O
N
OH
HN
HNS
Cl
SO2NH2OO
71 Hyzaar
Company: 2008 Sales:$0.53 Billion
2007 Rank:82
Profile:An angiotensin II receptor blocker and adiuretic used to treat hypertension.
N
N
Cl
OHN
N N
NH
72 ProAir HFA
Company: 2008 Sales:$0.53 Billion
2007 Rank:91
Profile:Inhaler used to treat obstructive airwaydisease and prevent bronchiospasms .
HO
HN
OH OH
73 Reyataz
Company: 2008 Sales:$0.52 Billion
2007 Rank:87
Profile:A protease inhibitor used to treat HIV.
O NH
HN N
NH
O
O
OH OHN O
O
N
HN
HNS
Cl
SO2NH2OO
74 Benicar HCT
Company: 2008 Sales:$0.52 Billion
2007 Rank:93
Profile:An angiotensin II receptor blocker and adiuretic used to treat hypertension.
N
N
N
NN
HN
HO
O
O
OO
O
CO2H
75 Synthroid
Company: 2008 Sales:$0.51 Billion
2007 Rank:69
Profile:A thyroid hormone used to treat hypo-thyroidism and to suppress goiters.
H2N
O
OH
I
I
I
I
76 Avandia
Company: 2008 Sales:$0.51 Billion
2007 Rank:29
Profile:A thiazolidinedione used to treat type 2diabetes.
N NO
SNH
O
O
77 Boniva
Company: 2008 Sales:$0.51 Billion
2007 Rank:96
Profile:A bisphosphonate used to treat andprevent osteoporosis.
NP
OH
P
OHO
HOO
OH
OH
78 Strattera
Company: 2008 Sales:$0.51 Billion
2007 Rank:73
Profile:A selective norepinephrine reuptakeinhibitor used to treat ADHD.
NH
O
79 Polymagma Plain
Company: 2008 Sales:$0.51 Billion
2007 Rank:N/A
Profile:A fluid absorbent used to controldiarrhea.
80 Skelaxin
Company: 2008 Sales:$0.50 Billion
2007 Rank:78
Profile:A muscle relaxant used to treatmusculoskeletal discomfort.
O
O
NH
O
HO
81 Evista
Company: 2008 Sales:$0.50 Billion
2007 Rank:81
Profile:A selective estrogen receptor modulatorused to prevent and treat osteoporosis.
S
O
ON
OH
82 Asacol
Company: 2008 Sales:$0.46 Billion
2007 Rank:92
Profile:An anti-inflammatory agent used totreat inflammation of the colon.
CO2H
OH
H2N
83 Depakote
Company: 2008 Sales:$0.46 Billion
2007 Rank:67
Profile:An anticonvulsant used to controlseizures in patients with epilepsy.
OHO
O O
84 Xalatan
Company: 2008 Sales:$0.46 Billion
2007 Rank:88
Profile:A prostaglandin analogue used totreat ocular hypertension or glaucoma.
HO
HO
O
O
HO
Ph
85 Humira
Company: 2008 Sales:$0.46 Billion
2007 Rank:85
Profile:A tumor necrosis factor-blocker used totreat rheumatoid arthritis.
86 Benicar
Company: 2008 Sales:$0.46 Billion
2007 Rank:102
Profile:An angiotensin II receptor blocker usedto treat hypertension.
N
N
N
NN
HN
HO
O
O
OO
O
87 Gleevec
Company: 2008 Sales:$0.45 Billion
2007 Rank:99
Profile:A protein-tyrosine kinase inhibitor usedto treat chronic myeloid leukemia.
N
N
NHN
HN
O
N
N
88 AndroGel
Company: 2008 Sales:$0.44 Billion
2007 Rank:103
Profile:A testosterone gel used to treat menwith testosterone deficiencies.
O
OH
H
H
H
O
O
O
OHN
OH
HN
c
93 RenaGel
Company: 2008 Sales:$0.41 Billion
2007 Rank:113
Profile:A prosphate binder used for patientswith chronic kidney disease on dialysis.
H2N
H2N
a
bm
94 Avapro
Company: 2008 Sales:$0.41 Billion
2007 Rank:98
Profile:An angiotensin II receptor blocker usedto treat hypertension.
N
HN N
NN
N
O
95 Humira Pen
Company: 2008 Sales:$0.38 Billion
2007 Rank:162
Profile:A tumor necrosis factor-blocker used totreat rheumatoid arthritis.
96 Vyvanse
Company: 2008 Sales:$0.37 Billion
2007 Rank:N/A
Profile:A central nervous system stimulant fortreatment of ADHD.
NH
O
NH2
H2N
97 Kaletra
Company: 2008 Sales:$0.37 Billion
2007 Rank:100
Profile:Two protease inhibitors used to treatHIV.
HN
O
NHN
O
NH
OH
O
O
HN
O
NH
NH
OH
O
O
SN
N
O
SN
98 Xopenex
Company: 2008 Sales:$0.37 Billion
2007 Rank:104
Profile:A bronchodilator used to treat andprevent asthma attacks.
OH
HO
OHHN
CO2H
99 Copaxone
Company: 2008 Sales:$0.37 Billion
2007 Rank:112
Profile:A polypeptide mixture used to treatrelapsing-remitting multiple sclerosis.
