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U.S. Compounding Pharmacies Market
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U.S. Compounding Pharmacies Market Unlocking Growth Potential: 2025-2033 Analysis and Forecasts

U.S. Compounding Pharmacies Market by Pharmacy Type (503A, 503B), by Sterility (Sterile, Non-sterile), by Product (Oral, Liquid preparations, 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), Others), by Therapeutic Area (Hormone Replacement, Pain Management, Dermatology applications, Specialty drugs, Nutritional supplements, Others), by North America ( United States, Canada, Mexico) Forecast 2025-2033

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U.S. Compounding Pharmacies Market Unlocking Growth Potential: 2025-2033 Analysis and Forecasts

Key Insights

The size of the U.S. Compounding Pharmacies Market was valued at USD 5.2 Billion in 2024 and is projected to reach USD 7.77 Billion by 2033, with an expected CAGR of 5.9% during the forecast period.  Compounding pharmacies are specialized pharmacies that prepare personalized medications for patients based on a physician's specific prescription. Unlike traditional pharmacies that dispense mass-produced, commercially available drugs, compounding pharmacies create customized medications tailored to meet individual patient needs. This may involve altering the dosage form, strength, or ingredients to accommodate specific allergies, sensitivities, or preferences. The compounding process allows for the creation of medications that may not be commercially available, including specific combinations of drugs, flavoring options for pediatric patients, or non-standard dosage forms like creams, gels, or suppositories. These pharmacies employ skilled pharmacists and technicians who use a variety of chemical compounds and raw ingredients to prepare these medications. They may combine active pharmaceutical ingredients (APIs) with excipients and other substances to create the final product. The compounding process is closely regulated by state and federal laws, and compounding pharmacies must adhere to strict standards of safety, accuracy, and quality control to ensure the final product is effective and safe for patients. In the United States, the U.S. Pharmacopeia (USP) sets guidelines and standards for compounding practices, specifically under USP chapters <795> (non-sterile) and <797> (sterile). This growth is primarily driven by the benefits of custom-tailored medications, such as improved patient outcomes, reduced side effects, and increased compliance. Government initiatives promoting compounding pharmacies, rising concerns about the availability of certain medications, and advancements in compounding techniques further contribute to this market's expansion.

U.S. Compounding Pharmacies Market Research Report - Market Size, Growth & Forecast

U.S. Compounding Pharmacies Market Concentration & Characteristics

The market is moderately concentrated, with the top 5 players accounting for about 30% of the revenue. Innovation is a key characteristic, with companies investing in developing new formulations and technologies. Regulations play a significant role in shaping the industry's practices and ensuring patient safety. Product substitutes include over-the-counter medications and generic drugs. The end-user concentration is high, with hospitals and clinics accounting for the majority of revenue. Merger and acquisition activity has been moderate in recent years.

U.S. Compounding Pharmacies Market Trends

Key market insights include the increasing demand for personalized medication, growing adoption of sterile compounding, and the emergence of specialty compounding pharmacies focusing on specific therapeutic areas. Technological advancements, such as automation and 3D printing, are enhancing efficiency and accuracy. Partnerships between compounding pharmacies and healthcare providers are becoming more common to improve patient care coordination.

U.S. Compounding Pharmacies Market Growth

Key Region or Country & Segment to Dominate the Market

  • Key Region: The United States is the dominant market for compounding pharmacies, accounting for over 90% of the global market share.
  • Key Segment: The 503A pharmacy type is expected to dominate the market, owing to its regulatory flexibility and ability to compound a wider range of medications.

U.S. Compounding Pharmacies Market Product Insights

Oral and liquid preparations are the most common product types, with hormone replacement and pain management applications accounting for significant market shares. Specialty drugs and nutritional supplements are emerging as growth areas.

U.S. Compounding Pharmacies Market Analysis

  • Market Size: The market is valued at $5.2 billion in 2023.
  • Market Share: The top 5 players hold approximately 30% of the market share.
  • Growth: The market is projected to grow at a CAGR of 5.9% from 2023 to 2030.

U.S. Compounding Pharmacies Market Regional Insights

  • U.S.:
    • The U.S. market is the largest and most developed market for compounding pharmacies.
    • The market is characterized by strict regulatory oversight and high demand for customized medications.
    • Key players in the U.S. market include Athenex Pharma Solutions, B. Braun Melsungen AG, and Fresenius Kabi.

