Priority Review Voucher Sales and FDA Awards
Every priority review voucher sale whose price a sponsor release or SEC filing states, and every rare pediatric disease and material threat voucher FDA has announced.
- Median price, last 10 sales: $197.5 million, as of Nov 10, 2026
- Sales disclosed in the last 12 months: 9
- FDA may award rare pediatric vouchers through: Sep 30, 2029
Disclosed Sale Price
39 sales, 2014 to 2026, by disclosure date
- Rare pediatric disease
- Tropical disease or countermeasure
Latest Events
Sales and FDA awards
- Scholar Rock sold a voucher for $205 millionBuyer not named. Rare pediatric.
- Egetis Therapeutics sold a voucher for $190 millionBuyer not named. Rare pediatric.
- FDA issued ATEBRIOZ voucher to Incyte CorporationRare pediatric. Federal Register notice.
- FDA issued EMCITATE voucher to Rare Thyroid Therapeutics International ABRare pediatric. Federal Register notice.
- FDA issued ISEMBYLD voucher to Scholar RockRare pediatric. Federal Register notice.
- Ultragenyx sold a voucher for $203 millionBuyer not named. Rare pediatric.
- FDA issued ZANVASTRO voucher to Ionis PharmaceuticalsRare pediatric. Federal Register notice.
| Disclosed | Seller | Buyer | Price | Voucher | Source |
|---|---|---|---|---|---|
| Scholar Rock | Not disclosed | $205 million | Rare pediatricIsembyld | SEC 8-K | |
| Egetis Therapeutics | Not disclosed | $190 million | Rare pediatric | SEC 8-K filed by ANI Pharmaceuticals | |
| Ultragenyx | Not disclosed | $203 million | Rare pediatric | SEC 8-K | |
| Ultragenyx | Not disclosed | $210 million | Rare pediatric | SEC 8-K Closing (SEC 8-K) | |
| Denali Therapeutics | Not disclosed | $195 million | Rare pediatricAvlayah | Press release (SEC 8-K) | |
| Ascendis Pharma | Not disclosed | $187.5 million | Rare pediatricYuviwel | SEC 6-K | |
| Rocket Pharmaceuticals | Not disclosed | $180 million | Rare pediatricKresladi | Press release (SEC 8-K) | |
| Cyprium Therapeutics (Fortress Biotech)Cyprium owes 20 percent of the proceeds to an NIH institute. | Not disclosed | $205 million | Rare pediatricZycubo | SEC 8-K | |
| Jazz PharmaceuticalsJazz kept 50 percent of the gross proceeds. | Not disclosed | $200 million | Rare pediatricModeyso | Presentation (SEC 8-K) | |
| Abeona Therapeutics | Not disclosed | $155 million | Rare pediatricZevaskyn | Press release (SEC 8-K) | |
| Zevra Therapeutics | Not disclosed | $150 million | Rare pediatricMiplyffa | SEC 8-K | |
| PTC Therapeutics | Affiliate of a large pharmaceutical company | $150 million | Rare pediatricKebilidi | Press release (SEC 8-K) | |
| Acadia PharmaceuticalsAcadia owed one-third of the net proceeds to Neuren Pharmaceuticals. | Not disclosed | $150 million | Rare pediatricDaybue | Q3 2024 results (SEC 8-K) | |
| Day One Biopharmaceuticals | Not disclosed | $108 million | Rare pediatricOjemda | Press release (SEC 8-K) | |
| X4 Pharmaceuticals | Not disclosed | $105 million | Rare pediatricXolremdi | Press release (SEC 8-K) SEC 8-K | |
| Valneva | Not disclosed | $103 million | Tropical diseaseIxchiq | Press release (SEC 6-K) | |
