These are wholesale prices available to the US Federal Government which, by law, must be the best prices available under comparable terms and conditions
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 63323-0966
Last updated: February 13, 2026
Product Overview:
NDC: 63323-0966
Represents Remdesivir (brand name: Veklury)
Indication: FDA-approved for COVID-19 treatment in hospitalized patients
Manufacturer: Gilead Sciences
Market Overview:
Demand Drivers:
Approved for COVID-19 treatment since October 2020
High-volume use in hospitals globally
Limited alternative therapeutics with comparable efficacy
UIP (Usage in Pandemic): During peak COVID-19 waves, daily hospital treatment cases ranged in thousands globally
Market Size:
Estimated global COVID-19 hospitalization treatment demand ranged from 10,000 to 25,000 courses daily (as of late 2022)
Gilead reported sales of approximately $1.7 billion for remdesivir in 2021
US market contributed over 60% of sales during 2021
Competitive Landscape:
Few direct competitors approved for COVID-19
Alternatives like Paxlovid (Pfizer) and Lagevrio (Merck) target outpatient settings
Gilead's remdesivir remains dominant in hospitalized settings
Supply Chain & Manufacturing Capacity:
Gilead has increased production capacity to meet global demand
Commercial supply chain supports large-scale distribution
Pricing Structure & Revenue:
Pricing Details:
List price in the US: approximately $3,120 per 100 mg vial (as per 2022 data)
Medicare and private insurers often negotiate discounts; net prices are lower
Reimbursement Landscape:
Reimbursed predominantly via hospital procurements, with negotiated discounts
Frequently purchased via bulk hospital purchasing agreements
Gross Margin & Profitability:
Given production costs estimated below $200 per course, gross margins are substantial
Margins depend on negotiated discounts and distribution channels
Price Projections:
Year
Estimated Price per Course
Notes
2023
$15,000 - $18,000
Current levels, assuming stable demand and no new competitors
2024
$14,500 - $17,000
Potential slight decline as manufacturing scales or new alternatives emerge
2025
$13,000 - $16,000
Market saturation and negotiated discounts may depress prices further
Factors Influencing Prices:
Pandemic Dynamics: Fluctuating COVID-19 case rates influence demand
Regulatory Changes: New approvals or restrictions can impact sales volumes
Competitive Products: Introduction of new oral antivirals could reduce hospital-based demand
Manufacturing scale: Increased capacity could pressure per-unit prices downward
Global procurement policies: Changes in government procurement strategies affect negotiated prices
Regulatory and Patent Considerations:
Gilead holds patents that protect remdesivir production and formulation, delaying generic entry
Patent expiry estimates: 2030-2035 in key markets (US, EU)
Patent litigation and licensing agreements could influence future pricing strategies
Key Takeaways:
Remdesivir remains the dominant hospitalized COVID-19 treatment with high market penetration
Current US list price: approximately $3,120 per vial; treatment course around $18,720
Market demand is driven by global COVID-19 incidence, with variability
Price projections show a gradual decline, influenced by market saturation and competition
Gross margins remain high, but future pricing depends on evolving competitive, regulatory, and pandemic factors
FAQs:
What factors could cause remdesivir prices to drop?
Competitive oral antivirals and potential biosimilar entries could lead to price reductions.
How does international pricing compare to the US?
Many countries negotiate lower prices. In low-income nations, prices may be a fraction of US costs, sometimes supported by Gilead's licensing programs.
What is the impact of patent expiry on remdesivir pricing?
Patent expiry around 2030-2035 could facilitate generic manufacturing, significantly lowering prices.
Are there known upcoming regulatory changes that could influence the market?
Approvals for new indications or updates on COVID-19 treatment standards could influence demand and pricing strategies.
How does the demand for remdesivir compare to outpatient oral therapies?
As outpatient oral treatments gain traction, hospital-based demand could decrease, affecting overall sales volume.
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