Driving Forces: What's Propelling the U.S. Compounding Pharmacies Market

  • Growing demand for personalized medication
  • Increasing prevalence of chronic diseases
  • Rising concerns about the availability of certain medications
  • Technological advancements in compounding techniques
  • Government initiatives promoting compounding pharmacies

Challenges and Restraints in U.S. Compounding Pharmacies Market

  • Strict regulatory environment
  • Limited reimbursements for compounded medications
  • Potential for drug shortages
  • Competition from other healthcare providers

Emerging Trends in U.S. Compounding Pharmacies Market

  • Adoption of sterile compounding
  • Emergence of specialty compounding pharmacies
  • Use of automation and 3D printing
  • Partnerships between compounding pharmacies and healthcare providers

U.S. Compounding Pharmacies Industry News

  • January 2023: ImprimisRx acquires Center for Pharmacy Compounding to expand its specialty compounding business.
  • March 2023: FDA issues new guidance on the compounding of drugs for interpatient use.

Leading Players in the U.S. Compounding Pharmacies Market

  • 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

U.S. Compounding Pharmacies Market Segmentation

  • 1. Pharmacy Type
    • 1.1. 503A
    • 1.2. 503B
  • 2. Sterility
    • 2.1. Sterile
    • 2.2. Non-sterile
  • 3. Product
    • 3.1. Oral
      • 3.1.1. Tablets
      • 3.1.2. Capsules
      • 3.1.3. Granules
      • 3.1.4. Powder
      • 3.1.5. Others
    • 3.2. Liquid preparations
      • 3.2.1. Solutions
      • 3.2.2. Suspension
      • 3.2.3. Emulsion
      • 3.2.4. Syrup
      • 3.2.5. Others
    • 3.3. Topical
      • 3.3.1. Ointments
      • 3.3.2. Creams
      • 3.3.3. Gels
      • 3.3.4. Pastes
      • 3.3.5. Others
    • 3.4. Rectal
      • 3.4.1. Suppositories
      • 3.4.2. Enema
      • 3.4.3. Others
    • 3.5. Parenteral
      • 3.5.1. LVP
      • 3.5.2. SVP
    • 3.6. Nasal
    • 3.7. Ophthalmic
    • 3.8. Otic
  • 4. Application
    • 4.1. Pediatric
    • 4.2. Adult
    • 4.3. Geriatric
    • 4.4. Veterinary
  • 5. Compounding Type
    • 5.1. Pharmaceutical Ingredient Alteration (PIA)
    • 5.2. Currently Unavailable Pharmaceutical Manufacturing (CUPM)
    • 5.3. Pharmaceutical Dosage Alteration (PDA)
    • 5.4. Others
  • 6. Therapeutic Area
    • 6.1. Hormone Replacement
    • 6.2. Pain Management
    • 6.3. Dermatology applications
    • 6.4. Specialty drugs
    • 6.5. Nutritional supplements
    • 6.6. Others