| Krystal BiotechSold in August 2023. | Not disclosed | $100 million | Rare pediatricVyjuvek | Q3 2023 results (SEC 8-K) | |
| Sarepta TherapeuticsAgreement signed in June 2023. | Not disclosed | $102 million | Rare pediatricElevidys | SEC 10-Q | |
| Pharming GroupPharming reported a pre-agreed payment, not a market price. | Novartis | $21.1 million | Rare pediatricJoenja | SEC 6-K | |
| bluebird bio | argenx | $102 million | Rare pediatricSkysona | SEC 8-K | |
| BridgeBio Pharma | Not disclosed | $110 million | Rare pediatric | Q2 2022 results (SEC 8-K) | |
| Marinus PharmaceuticalsFirst announced July 14, 2022. | Novo Nordisk | $110 million | Rare pediatricZtalmy | Closing release (SEC 8-K) SEC 8-K | |
| BioMarinPress release dated February 9, 2022. | Not disclosed | $110 million | Rare pediatricVoxzogo | Press release (SEC 8-K) | |
| Mirum Pharmaceuticals | Janssen Biotech (Johnson & Johnson) | $110 million | Rare pediatricLivmarli | SEC 8-K Results (SEC 8-K) | |
| Albireo Pharma | Ares Trading | $105 million | Rare pediatricBylvay | Press release (SEC 8-K) SEC 8-K | |
| Prometic Biotherapeutics (Liminal BioSciences)Liminal BioSciences received 70 percent of the net proceeds. | Not disclosed | $105 million | Rare pediatricRyplazim | Press release (SEC 6-K) | |
| Rhythm Pharmaceuticals | Alexion | $100 million | Rare pediatricImcivree | SEC 8-K | |
| Y-mAbs TherapeuticsAgreement signed December 24, 2020. Y-mAbs shared the price with Memorial Sloan Kettering. | United Therapeutics | $105 million | Rare pediatricDanyelza | SEC 8-K | |
| Eiger BioPharmaceuticalsProceeds shared 50/50 with The Progeria Research Foundation. | AbbVie | $95 million | Rare pediatricZokinvy | Press release (SEC 8-K) | |
| Lumos PharmaPrice is the agreed value of the voucher; Lumos Pharma kept 60 percent ($60 million). | Merck | $100 million | Tropical diseaseErvebo | Press release (SEC 8-K) SEC 8-K | |
| GW Pharmaceuticals | Biohaven | $105 million | Rare pediatricEpidiolex | SEC 8-K | |
| SIGA Technologies | Eli Lilly | $80 million | CountermeasureTPOXX | Press release (SEC 8-K) SEC 8-K | |
| Spark TherapeuticsAgreement signed April 30, 2018; closed May 2018. | Jazz Pharmaceuticals | $110 million | Rare pediatricLuxturna | SEC 8-K Q2 2018 results (SEC 8-K) | |
| Ultragenyx | Novartis | $130 million | Rare pediatricMepsevii | Press release (SEC 8-K) | |
| BioMarin | Not disclosed | $125 million | Rare pediatricBrineura | Press release (SEC 8-K) | |
| Sarepta Therapeutics | Gilead | $125 million | Rare pediatricExondys 51 | SEC 8-K | |
| United TherapeuticsSold in September 2015. | Not disclosed | $350 million | Rare pediatricUnituxin | Year-end results (SEC 8-K) Asset purchase agreement (SEC 8-K) | |
| RetrophinClosed July 2, 2015. Retrophin received $150 million at closing and the rest in two later payments. | Sanofi | $245 million | Rare pediatricCholbam | SEC 10-Q | |
| BioMarin | Regeneron | $67.5 million | Rare pediatricVimizim | Press release (SEC 8-K) Purchase agreement (SEC 8-K) |
Vouchers FDA Has Announced
