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Last Updated: April 27, 2025

Drug Price Trends for NDC 76282-0755


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Market Analysis and Price Projections for Dofetilide (NDC 76282-0755)

Dofetilide, a class III antiarrhythmic agent marketed under the brand name Tikosyn, is a critical therapeutic option for managing atrial fibrillation and atrial flutter. The drug, identified by the National Drug Code (NDC) 76282-0755 and manufactured by Exelan Pharmaceuticals, Inc., has garnered significant attention in cardiovascular pharmacotherapy due to its efficacy in rhythm control. This report provides a comprehensive analysis of the dofetilide market, including growth drivers, competitive dynamics, regulatory considerations, and price projections through 2035.


Overview of Dofetilide and Its Therapeutic Role

Dofetilide functions as a potassium channel blocker, stabilizing cardiac repolarization to prevent life-threatening arrhythmias. Its primary indications include:

  • Conversion of persistent atrial fibrillation to sinus rhythm.
  • Maintenance of sinus rhythm post-cardioversion[14].

Despite its niche application, dofetilide occupies a unique position in cardiology due to its safety profile in patients with left ventricular dysfunction, as evidenced by the Danish Investigations of Arrhythmias and Mortality on Dofetilide (DIAMOND) study[14]. Unlike amiodarone, it lacks hepatotoxic or pulmonary side effects, making it preferable for long-term use in specific populations[14].


Global Market Dynamics and Growth Drivers

The global dofetilide market was valued at $350 million in 2024 and is projected to grow at a 5.5% CAGR, reaching $550 million by 2033[10]. Key drivers include:

Rising Prevalence of Atrial Fibrillation

Atrial fibrillation affects over 33 million individuals globally, with incidence rates climbing due to aging populations and comorbid conditions like hypertension and diabetes[9]. Dofetilide’s role in reducing stroke risk and hospital readmissions underpins its demand, particularly in North America, which accounted for 45% of market share in 2023[9].

Genericization and Cost Accessibility

Since the expiration of Pfizer’s patents, 14 generic versions of dofetilide have entered the market, catalyzing price competition[13]. The average cost for a 60-capsule supply of 125 mcg dofetilide is $16, with generics priced 15–20% lower than the brand-name Tikosyn[12]. This affordability has expanded access in emerging markets, where cardiovascular disease burdens are rising[10].

Regulatory and Clinical Endorsements

The FDA’s Abbreviated New Drug Application (ANDA) pathway has accelerated generic approvals, while post-marketing surveillance ensures compliance with safety standards[6]. Clinical guidelines from the American Heart Association endorse dofetilide for patients with structural heart disease, reinforcing its therapeutic legitimacy[14].


Competitive Landscape and Market Segmentation

Key Players and Strategic Moves

The market is dominated by generic manufacturers, including Aurobindo Pharma, Teva Pharmaceuticals, and Sun Pharma, which collectively hold 60% of the market share[13]. Exelan Pharmaceuticals, through NDC 76282-0755, competes by leveraging cost-efficient production and partnerships with ambulatory surgical centers[4][9].

Application and Distribution Channels

  • Hospitals account for 70% of consumption, driven by inpatient arrhythmia management[9].
  • Ambulatory surgical centers represent the fastest-growing segment, projected to grow at 8.4% CAGR due to outpatient cardioversion trends[10].
  • Online pharmacies are gaining traction, offering discounts of up to 25% compared to retail pharmacies[10].

Regional Market Insights

North America: Sustained Dominance

North America’s market leadership stems from high diagnosis rates, robust reimbursement policies, and the presence of major pharmaceutical companies. The U.S. alone contributed $157 million in 2024, driven by Medicare Part D coverage for antiarrhythmics[10].

Asia-Pacific: Emerging Growth Hub

Countries like India and China are witnessing 7–9% annual growth due to improving healthcare infrastructure and government initiatives to combat cardiovascular diseases[10]. Local manufacturers are capitalizing on lower production costs to supply generic dofetilide at 30–40% discounts compared to Western markets[10].