H2N O
HN
NH2
O
NH O
HN
OH
O
OH
5n
3n
1.5n
nNH
O
H
H
H
H
O HN
CF3
F3C
100 Avodart
Company: 2008 Sales:$0.36 Billion
2007 Rank:121
Profile:A 5-alpha-reductase inhibitor used totreat enlarged prostates.
101 Femara
Company: 2008 Sales:$0.36 Billion
2007 Rank:114
Profile:An aromatase inhibitor used to treatbreast cancer.
N
N
N
CNNC
102 Avalide
Company: 2008 Sales:$0.36 Billion
2007 Rank:107
Profile:An angiotensin II receptor blocker and adiuretic used to treat hypertension.
N
NO
NHN
N N
HN
NHS
O O
Cl
H2NO2S
103 Ortho TriCyclen Lo
Company: 2008 Sales:$0.35 Billion
2007 Rank:101
Profile:An estrogen and progestin combinationused as birth control.
NHO
H H
O
O
H H
HO
H H
H
OH
104 Sensipar
Company: 2008 Sales:$0.35 Billion
2007 Rank:127
Profile:A calcimimetic agent used to treathyperparathyroidism in dialysis patients.
HN
CF3
105 Aldara
Company: 2008 Sales:$0.35 Billion
2007 Rank:118
Profile:An immune response modifier used totreat skin cancer and genital warts.
N
N
NH2
106 NovoLog Mix70/30
Company: 2008 Sales:$0.35 Billion
2007 Rank:116
Profile:A mixture of insulin analogs used totreat diabetes.
107 Restasis
Company: 2008 Sales:$0.34 Billion
2007 Rank:125
Profile:An immunomodulator used to treatchronic dry eyes.
MeLeu-MeVal
Me-Leu-D-Ala-Ala-MeLeu-Val-MeGlu
Abu-MeGly
NO
OH
N
SNH2
HN
108 Mirapex
Company: 2008 Sales:$0.34 Billion
2007 Rank:132
Profile:A dopamine agonist used to treatParkinson's disease.
O
O
O
H
HHOH
H
HHHO
109 Yasmin 28
Company: 2008 Sales:$0.33 Billion
2007 Rank:76
Profile:An estrogen and progestin combinationused as birth control.
110 Solodyn
Company: 2008 Sales:$0.32 Billion
2007 Rank:143
Profile:A semi synthetic tracycline derivativeused to treat severe acne vulagirs.
H
OH
HN(CH3)2
CONH2
OH
OHOH
N(CH3)2
O O
111Lantus SoloSTAR
Company: 2008 Sales:$0.32 Billion
2007 Rank:N/A
Profile:A long-acting insulin analog used totreat diabetes.
112 Norvir
Company: 2008 Sales:$0.31 Billion
2007 Rank:123
Profile:A protease inhibitor used to treat HIV.
S
NN
O
HN
ONH
HO HN
O
O
S N
113 Focalin XR
Company: 2008 Sales:$0.31 Billion
2007 Rank:133
Profile:A central nervous system stimulantused to treat ADHD.
HN O
O
114 Actoplus Met
Company: 2008 Sales:$0.30 Billion
2007 Rank:140
Profile:Combination of two antihyperglycemicsused to treat type II diabetes.
NH3C O
NH
S
O
O
NHN NH2
NH NH
115 Vesicare
Company: 2008 Sales:$0.30 Billion
2007 Rank:152
Profile:A muscarinic receptor antagonist usedto treat overactive bladder.
N O
NO
OHHO
O
O
116 Forteo
Company: 2008 Sales:$0.29 Billion
2007 Rank:119
Profile:A synthetic parathyroid hormone usedto treat osteoporosis.
OH
NH
117 Allegra-D12 Hour
Company: 2008 Sales:$0.29 Billion
2007 Rank:110
Profile:An antihistamine and a decongestantused to treat seasonal allergies.
NHO
HO
CO2H
118 Procrit
Company: 2008 Sales:$0.29 Billion
2007 Rank:105
Profile:A glycoprotein used to treat anemia inpatients with kidney failure or cancer.
119 Nasacort AQ
Company: 2008 Sales:$0.29 Billion
2007 Rank:108
Profile:An adrenocortical steroid used totreat nasal allergy symptoms.
O
HO O
O
O OH
F
H
H
120 Tarceva
Company: 2008 Sales:$0.28 Billion
2007 Rank:128
Profile:A tyrosine kinase inhibitor used to treatlung cancer.
N
N
HN
O
O
O
O
121 Combivir
Company: 2008 Sales:$0.28 Billion
2007 Rank:109
Profile:Two reverse transcriptase inhibitorsused to treat HIV.
N
NH2
O N
S
O
OH
O
N3
HON
NH
O
O
122 Tamiflu
Company: 2008 Sales:$0.28 Billion
2007 Rank:N/A
Profile:A viral neuraminidase inhibitor used totreat influenza types A and B.
O
O
O
NH
NH2
O
123 Avonex
Company: 2008 Sales:$0.27 Billion
2007 Rank:126
Profile:An interferon used to treat relapsingforms of multiple sclerosis.
O
OH
HO
OH
H
H H
H H
H H
124 NuvaRing
Company: 2008 Sales:$0.27 Billion
2007 Rank:137
Profile:An estrogen and progestin combinationused as birth control.
