US protection

US protection ending in 2027: Infections

As of the edition of 20 October 2026, 36 drugs have US protection that ends in 2027 in infections; 17 of them have at least one company on route B because of it.

Sources: FDA Orange Book and Purple Book, other approval registers.

36 drugs

DrugUS protectionStatusHolderTargetRoute B rows
Anakinra Ends 2027 (orphan exclusivity)Marketed Swedish Orphan Biovitrum IL1R1 0
Artesunate Ends 2027 (exclusivity)Marketed Amivas 0
Asfotase alfa Ends 2027 (computed from the first US licence)Marketed AstraZeneca 0
Bevacizumab Ends 2027 (orphan exclusivity)Marketed Roche VEGFA 2
Canakinumab Ends 2027 (orphan exclusivity)Marketed Novartis IL1B 1
Enzalutamide Ends 2027 (patent)Marketed Astellas AR 1
Ferric carboxymaltose Ends 2027 (patent)Marketed American Regent 0
Fidaxomicin Ends 2027 (patent)Marketed Merck & Co. 0
Fluticasone furoate Ends 2027 (patent)Marketed GSK NR3C1 0
Fostemsavir Ends 2027 (patent)Marketed GSK 0
Ipilimumab Ends 2027 (orphan exclusivity)Marketed Bristol Myers Squibb CTLA4 1
Lenalidomide Ends 2027 (patent)Marketed Bristol Myers Squibb CRBN 0
Lonafarnib Ends 2027 (exclusivity)Marketed Sentynl Therapeutics FNTA, FNTB 3
Malathion Ends 2027 (patent)Marketed Taro Pharmaceutical Industries 0
Mepolizumab Ends 2027 (computed from the first US licence)Marketed GSK IL5 0
Mesalamine Ends 2027 (patent)Marketed Viatris PPARG, PTGS1, PTGS2 12
Methylene blue cation Ends 2027 (exclusivity)Marketed Provepharm GUCY1A1, GUCY1A2, GUCY1B1 1
Nifurtimox Ends 2027 (exclusivity)Marketed Bayer 0
Nintedanib Ends 2027 (exclusivity)Marketed Boehringer Ingelheim FGFR1, FGFR2, FGFR3 9
Olive oil Ends 2027 (exclusivity)Marketed Baxter Healthcare 0
Pantoprazole Ends 2027 (exclusivity)Marketed Pfizer ATP4A 1
Regadenoson anhydrous Ends 2027 (patent)Marketed Astellas ADORA2A 2
Retapamulin Ends 2027 (patent)Marketed Almirall 0
Rifaximin Ends 2027 (patent)Marketed Bausch Health 0
Rilpivirine Ends 2027 (exclusivity)Marketed Johnson & Johnson 0
Sacubitril Ends 2027 (patent)Marketed Novartis MME 1
Saxagliptin anhydrous Ends 2027 (exclusivity)Marketed AstraZeneca DPP4 2
Secnidazole Ends 2027 (exclusivity)Marketed Neothetics 0
Secukinumab Ends 2027 (computed from the first US licence)Marketed Novartis IL17A 1
Sorafenib Ends 2027 (patent)Marketed Bayer BRAF, FLT1, FLT3 1
Talimogene laherparepvec Ends 2027 (computed from the first US licence)Marketed Amgen 0
Telavancin Ends 2027 (patent)Marketed Apotex 0
Umeclidinium Ends 2027 (patent)Marketed GSK CHRM3 0
Voclosporin Ends 2027 (patent)Marketed Aurinia Pharmaceuticals PPP3CA 2
Vorapaxar Ends 2027 (patent)Marketed Merck & Co. F2R 1
Vorinostat Ends 2027 (patent)Marketed Merck & Co. HDAC1, HDAC2, HDAC3 4

Listed by name. A route B row is one company at one target; for a drug with one target that is the number of companies. US protection is the US only, and it is not the date generics or biosimilars can enter.

Which companies are on route B in 2027 in infections

In the product

17 of these 36 drugs have at least one company on route B. Which companies, and their scores, are in the product.

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US protection movers, once a month

The drugs that entered or left the two-year window in the latest edition. An email, not an account: it gives no access to the product.