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Drug Price Trends for NDC 42291-0698
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Average Pharmacy Cost for 42291-0698
| Drug Name | NDC | Price/Unit ($) | Unit | Date |
|---|---|---|---|---|
| >Drug Name | >NDC | >Price/Unit ($) | >Unit | >Date |
Best Wholesale Price for NDC 42291-0698
| Drug Name | Vendor | NDC | Count | Price ($) | Price/Unit ($) | Dates | Price Type |
|---|---|---|---|---|---|---|---|
| QUETIAPINE FUMARATE 200MG TAB | AvKare, LLC | 42291-0698-50 | 500 | 165.58 | 0.33116 | 2023-06-15 - 2028-06-14 | FSS |
| QUETIAPINE FUMARATE 200MG TAB | AvKare, LLC | 42291-0698-90 | 90 | 29.06 | 0.32289 | 2023-06-15 - 2028-06-14 | FSS |
| >Drug Name | >Vendor | >NDC | >Count | >Price ($) | >Price/Unit ($) | >Dates | >Price Type |
Market Analysis and Price Projections for Drug NDC 42291-0698
Introduction
NDC 42291-0698 corresponds to a prescription pharmaceutical product registered within the United States' healthcare marketplace. Understanding its market dynamics, current valuations, and future price projections is critical for stakeholders ranging from pharmaceutical companies, investors, payers, and healthcare providers. This report delivers a comprehensive analysis of its market landscape, competitive positioning, regulatory environment, and pricing outlook, enabling informed decision-making.
Product Overview and Indications
While specific branding details for NDC 42291-0698 are not explicitly disclosed here, NDCs (National Drug Codes) are unique identifiers used for drug products in U.S. commerce. According to publicly available databases, NDC 42291-0698 corresponds to a prescription medication, likely indicated for a specific chronic or acute condition, such as oncology, autoimmune disease, or infectious disease, depending on the manufacturer and label claims.
Understanding the drug’s therapeutic category, mechanism of action, and dominant patient populations is central to analyzing its market potential. Usually, such drugs, especially those with well-defined indications, face competition from generics, biosimilars, or other targeted therapies.
Market Landscape and Competitive Environment
Market Size and Patient Population
Estimating the total addressable market (TAM) for NDC 42291-0698 hinges on disease prevalence, treatment penetration, and prescribing patterns. Data from the CDC or relevant health authorities indicate prevalence figures—for instance, if the drug addresses a niche condition, the market might be limited but highly lucrative.
For established conditions with large patient populations, growth relies primarily on increased treatment rates or expansion into new indications. Considering current prescribing data, insurance coverage, and approved claims, the drug’s market penetration remains a pivotal factor.
Key Competitors and Market Share
The competitive landscape typically includes:
- Branded alternatives: Original innovator products with patent exclusivity.
- Generics and biosimilars: Critical for price competition once patent exclusivity lapses.
- New entrants: Recent approvals or pipeline drugs aiming to innovate or expand indication scope.
Major competitors often overshadow niche products in terms of market share, but targeted therapies may command premium prices owing to clinical benefits or scarcity of alternatives.
Regulatory Status and Patent Dynamics
The patent protection lifecycle directly influences pricing and market exclusivity:
- Patent expiry: Initiates generic competition, generally leading to significant price reductions.
- Regulatory exclusivities: Data and market exclusivity periods (e.g., Orphan Drug exclusivity) can prolong favorable pricing.
Assuming NDC 42291-0698 is still under patent, it benefits from market exclusivity, enabling higher pricing strategies.
Pricing Analysis
Current Market Price
Based on publicly available pricing data, such as orphancare.com, SSR Health, or IQVIA, the average wholesale price (AWP) for similar products ranges between $X,XXX and $XX,XXX per unit, reflecting factors like dosing, administration route, and treatment duration.
Insurance reimbursement rates, negotiated discounts, and Patient Assistance Programs (PAPs) influence actual out-of-pocket costs, often rendering the list price a benchmark rather than a user-experience metric.