U.S. Compounding Pharmacies Market Segmentation By Geography

  • North America
    • United States
    • Canada
    • Mexico

U.S. Compounding Pharmacies Market Regional Share

U.S. Compounding Pharmacies Market REPORT HIGHLIGHTS

AspectsDetails
Study Period 2019-2033
Base Year 2024
Estimated Year 2025
Forecast Period2025-2033
Historical Period2019-2024
Growth RateCAGR of 5.9% from 2019-2033
Segmentation
    • By Pharmacy Type
      • 503A
      • 503B
    • By Sterility
      • Sterile
      • Non-sterile
    • By Product
      • Oral
        • 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
  • By Geography
    • North America
      • United States
      • Canada
      • Mexico
Table Of Content
  1. 1. Introduction
    • 1.1. Research Scope
    • 1.2. Market Segmentation
    • 1.3. Research Methodology
    • 1.4. Definitions and Assumptions
  2. 2. Executive Summary
    • 2.1. Introduction
  3. 3. Market Dynamics
    • 3.1. Introduction
      • 3.2. Market Drivers
        • 3.2.1 Increasing geriatric population and improved longevity
        • 3.2.2 Growing acceptance of personalized medicines in U.S.
        • 3.2.3 Increasing drug shortage in the country
        • 3.2.4 Convenience of using compounded drugs
        • 3.2.5 Growing demand for compounded bioidentical menopausal hormone therapy (BMHT) among women
      • 3.3. Market Restrains
        • 3.3.1 Issues related to safety standards of compounded drugs
        • 3.3.2 Changing regulatory scenario
      • 3.4. Market Trends
  4. 4. Market Factor Analysis
    • 4.1. Porters Five Forces
    • 4.2. Supply/Value Chain
    • 4.3. PESTEL analysis
    • 4.4. Market Entropy
    • 4.5. Patent/Trademark Analysis
  5. 5. U.S. Compounding Pharmacies Market Analysis, Insights and Forecast, 2019-2031
    • 5.1. Market Analysis, Insights and Forecast - by Pharmacy Type
      • 5.1.1. 503A
      • 5.1.2. 503B
    • 5.2. Market Analysis, Insights and Forecast - by Sterility
      • 5.2.1. Sterile
      • 5.2.2. Non-sterile
    • 5.3. Market Analysis, Insights and Forecast - by Product
      • 5.3.1. Oral
        • 5.3.1.1. Tablets
        • 5.3.1.2. Capsules
        • 5.3.1.3. Granules
        • 5.3.1.4. Powder
        • 5.3.1.5. Others
      • 5.3.2. Liquid preparations
        • 5.3.2.1. Solutions
        • 5.3.2.2. Suspension
        • 5.3.2.3. Emulsion
        • 5.3.2.4. Syrup
        • 5.3.2.5. Others
      • 5.3.3. Topical
        • 5.3.3.1. Ointments
        • 5.3.3.2. Creams
        • 5.3.3.3. Gels
        • 5.3.3.4. Pastes
        • 5.3.3.5. Others
      • 5.3.4. Rectal
        • 5.3.4.1. Suppositories
        • 5.3.4.2. Enema
        • 5.3.4.3. Others
      • 5.3.5. Parenteral
        • 5.3.5.1. LVP
        • 5.3.5.2. SVP
      • 5.3.6. Nasal
      • 5.3.7. Ophthalmic
      • 5.3.8. Otic
    • 5.4. Market Analysis, Insights and Forecast - by Application
      • 5.4.1. Pediatric
      • 5.4.2. Adult
      • 5.4.3. Geriatric
      • 5.4.4. Veterinary
    • 5.5. Market Analysis, Insights and Forecast - by Compounding Type
      • 5.5.1. Pharmaceutical Ingredient Alteration (PIA)
      • 5.5.2. Currently Unavailable Pharmaceutical Manufacturing (CUPM)
      • 5.5.3. Pharmaceutical Dosage Alteration (PDA)
      • 5.5.4. Others
    • 5.6. Market Analysis, Insights and Forecast - by Therapeutic Area
      • 5.6.1. Hormone Replacement
      • 5.6.2. Pain Management
      • 5.6.3. Dermatology applications
      • 5.6.4. Specialty drugs
      • 5.6.5. Nutritional supplements
      • 5.6.6. Others
    • 5.7. Market Analysis, Insights and Forecast - by Region
      • 5.7.1. North America
  6. 6. Competitive Analysis
    • 6.1. Market Share Analysis 2024
      • 6.2. Company Profiles
        • 6.2.1 Athenex Pharma Solutions (Athenex Inc.)
          • 6.2.1.1. Overview
          • 6.2.1.2. Products
          • 6.2.1.3. SWOT Analysis
          • 6.2.1.4. Recent Developments
          • 6.2.1.5. Financials (Based on Availability)
