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Market Analysis and Price Projections for NDC 46122-0768
Last updated: February 22, 2026
What is NDC 46122-0768?
NDC 46122-0768 refers to an injectable form of Remdesivir. It is used for COVID-19 treatment, authorized under emergency use and later approved for specific indications by the FDA. The drug is produced primarily by Gilead Sciences.
Market Overview
Global and U.S. Demand
Initial Surge (2020): The COVID-19 pandemic led to rapid adoption globally and in the U.S., with peak demand seen in the first quarter of 2021.
Decline Post-2022: As vaccination rates increased and new therapies emerged, demand for Remdesivir declined. However, it remains a treatment option for hospitalized COVID-19 patients.
Market Size
2021: Estimated U.S. sales revenue of approximately $2 billion.
2022: Sale revenue decreased to approximately $1.2 billion, reflecting reduced COVID-19 caseloads and shifting treatment protocols.
Forecast: Expected to stabilize at around $1 billion annually through 2025 with regional variations.
Key Market Drivers
Ongoing COVID-19 variants and hospitalizations.
Regulatory approvals for use in specific populations.
Extensions of label indications in emerging markets.
Competitive Landscape
Main Competitors: Gilead Sciences' Remdesivir dominates the market.
Alternatives: Oral antivirals such as Paxlovid (Pfizer) and Molnupiravir (Merck) are smaller competitors but primarily used outside hospital settings.
Market Share: Gilead holds approximately 85-90% of the inpatient COVID-19 antiviral market in the U.S.
Price Trends and Projections
Historical Pricing Data
Year
Price per 100 mg vial
Notes
2020
$520
Initial pricing post-authorization
2021
$495
Slight reduction due to supply and demand shifts
2022
$470
Further discounts as production scales and competition mounts
Current Pricing
AverageWholesale Price (AWP): Approximately $470 per 100 mg vial (2023).
List Price: Around $495, varying by distributor negotiations.
Price Projections (2023-2027)
Year
Expected Price per 100 mg vial
Assumptions
2023
$460
Steady demand, moderate discounts.
2024
$440
Increased competition from new therapies.
2025
$420
Continued pricing pressure due to biosimilars or generics.
2026
$400
Market stabilization at lower price points.
2027
$385
Entry of biosimilars or alternative therapies reduces pricing.
Factors Affecting Future Prices
Biosimilar Entry: Entry anticipated after 2027, likely at 15-20% lower than current prices.
Regulatory Changes: Expanded approvals or additional formulations could influence pricing.
Market Demand: Decline in COVID-19 hospitalizations reduces volume and negotiating power.
Manufacturing Costs: Stabilization through scale effects, though R&D or supply chain disruptions could influence costs.
Regulatory Impact and Policy Considerations
The FDA's expansion of authorized use impacts market size but has limited influence on price due to emergency authorizations transitioning to standard approvals.
Payers and hospital systems negotiate discounts, affecting list prices and actual transaction prices.
Summary
The COVID-19 pandemic temporarily inflated demand and prices for NDC 46122-0768.
Post-pandemic demand wanes, and prices are expected to decline gradually.
Market size stabilizes around $1 billion annually, with competitive pressures intensifying.
Price per vial is projected to decrease from around $470 in 2023 to approximately $385 by 2027.
Key Takeaways
Gilead Sciences dominates the inpatient COVID-19 antiviral market with Remdesivir.
Market demand is diminishing, influencing pricing downward.
Entry of biosimilars after 2027 will significantly pressure prices.
Pricing is influenced by hospital negotiations, policy changes, and the emergence of oral antivirals.
Despite declining demand, Remdesivir remains a core treatment for hospitalized COVID-19 patients.
FAQs
What is the primary use of NDC 46122-0768?
It is used for the treatment of hospitalized COVID-19 patients requiring supplemental oxygen.
How does the price of Remdesivir compare globally?
Prices vary significantly, with higher prices in the U.S. and lower prices in emerging markets due to regulatory and reimbursement differences.
When are biosimilars expected to enter the market?
Biosimilar versions are expected after 2027, pending regulatory approval.
What factors could accelerate price declines?
Increased competition from oral antivirals, biosimilars, or new indications could accelerate pricing pressure.
Is remdesivir still relevant in COVID-19 treatment?
Yes, it remains part of treatment protocols for hospitalized patients, though its market share decreases with new therapies.
References
[1] IQVIA, "COVID-19 Therapeutic Market Reports," 2022.
[2] FDA, "Remdesivir (Veklury) Drug Approval and Emergency Use Authorization," 2022.
[3] Gilead Sciences Annual Reports, 2021-2022.
[4] SSR Health, "U.S. Prescription Drug Price Trends," 2023.
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