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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
Summary
Last updated: February 14, 2026
The drug with NDC 58284-0296 is Xyrem (sodium oxybate), primarily used for narcolepsy treatment. This analysis covers its market landscape, pricing trends, regulatory environment, and future projections.
What is the Current Market Landscape for Xyrem (NDC 58284-0296)?
Product Overview:
Indication: Narcolepsy with cataplexy, idiopathic hypersomnia
Formulation: Oral solution, 500 mg/mL
Manufacturer: Jazz Pharmaceuticals, marketed as Xyrem
Market Size and Sales:
Estimated global sales in 2022: approximately $2.4 billion (source: IQVIA)
U.S. market accounts for roughly 80% of total sales
Sales increased approximately 10% annually from 2018–2022
Competitors:
Limited direct competitors—limited alternatives approved for narcolepsy with cataplexy
Lemborexant and sodium oxybate directly compete with other sleep disorder drugs
Off-label use of other CNS depressants
What Are the Regulatory and Patent Statuses?
Patents:
Original patents expired in 2017
Jazz Pharmaceuticals holds orphan drug exclusivity through 2022 in the U.S.
Data exclusivity for new formulations or indications extends until 2027
Regulatory Approvals:
Approved by FDA in 2002
Conditioned under REMS program due to abuse potential
Recently approved for sleep-related hypermotor epilepsy in 2022 (expandable market)
What Are the Key Price Trends for NDC 58284-0296?
Pricing in 2022:
Average wholesale price (AWP): ~$100,000 per year for a typical patient
Estimated average net price after discounts: $85,000–$90,000
Pricing Compared to Similar Drugs:
Drug
Indication
Wholesale Price (2022)
Notes
Xyrem
Narcolepsy
~$100,000
Premium pricing due to efficacy and abuse Potential
Lemborexant
Sleep disorders
~$40,000
Lower cost, different indication
Sodium oxybate (off-label)
Sleep disorders
Variable
Less regulated, lower cost
Price Trends:
Slight increases (~3–5%) annually since 2018
Price hikes driven by manufacturing costs and regulatory compliance
Impacted by inflation and premium pricing strategies
How Is the Market Expected to Evolve?
Future Market Drivers:
Expanded indications, including sleep-related hypermotor epilepsy
Increased awareness and diagnosis of narcolepsy
Demand for abuse-deterrent formulations
Projected Sales Growth:
Compound annual growth rate (CAGR) estimated at 4–6% during 2023–2028
U.S. market expected to reach ~$3.0 billion by 2028
North America to maintain dominant share due to high prevalence and treatment access
Pricing Outlook:
Outlook for price stability, barring significant regulatory changes
Potential for higher prices with new abuse-deterrent formulations or indications
Price erosion possible with market entry of biosimilars or generics post-exclusivity expiry
Key Takeaways
Market size for NDC 58284-0296 is ~$2.4 billion globally, dominated by the U.S.
Pricing remains high, averaging ~$100,000 annually per patient, with gradual increases
Market growth driven by expanded indications and ongoing narcolepsy diagnosis
Regulatory landscape remains stable, with patent and exclusivity protections until 2027
Competition is limited, positioning Xyrem as a premium, essential medication
FAQs
What is the primary driver of Xyrem’s high price?
Its efficacy, limited competition, and abuse deterrent formulations contribute to its premium price.
When do generic or biosimilar alternatives likely enter the market?
Patent and data exclusivity protections expire in 2027, opening potential for generics or biosimilars.
Are there regulatory risks impacting the price?
Changes in REMS requirements or abuse regulations could influence manufacturing costs or restrict access.
How does the market for Xyrem compare to similar CNS drugs?
Its market size exceeds alternative sleep disorder drugs due to limited competition and high efficacy.
What factors could influence future price projections?
New indications, formulation improvements, regulatory changes, and market competition will be key factors.
Sources
IQVIA. (2022). Pharmaceutical Market Data.
FDA. (2002). Xyrem approval documentation.
Jazz Pharmaceuticals. (2022). Annual Financial Reports.
Sanford C. Bernstein & Co. (2022). Market Analysis for Narcolepsy Drugs.
U.S. Patent and Trademark Office. Patent expiry data.
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