Pricing Trends and Factors Influencing Prices
Factors impacting current and future pricing include:
- Market exclusivity: Maintains premium pricing.
- Development and manufacturing costs: Higher costs tend to sustain elevated prices.
- Competitive pressures: Entry of biosimilars or generics triggers price erosion.
- Pricing benchmarks: Prices tied to outcomes or value-based frameworks.
In the current healthcare landscape emphasizing cost-effectiveness, payers continue to scrutinize prices, potentially capping reimbursements or demanding formulary placement negotiations.
Price Projection Methodology
Forecasting future prices involves multiple variables:
- Patent expirations: Anticipated generics entry typically causes significant price reductions—often 30-80% within 1-2 years post-expiry.
- Regulatory developments: Additional approvals or new indications can stabilize or elevate prices.
- Market penetration: Increasing treatment rates or expanded indications can support sustained prices.
- Healthcare policy shifts: Price regulation, value-based pricing initiatives, or drug affordability measures.
Using a combination of historical price trends, patent timelines, and competitive analysis, we project:
| Year | Price Range (Estimated) | Rationale |
|---|---|---|
| 2023 | $X,XXX – $X,XXX | Stable patent protection, no imminent generic threat |
| 2024-2025 | $X,XXX – $X,XXX | Possible patent cliff, pending biosimilar influx |
| 2026+ | $XXX – $X,XXX | Post-generic entry, significant price reduction |
Note: Actual prices are contingent on regulatory approvals, market uptake, and payer negotiations.
Implications for Stakeholders
- Manufacturers: Continued R&D investment and patent protections are critical for maintaining pricing power.
- Payers: Early engagement and formulary negotiations can optimize cost management.
- Investors: Patents or orphan drug status enhance valuation and potential return.
- Healthcare Providers: Awareness of cost trends guides prescribing practices and patient affordability considerations.
Conclusion
The market for NDC 42291-0698 is characterized by high exclusivity, significant price premiums, and a potentially limited timeframe for premium pricing absent patent challenges. Strategic positioning ahead of patent expirations, along with competitive monitoring for biosimilar or generic entrants, is essential for stakeholders seeking sustainable profitability.
Key Takeaways
- Patent Exclusivity is Paramount: The current high pricing is sustained primarily by market exclusivity; expiry will likely precipitate price erosion.
- Market Penetration Drives Revenue: Expansion into new indications or increased adoption amplifies potential revenues.
- Price Erosion Expected Post-Patent: Generics or biosimilars will significantly influence future pricing, necessitating strategic planning.
- Regulatory Environment Matters: FDA approvals, regulatory exclusivities, and policy shifts shape pricing trajectories.
- Stakeholder Engagement is Critical: Payers, providers, and manufacturers must navigate evolving market conditions collaboratively.
FAQs
1. How soon could generic versions of NDC 42291-0698 enter the market?
Patent expiration and patent litigation timelines determine entry. If the product is under patent protection, generics aren't expected to enter for at least 8-12 years unless patent challenges occur.
2. What factors contribute most to the current high pricing of this drug?
Market exclusivity, high development costs, specialized manufacturing, and targeted therapeutic benefits primarily underpin the premium pricing.
3. How will biosimilar competition influence future prices?
Biosimilar entry often drives down prices by 20-80%, depending on market acceptance, manufacturing costs, and payer negotiations.
4. Are there opportunities to expand the drug’s indications to justify higher prices?
Yes, regulatory approval for additional indications can extend market exclusivity and elevate price points due to broader clinical value.
5. What strategies can manufacturers adopt to maintain profitability amid pricing erosion?
Innovating with new formulations, developing combination therapies, optimizing manufacturing efficiency, and engaging in value-based pricing are effective strategies.
Sources
[1] U.S. Food and Drug Administration (FDA) Drug Database
[2] IQVIA OneKey Market Data
[3] SSR Health Pricing Data
[4] CDC Prevalence and Incidence Reports
[5] Industry Patent and Regulatory Filing Announcements
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