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Cytomegalovirus Nucleoside Analog DNA Polymerase Inhibitor
Ganciclovir
Brand: Ganciclovir
First FDA approval:
Cytomegalovirus Nucleoside Analog DNA Polymerase Inhibitor
Valganciclovir
Brand: VALGANCICLOVIR
First FDA approval:
Lowest NADACAcquisition cost floor across all NDCs
$91.38Per unit
$1.44Per unit
Average NADACAcross all dosage forms and strengths
$91.38Up to $91.38
$1.73Up to $1.94
Generic manufacturersActive ANDA holders — FDA Orange Book
55 total ANDAs filed
1115 total ANDAs filed
Annualized Part D spendCY2024 — CMS Part D Spending Dashboard
$13.6MFull year
$41.9MFull year
Part D claims (CY24)Total fills, all strengths
28K17K beneficiaries
169K56K beneficiaries
Avg cost per claimCalculated: total spend ÷ total claims
$491Per claim, all NDCs
$248Per claim, all NDCs
Part D plans surveyed2026 plan year — CMS Formulary file
329Across CMS plan year
329Across CMS plan year
Prior-authorization frictionPlan-NDC pairs requiring PA
0Zero PA friction
0Zero PA friction
Step therapy appliedPlan-NDC pairs requiring step therapy
3Limited friction
0None
FDA shortage statusLive cross-reference vs FDA Drug Shortage Database
NoneClear
NoneClear
Generic availableFDA Orange Book
Yes5 manufacturers
Yes11 manufacturers