Table 2.

Costs of ACTH-Related Products

Drug Product	Average Wholesale Price
H.P. Acthar Gel before August 27, 2007	$2,062.79 per vial of 80 units/ml, 5 mL (Red Book, 2007)
H.P. Acthar Gel as of July 2008	$29,086.25 per vial of 80 units/ml, 5 mL (Red Book, 2008)
Cortrosyn lyophilized powder	$106.58 per vial of 0.25 mg (Amphastar internal information), 10 vials per package
Cosyntropin solution for injection	$119.91 per vial of 0.25 mg (Sandoz internal information), 10 vials per package

Data from Questcor, May 2007;⁶ and National Institute for Clinical Excellence (NICE), April 2004.¹⁸