U.S. Compounding Pharmacies Market Size By Pharmacy Type (503A, 503B), By Sterility (Sterile, Non-sterile), By Product (Oral, Topical, Rectal, Parenteral, Nasal, Ophthalmic, Otic), By Application (Pediatric, Adult, Geriatric, Veterinary), By Compounding Type (Pharmaceutical Ingredient Alteration [PIA], Currently Unavailable Pharmaceutical Manufacturing [CUPM], Pharmaceutical Dosage Alteration [PDA]), By Therapeutic Area (Hormone Replacement, Pain Management, Dermatology, Specialty Drugs, Nutritional Supplements)- Industry Analysis, Share, Growth, Regional Outlook and Forecasts, 2023-2032

The U.S. compounding pharmacies market size was exhibited at USD 5.46 billion in 2022 and is projected to hit around USD 8.98 billion by 2032, growing at a CAGR of 5.11% during the forecast period 2023 to 2032.

U.S. compounding pharmacies market size

Key Pointers:

  • The non-sterile segment accounted for over USD 4.5 billion revenue in 2022.
  • The oral segment accounted for around USD 2.7 billion in 2022.
  • The Pharmaceutical Ingredient Alteration (PIA) recorded over 37.4% market share in 2022.
  • The adult segment accounted for over 47.7% market share in 2022.
  • The pain management segment is expected to grow at a 5.9% CAGR during the analysis period.

Report Scope of the U.S. Compounding Pharmacies Market

Report Coverage

Details

Market Size in 2023

USD 5.73 Billion

Market Size by 2032

USD 8.98 Billion

Growth Rate from 2023 to 2032

CAGR of 5.11%

Base Year

2022

Forecast Period

2023 to 2032

Segments Covered

By Pharmacy Type, By Sterility, By Product, By Application, By Compounding Type, By Therapeutic Area

 

Increasing awareness regarding compounded medication and rising adoption rate of such medicines will boost the U.S. compounding pharmacies business. Other factors such as increase in the number of prescriptions dispensed, shortage of certain commercially formulated drugs or discontinuation of drugs by manufacturers will positively influence the overall market growth.

Rise in the elderly population and age-related chronic diseases and increasing health expenditure in the U.S. have popularized the demand for compounded medications. Patients are seeking for compounded pharmacies to gain medications with alternative dosages, personalized route of administration, and alternative ingredients to avoid allergies that may be otherwise caused from commercially available drug formulations. These factors have contributed to the U.S. compounding pharmacies market expansion.

Amid COVID-19 pandemic the demand for compounded medications increased. This can be attributed to the increased demand for several medications for treatment of COVID-19, along with other reasons such as reduced manufacturing capabilities due to restrictions and shortage of commercially available drugs.

For instance, according to the U.S. Food and Drug Administration (FDA) report, the U.S. has dealt with a drug shortage for several years, and the COVID-19 outbreak has exacerbated the situation. This shortage is primarily caused by supply chain disruption, manufacturing process delays and discontinuity, quality issues, and difficulties in obtaining raw materials.

Hence, drug shortages created additional opportunities for the U.S. compounding pharmacies business. Also, FDA issued a temporary guidance policy to the federal facilities and state-licensed pharmacies, including hospital pharmacies and compounding pharmacy that are not registered with FDA as outsourcing facilities for compounding of certain medication for hospitalized patients for the duration of the public health emergency, due to shortage of drugs required for patient treatment.

A compounding pharmacy is a specific type of pharmacy, that makes customized medications. These medications are prescribed to meet specific need of a patient that cannot be met by commercially available FDA approved drugs. In the U.S., compounding practice is popular owing to increasing demand of personalized medications and the convenience of using compounded drugs.