86 Federal Register notices since 2014. A notice published in error and its withdrawal are left out.Download CSV| Notice | Sponsor | Product | Voucher | Source |
|---|---|---|---|---|
| Incyte Corporation | ATEBRIOZ (zilurgisertib) | Rare pediatric | FR 2026-21910 | |
| Rare Thyroid Therapeutics International AB | EMCITATE (tiratricol) | Rare pediatric | FR 2026-21911 | |
| Scholar Rock, Inc. | ISEMBYLD (apitegromab-mstn) | Rare pediatric | FR 2026-21718 | |
| Ionis Pharmaceuticals, Inc. | ZANVASTRO (zilganersen) | Rare pediatric | FR 2026-20769 | |
| Ultragenyx Pharmaceutical Inc. | FAYUVI (rebisufligene etisparvovec-hopf) | Rare pediatric | FR 2026-20434 | |
| Ultragenyx Pharmaceutical, Inc. | GENGLYCOS (parisglasgene brecaparvovec-opnr) | Rare pediatric | FR 2026-17932 | |
| Denali Therapeutics Inc. | AVLAYAH (tividenofusp alfa-eknm) | Rare pediatric | FR 2026-09242 | |
| Regeneron Pharmaceuticals, Inc. | OTARMENI (lunsotogene parvec-cwha) | Rare pediatric | FR 2026-08913 | |
| Immedica Pharma AB | LOARGYS (pegzilarginase-nbln) | Rare pediatric | FR 2026-06722 | |
| Rocket Pharmaceuticals, Inc. | KRESLADI (marnetegragene autotemcel) | Rare pediatric | FR 2026-06379 | |
| Ascendis Pharma Growth Disorders (A/S) | YUVIWEL (navepegritide) | Rare pediatric | FR 2026-06316 | |
| Sentynl Therapeutics Inc. | ZYCUBO (copper histidinate) | Rare pediatric | FR 2026-03925 | |
| Fondazione Telethon ETS | WASKYRA (etuvetidigene autotemcel) | Rare pediatric | FR 2026-03493 | |
| Abeona Therapeutics, Inc. | ZEVASKYN (prademagene zamikeracel) | Rare pediatric | FR 2026-03211 | |
| UCB, Inc. | KYGEVVI (doxecitine and doxribtimine) | Rare pediatric | FR 2026-01065 | |
| Stealth BioTherapeutics Inc. | FORZINITY (elamipretide) | Rare pediatric | FR 2025-23409 | |
| Chimerix, Inc., [[Page 42019]] | MODESYO (dordaviprone) | Rare pediatric | FR 2025-16515 | |
| Ridgeback Biotherapeutics, LP | EBANGA (ansuvimab-zykl) for injection | Countermeasure | FR 2025-06970 | |
| SpringWorks Therapeutics, Inc. | GOMEKLI (mirdametinib) | Rare pediatric | FR 2025-04021 | |
| Novo Nordisk, Inc. | ALHEMO (concizumab-mtci) | Rare pediatric | FR 2025-00750 | |
| Neurocrine Biosciences, Inc. | CRENESSITY (crinecerfont) | Rare pediatric | FR 2025-00340 | |
| PTC Therapeutics Inc. | KEBILIDI (eladocagene exuparvovec-tneq) | Rare pediatric | FR 2024-28206 | |
| Zevra Denmark AS | MIPLYFFA (arimoclomol) | Rare pediatric | FR 2024-23646 | |
| IntraBio Inc. | AQNEURSA (levacetylleucine) | Rare pediatric | FR 2024-23712 | |
| Mirum Pharmaceuticals, Inc. | LIVMARLI (maralixibat) | Rare pediatric | FR 2024-19334 | |
| Pfizer, Inc. | PAXLOVID (nirmatrelvir co-packaged with ritonavir) tablets | Countermeasure | FR 2024-11643 | |
| X4 Pharmaceuticals, Inc. | XOLREMDI (mavorixafor) | Rare pediatric | FR 2024-10715 | |
| Day One Biopharmaceuticals, Inc. | OJEMDA (tovorafenib) | Rare pediatric | FR 2024-10583 | |
| Orchard Therapeutics (Europe) Ltd. | LENMELDY (atidarsagene autotemcel) | Rare pediatric | FR 2024-08276 | |
| Italfarmaco S.p.A. | DUVYZAT (givinostat) | Rare pediatric | FR 2024-07657 | |