125 Coreg CR
Company: 2008 Sales:$0.27 Billion
2007 Rank:199
Profile:A ß-adrenergic blocking agent used totreat mild to severe heart failure.
NH
O
NH
O
OH
H3CO
HO
NN
N N
NH
NH2
126 Epzicom
Company: 2008 Sales:$0.27 Billion
2007 Rank:136
Profile:Two reverse transcriptase inhibitorsused to treat HIV.
127 Levemir
Company: 2008 Sales:$0.26 Billion
2007 Rank:N/A
Profile:A long-acting insulin analog used totreat diabetes.
128 Duragesic
Company: 2008 Sales:$0.25 Billion
2007 Rank:111
Profile:An opioid analgesic used to managechronic pain.
N
O N
129 RisperdalConsta
Company: 2008 Sales:$0.25 Billion
2007 Rank:160
Profile:An antipsychotic used to treatschizophrenia and bipolar mania.
NO
NF
N
N
O
130 Zyvox
Company: 2008 Sales:$0.25 Billion
2007 Rank:135
Profile:An oxizolidinone antibiotic used to treatserious bacterial infections.
N
F
NO
HN
O
O
O
NN
Cl
131 Tussionex
Company: 2008 Sales:$0.25 Billion
2007 Rank:167
Profile:A cough-suppressant and antihistamineused to treat colds and allergies.
O
N
OO
132 Invega
Company: 2008 Sales:$0.25 Billion
2007 Rank:N/A
Profile:An antipsychotic used to treatschizophrenia
N
N
ON
ON
F
133 Fosamax
Company: 2008 Sales:$0.24 Billion
2007 Rank:24
Profile:A bisphosphonate used to treat Paget'sdisease and osteoporosis.
HO P
O
OH
P
O
OH
H2N
HO OH
134 Kadian
Company: 2008 Sales:$0.24 Billion
2007 Rank:163
Profile:An opiate analgesic used to treatmoderate to severe pain.
O
HO
HO
H
N
O
O
N N
HN
N
O
135 Levitra
Company: 2008 Sales:$0.24 Billion
2007 Rank:158
Profile:A phosphodiesterase inhibitor usedto treat erectile dysfunction.
N
NS
O
136 Differin
Company: 2008 Sales:$0.24 Billion
2007 Rank:164
Profile:A retinoid used to treat acne.
O
CO2H
N
N
O
N
Cl
137 Astelin
Company: 2008 Sales:$0.24 Billion
2007 Rank:146
Profile:An antihistamine used to treat nasalallergy symptoms.
138 Lumigan
Company: 2008 Sales:$0.24 Billion
2007 Rank:141
Profile:A prostaglandin analog used to treatglaucoma and ocular hypertension.
OH
HO
HO
O
NH
139 Symbicort
Company: 2008 Sales:$0.24 Billion
2007 Rank:N/A
Profile:Combination of bronchodialator andanti-inflammatory used for asthma.
HOO
O
H
HH H
O
OH
O
O
HN
OH
OH
NHO
140 Janumet
Company: 2008 Sales:$0.24 Billion
2007 Rank:N/A
Profile:A combination of two complementaryantihyperglycemic agents for diabetes.
89 Enbrel Sureclick
Company: 2008 Sales:$0.43 Billion
2007 Rank:115
Profile:A tumor necrosis factor inhibitor used totreat arthritis and psoriasis.
CO2H
N
O
O
N
F
HN
H
H
90 Avelox
Company: 2008 Sales:$0.43 Billion
2007 Rank:90
Profile:A fluoroquinolone antibiotic used to treatbacterial infections.
91 Fantanyl Oral Citra
Company: 2008 Sales:$0.42 Billion
2007 Rank:94
Profile:An opioid analgesic used to managebreakthrough cancer pain.
N
NO
92 Lovaza
Company: 2008 Sales:$0.42 Billion
2007 Rank:131
Profile:Ethyl esters from omega-3 fatty acidsused to lower high triglyceride levels.
F
FF
H2N
O N
NN
N
CF3
HNN
NH
NH2
NH
NHN
141 Xeloda
Company: 2008 Sales:$0.24 Billion
2007 Rank:156
Profile:An antimetabolite used to treat breastand colon cancers.
N
O
F
O
HO OH
OO
142 Clarinex
Company: 2008 Sales:$0.23 Billion
2007 Rank:117
Profile:An antihistamine used to treat thesymptoms of allergies.
N
Cl
HN
143 Proventil HFA
Company: 2008 Sales:$0.23 Billion
2007 Rank:N/A
Profile:A bronchodilator used to treat asthmaand obstructive pulmonary disease
HO
HO
OHHN
144 Humalog Mix75/25 Pn
Company: 2008 Sales:$0.23 Billion
2007 Rank:153
Profile:A mixture of insulin analogs used totreat diabetes.
O
O O
O
145 BenzaClin
Company: 2008 Sales:$0.23 Billion
2007 Rank:147
Profile:An antibiotic and a drying agent usedto treat acne.
N
O
NH
Cl
O
OH
OH
S
O
P OH
OH
O
N
O
O
F
NHNH
H
HO2C
146 Vigamox
Company: 2008 Sales:$0.22 Billion
2007 Rank:151
Profile:A fluoroquinolone antibiotic used to treateye infections.