Price Projections and Cost Analysis

Current Pricing Trends

As of 2025, dofetilide prices exhibit mid-single-digit annual erosion due to generic competition[10]. For NDC 76282-0755, the average wholesale price (AWP) is $0.27–$2.85 per capsule, depending on dosage strength[12].

Future Price Trajectory

By 2030, prices are expected to stabilize at $0.20–$2.50 per capsule, with total treatment costs for a 30-day supply falling below $50[10]. Factors influencing this trend include:

  • Biosimilar entry: Pipeline biosimilars targeting niche arrhythmia subpopulations could further pressure prices.
  • Volume-based procurement: Government tenders in emerging markets will drive bulk purchasing discounts[9].

Industry Expert Insight:
“The genericization of dofetilide has democratized access to arrhythmia care, but manufacturers must balance cost reductions with sustainable profitability.”[10]


Regulatory and Production Challenges

FDA Scrutiny and Compliance

Exelan Pharmaceuticals’ NDC 76282-0755 is subject to FDA’s Current Good Manufacturing Practices (CGMP), with recent inspections highlighting advancements in quality control[4]. The drug’s inclusion in the FDA’s National Drug Code Directory ensures traceability, though it does not confer therapeutic equivalence[6].

Supply Chain Risks

Active pharmaceutical ingredient (API) shortages and geopolitical trade disruptions pose risks, potentially increasing production costs by 10–15%[10]. Mitigation strategies include dual-sourcing APIs from India and South Korea[9].


Conclusion

The dofetilide market is poised for steady growth, fueled by arrhythmia prevalence and generic expansion. NDC 76282-0755, as part of Exelan’s portfolio, will benefit from cost-optimized production and strategic distribution. However, price erosion and regulatory hurdles necessitate agile business models to maintain profitability. Stakeholders must prioritize R&D investments in sustained-release formulations and digital health integrations to enhance patient adherence[9][10].

Key Takeaways:

  • Dofetilide’s market will grow to $550 million by 2033, driven by atrial fibrillation prevalence and generic access.
  • Price erosion at 5.5% CAGR will improve affordability but challenge manufacturer margins.
  • North America remains the revenue hub, while Asia-Pacific offers untapped growth potential.
  • Regulatory compliance and supply chain resilience are critical for sustaining market presence.

References

  1. https://www.rootsanalysis.com/reports/next-generation-drug-conjugates-market.html
  2. https://www.emergenresearch.com/industry-report/pharmacogenomics-market
  3. https://www.brickeconomy.com/set/76282-1/lego-guardians-of-the-galaxy-rocket-baby-groot
  4. https://www.findacode.com/ndc/labelers/Exelan_Pharmaceuticals,_Inc.--76282
  5. https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=eec3c37e-83a7-4195-bccf-cd5973459eef
  6. https://www.fda.gov/drugs/drug-approvals-and-databases/national-drug-code-directory
  7. https://www.zionmarketresearch.com/report/naloxone-market
  8. https://www.globenewswire.com/news-release/2025/03/05/3037571/28124/en/7MM-7-9-Bn-Parkinson-s-Disease-Market-Drug-Forecast-and-Market-Analysis-2023-2025-2033-Novel-Symptomatic-treatments-will-continue-to-shape-the-PD-market.html
  9. https://www.datainsightsmarket.com/reports/dofetilide-1175626
  10. https://www.verifiedmarketreports.com/product/dofetilide-market/
  11. https://www.marketresearchintellect.com/product/global-dofetilide-market/
  12. https://www.drugs.com/price-guide/dofetilide
  13. https://www.drugpatentwatch.com/p/generic-api/dofetilide
  14. https://en.wikipedia.org/wiki/Dofetilide
  15. https://www.drugpatentwatch.com/p/drug-price/ndc/index.php?query=75907-0054

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