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Biosimilars (US and EU) - Competitive Intelligence

Published: April 2025
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1. Introduction:

A biosimilar is a type of biologic medicine that closely resembles an already FDA-approved biologic, known as the reference product. While not identical, biosimilars demonstrate no significant clinical differences in terms of safety, efficacy, or quality compared to their reference counterparts. This ensures that patients can expect equivalent therapeutic benefits and outcomes when using a biosimilar in place of the original biologic.

An interchangeable biosimilar is a biosimilar that meets additional requirements outlined by the law that allows for the FDA to approve biosimilar and interchangeable biosimilar medications.

As per the US FDA, an interchangeable biosimilar product may be substituted for the original product without consulting the prescriber, much like how generic drugs are routinely substituted for brand drugs. This is commonly called pharmacy-level substitution and is subject to state pharmacy laws.

2. Key Trends & Advancements in Biosimilars

The biosimilars industry is rapidly evolving, driven by scientific innovations, regulatory advancements, and increasing market adoption. Below are some of the key trends and developments shaping the landscape.

TrendDescription
Expanding Therapeutic AreasBiosimilars are now being developed beyond oncology and autoimmune diseases, targeting areas such as ophthalmology, endocrinology, and rare diseases.
Increased Regulatory ApprovalsRegulatory agencies, including the FDA and EMA, continue to streamline approval pathways, accelerating market entry for biosimilars.
Rise of Interchangeable BiosimilarsMore biosimilars are receiving interchangeability designations, allowing automatic substitution at the pharmacy level without prescriber approval.
Price Reductions & Market PenetrationIncreased competition is leading to significant cost reductions, improving patient access, and driving higher adoption rates.
Global Market GrowthThe biosimilar market is projected to surpass $171 billion by 2033, fueled by patent expirations and demand for cost-effective alternatives.

 

3. Approved Biosimilars - Sales & Forecast

  • As of March 15, 2025, the U.S. Food and Drug Administration (FDA) has approved 71 biosimilars, including at least 15 classified as interchangeable products.
Approved Biosimilars - US vs ES - Approvals by Year
FDA Approved Biosimilars vs Reference Biologic
FDA Approved Biosimilars vs Therapy Areas
FDA Approved Biosimilars - Not Launched

 

4. Pipeline Analysis and Expected Approval Timelines

The biosimilars landscape is experiencing significant expansion, with numerous products in development targeting a variety of therapeutic areas.

Below is an analysis of the current biosimilars pipeline, highlighting key products, their reference biologics, therapeutic areas, and anticipated approval timelines.​

analysis of the current biosimilars pipeline, highlighting key products, their reference biologics, therapeutic areas, and anticipated approval timelines - Image 1
analysis of the current biosimilars pipeline, highlighting key products, their reference biologics, therapeutic areas, and anticipated approval timelines - Image 2
analysis of the current biosimilars pipeline, highlighting key products, their reference biologics, therapeutic areas, and anticipated approval timelines - Image 3
Upcoming FDA/EMA Biosimilar Approvals

5. Market Size & Forecasting

The global biosimilars market was valued at $22.58 billion in 2024 and is anticipated to be valued at US$ 171.79 billion by 2033, registering a CAGR of 25.5% over the forecast period.

Biosimilars Market Size (in USD Billions) - Growth CAGR ~25.5% approximately for the period 2023 to 2033
22.58 Billion USD in 2024 →to→ 171.79 Billion USD in 2033

 

Unmet Needs

Despite the rapid growth and increasing adoption of biosimilars, several challenges and gaps remain in the market. Addressing these unmet needs is crucial for maximizing the potential of biosimilars in improving patient access and reducing healthcare costs.

CategoryUnmet NeedImpact
Regulatory & Approval ProcessesHarmonization of global regulatory pathwaysVariability in biosimilar approval standards across regions delays market entry.
Market Access & AdoptionLimited physician and patient awarenessHesitancy in prescribing biosimilars due to misconceptions about efficacy and safety.
Pricing & ReimbursementComplex reimbursement policiesInconsistent coverage and reimbursement hinder biosimilar uptake.
Interchangeability & SubstitutionLimited availability of interchangeable biosimilarsMany biosimilars lack interchangeability status, restricting automatic substitution at pharmacies.
Manufacturing & Supply ChainHigh development and production costsBiologic complexity results in high R&D and manufacturing expenses, limiting cost reductions.
Therapeutic ExpansionNeed for biosimilars in new disease areasLimited availability of biosimilars in neurology, endocrinology, and rare diseases.
Patient Confidence & EducationMisconceptions about biosimilar efficacy and safetyResistance from patients and healthcare providers slows adoption.


 6. Competitive Landscape and Market Positioning

The biosimilars market is growing rapidly, with key players competing to capture market share through strategic positioning, pricing, and portfolio expansion.

Competitive Landscape and Market Positioning - Number of Approvals (US & EU)
FDA Approved Biosimilars vs Sponsor

Key Companies:

Key Companies Image - Biosimilars US and EU

7. Target Opportunity Profile (TOP) & Benchmarking

The Target Opportunity Profile (TOP) assesses the potential of biosimilar candidates based on market demand, competitive landscape, and commercial viability. Benchmarking helps compare biosimilars against reference biologics and competitors to determine their market positioning.

Target Opportunity Profile (TOP) for Biosimilars

CriteriaDescriptionImpact on Market Potential
Reference BiologicIdentifies the original biologic product (e.g., Humira, Herceptin, Eylea)Determines target market size and demand
Therapeutic AreaOncology, autoimmune diseases, ophthalmology, endocrinology, etc.High-demand areas drive greater adoption
Patent Expiry TimelineExpected loss of exclusivity (LOE) of the reference biologicEarlier entry increases market advantage
Regulatory PathwayFDA, EMA, and global biosimilar approval processesStringent regulations can impact speed to market
InterchangeabilityFDA designation allowing pharmacy-level substitutionEnhances uptake and competitiveness
Pricing & Cost AdvantageDiscount compared to reference biologic (typically 15–86% lower)Greater affordability increases adoption
Manufacturing ComplexityComplexity of biologic structure and production scalabilityHigher complexity can increase development costs
Market Access & ReimbursementInsurance coverage and formulary inclusionStrong payer support enhances market penetration
Competition & DifferentiationNumber of biosimilars available for the same reference productHigher competition may drive price erosion

 

Strategic Insights from Benchmarking

  • Interchangeability Matters: Biosimilars with FDA interchangeability status (e.g., HADLIMA, CIMERLI, SEMGLEE) gain a competitive edge, allowing pharmacy-level substitution and driving higher adoption.
  • Pricing Strategy is Crucial: Biosimilar discounts range from 40% to 86%, with higher discounts leading to better market penetration.
  • Market Share Growth Varies: Oncology biosimilars (e.g., OGIVRI, ZIRABEV) show 30–40% market share, whereas some autoimmune and insulin biosimilars are growing more gradually.
  • Upcoming Neurology Biosimilars (e.g., Tysabri biosimilars) have low competition, making them attractive for early entrants.
  • Manufacturing scalability and cost-efficient production play a key role in long-term success.


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