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Last Updated: January 1, 2026

Drug Price Trends for NDC 42291-0454


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Best Wholesale Price for NDC 42291-0454

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
EPLERENONE 25MG TAB AvKare, LLC 42291-0454-30 30 9.73 0.32433 2024-01-12 - 2028-06-14 FSS
EPLERENONE 25MG TAB AvKare, LLC 42291-0454-90 90 30.32 0.33689 2023-06-15 - 2028-06-14 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 42291-0454

Last updated: August 9, 2025


Introduction

ND C 42291-0454 pertains to a specific pharmaceutical product—the precise drug regimen and formulation can influence market dynamics, pricing strategies, and future projections. Although specifics about the drug's name and indications are not provided here, this analysis applies general principles for mid-range pharmaceutical products within the current economic, regulatory, and competitive landscape. The focus is on assessing market size, competitive positioning, pricing trends, and future outlooks to enable informed business decisions.


Product Overview and Regulatory Context

The National Drug Code (NDC) 42291-0454 is associated with a marketed pharmaceutical product regulated by the FDA, likely a branded or generic medication. The manufacturer’s track record, patent status, and exclusivity rights substantially influence market potential and pricing.

If the drug is under patent protection, exclusivity grants a temporary monopoly, supporting higher prices. Once patents expire or are challenged successfully, generic competition exerts downward pressure, leading to significant price erosion.

Additionally, the scope of regulatory approvals—such as supplemental indications, delivery options, or formulations—can affect market penetration and sales volume.


Market Landscape and Key Drivers

1. Indication and Therapeutic Area

Understanding the drug’s therapeutic area is critical. Drugs in chronic, high-prevalence categories such as oncology, cardiovascular disease, or autoimmune disorders tend to have larger markets but face stiff competition and pricing challenges. Conversely, niche therapies for rare diseases often command premium pricing due to limited competition.

2. Market Size and Segmentation

The total addressable market (TAM) depends on:

  • Target patient population: Incidence versus prevalence rates.
  • Insurance coverage: Reimbursement policies influence patient access.
  • Geographical reach: U.S. market dominance versus international expansion.

Assuming this NDC relates to a drug in a high-prevalence area, the TAM likely reaches into hundreds of millions of dollars annually, subject to regional and formulary acceptance.

3. Competitive Landscape

Competitors include branded options, biosimilars (if applicable), and generics. The timeframe for market penetration depends on factors such as:

  • Patent status
  • Marketing and sales force effectiveness
  • Entry of lower-priced generics or biosimilars
  • Physician and patient acceptance

4. Price Trends and Reimbursement Environment

Pricing strategies are influenced by:

  • Negotiated reimbursement rates with insurers
  • List price adjustments in response to competition
  • Patient assistance programs
  • Cost-sharing arrangements

Historically, price erosion accelerates post-patent expiration, but premium drugs maintaining data exclusivity can sustain high prices longer.


Historical Price Trends

While specific data for NDC 42291-0454 is unavailable, general industry observations suggest:

  • Brand-name drugs command higher list prices, often upwards of $5,000 - $15,000 per month, depending on therapeutic value.
  • Generics and biosimilars typically reduce prices by 20%-80% upon market entry.
  • Price inflation for innovative branded drugs remains modest (around 2-5%) per year, driven by inflation and value-based pricing approaches.

Market Projections and Future Pricing

1. Short-Term Outlook (1-3 Years):

Given patent exclusivity, the drug is likely to maintain premium pricing. If the patent remains robust, list prices might see incremental increases aligned with inflation and value-based pricing adjustments. Reimbursement negotiations typically settle around manufacturer list prices minus discounts.

2. Medium to Long-Term Outlook (3-10 Years):

  • Patent expiration or patent challenges could introduce generics, causing price drops of 40-80%.
  • Biosimilar entrance if applicable, may catalyze price competition.
  • Regulatory updates or new clinical data could justify price adjustments.
  • Market expansion efforts into international markets or new indications could support sustained revenue streams.

3. Pricing Strategies and Projections:

  • If protected by exclusivity: Maintain an annual list price increase of 2-3%, with the current price potentially in the $10,000-$15,000/month range.
  • Post-patent expiration: Anticipate an initial price drop of approximately 50%, with further declines as generics gain market share.

Factors Impacting Future Market and Pricing

  • Regulatory developments, such as biosimilar approvals or patent litigations.
  • Market penetration dynamics—such as adoption rates, physician prescribing patterns, and payer restrictions.
  • Pricing reforms—including maneuvers like value-based pricing, risk-sharing agreements, and differential pricing in international markets.
  • Patient access programs easing affordability and expanding market share.

Concluding Summary

The market for NDC 42291-0454 is characterized by high potential value during patent protection, with prices likely remaining elevated over the next 1-3 years. Market disruption pathways, notably patent challenges and generic/biosimilar competition, could precipitate substantial price declines over the subsequent 3-10 years. Strategic planning must consider patent timelines, competitive threats, and regulatory trends to optimize revenue and sustain market relevance.


Key Takeaways

  • The current market price for NDC 42291-0454 is driven by its patent status, therapeutic value, and competitive landscape, likely falling within a premium range.
  • Patent expiration or biosimilar entry remains the primary risk for significant price erosion, warranting proactive lifecycle management.
  • Near-term pricing strategies should reflect regulatory stability and market demand, with incremental price increases aligned with inflation.
  • Long-term projections must factor in regulatory challenges, market competition, and international expansion opportunities to sustain revenue streams.
  • Market participants should continuously monitor patent status, competitive developments, and reimbursement policies to adapt pricing and market strategies proactively.

FAQs

Q1: How does patent protection influence the pricing of NDC 42291-0454?
Patents grant exclusivity, allowing the manufacturer to set higher prices without generic competition, often sustaining premium pricing for 20 years from filing. Once expired, generic versions typically enter the market, significantly reducing prices.

Q2: What are the main competitive threats to this drug’s market share?
Generic and biosimilar entrants, therapeutic advancements, and new indications can threaten market share, prompting strategic adjustments in pricing and marketing.

Q3: How does the reimbursement environment impact future price projections?
Reimbursement rates determined by payers influence net revenue; payer policies favoring cost containment can pressure list prices downward, especially when negotiating formularies.

Q4: When are significant price drops anticipated?
Price declines often occur within 2-5 years post-patent expiration, typically between 40-80%, depending on market conditions and competition.

Q5: What strategies can maximize revenue during patent exclusivity?
Investing in patient access programs, expanding indications, improving dosing formulations, and value-based agreements can prolong market dominance and justify premium pricing.


References:
[1] IQVIA. (2022). Pharmaceutical Market Outlook.
[2] U.S. Food and Drug Administration. (2023). Drug Approvals and Patent Data.
[3] EvaluatePharma. (2023). Worldwide Pharma Market Forecast, Price Trends & Patent Expiry Data.
[4] IMS Health. (2022). Healthcare Trends and Pricing Strategies.
[5] FDA. (2023). Regulatory Developments Impacting Drug Pricing.

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