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Last Updated: April 3, 2026

Drug Price Trends for NDC 45802-0436


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Best Wholesale Price for NDC 45802-0436

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 45802-0436

Last updated: February 20, 2026

What is NDC 45802-0436?

NDC (National Drug Code) 45802-0436 corresponds to Fasenra (benralizumab), a monoclonal antibody developed by AstraZeneca. It was approved by the FDA in November 2017 for severe eosinophilic asthma and has expanded indications for other eosinophilic conditions.

Market Size and Revenue Drivers

Current Market Landscape

  • Prevalence of Severe Eosinophilic Asthma (SEA): Approximately 2-3 million U.S. adults, with 10-15% classified as severe cases (AHRQ 2017).
  • Market Penetration: Estimated at around 25-30% of eligible patients, considering competition and physician prescribing habits.
  • Key Competitors:
    • Nucala (mepolizumab) by GlaxoSmithKline
    • Cinqair (reslizumab) by Teva
    • Dupixent (dupilumab) by Sanofi/Regeneron for eosinophilic asthma and other indications

Revenue Projections

  • Current sales (2022): Approximately $750 million globally (IQVIA).
  • Forecast 2023-2027: Compound annual growth rate (CAGR) estimated at 10-12%. By 2025, annual sales could reach $1.2 billion, driven by broader indication approvals and increasing adoption.

Pricing Strategy and Cost Comparison

Current Pricing

  • Average wholesale price (AWP): Approximately $32,000 per dose.
  • Dosing Schedule: 30 mg administered subcutaneously every 4 weeks, with some adjustments for weight.
  • Treatment Duration: Chronic, typically lifelong in severe cases.

Price Trends

  • Similar biologics, such as Nucala and Cinqair, are priced in the $30,000–$35,000 range per year.
  • Payer negotiations and contracting lower effective prices; net price in some cases drops by 10-20%.

Market Access and Reimbursement

  • Insurance Coverage: Widely covered but subject to prior authorization.
  • Reimbursement Challenges: Cost-effectiveness thresholds influence formulary inclusion and reimbursement rates, impacting net revenue.

Regulatory and Policy Impacts

Expanding Indications

  • Pending approvals for chronic rhinosinusitis with nasal polyps (CRSwNP) could expand market size.
  • Regulatory status: Approved in the U.S., EU, and Japan, with potential for additional markets.

Biosimilar Development

  • No biosimilar versions of benralizumab currently available, protecting market share.
  • Biosimilar emergence could pressure prices by 2028.

Future Market Drivers and Risks

Drivers

  • Increasing prevalence of eosinophilic disorders.
  • Improved recognition and diagnosis.
  • Expanded indications that increase patient population.
  • Growing preference for targeted biologics over systemic treatments.

Risks

  • Price erosion due to biosimilar competition.
  • Regulatory delays or restriction on expanded indications.
  • Payer restrictions limiting access.

Price Projection Summary (2023-2027)

Year Estimated Average Price Projected Sales Key Input Factors
2023 $31,500 $750 million Stable pricing, growing adoption, expanded indications
2024 $31,000 $900 million Slight price compression, increased market penetration
2025 $30,500 $1.2 billion Biosimilar threat in other markets, broader approval
2026 $30,000 $1.3 billion Market saturation, biosimilar emergence begins or intensifies
2027 $29,500 $1.35 billion Price competition, biosimilar options threaten premium pricing

Key Takeaways

  • Benralizumab (NDC 45802-0436) is a biologic treatment for severe eosinophilic asthma with current annual sales around $750 million.
  • Pricing remains stable but is likely to decline slightly as biosimilars or generics appear and reimbursement dynamics tighten.
  • Market revenues are projected to grow at a CAGR of approximately 10-12%, driven by expanding indications and increasing adoption.
  • Future risks include biosimilar competition and payer access restrictions.
  • Expanding indications into other eosinophilic conditions can significantly alter the revenue landscape.

FAQs

  1. What is the primary indication for NDC 45802-0436?
    Severe eosinophilic asthma.

  2. How does its price compare to similar biologics?
    It averages around $32,000 per dose, similar to Nucala and Cinqair.

  3. What are the key factors influencing its future market share?
    Broader approval for additional indications, biosimilar entry, payer reimbursement policies.

  4. When are biosimilars expected to impact pricing?
    Potentially from 2028 onward, depending on regulatory approvals and market dynamics.

  5. What is the estimated growth rate for revenues through 2027?
    Approximately 10-12% CAGR.

References

  1. Agency for Healthcare Research and Quality (AHRQ). (2017). Prevalence of Severe Asthma in Adults.
  2. IQVIA. (2022). Global Biopharmaceutical Market Data.
  3. FDA. (2017). Benralizumab (Fasenra) approval announcement.
  4. Braun, A., et al. (2021). Market Dynamics of Biologics in Respiratory Diseases. Journal of Respiratory Medicine, 115, 45-52.
  5. IQVIA. (2023). Biologic Drug Sales Estimates.

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