How The IRA Factored Into Akebia’s Price For Vafseo

Akebia says its price for Vafseo at about $15,500 per year, meant to reflect its potential value in dialysis as well as eventually in non-dialysis patients.

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A lot went into Akebia Therapeutics’s decision to price its chronic kidney disease (CKD) drug, Vafseo (vadadustat), at $1,278 per month, but the Inflation Reduction Act (IRA) and its impact on drug pricing were certainly part of it.

The Cambridge, MA-based company said on 11 July that it had given Vafseo a wholesale acquisition cost (WAC) of about $15,500 per patient per year based on the starting dose of the oral hypoxia-inducible factor prolyl hydroxylase (HIF-PH) inhibitor, which cleared the US Food and Drug Administration on 27 March for anemia due to CKD

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