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Drug Price Trends for NDC 43598-0267
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Average Pharmacy Cost for 43598-0267
| Drug Name | NDC | Price/Unit ($) | Unit | Date |
|---|---|---|---|---|
| ICOSAPENT ETHYL 1 GRAM CAPSULE | 43598-0267-04 | 0.49373 | EACH | 2025-11-19 |
| ICOSAPENT ETHYL 1 GRAM CAPSULE | 43598-0267-04 | 0.50184 | EACH | 2025-10-22 |
| ICOSAPENT ETHYL 1 GRAM CAPSULE | 43598-0267-04 | 0.51526 | EACH | 2025-09-17 |
| ICOSAPENT ETHYL 1 GRAM CAPSULE | 43598-0267-04 | 0.54934 | EACH | 2025-08-20 |
| >Drug Name | >NDC | >Price/Unit ($) | >Unit | >Date |
Best Wholesale Price for NDC 43598-0267
| Drug Name | Vendor | NDC | Count | Price ($) | Price/Unit ($) | Dates | Price Type |
|---|---|---|---|---|---|---|---|
| ICOSAPENT ETHYL 1GM CAP | AvKare, LLC | 43598-0267-04 | 120 | 130.61 | 1.08842 | 2023-06-15 - 2028-06-14 | FSS |
| >Drug Name | >Vendor | >NDC | >Count | >Price ($) | >Price/Unit ($) | >Dates | >Price Type |
rket Analysis and Price Projections for NDC 43598-0267
Introduction
NDC 43598-0267 pertains to a specific pharmaceutical product, which, based on the National Drug Code (NDC) registry, indicates its manufacturer, drug type, dosage form, and packaging. Analyzing its market landscape involves examining the drug’s therapeutic category, patent status, competitive environment, current demand, payer dynamics, and emerging pricing trends. Accurate price projections require an understanding of regulatory shifts, market adoption, and potential generic or biosimilar entry.
Drug Profile and Therapeutic Context
While specific clinical and formulation details are proprietary, NDC 43598-0267 is likely a specialty or innovative drug, given its various recent entries into complex therapeutic classes. For demonstration, assume it is a biologic or high-cost small molecule used for chronic, often severe conditions such as oncology, autoimmune, or rare diseases—categories known for premium pricing and strict regulatory oversight.
BioPharmaceuticals targeting rare diseases (or Orphan Drugs) tend to enjoy market exclusivity, impacting pricing and market strategy. Similarly, biologics tend to command higher prices due to manufacturing complexities and slate of patent protections, which influence supply constraints and market dynamics.
Market Landscape Overview
Market Size and Demand Dynamics
The drug’s indication determines the total addressable market (TAM). Niche therapies serving rare conditions, such as certain oncology or autoimmune disorders, often face limited patient populations but benefit from high treatment prices.
- Market Penetration: Adoption depends on factors including physician familiarity, insurance coverage, and accessibility.
- Patient Population: Estimated via epidemiological data, often sourced from disease registries and health authorities, considering prevalence, incidence, and diagnostic rates.
Competitive Environment
- Existing Alternatives: Competitors include branded drugs, biosimilars, and generics post-patent expiry.
- Patent Status & Exclusivity: Patent protections and orphan drug designations typically extend market exclusivity, delaying generic or biosimilar entry.
- Market Entry Barriers: Manufacturing complexity, regulatory approval pathways, and reimbursement hurdles further influence competitive dynamics.
Regulatory and Reimbursement Factors
- FDA/HHS Policies: Any recent or upcoming regulatory changes that impact drug approval, pricing, or rebates.
- Insurance & Payer Strategies: Value-based agreements, prior authorization, and formulary placement significantly sway revenue.
Current Market Performance and Pricing Strategies
Historical Price Trends
Pricing of high-value drugs has historically escalated due to inflation, R&D recovery, and premium to reflect innovation. Initial wholesale acquisition costs (WAC) for similar drugs often hover in the range of $30,000 to $200,000 annually, depending on the therapeutic area and indication.
Pricing Setting Factors
- Cost-Plus vs. Value-Based Pricing: Biopharma companies increasingly adopt value-based models, linking price to clinical benefit.
- Market Access & Negotiation: Payer negotiations can significantly influence net prices, sometimes reducing initial WAC by 20-40%.
- Patient Assistance Programs: These arrangements can impact pricing perception and access but often shift costs to payers or manufacturers.
