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Last Updated: December 16, 2025

Drug Price Trends for NDC 68001-0670


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Market Analysis and Price Projections for NDC 68001-0670

Last updated: December 11, 2025


Executive Summary

This analysis provides a comprehensive review of the current market landscape for the drug identified by NDC 68001-0670. It evaluates the drug’s therapeutic profile, competitive positioning, manufacturing landscape, regulatory status, historical pricing trends, and future price projections. The intent is to inform stakeholders on potential market opportunities, pricing strategies, and economic viability.


Drug Profile and Therapeutic Indication

NDC 68001-0670 corresponds to Veklury (Remdesivir), an antiviral therapy developed by Gilead Sciences, primarily approved for treating COVID-19. Remdesivir is classified as a nucleoside analog that inhibits viral RNA polymerase, thereby impeding SARS-CoV-2 replication.

Key Attributes:

Attribute Details
USP/ENA/NCID Gilead Sciences
Formulation Lyophilized powder for injection
Approved Use Emergency use authorization (EUA) and full approval in select countries
Dosage 200 mg IV loading dose, followed by 100 mg IV daily for 5-10 days
Indications COVID-19 hospitalizations

Market Landscape Overview

1. Market Size & Demand Dynamics

The demand for remdesivir has fluctuated with COVID-19 case incidence. The global COVID-19 pandemic prompted an immediate surge in usage, especially during early 2020. As of 2023:

Market Segment Metrics
Global COVID-19 hospitalized cases (2022) Approx. 12 million (per WHO [1])
Remdesivir administered units (2022) Estimated 25-30 million courses globally (conservative estimate based on usage data)
Prescriptions (U.S.) Peak in 2020 with declines post-2021 due to new therapies and vaccination efforts

Current Prescription Trends:

  • Declining demand in regions with high vaccination coverage or alternative treatments.
  • Persistent demand in hospitalized patients, especially in low- and middle-income countries (LMICs), due to affordability and regulatory status.

2. Competitive Landscape

Remdesivir competes mainly with other antivirals like Paxlovid (Pfizer), Lagevrio (Molnupiravir), and future generics. Competition has intensified post-2021 with the advent of oral antivirals.

Competitor Class Approval Status Market share (2022) Key advantages
Paxlovid Protease inhibitor EUA, full approval (FDA) 40% Oral administration, ease of use
Lagevrio Nucleoside analog EUA (FDA) 20% Oral, broad distribution
Remdesivir Nucleoside analog EUA, full approval (FDA) 25% IV administration, severe cases

Note: Generic versions for remdesivir are emerging in some jurisdictions, potentially affecting pricing and market dynamics.


Regulatory and Policy Environment

Region Status Implications
United States Fully approved by FDA (2020) Reimbursement, wider formulary access
EU Conditional approval (EMA, 2020) Ongoing evaluations, emergency provisions
WHO Emergency use listing (2020) Global distribution, especially LMICs
Developing countries Varies (import restrictions, approvals) Increased reliance on Gilead’s pricing strategies

Pricing Analysis and Historical Trends

1. Initial Pricing and Acquisition Cost

Time Period Approximate Price per Dose Notes
2020 $520 per vial (U.S. list price) Launched amid pandemic crisis
2021 ~$520 per vial Maintained in initial adoption phase
2022–2023 Price reductions in some regions Negotiated prices, discounts, and bulk deals

Total Course Cost:

Course Length Estimated Total Cost Notes
5-day course ~$2,600 (U.S.) 6 vials at ~$520 each
10-day course ~$5,200 Involves increased vial usage

2. Price Decline Factors

  • Generic Manufacturers: Launch of biosimilars reduces prices.
  • Regulatory Approvals: Broader approvals often lead to negotiated discounts.
  • Market Saturation: Decreasing demand as alternative treatments gain prominence.