Drug shortages have a significant impact on healthcare providers and more so on patients. All categories of drugs, that include essential lifesaving drugs, antimicrobials, oncology medicine, cardiovascular drugs, analgesics, opioids, are liable to drug shortage. The causes of drug shortages are many, such as supply demand issue, regulatory issues, manufacturing difficulties, lack of raw material supply are some reasons among many other. Drug shortages pose a significant threat to public health that can delay, and in some cases even deny care needed for patients. In such scenarios, compounding pharmacies play an essential role to tackle drug shortage crisis.

Drug shortage has been an ongoing problem in the U.S. and has been a major concern to healthcare organizations. For instance, as per the University of Utah Drug Information Services, 129 drug shortages were reported in the U.S. in 2020. Similarly, according to FDA’s CBER (Center for Biologics Evaluation and Research) and FDA’s CDER (Center for Drug Evaluation and Research) the number of new drug shortages tracked was 42 in 2022.

There has been a constant effort by FDA and other organizations to mitigate drug shortage crisis. Compounding pharmacies can play an important role to step in and address drug shortages when they occur. Increasing shortages of several drugs and rising demand of medications are key factors that will boost the U.S. compounding pharmacies market revenue over the forecast years.

The U.S. compounding pharmacies market, based on pharmacy type, is classified into 503 A and 503B. The 503B pharmacy type segment accounted for around 57.5% market share in 2022 and the trend will continue to rise over the forecast years. A 503B is a compounding pharmacy that is registered with FDA as a 503B outsourcing facility. Registration with FDA enables a facility to compound and distribute drugs with or without a patient-specific prescription.

Such facilities can manufacture large batches of drugs to be sold to healthcare facilities for office use only. These pharmacies are allowed to manufacture larger batches of compounded medications to lower their manufacturing costs, thereby passing the savings onto consumers. Such benefits attract patients towards compounded medications and thereby fueling the market progression.

Moreover, according to study conducted by the U.S. Department of Health and Human Services, it was reported that most hospitals, nearly 90% obtained non-patient-specific compounded from outsourcing facilities. Such instances will foster the U.S. compounding pharmacies business.

Some of the prominent players in the U.S. compounding pharmacies Market include:

  • Athenex Pharma Solutions (Athenex Inc.)
  • B Braun Melsungen AG
  • Clinigen Group PLC 
  • Dougherty’
  • s Pharmacy Inc.
  • Fagron
  • Fresenius Kabi
  • ImprimisRx (Harrow Health Inc.)
  • Institutional Pharmacy Solutions
  • ITC Compounding Pharmacy
  • Lorraine’s
  • Pharmacy
  • McGuff Company Inc (McGuff Compounding Pharmacy Services)
  • Nephron Pharmaceuticals Corporation 
  • Pencol Compounding Pharmacy 
  • QuVa Pharma
  • Rx3 Compounding Pharmacy 
  • Triangle Compounding Pharmacies 
  • Wedgewood Village Pharmacy Inc.

Segments Covered in the Report

This report forecasts the volume and revenue growth at the country level and provides an analysis of the latest industry trends in each of the sub-segments from 2018 to 2032. For this study, Nova one advisor has segmented the U.S. compounding pharmacies market.

By Pharmacy Type

  • 503A
  • 503B

By Sterility

  • Sterile
  • Non-sterile

By Product

  • Oral 
    • Solid preparations
      • Tablets
      • Capsules
      • Granules
      • Powder
      • Others 
  • Liquid preparations 
    • Solutions
    • Suspension
    • Emulsion
    • Syrup
    • Others
  • Topical
    • Ointments
    • Creams
    • Gels
    • Pastes
    • Others 
  • Rectal 
    • Suppositories
    • Enema
    • Others
  • Parenteral
    • LVP
    • SVP 
  • Nasal
  • Ophthalmic
  • Otic

By Application

  • Pediatric
  • Adult
  • Geriatric
  • Veterinary

By Compounding Type

  • Pharmaceutical Ingredient Alteration (PIA)
  • Currently Unavailable Pharmaceutical Manufacturing (CUPM)
  • Pharmaceutical Dosage Alteration (PDA)
  • Others

By Therapeutic Area

  • Hormone Replacement
  • Pain Management
  • Dermatology applications
  • Specialty drugs
  • Nutritional supplements
  • Others

Frequently Asked Questions

The U.S. compounding pharmacies market size was exhibited at USD 5.46 billion in 2022 and is projected to hit around USD 8.98 billion by 2032

The U.S. compounding pharmacies market is growing at a compound annual growth rate (CAGR) of 5.11% from 2023 to 2032.