147 Foxamax Plus D
Company: 2008 Sales:$0.22 Billion
2007 Rank:139
Profile:A bisphosphonate and vitamin D usedto treat and prevent osteoporosis.
OHP
OH
O
OH
P
O
OH
HO
NH2H
H
OH
148 Maxalt
Company: 2008 Sales:$0.22 Billion
2007 Rank:169
Profile:A serotonin receptor agonist used totreat migranes.
NH
N
NN
N
149 Cosopt
Company: 2008 Sales:$0.22 Billion
2007 Rank:134
Profile:A carbonic anhydrase inhibitor and abeta blocker used to treat glaucoma.
S S
NH
OO
S NH2
O
O
NNS
ON
O
HNHO
150 Requip
Company: 2008 Sales:$0.21 Billion
2007 Rank:95
Profile:A dopamine agonist used to treatParkinson’s disease and RLS.
NH
N
O
151 Relpax
Company: 2008 Sales:$0.21 Billion
2007 Rank:148
Profile:A serotonin receptor agonist used totreat migranes.
S
O
O
HN
N
152 Patanol
Company: 2008 Sales:$0.21 Billion
2007 Rank:129
Profile:An antihistamine used to relieve watery,red, or itchy eyes caused by allergies.
O HO
O
N
F3C
NH
O
HO S
O
O
F
NC
153 Casodex
Company: 2008 Sales:$0.21 Billion
2007 Rank:150
Profile:A nonsteroidal antiandrogen used totreat prostate cancer.
154 Welchol
Company: 2008 Sales:$0.21 Billion
2007 Rank:176
Profile:A non-absorbed polymeric LDL-C andglucose-lowering agent.
**
NH2
**
NH2
NH2
**
NH2
**
NH2
N
OH
ClCl
Cl
Cl Cl
Cl
...... ...... ...... ............a b c d
m
155 Ciprodex Otic
Company: 2008 Sales:$0.21 Billion
2007 Rank:172
Profile:An antibiotic and a corticosteroid usedto treat ear infections.
N
HO2C
N
NH
O
F
O
O OH
OHHO
F
H
H
156 Viread
Company: 2008 Sales:$0.21 Billion
2007 Rank:149
Profile:A reverse transcriptase inhibitor used totreat HIV.
N
NN
N
NH2
O P O
O
O
O O
O
O O
O
157 Catapres-TTS
Company: 2008 Sales:$0.20 Billion
2007 Rank:165
Profile:An alpha agonist used to treathypertension.
Cl
Cl
HN
HN
N
158 Loestrin 24 Fe
Company: 2008 Sales:$0.20 Billion
2007 Rank:N/A
Profile:An estrogen and progestin combinationused as an oral contraceptive.
H
H H
HO
H H
H H
O
O
O
OH
159 Thalomid
Company: 2008 Sales:$0.20 Billion
2007 Rank:144
Profile:An immunomodulator used to treat skininflammation and multiple myeloma.
N
O
O
NH
O
O
160 Alphagan P
Company: 2008 Sales:$0.20 Billion
2007 Rank:166
Profile:An adrenergic agonist used to treatglaucoma and ocular hypertension.
N
NN
BrHN
NH
O
NH
HO
161 Endocet
Company: 2008 Sales:$0.19 Billion
2007 Rank:159
Profile:A narcotic and an analgesic/antipyreticused to treat moderate pain.
O
OH
N
OO
162 Revlimid
Company: 2008 Sales:$0.19 Billion
2007 Rank:N/A
Profile:An immomodulatory compound to treatmultiple myeloma.
N
NH
NH2
O
O
O
163 Avandamet
Company: 2008 Sales:$0.19 Billion
2007 Rank:124
Profile:An insulin resistance reducer and abiguanide used to treat type 2 diabetes.
N NO
SNH
O
O
NHN NH2
NH NH
164 Maxalt MLT
Company: 2008 Sales:$0.19 Billion
2007 Rank:177
Profile:A serotonin receptor agonist used totreat migranes.
NH
N
NN
N
165 Altace
Company: 2008 Sales:$0.19 Billion
2007 Rank:56
Profile:An ACE inhibitor used to treathypertension and heart disease.
N
HO2C
O
HN
OO
166 Budeprion SR
Company: 2008 Sales:$0.19 Billion
2007 Rank:155
Profile:A norepinephrine and dopamine reuptakeinhibitor used to treat depression.
Cl
O
NH
167 Pegasys
Company: 2008 Sales:$0.19 Billion
2007 Rank:183
Profile:An interferon used to treat chronichepatitis C infection.
169 Fentora
Company: 2008 Sales:$0.19 Billion
2007 Rank:194
Profile:An opeoid analgesic intended for opeoidtolerant cancer patients..
N N
O
170 Asmanex
Company: 2008 Sales:$0.19 Billion
2007 Rank:178
Profile:A corticosteroid inhaler used to treatasthma.
OHO
Cl
O
O
OClH2C
H
171 Rhinocort Aqua
Company: 2008 Sales:$0.18 Billion
2007 Rank:142
Profile:A corticosteroid used to treat nasalallergy symptoms.
O
HO
H
O
O
O OH
H
N
NN
N
O
NNH2
O
172 Temodar
Company: 2008 Sales:$0.18 Billion
2007 Rank:173
Profile:An antineoplastic agent used to treatrecurrent malignant brain tumors.