| Amryt Pharmaceuticals | FILSUVEZ (birch triterpenes) | Rare pediatric | FR 2024-00400 | |
| Takeda Pharmaceuticals U.S.A., Inc. | ADZYNMA (ADAMTS13, recombinant-krhn) | Rare pediatric | FR 2024-00401 | |
| Vertex Pharmaceuticals, Inc. | CASGEVY (exagamglogene autotemcel) | Rare pediatric | FR 2024-00263 | |
| Genzyme Corporation | XENPOZYME (olipudase alfa-rpcp) | Rare pediatric | FR 2023-26652 | |
| Regeneron Pharmaceuticals, Inc. | VEOPOZ (pozelimab-bbfg) | Rare pediatric | FR 2023-19287 | |
| Ipsen Biopharmaceuticals, Inc. | SOHONOS (palovarotene) | Rare pediatric | FR 2023-19289 | |
| Sarepta Therapeutics, Inc. | ELEVIDYS (delandistrogene moxeparvovec-rokl) | Rare pediatric | FR 2023-15079 | |
| Krystal Biotech, Inc. | VYJUVEK (beremagene geperpavec-svdt) | Rare pediatric | FR 2023-11907 | |
| Pharming Technologies B.V. | JOENJA (leniolisib), approved March 24, 2023, and | Rare pediatric | FR 2023-08518 | |
| Acadia Pharmaceuticals, Inc. | DAYBUE (trofinetide), approved March 10, 2023, and | Rare pediatric | FR 2023-06593 | |
| Chiesi Farmaceutici S.p.A. | LAMZEDE (velmanase alfa-tycv), approved February 16, 2023, and | Rare pediatric | FR 2023-05355 | |
| Reata Pharmaceuticals, Inc. | SKYCLARYS (omaveloxolone), approved February 28, 2023, and | Rare pediatric | FR 2023-05364 | |
| bluebird bio, Inc. | SKYSONA (elivaldogene autotemcel) | Rare pediatric | FR 2022-21851 | |
| Albireo AB | BYLVAY (odevixibat) | Rare pediatric | FR 2022-21865 | |
| Marinus Pharmaceuticals, Inc. | ZTALMY (ganaxolone) | Rare pediatric | FR 2022-19276 | |
| BioMarin Pharmaceutical, Inc. | VOXZOGO (vosoritide) | Rare pediatric | FR 2022-19155 | |
| bluebird bio, Inc. | ZYNTEGLO (betibeglogene autotemcel) | Rare pediatric | FR 2022-18519 | |
| Regeneron Pharmaceuticals, Inc. | INMAZEB (atoltivimab, maftivimab, and odesivimab-ebgn) | Countermeasure | FR 2022-09315 | |
| Gilead Sciences, Inc. | VEKLURY (remdesivir) | Countermeasure | FR 2022-09233 | |
| ModernaTX | SPIKEVAX (COVID-19 Vaccine, mRNA) | Countermeasure | FR 2022-03420 | |
| BioNTech Manufacturing GmbH | COMIRNATY (COVID-19 Vaccine, mRNA) | Countermeasure | FR 2022-03426 | |
| Enzyvant Therapeutics, GmbH | RETHYMIC (allogeneic processed thymus tissue-agdc) | Rare pediatric | FR 2021-23336 | |
| Stratatech, a Mallinckrodt Company | STRATAGRAFT (allogeneic cultured keratinocytes and dermal fibroblasts in murine collagen--dsat) | Countermeasure | FR 2021-14779 | |
| Prometic Bioproduction, Inc. | RYPLAZIM (plasminogen, human-tvmh) | Rare pediatric | FR 2021-14191 | |
| Origin Biosciences, Inc. | NULIBRY (fosdenopterin) | Rare pediatric | FR 2021-05207 | |
| Sarepta Therapeutics Inc. | AMONDYS 45 (casimersen) | Rare pediatric | FR 2021-05208 | |
| Alnylam Pharmaceuticals Inc. | OXLUMO (lumasiran) injection | Rare pediatric | FR 2021-03012 | |
| Rhythm Pharmaceuticals, Inc. | IMCIVREE (setmelanotide) injection | Rare pediatric | FR 2020-27760 | |
| Eiger BioPharmaceuticals, Inc. | ZOKINVY (lonafarnib) | Rare pediatric | FR 2020-27778 | |