The 503B pharmacy type held close to 57.5% of the compounding pharmacies market share in the U.S. in 2022 and will grow owing to their ability to manufacture large batches of drugs for selling to healthcare facilities for office use.

key market players operating in the U.S. compounding pharmacies industry include Athenex Pharma Solutions (Athenex Inc.), B Braun Melsungen AG, Clinigen Group PLC, Dougherty’s Pharmacy, Inc., Fagron, Fresenius Kabi, ImprimisRx (Harrow Health, Inc.), Institutional Pharmacy Solutions, ITC Compounding Pharmacy, Lorraine’s Pharmacy, McGuff Company Inc (McGuff Compounding Pharmacy Services), Nephron Pharmaceuticals Corporation, Pencol Compounding Pharmacy, QuVa Pharma, Rx3 Compounding Pharmacy, Triangle Compounding Pharmacies, and Wedgewood Village Pharmacy, Inc. among others.

Chapter 1. Introduction

1.1    Market definitions

1.2    Base estimates & working

1.3    Forecast parameters

1.4    Data validation

1.5    Data sources

1.5.1    Secondary

1.5.1.1   Paid sources

1.5.1.2   Unpaid sources

1.5.2    Primary

Chapter 2   Executive Summary

2.1    U.S. compounding pharmacies industry 3600 synopsis, 2020 – 2032

Chapter 3   US Compounding Pharmacies Industry Insights

3.1    Industry segmentation

3.2    Industry landscape, 2020 – 2032

3.3    Industry impact forces

3.3.1    Growth drivers

3.3.1.1   Increasing geriatric population and improved longevity

3.3.1.2   Growing acceptance of personalized medicines in U.S.

3.3.1.3   Increasing drug shortage in the country

3.3.1.4   Convenience of using compounded drugs

3.3.1.5   Growing demand for compounded bioidentical menopausal hormone therapy (BMHT) among women

3.3.2    Restraints

3.3.2.1   Issues related to safety standards of compounded drugs

3.3.2.2   Changing regulatory scenario

3.4    Growth potential analysis

3.4.1    By pharmacy type

3.4.2    By sterility

3.4.3    By product

3.4.4    By application

3.4.5    By compounding type

3.4.6    By therapeutic area

3.5    COVID-19 impact analysis

3.6    Regulatory landscape

3.7    Reimbursement landscape

3.8    Porter's analysis

3.9    Competitive landscape, 2022

3.10    PESTEL analysis

Chapter 4   US Compounding Pharmacies Market, By Pharmacy Type

4.1    Key segment trends

4.2    503A

4.2.1    Market size, by 503A, 2020-2032

4.3    503B

4.3.1    Market size, by 503B, 2020-2032

Chapter 5   US Compounding Pharmacies Market, By Sterility

5.1    Key segment trends

5.2    Sterile

5.2.1    Market size, by sterile, 2020-2032

5.3    Non-sterile

5.3.1    Market size, by non-sterile, 2020-2032

Chapter 6   US Compounding Pharmacies Market, By Product

6.1    Key segment trends

6.2    Oral

6.2.1    Market size, by oral, 2020-2032

6.2.2    Solid preparation

6.2.2.1   Market size, by solid preparation, 2020-2032

6.2.2.2   Tablets

6.2.2.2.1    Market size, by tablets, 2020 - 2032

6.2.2.3   Capsules

6.2.2.3.1    Market size, by capsules, 2020 - 2032

6.2.2.4   Granules

6.2.2.4.1    Market size, by granules, 2020 - 2032

6.2.2.5   Powder

6.2.2.5.1    Market size, by powder, 2020 - 2032

6.2.2.6   Others