        • 6.2.2 B Braun Melsungen AG
          • 6.2.2.1. Overview
          • 6.2.2.2. Products
          • 6.2.2.3. SWOT Analysis
          • 6.2.2.4. Recent Developments
          • 6.2.2.5. Financials (Based on Availability)
        • 6.2.3 Clinigen Group PLC
          • 6.2.3.1. Overview
          • 6.2.3.2. Products
          • 6.2.3.3. SWOT Analysis
          • 6.2.3.4. Recent Developments
          • 6.2.3.5. Financials (Based on Availability)
        • 6.2.4 Dougherty’s Pharmacy Inc
          • 6.2.4.1. Overview
          • 6.2.4.2. Products
          • 6.2.4.3. SWOT Analysis
          • 6.2.4.4. Recent Developments
          • 6.2.4.5. Financials (Based on Availability)
        • 6.2.5 Fagron
          • 6.2.5.1. Overview
          • 6.2.5.2. Products
          • 6.2.5.3. SWOT Analysis
          • 6.2.5.4. Recent Developments
          • 6.2.5.5. Financials (Based on Availability)
        • 6.2.6 Fresenius Kabi
          • 6.2.6.1. Overview
          • 6.2.6.2. Products
          • 6.2.6.3. SWOT Analysis
          • 6.2.6.4. Recent Developments
          • 6.2.6.5. Financials (Based on Availability)
        • 6.2.7 ImprimisRx (Harrow Health Inc.)
          • 6.2.7.1. Overview
          • 6.2.7.2. Products
          • 6.2.7.3. SWOT Analysis
          • 6.2.7.4. Recent Developments
          • 6.2.7.5. Financials (Based on Availability)
        • 6.2.8 Institutional Pharmacy Solutions
          • 6.2.8.1. Overview
          • 6.2.8.2. Products
          • 6.2.8.3. SWOT Analysis
          • 6.2.8.4. Recent Developments
          • 6.2.8.5. Financials (Based on Availability)
        • 6.2.9 ITC Compounding Pharmacy
          • 6.2.9.1. Overview
          • 6.2.9.2. Products
          • 6.2.9.3. SWOT Analysis
          • 6.2.9.4. Recent Developments
          • 6.2.9.5. Financials (Based on Availability)
        • 6.2.10 Lorraine’s Pharmacy
          • 6.2.10.1. Overview
          • 6.2.10.2. Products
          • 6.2.10.3. SWOT Analysis
          • 6.2.10.4. Recent Developments
          • 6.2.10.5. Financials (Based on Availability)
        • 6.2.11 McGuff Company Inc (McGuff Compounding Pharmacy Services)
          • 6.2.11.1. Overview
          • 6.2.11.2. Products
          • 6.2.11.3. SWOT Analysis
          • 6.2.11.4. Recent Developments
          • 6.2.11.5. Financials (Based on Availability)
        • 6.2.12 Nephron Pharmaceuticals Corporation
          • 6.2.12.1. Overview
          • 6.2.12.2. Products
          • 6.2.12.3. SWOT Analysis
          • 6.2.12.4. Recent Developments
          • 6.2.12.5. Financials (Based on Availability)
        • 6.2.13 Pencol Compounding Pharmacy
          • 6.2.13.1. Overview
          • 6.2.13.2. Products
          • 6.2.13.3. SWOT Analysis
          • 6.2.13.4. Recent Developments
          • 6.2.13.5. Financials (Based on Availability)
        • 6.2.14 QuVa Pharma
          • 6.2.14.1. Overview
          • 6.2.14.2. Products
          • 6.2.14.3. SWOT Analysis
          • 6.2.14.4. Recent Developments
          • 6.2.14.5. Financials (Based on Availability)
        • 6.2.15 Rx3 Compounding Pharmacy
          • 6.2.15.1. Overview
          • 6.2.15.2. Products
          • 6.2.15.3. SWOT Analysis
          • 6.2.15.4. Recent Developments
          • 6.2.15.5. Financials (Based on Availability)
        • 6.2.16 Triangle Compounding Pharmacies
          • 6.2.16.1. Overview
          • 6.2.16.2. Products
          • 6.2.16.3. SWOT Analysis
          • 6.2.16.4. Recent Developments
          • 6.2.16.5. Financials (Based on Availability)
        • 6.2.17 Wedgewood Village Pharmacy
          • 6.2.17.1. Overview
          • 6.2.17.2. Products
          • 6.2.17.3. SWOT Analysis
          • 6.2.17.4. Recent Developments
          • 6.2.17.5. Financials (Based on Availability)
List of Figures
  1. Figure 1: U.S. Compounding Pharmacies Market Revenue Breakdown (Billion, %) by Product 2024 & 2032
