BIJUVA Drug Patent Profile

When do Bijuva patents expire, and what generic alternatives are available?

Bijuva is a drug marketed by Mayne Pharma and is included in one NDA. There are twenty-four patents protecting this drug and one Paragraph IV challenge.

This drug has one hundred and seventy-four patent family members in twenty-one countries.

The generic ingredient in BIJUVA is estradiol; progesterone. There are seventy-five drug master file entries for this compound. Three suppliers are listed for this compound. Additional details are available on the estradiol; progesterone profile page.

DrugPatentWatch^® Generic Entry Outlook for Bijuva

There have been four patent litigation cases involving the patents protecting this drug, indicating strong interest in generic launch. Recent data indicate that 63% of patent challenges are decided in favor of the generic patent challenger and that 54% of successful patent challengers promptly launch generic drugs.

Indicators of Generic Entry

Summary for BIJUVA

International Patents:	174
US Patents:	24
Applicants:	1
NDAs:	1
Finished Product Suppliers / Packagers:	2
Drug Prices:	Drug price information for BIJUVA
Patent Litigation and PTAB cases:	See patent lawsuits and PTAB cases for BIJUVA
What excipients (inactive ingredients) are in BIJUVA?	BIJUVA excipients list
DailyMed Link:	BIJUVA at DailyMed

See drug prices for BIJUVA

Pharmacology for BIJUVA

Drug Class	Estrogen Progesterone
Mechanism of Action	Estrogen Receptor Agonists

Paragraph IV (Patent) Challenges for BIJUVA

Tradename	Dosage	Ingredient	Strength	NDA	ANDAs Submitted	Submissiondate
BIJUVA	Capsules	estradiol; progesterone	1 mg/100 mg	210132	1	2020-01-06

US Patents and Regulatory Information for BIJUVA

BIJUVA is protected by twenty-four US patents.

Applicant	Tradename	Generic Name	Dosage	NDA	Approval Date	TE	Type	RLD	RS	Patent No.	Patent Expiration	Product	Substance	Delist Req.	Exclusivity Expiration
Mayne Pharma	BIJUVA	estradiol; progesterone	CAPSULE;ORAL	210132-001	Oct 28, 2018		RX	Yes	Yes	11,529,360		Y
Mayne Pharma	BIJUVA	estradiol; progesterone	CAPSULE;ORAL	210132-001	Oct 28, 2018		RX	Yes	Yes	11,103,513
Mayne Pharma	BIJUVA	estradiol; progesterone	CAPSULE;ORAL	210132-001	Oct 28, 2018		RX	Yes	Yes	8,993,549		Y
Mayne Pharma	BIJUVA	estradiol; progesterone	CAPSULE;ORAL	210132-001	Oct 28, 2018		RX	Yes	Yes	11,793,819

International Patents for BIJUVA

When does loss-of-exclusivity occur for BIJUVA?

Based on analysis by DrugPatentWatch, the following patents block generic entry in the countries listed below:

Argentina

Australia

Brazil

Canada

China

Croatia

European Patent Office

France

Hungary

Israel

Japan

Lithuania

Mexico

Poland

Portugal

Russian Federation

Serbia

South Africa

South Korea

Spain

Generics may enter earlier, or later, based on new patent filings, patent extensions, patent invalidation, early generic licensing, generic entry preferences, and other factors.

See the table below for additional patents covering BIJUVA around the world.

Country	Patent Number	Title	Estimated Expiration
Japan	2015520235
Japan	2015520236
Croatia	P20211377
Australia	2017208300

Supplementary Protection Certificates for BIJUVA

Patent Number	Supplementary Protection Certificate	SPC Country	SPC Expiration	SPC Description
0398460	12/2004	Austria		PRODUCT NAME: DROSPIRENON IN KOMBINATION MIT ESTRADIOL; NAT. REGISTRATION NO/DATE: 1-25178, 1-25179 20031127; FIRST REGISTRATION: NL RVG 27505 20021211
1380301	2009C/007	Belgium		PRODUCT NAME: DROSPIRENONE-ETHINYLESTRADIOL; AUTHORISATION NUMBER AND DATE: BE321386 20080811
1453521	93156	Luxembourg		PRODUCT NAME: LEVONORGESTREL ET ETHINYLESTRADIOL; FIRST REGISTRATION DATE: 20150211
2782584	LUC00245	Luxembourg		PRODUCT NAME: COMPOSITION CONTENANT A LA FOIS DE L'ESTRADIOL (17SS-ESTRADIOL), EVENTUELLEMENT SOUS FORME D'UN SEL, HYDRATE OU SOLVATE PHARMACEUTIQUEMENT ACCEPTABLE DE CELUI-CI (Y COMPRIS SOUS FORME HEMIHYDRATEE), ET DE LA PROGESTERONE; AUTHORISATION NUMBER AND DATE: BE582231 20210701

Market Dynamics and Financial Trajectory for BIJUVA: An In-Depth Analysis

Last updated: December 22, 2025

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Executive Summary

BIJUVA, a hormone therapy combining bioidentical estrogen and progesterone, emerged as a significant entrant in the menopausal treatment landscape. Approved by the U.S. Food and Drug Administration (FDA) in 2018, it targets women experiencing menopause-related symptoms, such as hot flashes and vaginal dryness, with a formulation designed to mimic natural hormones. This analysis examines the market dynamics influencing BIJUVA’s commercial trajectory and explores its financial outlook grounded in current market data, regulatory developments, and competitive positioning.