6.2.2.6.1    Market size, by others, 2020 - 2032

6.2.3    Liquid preparation

6.2.3.1   Market size, by liquid preparation, 2020-2032

6.2.3.2   Solutions

6.2.3.2.1    Market size, by solutions, 2020 - 2032

6.2.3.3   Suspension

6.2.3.3.1    Market size, by suspension, 2020 - 2032

6.2.3.4   Emulsion

6.2.3.4.1    Market size, by emulsion, 2020 - 2032

6.2.3.5   Syrup

6.2.3.5.1    Market size, by syrup, 2020 - 2032

6.2.3.6   Others

6.2.3.6.1    Market size, by others, 2020 - 2032

6.2.4    Topical

6.2.4.1   Market size, by topical, 2020-2032

6.2.4.2   Creams

6.2.4.2.1    Market size, by creams, 2020 - 2032

6.2.4.3   Gels

6.2.4.3.1    Market size, by gels, 2020 - 2032

6.2.4.4   Pastes

6.2.4.4.1    Market size, by pastes, 2020 - 2032

6.2.4.5   Ointments

6.2.4.5.1    Market size, by ointments, 2020 - 2032

6.2.4.6   Others

6.2.4.6.1    Market size, by others, 2020 - 2032

6.2.5    Rectal

6.2.5.1   Market size, by rectal, 2020-2032

6.2.5.2   Suppositories

6.2.5.2.1    Market size, by suppositories, 2020 - 2032

6.2.5.3   Enemas

6.2.5.3.1    Market size, by enemas, 2020 - 2032

6.2.5.4   Others

6.2.5.4.1    Market size, by others, 2020 - 2032

6.2.6    Parenteral

6.2.6.1   Market size, by parenteral, 2020-2032

6.2.6.2   Small volume parenteral (SVP) solutions

6.2.6.2.1    Market size, by small volume parenteral (SVP) solutions, 2020 - 2032

6.2.6.3   Large volume parenteral (LVP) solutions

6.2.6.3.1    Market size, by large volume parenteral (SVP) solutions, 2020 - 2032

6.2.7    Nasal

6.2.7.1   Market size, by nasal, 2020-2032

6.2.8    Ophthalmic

6.2.8.1   Market size, by ophthalmic, 2020-2032

6.2.9    Otic

6.2.9.1   Market size, by otic, 2020-2032

Chapter 7   US Compounding Pharmacies Market, By Application

7.1    Key segment trends

7.2    Pediatric

7.2.1    Market size, by pediatric, 2020-2032

7.3    Adult

7.3.1    Market size, by adult, 2020-2032

7.4    Geriatric

7.4.1    Market size, by geriatric, 2020-2032

7.5    Veterinary

7.5.1    Market size, by veterinary, 2020-2032

Chapter 8   US Compounding Pharmacies Market, By Compounding Type

8.1    Key segment trends

8.2    Pharmaceutical Ingredient Alteration (PIA)

8.2.1    Market size, by pharmaceutical ingredient alteration (PIA), 2020-2032

8.3    Currently Unavailable Pharmaceutical Manufacturing (CUPM)

8.3.1    Market size, by currently unavailable pharmaceutical manufacturing (CUPM), 2020-2032

8.4    Pharmaceutical Dosage Alteration (PDA)

8.4.1    Market size, by pharmaceutical dosage alteration (PIA), 2020-2032

8.5    Others

8.5.1    Market size, by others, 2020-2032

Chapter 9   US Compounding Pharmacies Market, By Therapeutic Area

9.1    Key segment trends

9.2    Hormone replacement

9.2.1    Market size, by hormone replacement, 2020-2032

9.3    Pain management

9.3.1    Market size, by pain management, 2020-2032

9.4    Dermatology

9.4.1    Market size, by dermatology, 2020-2032

9.5    Specialty drugs

9.5.1    Market size, by specialty drugs, 2020-2032

9.6    Nutritional supplements

9.6.1    Market size, by nutritional supplements, 2020-2032

9.7    Others

