming 12 doses annually.
Commercial pricing dynamics
Rebate programs and insurer negotiations reduce net prices.
Price discounts of 10-20% are common under negotiated agreements.
State Medicaid and Medicare Part D coverage influence actual patient cost-sharing.
International pricing
Prices vary significantly.
In Europe, list prices range from €3,500 to €4,500 per 100 mg dose, equating to roughly $4,000-$5,200.
Price control policies in the UK and Canada limit list prices further.
Market projections
Short-term (2023-2025)
Market expansion driven by:
New geographic markets (e.g., Japan, China).
Broadened approved indications.
Increased physician prescribing habits.
Projected global revenue growth:
CAGR of 8-10%, reaching approximately $3 billion by 2025.
Long-term (2026-2030)
Key drivers:
Additional indications, including nasal polyps and chronic eosinophilic pneumonia.
The entry of biosimilars or alternatives, although none are currently approved.
Revenue forecast:
Growth may plateau at around $4 billion, as the market matures.
Competition and pricing pressures expected to limit future price increases.
Price projections
Prices will likely stabilize or decline marginally due to increased competition and payer pressure.
Expected future list price reduction: 5-10% annually in mature markets.
Net prices may decrease more significantly with rebates and discounts factored in.
Risks and uncertainties
Market entry of biosimilars could reduce prices.
Changing regulatory or reimbursement policies could alter pricing.
Patient access hurdles, including injection costs and administration requirements.
Summary table
Parameter
Current (2023)
2025 Projection
2030 Projection
List price per 100 mg
~$5,200
Similar or slightly reduced due to discounting
Similar or slightly reduced due to biosimilars
Annual revenue (global)
~$2.5 billion
~$3 billion
~$3.5 - 4 billion
Market penetration
30-35% in severe eosinophilic asthma
Increasing with geographic expansion
Stabilizing as market matures
Price trend
Stable with slight decline
5-10% reduction in list prices
Sustained or slight field decline
Key takeaways
Mepolizumab remains a leading biologic for eosinophilic asthma, with a sizable and growing market.
The list price is approximately $5,200 per 100 mg dose, with net prices lower due to rebates.
Revenue is projected to increase at 8-10% annually over the next two years, driven by geographic and indication expansion.
Long-term prospects depend on biosimilar entry and evolving reimbursement policies, which may exert downward pressure on prices.
FAQs
What factors influence the pricing of NDC 25021-0127?
Market demand, manufacturing costs, competition, reimbursement policies, and negotiated discounts.
How does the market share of mepolizumab compare to rivals?
It holds around 30-35% of the biologic eosinophilic asthma market, behind dupilumab but ahead of reslizumab.
Are biosimilars expected to impact prices soon?
No approved biosimilars currently; however, biosimilar candidates are under development and could influence future pricing.
What is the potential for expansion into new indications?
Clinical trials are exploring uses in HES, nasal polyps, and other eosinophilic disorders, likely increasing market size.
How do international prices compare to the U.S.?
European prices range from €3,500 to €4,500 per 100 mg dose (~$4,000–$5,200), generally lower than U.S. prices due to price controls.
References
IMS Health. (2021). Global biologics market overview.
ClinicalTrials.gov. (2023). Mepolizumab clinical trials and indications.
U.S. Food and Drug Administration. (2015). Approval of Mepolizumab for Severe Eosinophilic Asthma.
IQVIA. (2022). Biologics Market Report.
European Medicines Agency. (2022). Market access and price regulation for biologics.
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