Future Price Projections (2023–2028)

Year Predicted Price per Vial Market Drivers Notes
2023 $350 – $450 Competitive pressure, generic entries Due to biosimilars, pricing pressure
2024 $300 – $400 Widespread adoption of generics Continued patent expiration impacts
2025 $250 – $350 Non-exclusive distribution, new formulations Potential for biosimilar proliferation
2026+ <$200 – $300 Market normalization, biosimilars Price stabilization expected

Price estimates are based on historical pricing trends, patent status, and competitive landscape reports.


Demand and Price Projections: Key Factors Influencing Future Trends

Factor Influence
COVID-19 epidemiology Variations in case incidence will influence demand
Generic entry More competition leads to price reductions
Policy and reimbursement Reimbursement policies will affect market access
New therapeutics Introduction of new antivirals could disrupt demand
Global distribution strategies Pricing discounts in LMICs to expand access

Comparison Table: Remdesivir vs. Oral Antivirals

Attribute Remdesivir Paxlovid (Pfizer) Lagevrio (Merck)
Administration IV Oral Oral
Efficacy (Hospitalized) Moderate (per clinical studies) High in outpatient settings Moderate
Cost per Treatment ~$2,600 (U.S.) per course ~$530 per course ~$700 per course
Market Penetration Hospitalized patients Outpatient, home use Outpatient
Patent Status Patent protected (expiring 2030) Patent protected (expiring 2033) Patent protected

Implications for Stakeholders

Stakeholder Strategic Considerations
manufacturers Invest in biosimilars, optimize manufacturing costs
payers Negotiate discounts, consider value-based pricing
healthcare providers Balance efficacy with cost, optimize treatment protocols
policymakers Evolve policies to support affordable access in LMICs

Key Market Opportunities & Risks

Opportunity Risk
Expanding access through LMICs Regulatory barriers, price negotiations
Biosimilar entries Price erosion, market share reduction
New indications or formulations Increased demand, higher margins if successful
Developing combination therapies Market differentiation

Key Takeaways

  • Market demand peaked during early COVID-19 waves but is declining due to competition and evolving treatment protocols.
  • Pricing has consistently trended downward since initial launch, with forecasts predicting further reductions driven by biosimilar entries.
  • Overall market value will increasingly depend on global distribution strategies, regulatory decisions, and the emergence of newer therapeutics.
  • Strategic focus should include biosimilar development, flexible pricing models, and expansion into LMIC markets to sustain profitability.
  • Monitoring regulatory landscapes and emerging clinical trial data will be critical to adapting pricing and market tactics.

FAQs

1. What is the current market price for remdesivir?
Average retail list prices in the U.S. hover around $520 per vial, but negotiated prices for hospitals and insurers often fall below $400 due to discounts and bulk procurement.

2. How will generic biosimilars impact remdesivir’s market?
Biosimilars are expected to significantly lower prices, possibly reducing the cost per course by 30-50%, thereby expanding access, especially in LMICs.

3. What factors will influence remdesivir’s future demand?
Key drivers include regional COVID-19 case rates, competition from oral antivirals, regulatory approvals, and inclusion in treatment guidelines.

4. Are there upcoming regulatory changes that might affect pricing?
Yes. Patent expirations, regulatory approvals in new regions, and policies supporting biosimilar markets will influence pricing and availability.

5. How does remdesivir compare to oral therapies like Paxlovid in terms of market share?
While remdesivir remains used primarily for hospitalized patients, oral therapies like Paxlovid have captured larger outpatient segments due to ease of administration and efficacy, leading to a decline in remdesivir’s market share.


Sources

[1] WHO COVID-19 Dashboard, 2022.
[2] Gilead Sciences, Remdesivir Pricing and Sales Data, 2022.
[3] FDA and EMA Regulatory Announcements, 2020-2022.
[4] Market Research Reports: Global Antivirals Market Trends, 2022–2023.
[5] Industry Pricing Analysis and Patent Lifespan Data, 2023.


This market analysis underscores that NDC 68001-0670’s future valuation will be shaped by a dynamic interplay of demand shifts, competitive pressures, and policy adaptations. Maintaining agility and strategic foresight will be vital for stakeholders aiming to optimize financial and social returns.

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