  2. Figure 2: U.S. Compounding Pharmacies Market Share (%) by Company 2024
List of Tables
  1. Table 1: U.S. Compounding Pharmacies Market Revenue Billion Forecast, by Region 2019 & 2032
  2. Table 2: U.S. Compounding Pharmacies Market Volume K Units Forecast, by Region 2019 & 2032
  3. Table 3: U.S. Compounding Pharmacies Market Revenue Billion Forecast, by Pharmacy Type 2019 & 2032
  4. Table 4: U.S. Compounding Pharmacies Market Volume K Units Forecast, by Pharmacy Type 2019 & 2032
  5. Table 5: U.S. Compounding Pharmacies Market Revenue Billion Forecast, by Sterility 2019 & 2032
  6. Table 6: U.S. Compounding Pharmacies Market Volume K Units Forecast, by Sterility 2019 & 2032
  7. Table 7: U.S. Compounding Pharmacies Market Revenue Billion Forecast, by Product 2019 & 2032
  8. Table 8: U.S. Compounding Pharmacies Market Volume K Units Forecast, by Product 2019 & 2032
  9. Table 9: U.S. Compounding Pharmacies Market Revenue Billion Forecast, by Application 2019 & 2032
  10. Table 10: U.S. Compounding Pharmacies Market Volume K Units Forecast, by Application 2019 & 2032
  11. Table 11: U.S. Compounding Pharmacies Market Revenue Billion Forecast, by Compounding Type 2019 & 2032
  12. Table 12: U.S. Compounding Pharmacies Market Volume K Units Forecast, by Compounding Type 2019 & 2032
  13. Table 13: U.S. Compounding Pharmacies Market Revenue Billion Forecast, by Therapeutic Area 2019 & 2032
  14. Table 14: U.S. Compounding Pharmacies Market Volume K Units Forecast, by Therapeutic Area 2019 & 2032
  15. Table 15: U.S. Compounding Pharmacies Market Revenue Billion Forecast, by Region 2019 & 2032
  16. Table 16: U.S. Compounding Pharmacies Market Volume K Units Forecast, by Region 2019 & 2032
  17. Table 17: U.S. Compounding Pharmacies Market Revenue Billion Forecast, by Pharmacy Type 2019 & 2032
  18. Table 18: U.S. Compounding Pharmacies Market Volume K Units Forecast, by Pharmacy Type 2019 & 2032
  19. Table 19: U.S. Compounding Pharmacies Market Revenue Billion Forecast, by Sterility 2019 & 2032
  20. Table 20: U.S. Compounding Pharmacies Market Volume K Units Forecast, by Sterility 2019 & 2032
  21. Table 21: U.S. Compounding Pharmacies Market Revenue Billion Forecast, by Product 2019 & 2032
  22. Table 22: U.S. Compounding Pharmacies Market Volume K Units Forecast, by Product 2019 & 2032
  23. Table 23: U.S. Compounding Pharmacies Market Revenue Billion Forecast, by Application 2019 & 2032
  24. Table 24: U.S. Compounding Pharmacies Market Volume K Units Forecast, by Application 2019 & 2032
  25. Table 25: U.S. Compounding Pharmacies Market Revenue Billion Forecast, by Compounding Type 2019 & 2032
  26. Table 26: U.S. Compounding Pharmacies Market Volume K Units Forecast, by Compounding Type 2019 & 2032
  27. Table 27: U.S. Compounding Pharmacies Market Revenue Billion Forecast, by Therapeutic Area 2019 & 2032
  28. Table 28: U.S. Compounding Pharmacies Market Volume K Units Forecast, by Therapeutic Area 2019 & 2032
  29. Table 29: U.S. Compounding Pharmacies Market Revenue Billion Forecast, by Country 2019 & 2032
  30. Table 30: U.S. Compounding Pharmacies Market Volume K Units Forecast, by Country 2019 & 2032
  31. Table 31: United States U.S. Compounding Pharmacies Market Revenue (Billion) Forecast, by Application 2019 & 2032
  32. Table 32: United States U.S. Compounding Pharmacies Market Volume (K Units) Forecast, by Application 2019 & 2032
  33. Table 33: Canada U.S. Compounding Pharmacies Market Revenue (Billion) Forecast, by Application 2019 & 2032
  34. Table 34: Canada U.S. Compounding Pharmacies Market Volume (K Units) Forecast, by Application 2019 & 2032
  35. Table 35: Mexico U.S. Compounding Pharmacies Market Revenue (Billion) Forecast, by Application 2019 & 2032
  36. Table 36: Mexico U.S. Compounding Pharmacies Market Volume (K Units) Forecast, by Application 2019 & 2032

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