Mylan launches generic Angiomax injection

Bivalirudin for Injection is indicated for use as an anticoagulant in patients:

• with unstable angina undergoing percutaneous transluminal coronary angioplasty;


• undergoing percutaneous coronary intervention (PCI) with provisional use of glycoprotein IIb/IIIa inhibitor (GPI) as in the REPLACE-2 study;


• or with, or at risk of, heparin-induced thrombocytopenia (HIT) or heparin induced thrombocytopenia and thrombosis syndrome (HITTS), undergoing PCI.

It is intended for use in these indications with aspirin. The safety and effectiveness have not been established in patients with acute coronary syndromes who are not undergoing PTCA or PCI.

Bivalirudin for Injection, 250 mg single-dose vial, had U.S. sales of approximately $106 million for the 12 months ending March 31, 2018, according to IQVIA.

Currently, Mylan has 199 ANDAs pending FDA approval representing approximately $88.5 billion in annual brand sales, according to IQVIA. Forty-five of these pending ANDAs are potential first-to-file opportunities, representing $45.5 billion in annual brand sales, for the 12 months ending December 31, 2017, according to IQVIA.