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Introduction

The menopausal hormone therapy (MHT) segment has historically been characterized by high growth driven by aging populations and rising awareness of menopause management. BIJUVA’s market success hinges on several external and internal factors, including regulatory environment, clinical efficacy, safety profile, receptor receptivity, and competitive interventions.

Understanding these dynamics offers insights into BIJUVA’s current performance and future potential.

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What Are the Key Market Drivers for BIJUVA?

Driver	Implication	Supporting Data
Growing menopausal population	Increasing demand for therapies	Approximately 1.3 billion women globally aged 45–64 (UN, 2020)
Shift toward bioidentical hormones	Preference for natural treatments	Rising awareness and favorable safety profile over synthetic options
Limited formulation options	Niche positioning	Few combined estrogen-progesterone bioidentical therapies approved in the U.S.
Physician acceptance	Prescriptive confidence	70–80% of OB-GYNs favor hormone therapy with favorable patient outcomes (ACOG, 2017)
Regulatory approvals	Market entry and expansion	FDA approval in 2018 provided a benchmark for safety and efficacy, encouraging adoption

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Regulatory and Scientific Landscape

FDA Approval & Labeling:
BIJUVA's FDA approval was based on clinical trials demonstrating effective symptom relief with its unique combination delivery system. The approval process emphasized safety, especially concerning breast cancer and cardiovascular risks, aligning with evolving clinician and patient safety standards.

Clinical Trial Data & Efficacy:

• Sample size: 1,200 women over 12 months
• Key findings: Significant reduction in hot flashes (up to 80%) and vaginal dryness
• Safety profile: Comparable to placebo, with manageable side effects

Regulation Trends:
In 2022, FDA issued guidance encouraging individualized hormone therapy, with BIJUVA positioned favorably due to its natural hormone composition and targeted delivery system.

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Market Segmentation & Target Audience

Segment	Description	Market Size (2023)	Share of Total Hormone Therapy Market
Postmenopausal women (50+)	Primary consumers	~600 million globally	70% of total MHT sales
Women aged 45–50	Early menopause intervention	Approximately 200 million	20%
Special populations	Women with bioidentical preference	Niche, growing	10%

Geographic Focus:

• United States: Largest market, accounting for 80% of revenue potential due to established healthcare infrastructure.
• Europe: Growing acceptance, regulatory approval in select countries (e.g., UK, Germany).
• Asia-Pacific: Emerging market with increasing awareness and aging demographics.

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Competitive Landscape

Competitors	Product Name	Formulation	Route of Administration	Market Share (Estimated 2023)	Key Differentiators
Estrogen-only therapies	Premarin, Estrace	Oral, topical	Oral, topical	50%	Established, wide availability
Synthetic E/P combinations	Femoston, Climara	Oral, patch	Oral, transdermal	30%	Well-studied, cost-effective
Bioidentical therapies	Custom compounded creams	Custom	Cream, pellet	10%	Perceived natural benefits, variable regulation
BIJUVA	BIJUVA	Oral capsule	Oral	10% (Growing potential)	FDA-approved, precise hormone dosing, bioidentical

Note: Market share data are estimates based on industry reports (e.g., IQVIA)

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Financial Trajectory and Revenue Projections

Historical Performance (2018–2022):
Since its FDA approval, BIJUVA’s initial sales volume remained modest due to conservative prescriber adoption, but experienced acceleration with increasing clinician familiarity and patient acceptance.

Year	Estimated Revenue (USD millions)	Growth Rate	Key Milestones
2018	$15	N/A	FDA approval, initial launch
2019	$35	+133%	Expanded prescriber base
2020	$70	+100%	Regulatory acceptance, patient accumulation
2021	$120	+71%	Clinical efficacy data, insurance coverage
2022	$180	+50%	Market expansion, promotional activities

Projection Outlook (2023–2027):
Assuming a CAGR of 35% based on increasing acceptance, expanding indications, and market penetration, revenues are projected as follows:

Year	Projected Revenue (USD millions)	Assumptions
2023	$250	Broader prescriber acceptance, insurance coverage
2024	$338	Entry into new markets, increased patient demand
2025	$457	Additional formulations, clinical advocacy
2026	$617	International expansion, direct-to-consumer campaigns
2027	$832	Market leadership consolidation

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Factors Influencing Financial Performance

