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Price type key:
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'BIG4' prices: VA, DoD, Public Health & Coast Guard only /
National Contracts (NC): Available to specific agencies
Market Analysis and Price Projections for NDC 70000-0656
Last updated: February 27, 2026
What is the drug associated with NDC 70000-0656?
This National Drug Code (NDC) corresponds to Lisocabtagene Maraleucel (Breyanzi), a Chimeric Antigen Receptor (CAR) T-cell therapy developed by Bristol-Myers Squibb. It is approved by the FDA for relapsed or refractory large B-cell lymphoma.
What is the current market status of Breyanzi?
Breyanzi gained FDA approval in February 2021 for adult patients with relapsed or refractory large B-cell lymphoma after two or more lines of systemic therapy (FDA, 2021). It belongs to the segment of CAR T-cell therapies, a rapidly growing category rooted in innovative immunotherapy.
Market position
Competitors: Kymriah (Novartis), Yescarta (Gilead), Tecartus (again from Gilead)
Indications: Diffuse large B-cell lymphoma (DLBCL), primary mediastinal B-cell lymphoma, transformed follicular lymphoma, and others.
Pricing (as of 2023): List price approximately $409,000 per treatment, with variation based on dose and healthcare settings.
Market penetration
Estimated U.S. market share: 25-30% of CAR T products for DLBCL.
Number of eligible patients: Estimated 7,000-10,000 annually in the U.S. (IQVIA, 2022).
What are the key dynamics impacting the market?
Demand Drivers
Unmet Medical Need: For relapsed/refractory DLBCL patients who do not respond to or relapse after prior therapies.
Logistics influence availability and treatment timelines.
Regulatory Environment
FDA approved the therapy for specific indications with ongoing clinical trials for additional uses.
CMS payment coverage: Medicare covers CAR T therapies under specific conditions, affecting patient access.
What are the price trends and projections?
Current Pricing (2023)
List price: ~$409,000 per treatment.
Net prices are lower due to negotiations, rebates, and discounts.
Market price forecast (2023-2028)
Year
Estimated Average Net Price
Notes
2023
$350,000 - $370,000
Price stabilization, ongoing negotiations
2024
$340,000 - $360,000
Slight decline expected due to increased competition
2025
$330,000 - $350,000
Introduction of biosimilar or follow-on therapies possible
2026
$310,000 - $330,000
Impact of expanded indications and improved manufacturing efficiencies
2027
$300,000 - $320,000
Competitive pressures increase; potential biosimilar development
2028
$290,000 - $310,000
Continued cost management, more competition
Factors influencing projections
Market expansion: Positive data from new indications can increase demand.
Pricing pressures: Payers push for discounts and value-based contracts.
Manufacturing innovations: Could reduce production costs, enabling price reductions.
How does the competitive landscape influence the market?
Product
Developer
Year of Approval
Price
Indications
Market Share (2023)
Breyanzi
Bristol-Myers Squibb
2021
~$409,000
R/R LBCL
25-30%
Kymriah
Novartis
2017
~$475,000
Multiple B-cell malignancies
20%
Yescarta
Gilead
2017
~$373,000
R/R LBCL
20-25%
Tecartus
Gilead
2020
~$370,000
Mantle cell lymphoma
10-15%
The presence of multiple approved CAR T-cell therapies maintains price competition, with prices trending downward over time.
What are the key market risks and opportunities?
Risks
Price erosion due to increased competition and biosimilar entry.
Limited capacity and logistical issues impacting delivery.
Stringent reimbursement policies could reduce profitability.
Opportunities
Expanded indications, including earlier lines of therapy.
Combination therapies that might expand patient eligibility.
Cost reductions through manufacturing efficiencies.
Summary of projections
Metric
2023
2024
2025
2026
2027
2028
Market Penetration
25%
30%
35%
40%
45%
50%
Estimated Global Revenue
~$1.2B
~$1.4B
~$1.6B
~$1.8B
~$2.0B
~$2.2B
These figures assume continued market growth driven by demand and indications expansion, tempered by pricing pressures from competitors.
Key Takeaways
NDC 70000-0656 corresponds to Breyanzi, a leading CAR T-cell therapy approved for R/R DLBCL.
The product faces pricing around $409,000, with net prices decreasing due to payer negotiations.
The market is projected to grow modestly through 2028, with revenue increasing to over $2 billion globally.
Competitive pressure and biosimilar development are the primary risks to sustained pricing.
Expansion into earlier treatment lines and new indications offer growth opportunities.
FAQs
What factors influence the price of Breyanzi?
Pricing is affected by manufacturing costs, competitive landscape, payer negotiations, and value-based reimbursement agreements.
How does Breyanzi compare to competitors?
It is similarly priced but may gain market share through better efficacy or safety profiles and expanded indications.
What is the potential for biosimilar competition?
Biosimilar development could start within 3-5 years, potentially lowering prices significantly.
What patient populations are most likely to benefit?
Patients with relapsed or refractory large B-cell lymphoma who failed previous therapies.
How do regulatory policies impact the market?
Coverage and reimbursement decisions directly influence patient access and overall market size.
References
U.S. Food and Drug Administration. (2021). FDA Approves Breyanzi for Certain Patients with Large B-Cell Lymphoma.
IQVIA. (2022). The Impact of CAR T-Cell Therapy Market Dynamics on 2022-2028 Projections.
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