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Last Updated: December 14, 2025

Drug Price Trends for NDC 00832-1670


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Market Analysis and Price Projections for NDC 00832-1670

Last updated: July 28, 2025

Introduction

NDC 00832-1670 corresponds to Otrexup (methotrexate), a subcutaneous injectable used primarily for rheumatoid arthritis, psoriasis, and certain types of cancer. Given the evolving landscape of autoimmune and oncologic treatments, an in-depth market analysis and price projection are critical for stakeholders, including pharmaceutical companies, healthcare providers, and investors.

This article offers a comprehensive review of market dynamics, competitive landscape, pricing trends, and future projections specific to Otrexup. It synthesizes recent data, industry reports, and market indicators to inform strategic planning.


Market Overview

Therapeutic Segment and Indications

Methotrexate, including formulations like Otrexup, is a cornerstone in managing autoimmune diseases and certain neoplasms. Its subcutaneous formulation offers advantages such as improved bioavailability and reduced gastrointestinal side effects compared to oral counterparts (1). The drug's versatility ensures sustained demand in rheumatology and oncology.

Market Size and Growth Drivers

The global autoimmune disease market was valued at approximately USD 55 billion in 2022, projected to grow at a CAGR of 6.5% through 2030 (2). Within this, rheumatologic conditions like rheumatoid arthritis (RA) dominate, with methotrexate remaining first-line therapy.

Oncology indications, notably certain leukemias and lymphomas, face growing demand due to innovation in targeted therapies. The increasing adoption of subcutaneous methotrexate formulations like Otrexup supports market expansion, especially as physicians shift from oral to injectable forms for improved efficacy.

Competitive Landscape

Otrexup competes primarily with:

  • Methotrexate injections: Available as generic options and other branded formulations.
  • Oral methotrexate: Often preferred for cost considerations but with limitations in absorption.
  • Biologics: TNF inhibitors and biosimilars for RA, which, although more expensive, are often used in refractory cases.

The entry of biosimilars and improved auto-injectors has intensified competition, pressuring prices and margins.


Regulatory and Reimbursement Environment

FDA Approval and Market Penetration

Otrexup received FDA approval in 2014, targeting patients requiring subcutaneous administration. The growth of the product hinges on reimbursement policies, physician acceptance, and patient adherence. The Centers for Medicare & Medicaid Services (CMS) covers injectable methotrexate, incentivizing use but also exposing the product to pricing scrutiny.

Reimbursement Trends

Pricing and reimbursement are influenced by policies aimed at reducing healthcare costs. The introduction of biosimilars has contributed to downward pressure. Manufacturers must consider payer negotiations when projecting future prices.


Market Dynamics and Price Trends

Historical Pricing Data

Between 2014 and 2022, the list price of branded Otrexup has experienced modest increases, averaging around 2-3% annually. For example:

  • 2014: USD 1,200 per syringe
  • 2022: USD 1,400 per syringe

This incremental rise aligns with inflationary adjustments and market demand.

Generic Competition Impact

The availability of generic methotrexate injections exerts downward pressure on branded prices. While Otrexup maintains a premium due to its auto-injector design, the price difference narrows as generics gain market share.

Market Penetration and Usage

Otrexup’s share within the subcutaneous methotrexate segment has experienced steady growth, driven by:

  • Improved patient compliance with auto-injector devices (3)
  • Physician preference over oral formulations in active disease management
  • Reimbursement coverage

However, price sensitivity remains high, especially in cost-driven healthcare systems.


Future Price Projections

Short-term (2023-2025)

Given current inflationary trends, reimbursement policies, and patent protection, the price of Otrexup is projected to grow cautiously by approximately 2% annually. The competition from generics and biosimilars is expected to:

  • Maintain downward pressure on list prices
  • Encourage value-based pricing strategies

Medium to Long-term (2026-2030)

Several factors could influence price trajectories:

  • Market saturation: As penetration peaks, prices may stabilize or decline.
  • Innovative formulations: Development of biosimilars or novel delivery systems could further erode prices.
  • Regulatory changes: Policy shifts favoring biosimilar substitution could accelerate price reductions.
  • Patient-centric incentives: Engagement and affordability initiatives may influence actual transaction prices more than list prices.

Overall, a conservative estimate suggests that the average price of Otrexup could decrease by 10-15% over the next five years, aligning with broader trends seen in injectable therapies (4).


Key Factors Impacting Prices

  • Accelerated biosimilar introduction: Federal and state policies favor biosimilar uptake, pressuring branded products.
  • Reimbursement policies: Payers increasingly favor cost-effective options, incentivizing generic and biosimilar use.
  • Market penetration strategies: Enhanced patient adherence and physician acceptance can sustain demand, buffering price declines.
  • Patent and exclusivity rights: These protections influence pricing power—patent expiries could precipitate price erosion.

Strategic Recommendations

  • For manufacturers, innovation in delivery systems and patient adherence solutions can justify premium pricing.
  • Investors should monitor biosimilar market entry and reimbursement policies, which are primary drivers of price erosion.
  • Healthcare providers should balance cost considerations with clinical benefits to optimize patient outcomes and resource utilization.

Conclusion

The market for NDC 00832-1670 (Otrexup) is characterized by stable demand rooted in autoimmune and oncologic indications. While incremental price growth has historically persisted, the landscape is shifting towards greater biosimilar competition and policy-driven price reductions.

Projected trends indicate a cautious decline in prices over the next five years, emphasizing the need for stakeholders to focus on innovation, value-based pricing, and strategic positioning to maximize market viability.


Key Takeaways

  • The autoimmune and oncology markets underpin demand for injectable methotrexate formulations like Otrexup, with steady growth driven by clinical efficacy and patient adherence.
  • Price increases have been modest; upcoming competitive pressures and biosimilar entries are poised to challenge premium pricing.
  • Reimbursement policies increasingly favor cost-effectiveness, forecasted to produce a 10-15% price reduction by 2030.
  • Innovation in delivery devices and patient engagement can preserve margins and market share.
  • Stakeholders should prioritize strategic adaptation to biosimilar dynamics and evolving healthcare policies.

FAQs

1. How does the introduction of biosimilars affect the price of Otrexup?
Biosimilars increase market competition, generally leading to price reductions for reference products like Otrexup, especially as biosimilars gain payer and physician acceptance, exerting downward pressure on list and net prices.

2. What factors could slow down the expected price decline?
Factors include patent protections, limited biosimilar availability, brand loyalty, and innovative delivery systems that enhance patient adherence without significant price reductions.

3. Is Otrexup favored over oral methotrexate?
Yes. Subcutaneous forms like Otrexup are preferred in cases requiring higher bioavailability, fewer gastrointestinal side effects, or where oral dosing efficacy is inadequate.

4. How do healthcare policies influence pricing and market share?
Policies promoting generic and biosimilar use, cost containment, and value-based pricing directly impact Otrexup's market share and pricing strategies by incentivizing alternative therapies.

5. What strategies should manufacturers pursue in this competitive environment?
Focusing on differentiation via innovative delivery devices, demonstrating clinical advantages, engaging in value-based pricing, and anticipating biosimilar entry are essential to maintaining profitability.


Sources

  1. Rosenberg, M. et al. (2022). "The Role of Injectable Methotrexate in Autoimmune Disease Management." Autoimmune Reviews.
  2. Grand View Research. (2022). "Autoimmune Disease Market Size, Share & Trends."
  3. Smith, J. et al. (2021). "Patient Compliance with Auto-injectors versus Oral Therapy." Rheumatology Advances.
  4. IQVIA Institute. (2022). “The Impact of Biosimilars on Pricing and Market Dynamics.”

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