Brand-to-Generic Patent Cliff 2026: 50 Drugs, Post-Generic Price Decay, and the Stalled-Generic Cases That Never Got Cheaper
Audit of 50 drugs across patent expiry transitions cross-referenced with FDA Orange Book, USPTO patents, and ASPE pricing data. 45 have approved generics; 5 are pending the cliff (Ozempic, Wegovy, Jardiance, Eliquis, Xarelto). Cross-referenced with FTC Pay-for-Delay, CMS IRA, KFF Medicare Part D, and Mark Cuban Cost Plus public pricing. Editorial review pending PharmD partner.