Pharma Patent Cliffby readouts.io
Loss of exclusivity · Cardiometabolic

Eliquis patent expiration

Eliquis (Bristol Myers Squibb and Pfizer) is expected to face US generic competition from 2028. US generics barred until 1 April 2028 after patent win and settlements. EU generics earlier. Sales as reported by BMS; Pfizer separately books $8.0B of alliance and product revenue.

US loss of exclusivity
2028Settlement / court date
2025 worldwide sales
$14.4BBristol Myers Squibb and Pfizer
Therapeutic area
Cardiometabolic
Medicare negotiated price
−56%From 2026, vs list price
US competition from
GenericsExclusivity ends earlier outside the US

What the date means

Eliquis's US exclusivity date is based on settlement / court date. Litigation settlements or a court ruling fix the earliest US entry date, which makes it one of the firmer dates in this tracker. It is a small-molecule drug, so copies are generics. Generic launches usually take most of the US volume within months.

Medicare price negotiation

Eliquis was selected for the Medicare Drug Price Negotiation Program. Its negotiated Medicare price takes effect in 2026, 56% below its list price. That is 2 years before US generics can launch, so Medicare revenue comes under pressure first. The discount is measured against list price, before the rebates drugmakers already pay, and applies to Medicare only, so the revenue impact is smaller than the headline number.

What changed for Eliquis

  1. Medicare price
    First Medicare prices set, including Eliquis, Farxiga, Entresto, Enbrel and Stelara

    From 2026: Farxiga 68%, Enbrel 67%, Stelara 66%, Eliquis 56% and Entresto 53% below list price. CMS

What's at stake for Bristol Myers Squibb and Pfizer

Bristol Myers Squibb
56%

Eliquis is 30% of Bristol Myers Squibb's 2025 revenue ($14.4B of $48.2B). With Pomalyst and Opdivo, the drugs tracked here add up to 56% of Bristol Myers Squibb's revenue losing US exclusivity by 2028.

Eliquis is 13% of Pfizer's 2025 revenue ($8.0B of $62.6B). With Ibrance, Xtandi and Prevnar 20, the drugs tracked here add up to 33% of Pfizer's revenue losing US exclusivity by 2035. Eliquis and Xtandi are Pfizer's reported alliance and product revenue ($8.0B, $2.2B).

Bars show each company's tracked drugs as a share of its total 2025 revenue. Eliquis is highlighted.

Other blockbusters losing US exclusivity in 2028

Sources

  1. BMS FY2025
  2. CMS: negotiated prices for 2026
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