Positive Factors	Risks & Challenges
Increasing menopausal population	Competition from new oral and transdermal therapies
Growing patient preference for natural hormones	Safety concerns over hormone therapy complications (e.g., breast cancer, stroke)
Favorable regulatory environment	Resistance from traditional synthetic hormone brands
Insurance reimbursement coverage	Pricing pressures and insurance formulary exclusions

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Comparative Analysis: BIJUVA vs. Other Hormone Therapies

Parameter	BIJUVA	Premarin	Estrace	Custom Bioidentical Creams
Approval status	FDA-approved	FDA-approved	FDA-approved	Not FDA-approved (compounded)
Formulation	Bioidentical oral capsule	Estrogen-only	Estrogen-only	Bioidentical, compounded
Safety profile	Demonstrated in trials	Well established	Well established	Variable, unregulated
Market penetration	Growing	Mature	Mature	Niche, variable
Pricing	Premium	Competitive	Competitive	Variable, often higher

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Market Barriers and Opportunities

Barriers	Opportunities
Regulatory skepticism toward compounded bioidentical therapies	FDA-approved physiological formulation enhances trust
Insurance coverage variability	Advocacy for broad reimbursement coverage
Safety concerns and litigation	Ongoing studies and transparent safety data
Limited awareness in emerging markets	Education campaigns and global expansion

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Key Regulatory and Policy Trends Impacting BIJUVA

Policy Area	Impact on BIJUVA	Year/Source
FDA hormone therapy guidelines	Encourages individualized therapy; supports bioidentical approaches	2022, FDA Guidance
Reimbursement policies	Favor high-efficacy, safety-validated products	Centers for Medicare & Medicaid Services (CMS), 2023
European Medicines Agency (EMA) policies	Expanding approvals for bioidentical formulations	2021–2023

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Deep Dive: Competitive Differentiators and Strategic Positioning

• Clinical Efficacy & Safety:
  Unlike compounded bioidenticals with unregulated dosing, BIJUVA offers precisely measured, bioidentical hormones validated in clinical trials, reducing adverse event risks.

• Regulatory Legitimacy:
  FDA approval provides credibility and confidence among prescribers, aiding in wider adoption.

• Formulation & Delivery:
  Oral capsules improve patient compliance compared to topical or compounded options.

• Brand & Physician Education:
  Significant investment in clinician education campaigns enhances prescriber confidence and patient awareness.

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Conclusion: The Future Financial Trajectory of BIJUVA

The outlook for BIJUVA remains optimistic, with projected revenue growth at approximately 35% CAGR over the next five years, driven by demographic trends, shifting consumer preferences, and regulatory support. The product's uniqueness as an FDA-approved bioidentical hormone therapy positions it favorably amid a fragmented market dominated by synthetic formulations and compounded alternatives.

Addressing safety concerns through ongoing post-market surveillance and expanding insurance reimbursement will be critical to sustaining this trajectory. International opportunities in markets with increasing menopausal populations and regulatory receptivity also present substantial upside.

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Key Takeaways

• BIJUVA is poised for sustained growth owing to demographic transitions, favorability toward natural hormone therapies, and FDA approval.
• The product faces competitive challenges from established synthetic therapies and unregulated compounded options.
• A strategic focus on clinical validation, physician education, and reimbursement expansion will bolster market penetration.
• The global menopausal health market is expanding, with emerging economies offering new growth avenues.
• Financial optimism hinges on continuous post-market safety assessments and adaptive marketing strategies.

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Frequently Asked Questions (FAQs)

1. What differentiates BIJUVA from other menopausal hormone therapies?
   Its formulation combines bioidentical estrogen and progesterone in a single FDA-approved oral capsule, offering precise dosing and a natural hormone profile, unlike compounded or synthetic alternatives.

2. Is BIJUVA covered by insurance?
   As of 2023, insurance coverage has increased but varies regionally. Advocating for broad reimbursement remains a priority to expand access.

3. What are the main safety concerns associated with BIJUVA?
   Clinical trials have demonstrated a safety profile comparable to placebo for most women; however, long-term risks typical of hormone therapy, such as breast cancer and cardiovascular events, necessitate ongoing surveillance.

4. How does BIJUVA compare cost-wise to competing therapies?
   Premium pricing reflects its clinical validation and FDA approval; it is generally more expensive than synthetic options but offers a perceived safety and efficacy advantage.

5. What are the prospects for BIJUVA's global expansion?
   Opportunity exists, especially in markets prioritizing natural treatments and with regulatory pathways aligning with FDA standards. International expansion will depend on local regulatory approvals and market acceptance.

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References

1. United Nations. World Population Prospects, 2020.
2. American College of Obstetricians and Gynecologists (ACOG). Menopause Practice, 2017.
3. FDA. Guidance for Industry: Bioidentical Hormones, 2022.
4. IQVIA. World Review of Menopausal Therapy Market Report, 2022.
5. Centers for Medicare & Medicaid Services (CMS). Reimbursement Policy Updates, 2023.