| Y-mAbs Therapeutics, Inc., (Cato Research LLC., US Agent) | DANYELZA (naxitamab-gqgk) | Rare pediatric | FR 2020-26801 | |
| AstraZeneca Pharmaceuticals, LP | KOSELUGO (selumetinib, AZD6244) | Rare pediatric | FR 2020-20387 | |
| Vertex Pharmaceutical, Inc. | TRIKAFTA (elexacaftor/tezacaftor/ivacaftor) | Rare pediatric | FR 2020-20320 | |
| Nippon Shinyaku Co., Ltd. (NS Pharma Inc., U.S. Agent) | VILTEPSO (viltolarsen) | Rare pediatric | FR 2020-19604 | |
| Genentech Inc. | EVRYSDI (risdiplam) | Rare pediatric | FR 2020-18648 | |
| Sarepta Therapeutics, Inc. | VYONDYS 53 (golodirsen) | Rare pediatric | FR 2020-01059 | |
| Bavarian Nordic A/S | JYNNEOS, (Smallpox and Monkeypox Vaccine, Live, Non-replicating) | Countermeasure | FR 2019-21984 | |
| Alexion Pharmaceuticals Inc. | KANUMA (sebelipase alfa) | Rare pediatric | FR 2019-13944 | |
| AveXis, Inc. | ZOLGENSMA (onasemnogene abeparvovec-xioi), [[Page 29521]] | Rare pediatric | FR 2019-13356 | |
| SIGA Technologies, Inc. | TPOXX (tecovirimat) | Countermeasure | FR 2019-06145 | |
| Vertex Pharmaceutical, Inc. | SYMDEKO (tezacaftor/ivacaftor) | Rare pediatric | FR 2019-06138 | |
| Novimmune S.A. | GAMIFANT (emapalumab-lzsg) Injection | Rare pediatric | FR 2018-27043 | |
| Leadiant Bioscience Inc. | REVCOVI (elapegademase-lvlr) Injection | Rare pediatric | FR 2018-23308 | |
| Ultragenyx Pharmaceutical, Inc. | CRYSVITA (burosamab-twza) | Rare pediatric | FR 2018-17527 | |
| GW Research Ltd. | EPIDIOLEX (cannabidiol oral solution) | Rare pediatric | FR 2018-15393 | |
| Spark Therapeutics, Inc. | LUXTURNA (voretigene neparvovec) | Rare pediatric | FR 2017-28256 | |
| Ultragenyx Pharmaceutical, Inc. | MEPSEVII (vestronidase alfa-vjbk) | Rare pediatric | FR 2017-27049 | |
| Novartis Pharmaceuticals Corporation | KYMRIAH (tisagenlecleucel) | Rare pediatric | FR 2017-19130 | |
| Biomarin Pharmaceuticals Inc. | Brineura (cerliponase alfa) | Rare pediatric | FR 2017-13236 | |
| Marathon Pharmaceuticals, LLC | EMFLAZA (deflazacort) oral tablets, and oral suspension | Rare pediatric | FR 2017-08309 | |
| Biogen Inc. | SPINRAZA (nusinersen) | Rare pediatric | FR 2017-04228 | |
| Sarepta Therapeutics | EXONDYS 51 (eteplirsen) | Rare pediatric | FR 2016-24947 | |
| Alexion Pharmaceuticals, Inc. | STRENSIQ (asfotase alfa) | Rare pediatric | FR 2015-29280 | |
| Wellstat Therapeutics Corp. | Xuriden (uridine triacetate) | Rare pediatric | FR 2015-24640 | |
| United Therapeutics Corporation | UNITUXIN (dinutuximab) | Rare pediatric | FR 2015-08014 | |
| Asklepion Pharmaceuticals, LLC | CHOLBAM (cholic acid) | Rare pediatric | FR 2015-08016 | |
| BioMarin Pharmaceutical, Inc. | VIMIZIM (elosulfase alfa) | Rare pediatric | FR 2014-05410 |
Prices are as each seller disclosed them, in US dollars, gross and unadjusted. FDA awards are read from its Federal Register notices every day. Sponsor releases, SEC EDGAR and the Federal Register · Updated Nov 12, 2026
About this data
Where each program stands
- Rare pediatric disease. FDA may award vouchers until September 30, 2029, under Public Law 119-75 (signed February 3, 2026). FDA's program page says the same.