173 Micardis HCT
Company: 2008 Sales:$0.18 Billion
2007 Rank:191
Profile:An orally active angiotensin II antagonistused to treat hypertension.
NN
N
N
OOH
NH
NHS
O OH2NO2S
Cl
174 Sotret
Company: 2008 Sales:$0.18 Billion
2007 Rank:N/A
Profile:A retinoid that inhibits sebaceous glandfunction used to treat nodular acne
O OH
N3
175 Trizivir
Company: 2008 Sales:$0.18 Billion
2007 Rank:154
Profile:Three reverse transcriptase inhibitorsused to treat HIV.
N
N N
N
H2N
HN
OH
S
OOH
N
N
NH2
O ONHO
NH
O
O
176 Enablex
Company: 2008 Sales:$0.18 Billion
2007 Rank:195
Profile:A muscarinic receptor antagonist usedto treat overactive bladder.
O
N
O NH2
177 Isentress
Company: 2008 Sales:$0.18 Billion
2007 Rank:N/A
Profile:An antiviral that inhibits HIV-1 integraseused to treat HIV.
N
N
O
HN
O
NN
O
OH
O
NH
F
180 Sustiva
Company: 2008 Sales:$0.17 Billion
2007 Rank:157
Profile:A non-nucleoside reverse transcriptaseinhibitor used to treat HIV.
NH
OCl
O
F3C
179 Trileptal
Company: 2008 Sales:$0.17 Billion
2007 Rank:75
Profile:An anticonvulsant used to treat seizuresin patients with epilepsy.
N
O NH2
O
O
OHO
HO
F
H
H
OH
178 TobraDex
Company: 2008 Sales:$0.18 Billion
2007 Rank:174
Profile:An antibiotic and a glucocorticoid usedto treat eye infections.
O
O
OOH
H2N
O
HO
H2N OH
NH2
OHNH2
NH2
OH
168 Ultram ER
Company: 2008 Sales:$0.19 Billion
2007 Rank:184
Profile:An analgesic used to treat severe tomoderate chronic pain.
HO
NCH3
CH3
H3CO
181 Amitiza
Company: 2008 Sales:$0.17 Billion
2007 Rank:N/A
Profile:A chloride channel activator that is usedto for chronic constipation.
O
O
F F
OH
O
OH
H
H
182 Micardis
Company: 2008 Sales:$0.17 Billion
2007 Rank:N/A
Profile:An orally active angiotensin II antagonistused to treat hypertension.
NN
N
N
OOH
183 Zovirax Topical
Company: 2008 Sales:$0.16 Billion
2007 Rank:186
Profile:An antiviral used to treat the symptomsof herpes simplex virus infections.
HN
N N
N
OOH
H2N
O
184 Ocella
Company: 2008 Sales:$0.16 Billion
2007 Rank:N/A
Profile:An ethinyl estradiol and drospirenonemix used as an oral contraceptive.
H
H
H
O
O
O
H
H H
HO
OH
185 Propecia
Company: 2008 Sales:$0.16 Billion
2007 Rank:N/A
Profile:An azasteroid used for the treatment ofmale pattern hair loss.
NH
H
H
H H
O
OHN
186 Taclonex
Company: 2008 Sales:$0.16 Billion
2007 Rank:N/A
Profile:Combination of a corticosteroid and avitamin D analogue used for psoriasis.
H
F H
O
O
OH
HH
O
HOO
O
O
187 Actiq
Company: 2008 Sales:$0.16 Billion
2007 Rank:138
Profile:An opioid analgesic used to managecontinual breakthrough cancer pain.
N
O N
188 Valcyte
Company: 2008 Sales:$0.16 Billion
2007 Rank:N/A
Profile:An inhibitor viral DNA synthesis used totreat cytomegalovirus retinitis.
N
NH
N
N
O
H2N
O
HO
O
O
NH2
189 Klor-Con
Company: 2008 Sales:$0.16 Billion
2007 Rank:182
Profile:Potassium chloride used as potassiumsupplementation.
190 Atacand
Company: 2008 Sales:$0.16 Billion
2007 Rank:179
Profile:An angiotensin II receptor blocker usedto treat hypertension and heart failure.
N
HN
N
N
NN
HO2C
O
191 Doryx
Company: 2008 Sales:$0.16 Billion
2007 Rank:N/A
Profile:A tetracycline broad-spectrum antibioticused to treat a variety of infections.
OH O HOHO
O O
NH2
OH
NH
OHH
192 Veramyst
Company: 2008 Sales:$0.16 Billion
2007 Rank:N/A
Profile:An anti-inflammitory corticosteroid usedto treat nasal symptoms and allergies.
H
F H
O
O
F
O
O
S
O
F
193 Avinza
Company: 2008 Sales:$0.16 Billion
2007 Rank:197
Profile:An opioid analgesic used to treatmoderate to severe pain.
O
HO
HO
H
N
194 Allegra-D 24 Hour
Company: 2008 Sales:$0.16 Billion
2007 Rank:N/A
Profile:An antihistamine and a decongestantused to treat seasonal allergies.
OH
NH
NHO
HO
CO2H
195 Opana ER
Company: 2008 Sales:$0.16 Billion
2007 Rank:N/A
Profile:An opiate analgesic used to treatmoderate to severe pain.