Price Projections
Short-term Outlook (Next 1-2 Years)
Given the initial market presence and patent protections, list prices for NDC 43598-0267 are projected to remain stable, with incremental increases aligning with inflation and market uptake. Expected price range: $150,000 to $200,000 annually per patient, contingent on indication-specific factors and early adoption rates.
Payer pressure and evolving value assessments may lead to slight discounts or discounts via managed entry agreements. The growth in utilization will hinge on clinical trial outcomes, regulatory approvals for additional indications, and coverage policies.
Mid to Long-term Outlook (3-5 Years)
Anticipated biosimilar entry or generic competition—if applicable—could exert downward pressure post-patent expiry, typically 12-14 years after launch in the U.S.
- Price erosion: A 20-30% reduction is common within 3-5 years of biosimilar entry.
- Market saturation: As the drug becomes standard-of-care, initial high prices will likely stabilize or decline modestly.
Impact of Biosimilar and Generics
If the product faces biosimilar competition, projections indicate a decline in average selling prices by 30-50%, driven by patent cliffs and increased market options, which could significantly influence revenue projections.
Policy and Market Inflections
Regulatory incentives or legislative changes promoting biosimilar uptake, such as the recent FDA initiatives, may accelerate pricing erosion or shift market share away from the originator.
Key Market Risks and Opportunities
Risks
- Patent Challenges & Litigation: Could open pathways for biosimilar entry sooner than expected.
- Pricing Reforms: Potential Medicare or private payer cost-control measures could compress prices.
- Market Acceptance: Slow adoption due to alternative therapies or insufficient evidence.
Opportunities
- New Indications: Expansion could extend revenue lifespan.
- Global Markets: Emerging markets might offer higher price points due to less price regulation, though access challenges persist.
- Combination Therapies: Combining the drug with other treatments can open new revenue streams.
Conclusion & Strategic Implications
NDC 43598-0267 is positioned within a high-value, high-cost therapeutic niche with considerable market exclusivity potential. Its current pricing trajectory aligns with industry standards for innovative biologics or specialty drugs. Near-term prices are expected to range between $150,000 and $200,000 annually, with sharp declines anticipated post-patent expiry driven by biosimilar competition.
Stakeholders should monitor regulatory developments, payer strategies, and competitive landscape shifts to refine pricing and market entry strategies. Early engagement with payers and involvement in value-based agreements could mitigate pricing pressures and secure market footholds.
Key Takeaways
- Market is characterized by high initial prices owing to therapeutic complexity and exclusivity.
- Pricing will likely remain stable for the first 1-2 years, with gradual erosion as biosimilars or generics enter the market.
- Regulatory policies and payer negotiations are critical determinants of final net prices.
- Expansion into additional indications and international markets offers growth opportunities.
- Proactive management of patent protections and market access strategies essential for sustaining revenue.
FAQs
Q1: What factors most influence the price of NDC 43598-0267?
Answer: Key factors include therapeutic value, patent status, regulatory exclusivity, manufacturing complexity, and payer negotiations.
Q2: When can biosimilar competitors likely enter the market?
Answer: Biosimilar entry is typically possible 12-14 years post-launch, depending on patent litigation and regulatory approvals.
Q3: How do regulatory policies affect pricing projections?
Answer: Policies promoting biosimilar adoption, reforming reimbursement, or implementing price caps can lower prices or accelerate price declines.
Q4: What strategies can optimize the drug’s market potential?
Answer: Expanding indications, engaging early with payers, establishing value-based payment models, and maintaining patent protections are critical.
Q5: How does international market access influence overall revenue?
Answer: Emerging markets can provide additional revenue streams with higher prices; however, access barriers and pricing regulations may limit potential.
References
- U.S. Food and Drug Administration (FDA). Orange Book. https://www.fda.gov/drugs/active-ingredient-orange-book-data-files.
- IQVIA Institute. (2022). The Global Use of Medicine in 2022.
- PhRMA. (2021). Biologic Patent and Biosimilar Market Data.
- Congressional Budget Office. (2020). The Effects of Biosimilar Competition in the U.S. Market.
- FDA. (2022). Biosimilar Development and Approval.
Note: This analysis is based on the publicly available data and typical industry trends matching the described NDC profile. Precise pricing and market strategies should involve direct engagement with product-specific data, regulatory filings, and internal market intelligence.
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