- Tropical disease. Section 524 of the FD&C Act carries no end date. FDA keeps the qualifying disease list. Its latest docket decision, on May 22, 2026, was not to add hepatitis delta.
- Material threat medical countermeasure. Section 565A(g) says FDA may not award these vouchers after October 1, 2023 (the Act as amended through Public Law 119-75). FDA still published notices for Paxlovid in May 2024 and Ebanga in April 2025, and they give no award date.
- Using one. The fiscal year 2027 fee is $1,798,596 (Federal Register, September 10, 2026).
How the numbers are built
A sale is listed only when the seller's press release, an SEC filing or FDA's own record states the price. A sale reported only by a news outlet is left out, so the list is not complete. The date is when the earliest source listed disclosed the sale, which can be after the agreement was signed; a note says when the source gives an earlier date. Prices are gross, before fees and any share owed to a licensor or institute, and a note on the row says when the seller kept only part. The buyer is blank when the source does not name one.
FDA publishes a Federal Register notice for each rare pediatric disease and material threat voucher it awards, and the awards table is read from those notices. FDA does not publish tropical disease awards or say which vouchers have been used, so neither is shown. FDA's Commissioner's National Priority Vouchers are a separate pilot and are not covered.
The notices refresh daily from the Federal Register. A daily check of SEC filings queues possible new sales for a person to verify. A queued filing never appears on this page until its price has been checked against the source.
What this page could not verify
- Sales that were disclosed outside SEC filings and sponsor releases this page could reach, such as some sellers outside the United States. They are missing rather than guessed.
- Which vouchers have been used, and by whom. FDA does not publish it.
- Whether FDA's material threat notices for 2024 and 2025 reflect awards made after the October 1, 2023 sunset. The notices give no award date.
- The buyer in rows marked not disclosed. Some filings call the buyer an affiliate of a large pharmaceutical company without naming it.
Frequently asked questions
- How much does a priority review voucher sell for?
- The median of the 10 most recent disclosed sales is $197.5 million. Disclosed prices run from $21.1 million to $350 million across the 39 sales listed here, each with a source link. Prices are gross, as the seller reported them.
- Is the rare pediatric disease priority review voucher program still running?
- Yes. Public Law 119-75, the Consolidated Appropriations Act, 2026, enacted February 3, 2026, amended section 529 of the FD&C Act so that FDA may not award rare pediatric disease vouchers after September 30, 2029. FDA's program page says the same.
- What does it cost to use a priority review voucher?
- FDA's fiscal year 2027 priority review user fee is $1,798,596, set in a Federal Register notice of September 10, 2026. It applies to tropical disease, rare pediatric disease and material threat medical countermeasure vouchers and is due in addition to the application fee.
- Does FDA publish who bought a voucher?
- No. FDA publishes a Federal Register notice when it awards a rare pediatric disease or material threat voucher. A sale is a private transaction, so prices and buyers come from the seller's press release or SEC filing, and some sales are never disclosed.
- How is this list kept current?
- The list of vouchers FDA has announced is re-read from the Federal Register every day. SEC filings are checked every day for possible new sales, which are queued for a person to verify against the source. A queued filing is never shown on this page.
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