O
HO
O
OH
N
196 Zomig
Company: 2008 Sales:$0.15 Billion
2007 Rank:N/A
Profile:A serotonin receptor agonist used totreat migranes.
HN
N
NHO
O
197 Humulin 70/30
Company: 2008 Sales:$0.15 Billion
2007 Rank:N/A
Profile:An insulin analog used to treat diabetes.
198 Prempro
Company: 2008 Sales:$0.15 Billion
2007 Rank:198
Profile:A combination of hormones used to treatmenopausal symptoms.
O3SO
H H
H
O
O3SO
H H
O
O
H
H
H
OO
O
199 Humulin N
Company: 2008 Sales:$0.15 Billion
2007 Rank:190
Profile:An insulin analog used to treat diabetes.
200 Xopenex HFA
Company: 2008 Sales:$0.15 Billion
2007 Rank:N/A
Profile:A bronchodilator used to treat andprevent asthma attacks.
HO
HO
OHHN
Profile:An HMG-CoA reductase inhibitor usedto lower LDL cholesterol levels.
1 Lipitor
Company: 2008 Sales:$5.88 Billion
2007 Rank:1
HN
O
NHO
HO
HO2C
F
7 Singulair
Company: 2008 Sales:$2.90 Billion
2007 Rank:6
Profile:A leukotriene receptor antagonist usedto treat asthma and allergies.
NCl
OH
S
CO2H
8 Effexor XR
Company: 2008 Sales:$2.66 Billion
2007 Rank:8
Profile:A serotonin and norepinephrine reuptakeinhibitor used to treat depression.
O
N
OH
Profile:A proton pump inhibitor used to treatheartburn and esophagitis.
2 Nexium
Company: 2008 Sales:$4.79 Billion
2007 Rank:2
N
O
S
O
HN
N
O
3 Plavix
Company: 2008 Sales:$3.80 Billion
2007 Rank:5
Profile:A platelet aggregation inhibitor used toreduce stroke and heart attack risk.
S
N
OOCl
4 Advair Diskus
Company: 2008 Sales:$3.57 Billion
2007 Rank:3
Profile:A corticosteroid and a bronchodilatorused to treat and prevent asthma.
O
HO
F
H
H
SO
F
O
F
O
HO
HO
OH HN
OPh
Profile:A proton pump inhibitor used to treatgastric reflux disease.
5 Prevacid
Company: 2008 Sales:$3.30 Billion
2007 Rank:4
N
HN
SO
N
OCF3
6 Seroquel
Company: 2008 Sales:$2.91 Billion
2007 Rank:7
Profile:An antipsychotic used to treatschizophrenia and bipolar mania.
S
NN
N OOH
9 OxyContin
Company: 2008 Sales:$2.50 Billion
2007 Rank:33
Profile:An opioid analgesic used to treatmoderate to severe pain.
10 Actos
Company: 2008 Sales:$2.45 Billion
2007 Rank:10
Profile:A thiazolidinedione used to treat type 2diabetes.
N
O
S
NH
O
O
11 Lexapro
Company: 2008 Sales:$2.41 Billion
2007 Rank:9
Profile:A selective serotonin reuptake inhibitorused to treat depression and anxiety.
O
NF
NC
12 Abilify
Company: 2008 Sales:$2.37 Billion
2007 Rank:15
Profile:An antipsychotic used to treatschizophrenia and bipolar mania.
HN
O
O
N N
Cl Cl
13 Topamax
Company: 2008 Sales:$2.18 Billion
2007 Rank:13
Profile:A carbonic anhydrase inhibitor used totreat seizures and prevent migranes.
O
OO
O O
S OO
O
NH2
14 Cymbalta
Company: 2008 Sales:$2.17 Billion
2007 Rank:16
Profile:A serotonin and norepinephrine reuptakeinhibitor used to treat depression.
O
NH
S
15 Zyprexa
Company: 2008 Sales:$1.75 Billion
2007 Rank:18
Profile:A thienobenzodiazepine used to treatschizophrenia and bipolar mania.
NH
N
S
N
N
16 Valtrex
Company: 2008 Sales:$1.68 Billion
2007 Rank:22
Profile:An antiviral agent for treating shingles,cold sores, and genital herpes.
HN
N N
N
O
H2N
O
OO
H2N
17 Crestor
Company: 2008 Sales:$1.68 Billion
2007 Rank:23
Profile:An HMG-CoA reductase inhibitor usedto lower LDL cholesterol levels.
N
N
CO2H
NSO
O
F
OH OH
18 Vytorin
Company: 2008 Sales:$1.55 Billion
2007 Rank:12
Profile:A statin and a cholesterol absorptionblocker used to treat high cholesterol.
FN
O
OH
F
OH
H
O
O
O
HO O
19 Lamictal
Company: 2008 Sales:$1.54 Billion
2007 Rank:17
Profile:An anticonvulsant used to treatseizures and bipolar disorder.
N
N N
H2N
NH2
Cl Cl
20 Celebrex
Company: 2008 Sales:$1.53 Billion
2007 Rank:20
Profile:A COX-2 inhibitor NSAID used to treatarthritis pain.
S
O
H2NO
NN
CF3
21 Lantus
Company: 2008 Sales:$1.48 Billion
2007 Rank:26
Profile:A long-acting insulin analog used totreat diabetes.