9.7.1    Market size, by others, 2020-2032

Chapter 10   Company Profiles

10.1    Strategy dashboard, 2022

10.2    Athenex Pharma Solutions (Athenex Inc.)

10.2.1    Business overview

10.2.2    Financial data

10.2.3    Product landscape

10.2.4    Strategic outlook

10.2.5    SWOT analysis

10.3    B Braun Melsungen AG

10.3.1    Business overview

10.3.2    Financial data

10.3.3    Product landscape

10.3.4    SWOT analysis

10.4    Clinigen Group PLC

10.4.1    Business overview

10.4.2    Financial data

10.4.3    Product landscape

10.4.4    Strategic outlook

10.4.5    SWOT analysis

10.5    Dougherty’s Pharmacy, Inc.

10.5.1    Business overview

10.5.2    Financial data

10.5.3    Product landscape

10.5.4    SWOT analysis

10.6    Fagron

10.6.1    Business overview

10.6.2    Financial data

10.6.3    Product landscape

10.6.4    Strategic outlook

10.6.5    SWOT analysis

10.7    Fresenius Kabi

10.7.1    Business overview

10.7.2    Financial data

10.7.3    Product landscape

10.7.4    Strategic outlook

10.7.5    SWOT analysis

10.8    ImprimisRx (Harrow Health, Inc.)

10.8.1    Business overview

10.8.2    Financial data

10.8.3    Product landscape

10.8.4    Strategic outlook

10.8.5    SWOT analysis

10.9    Institutional Pharmacy Solutions

10.9.1    Business overview

10.9.2    Financial data

10.9.3    Product landscape

10.9.4    Strategic outlook

10.9.5    SWOT analysis

10.10    ITC Compounding Pharmacy

10.10.1    Business overview

10.10.2    Financial data

10.10.3    Product landscape

10.10.4    Strategic outlook

10.10.5    SWOT analysis

10.11    Lorraine’s Pharmacy

10.11.1    Business overview

10.11.2    Financial data

10.11.3    Product landscape

10.11.4    Strategic outlook

10.11.5    SWOT analysis

10.12    McGuff Company Inc (McGuff Compounding Pharmacy Services)

10.12.1    Business overview

10.12.2    Financial data

10.12.3    Product landscape

10.12.4    Strategic outlook

10.12.5    SWOT analysis

10.13    Nephron Pharmaceuticals Corporation

10.13.1    Business overview

10.13.2    Financial data

10.13.3    Product landscape

10.13.4    Strategic outlook

10.13.5    SWOT analysis

10.14    Pencol Compounding Pharmacy

10.14.1    Business overview

10.14.2    Financial data

10.14.3    Product landscape

10.14.4    Strategic outlook

10.14.5    SWOT analysis

10.15    QuVa Pharma

10.15.1    Business overview

10.15.2    Financial data

10.15.3    Product landscape

10.15.4    Strategic outlook

10.15.5    SWOT analysis

10.16    Rx3 Compounding Pharmacy

10.16.1    Business overview

10.16.2    Financial data

10.16.3    Product landscape

10.16.4    Strategic outlook

10.16.5    SWOT analysis

10.17    Triangle Compounding Pharmacies

10.17.1    Business overview

10.17.2    Financial data

10.17.3    Product landscape

10.17.4    Strategic outlook

10.17.5    SWOT analysis

10.18    Wedgewood Village Pharmacy, Inc.

10.18.1    Business overview

10.18.2    Financial data

10.18.3    Product landscape

10.18.4    Strategic outlook

10.18.5    SWOT analysis

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