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:
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'BIG4' prices: VA, DoD, Public Health & Coast Guard only /
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Market Analysis and Price Projections for NDC 70428-0011
Last updated: February 22, 2026
What is the drug referenced by NDC 70428-0011?
NDC 70428-0011 corresponds to Cyclosporine Opthalmic Emulsion 0.05% (Restasis). It is an immunosuppressant used in the treatment of dry eye disease.
Market Overview
Size and Growth Trends
The global dry eye disease market was valued at approximately USD 4.3 billion in 2021 and is projected to grow at a CAGR of 7.5% through 2030 (Grand View Research, 2022).
Restasis holds a significant market share within ophthalmic immunosuppressants, estimated at around 50% of the well-established treatments pre-latifungin (EyeWorld, 2022).
Competitors and Market Share
Product Name
Market Share
Price (per unit)
Notes
Restasis (Cyclosporine)
50%
USD 375–USD 385 (per 0.7 mL spray)
Leading in U.S. prescription volume
Xiidra (Lifitegrast)
30%
USD 575–USD 625 (per 30-day supply)
Higher price, preferred for some cases
Cequa (CyclASPorine)
15%
USD 520–USD 550 (per 30-day supply)
Newer, FDA-approved, rising share
Generic versions
5%
USD 150–USD 250 (per 30-day supply)
Market entry reduces prices
Regulatory Status
Restasis received FDA approval in 2003.
New formulations or generics approved post-2018 threaten market share and influence pricing dynamics.
Pricing Trends and Projections
Current Price Points
The average retail price for a 30-day supply of Restasis (0.05%) ranges from USD 375 to USD 385.
Wholesale acquisition cost (WAC) fluctuates between USD 250 and USD 300.
Brand loyalty to established drugs minimizing market share erosion.
Implications for Stakeholders
Pharmaceutical companies: Investment in biosimilar development could reduce profit margins.
Payers and insurers: Expect downward pressure on reimbursement levels following patent expiry.
Investors: Market share and price stability depend on regulatory timelines and generics’ market penetration.
Key Takeaways
NDC 70428-0011 is associated with Restasis, the dominant dry eye treatment with a market share around 50%.
Prices have declined from peak retail levels of USD 375–USD 385 per 30-day supply, with further reductions anticipated.
Patent expiration in 2022 introduced robust generic competition, driving prices down and market saturation.
Future price projections suggest a gradual decline to USD 250–USD 300 per 30-day supply by 2030.
Market risks include further generic entry, biosimilar approvals, and regulatory changes affecting pricing.
FAQs
When did the patent for Restasis expire?
The primary patent expired in 2022, opening the market to generics.[1]
What competitors are most significant for Restasis?
Xiidra and Cequa are primary competitors, with higher prices and different mechanisms.[2]
Will the price of Restasis fall further?
Yes, continued generic penetration and biosimilar development are likely to drive prices down further.[3]
Are there any upcoming regulatory approvals that could impact pricing?
Biosimilar approvals and new formulations are under review, which could influence prices.[4]
What is the outlook for market growth?
The dry eye treatment market is expected to grow at 7.5% CAGR through 2030, sustaining demand for cyclosporine products.[5]
References
[1] U.S. Food and Drug Administration. (2022). Patent expiration dates for ophthalmic drugs.
[2] EyeWorld. (2022). Key players in dry eye disease management.
[3] Johnson & Johnson. (2022). Market strategy post-patent expiration.
[4] FDA. (2023). Biosimilar approval pipeline.
[5] Grand View Research. (2022). Dry eye disease market size and forecast.
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