22 Levaquin
Company: 2008 Sales:$1.46 Billion
2007 Rank:19
Profile:A fluoroquinolone antibiotic used to treatbacterial infections.
F
N
N
N
O
O
CO2H
23 Adderall XR
Company: 2008 Sales:$1.45 Billion
2007 Rank:27
Profile:An amphetamine used to treat ADHDand narcolepsy.
NH2
24 Lyrica
Company: 2008 Sales:$1.39 Billion
2007 Rank:37
Profile:An anticonvulsant used to treat nervepain and seizures.
CO2H
H2N
25 Diovan
Company: 2008 Sales:$1.28 Billion
2007 Rank:28
Profile:An angiotensin II receptor blocker usedto treat hypertension and heart failure.
N
HNNN
N
CO2HO
26 Tricor
Company: 2008 Sales:$1.25 Billion
2007 Rank:30
Profile:A lipid-lowering agent used to treat highcholesterol and triglyceride levels.
Cl
O
O
OO
O O
NH2
27 Flomax
Company: 2008 Sales:$1.24 Billion
2007 Rank:36
Profile:An alpha blocker used to treat enlargedprostates.
S
O
NH
O
O
28 Risperdal
Company: 2008 Sales:$1.22 Billion
2007 Rank:14
Profile:An antipsychotic used to treatschizophrenia and bipolar mania.
N
N
ON
ON
F
HN
HNS
Cl
SO2NH2OO
29 Diovan HCT
Company: 2008 Sales:$1.21 Billion
2007 Rank:32
Profile:An angiotensin II receptor blocker and adiuretic used to treat hypertension.
N
HNNN
NCO2HO
30 Zetia
Company: 2008 Sales:$1.18 Billion
2007 Rank:21
Profile:An antihyperlipidemic agent used tolower cholesterol levels.
NO
OH
F
FOH
31 Aricept
Company: 2008 Sales:$1.15 Billion
2007 Rank:39
Profile:A cholinesterase inhibitor used to treatAlzheimer's disease.
N
O
OO
32 Spiriva
Company: 2008 Sales:$1.14Billion
2007 Rank:47
Profile:An anticholineric agent used to treatchronic obstructive pulmonary disease.
N
O
O
O
OH
S
S
33 Concerta
Company: 2008 Sales:$1.10 Billion
2007 Rank:34
Profile:A central nervous system stimulantused to treat ADHD.
O
O
HN
34 Aciphex
Company: 2008 Sales:$1.05 Billion
2007 Rank:31
Profile:A proton pump inhibitor used to treatduodenal ulcers and acid reflux.
HN
NSO
N
O O
35 Imitrex Oral
Company: 2008 Sales:$0.97 Billion
2007 Rank:40
Profile:A serotonin receptor agonist used totreat migranes.
NH
N
S OO
NH
36 Lidoderm
Company: 2008 Sales:$0.97 Billion
2007 Rank:49
Profile:A local anesthetic used to relieve painassociated with shingles.
NH N
O
37 Keppra
Company: 2008 Sales:$0.94 Billion
2007 Rank:57
Profile:An anticonvulsant used to treat seizuresin patients with epilepsy.
N O
NH2
O
38 Viagra
Company: 2008 Sales:$0.92Billion
2007 Rank:48
Profile:A phosphodiesterase inhibitor used totreat erectile dysfunction.
NH
NS
N
N
O
O
NN O
O
39 Atripla
Company: 2008 Sales:$0.92 Billion
2007 Rank:61
Profile:Efavirenz, Emtricitabine, and TenofovirDF combination used to treat HIV.
N
NN
N
PO
OO
O
O
OO
O
O
NH2
NH
O
F3CCl
O
S
O
OH
N
NH2N
F
O
O
O
O
O
OH
HO3SO
OH
OSO3H
OOSO3H
O
HO3SHN
O OSO3H
O
HN
HOO
HO
OH
O
HO
O
40 Lovenox
Company: 2008 Sales:$0.91 Billion
2007 Rank:53
Profile:An antithrombotic used to prevent bloodclots.
41 Januvia
Company: 2008 Sales:$0.91 Billion
2007 Rank:84
Profile:A DPP-4 enzyme inhibitor used to treattype II diabetes.
N
NN
N
O
F
F
F
CF3
NH2
42 Nasonex
Company: 2008 Sales:$0.90 Billion
2007 Rank:43
Profile:A corticosteroid used to treat allergicand nonallergic nasal symptoms.
O
O
OCl
H
HO
Cl
HO
O
43 Ambien CR
Company: 2008 Sales:$0.87 Billion
2007 Rank:45
Profile:A sedative-hypnotic used to treatinsomnia.
N
N
N
O
44 Provigil
Company: 2008 Sales:$0.85 Billion
2007 Rank:54
Profile:A wakefullness-promoting agent used totreat narcolepsy.
S
O
NH2
O
45 Geodon Oral
Company: 2008 Sales:$0.80 Billion
2007 Rank:58
Profile:An antipsychotic used to treat acuteagitation in patients with schizophrenia.
N
N
NS
Cl NH
O
46 Truvada
Company: 2008 Sales:$0.78 Billion
2007 Rank:62
Profile:Two reverse transcriptase inhibitorsused to treat HIV.
NN
N
NH2N
O PHO
OH
O
S
OHON
NO
NH2
F
47 Lunesta
Company: 2008 Sales:$0.77 Billion
2007 Rank:55
Profile:A hypnotic agent used to treat insomnia.
N
N
N
N
O
N
O
N
O
Cl
48 Enbrel
Company: 2008 Sales:$0.76 Billion
2007 Rank:46
Profile:A tumor necrosis factor inhibitor used totreat arthritis and psoriasis.
49 Actonel
Company: 2008 Sales:$0.71 Billion
2007 Rank:50
Profile:A bisphosphonate used to treat andprevent osteoporosis.
N
OH
P P
OH
O
OH
O
HO
HO
50 CellCept
Company: 2008 Sales:$0.71 Billion
2007 Rank:63
Profile:An immunosuppressant used to preventorgan transplant rejection.
O
O
CO2H
OH
OCH3
51 Humalog
Company: 2008 Sales:$0.70 Billion
2007 Rank:65
Profile:A rapid acing insulin analog used totreat diabetes.
52 Detrol LA
Company: 2008 Sales:$0.70 Billion
2007 Rank:60
Profile:An antimuscarinic agent used to treatoveractive bladders.
OH
N
53 Depakote ER
Company: 2008 Sales:$0.69 Billion
2007 Rank:66
Profile:An anticonvulsant used to controlseizures in patients with epilepsy.
OHO
O O
54 Cozaar
Company: 2008 Sales:$0.69 Billion
2007 Rank:59
Profile:An angiotensin II receptor blocker usedto treat hypertension.
N
N
N
NHN
N
Cl
OH
55 PulmicortRespules
Company: 2008 Sales:$0.65 Billion
2007 Rank:64
Profile:An inhaled corticosteroid used to treatand prevent asthma.
O
O
O
OHO
H
HO
H
H
56 Niaspan
Company: 2008 Sales:$0.64 Billion
2007 Rank:70
Profile:A vitamin used to lower LDL and raiseHDL cholesterol levels.
N
CO2H
57 Wellbutrin XL
Company: 2008 Sales:$0.61 Billion
2007 Rank:38
Profile:A norepinephrine and dopaminereuptake inhibitor that treats depression.
O
NH
Cl
58 Chantix
Company: 2008 Sales:$0.61 Billion
2007 Rank:51
Profile:An oral tablet taken to aid in smokingcessation.
N
N
NH
59 Budeprion XL
Company: 2008 Sales:$0.60 Billion
2007 Rank:72
Profile:A norepinephrine and dopamine reuptakeinhibitor used to treat depression.
Cl
O
NH
60 Byetta
Company: 2008 Sales:$0.59 Billion
2007 Rank:71
Profile:An incretin mimetic used to treat type 2diabetes.
61 Yaz
Company: 2008 Sales:$0.59 Billion
2007 Rank:130
Profile:An Ethinyl Estradiol and Drospirenonemix used as an oral contraceptive.
O
H
HH
H
HH
H
O
O
OH
H
H
HO
H
OHO
O
HOO
NO
O
O
OH
OO
H
O
62 Prograf
Company: 2008 Sales:$0.58 Billion
2007 Rank:79
Profile:An immunosuppressant used to preventliver or kidney transplant rejection.
63 Namenda
Company: 2008 Sales:$0.58 Billion
2007 Rank:83
Profile:An NMDA-receptor antagonist used totreat Alzheimer-type dementia.
NH2
64 Arimidex
Company: 2008 Sales:$0.57 Billion
2007 Rank:80
Profile:An aromatase inhibitor used to treatbreast cancer.
CNNN
N
NC
65 Combivent
Company: 2008 Sales:$0.56 Billion
2007 Rank:74
Profile:A bronchodilator and beta-receptorstimulant used to treat COPD.
N
O
OHOOH
NH
HO
OH
66 Cialis
Company: 2008 Sales:$0.56 Billion
2007 Rank:86
Profile:A phosphodiesterase inhibitor used totreat erectile dysfunction.
OO
N
N
NH
O
OH
67 Flovent HFA
Company: 2008 Sales:$0.55 Billion
2007 Rank:77
Profile:A corticosteroid used to prevent and toreduce the frequency of asthma attacks.
O
F
F
O
S O
F
O
HO
H
68 Protonix
Company: 2008 Sales:$0.55 Billion
2007 Rank:11
Profile:A proton pump inhibitor used to treatesophagus inflammation and erosion.
N
O
O
S
O
NH
N
O
F
FO
HH
O3S
69 Premarin Tabs
Company: 2008 Sales:$0.55 Billion
2007 Rank:68
Profile:Estrogen mixture used to treat breastcancer and menopausal symptoms.
O
H
HH
O3S
70 Suboxone
Company: 2008 Sales:$0.53 Billion
2007 Rank:120
Profile:An opioid agonist/antagonist and an ant-agonist used to treat opioid dependence.
O
HO
O
HO
N
O
HO
OH
OH
HO
Compiled and Produced by the Njardarson Group (Cornell University): Matthew Brichacek, Nicholas McGrath, Dan Mack, Jón T. Njarðarson
http://drugtopics.modernmedicine.com/drugtopics/data/articlestandard//drugtopics/192009/597083/article.pdf
S
OOH
N
N
NH2
O
O
O
O
OH
N
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