Industry Statistics and Trends
Market size and recent performance (2013-2028)
Industry revenue has grown at a CAGR of 5.4 % over the past five years, to reach an estimated $1.3tr in 2023.
Trends and Insights
The aging of the population fueled the demand for medications
- The increased median age of the US population has further fueled the demand for healthcare.
- Additional trends and insights available with purchase
Source: Alfabank-Adres
Industry outlook (2024-2029)
Market size is projected to grow over the next five years.
Trends and Insights
Demographic changes will continue to propel demand
- The ongoing increase in the number of individuals over 65 amid the continued aging of the US population is expected to further support revenue growth.
Biggest companies in the Pharmaceuticals Wholesaling in the US
| Company | Market Share (%)
2023 | Revenue ($m)
2023 | Profit ($m)
2023 | Profit Margin (%)
2023 |
|---|---|---|---|---|
Mckesson Corporation | 189,506.6 | 1,816.0 | 1.0 | |
Amerisourcebergen Corp | 186,429.0 | 1,128.9 | 0.6 | |
Cardinal Health, Inc. | 132,768.5 | 2,048.9 | 1.5 |
To view the market share and analysis for all 3 top companies in this industry, view purchase options.
Products & Services Segmentation
Source: Alfabank-Adres
Industry revenue is measured across several distinct product and services lines, including Prescription drugs, Nonprescription drugs and Vitamins and nutritional supplements. Prescription drugs is the largest segment of the Pharmaceuticals Wholesaling in the US.
Trends and Insights
Prescription drugs are costly
- By law, a prescription drug is a pharmaceutical drug that requires written instructions from a physician or other medical practitioner to a pharmacist to be purchased.
- More insights available in the full report
Table of Contents
About this industry
Industry definition
This industry distributes medicines intended to diagnose, treat and prevent diseases. The industry includes operators that take ownership of goods to be distributed, and does not include manufacturers that sell medicines, equipment and supplies directly to hospitals or doctors’ offices.
What's included in this industry?
Antibiotics wholesalingPrescription drugs wholesalingAntiseptics wholesalingNonprescription drugs wholesalingVitamins wholesalingVaccine wholesalingCompanies
Mckesson CorporationAmerisourcebergen CorpCardinal Health, Inc.Purchase this report to view all 3 major companies in this industry.
Related Terms
OVER-THE-COUNTER (OTC) MEDICATIONGENERIC DRUGSPECIALTY DRUGPRESCRIPTION DRUGIndustry Code
NAICS 42421 - Pharmaceuticals Wholesaling in the US
Performance
Get an indication of the industry's health through historical, current and forward-looking trends in the performance indicators that make or break businesses.
Analyst insights
Changing demographics have propelled demand for pharmaceuticals. As Americans are living longer, their dependence on over-the-counter (OTC) and prescription drugs is rising.
In this chapter (4)
- Current Performance
- Outlook
- Volatility
- Life Cycle
Key metrics
- Annual Revenue, Recent Growth, Forecast, Revenue Volatility
- Number of Employees, Recent Growth, Forecast, Employees per Business, Revenue per Employee
- Number of Businesses, Recent Growth, Forecast, Employees per Business, Revenue per Business
- Total Profit, Profit Margin, Profit per Business
Charts
- Revenue, including historical (2013-2022) and forecast (2023-2028)
- Employees, including historical (2013-2022) and forecast (2023-2028)
- Businesses, including historical (2013-2022) and forecast (2023-2028)
- Profit, including historical (2013-2023)
- Industry Volatility vs. Revenue Growth
- Industry Life Cycle
Detailed analysis
- Trends in supply, demand and current events that are driving current industry performance
- Expected trends, economic factors and ongoing events that drive the industry's outlook
- Key success factors for businesses to overcome volatility
- How contribution to GDP, industry saturation, innovation, consolidation, and technology and systems influence the industry's life cycle phase.
Products and Markets
Learn about an industry's products and services, markets and trends in international trade.
Analyst insight
Brand-name drugs generate the bulk of revenue. Without generic equivalents, brand-name products can charge higher prices.
In this chapter
- Products & Services
- Major Markets
Key metrics
- Largest market segment and value in 2023
- Product innovation level
Charts
- Products & services segmentation in 2023
- Major market segmentation in 2023
Detailed analysis
- Trends impacting the recent performance of the industry's various segments
- Innovations in the industry's product or service offering, specialization or delivery method
- Key factors that successful businesses consider in their offerings
- Buying segments and key trends influencing demand for industry products and services
Geographic Breakdown
Discover where business activity is most concentrated in an industry and the factors driving these trends to find opportunities and conduct regional benchmarking.
Analyst insights
The West region is a major location for industry wholesalers. Its importance is underscored by its large share of the domestic population.
In this chapter (1)
- Business Locations
Charts
- Share of revenue, establishment, wages and employment in each state
- Share of population compared to establishments in each region in 2023
Tables
- Number and share of establishments in each state in 2023
- Number and share of revenue each state accounts for in 2023
- Number and share of wages each state accounts for in 2023
- Number and share of employees in each state in 2023
Detailed analysis
- Geographic spread of the industry across North America, and trends associated with changes in the business landscape
- Key success factors for businesses to use location to their advantage
Competitive Forces
Get data and insights on what's driving competition in an industry and the challenges industry operators and new entrants may face, with analysis built around Porter's Five Forces framework.
Analyst insights
Pharmaceutical wholesaling is highly competitive. The largest companies compete with each other on a wide range of product mix, price, sales service and distribution networks...
In this chapter (4)
- Concentration
- Barriers to Entry
- Substitutes
- Buyer & Supplier Analysis
Key metrics
- Industry concentration level
- Industry competition level and trend
- Barriers to entry level and trend
- Substitutes level and trend
- Buyer power level and trend
- Supplier power level and trend
Charts
- Market share concentration among the top 4 suppliers from 2018-2023
- Supply chain including upstream supplying industries and downstream buying industries, flow chart
Detailed analysis
- Factors impacting the industry’s level of concentration, such as business distribution, new entrants, or merger and acquisition activity.
- Key success factors for businesses to manage the competitive environment of the industry.
- Challenges that potential industry entrants face such as legal, start-up costs, differentiation, labor/capital intensity and capital expenses.
- Key success factors for potential entrants to overcome barriers to entry.
- Competitive threats from potential substitutes for the industry’s own products and services.
- Key success factors for how successful businesses can compete with substitutes.
- Advantages that buyers have to keep favorable purchasing conditions.
- Advantages that suppliers have to maintain favorable selling conditions.
- Key success factors for how businesses can navigate buyer and supplier power.
Companies
Learn about the performance of the top companies in the industry.
Analyst insights
The Big Three dominate the industry. McKesson, AmerisourceBergen and Cardinal Healthcare account for more than 60.0% of revenue.
In this chapter
- Market Share Concentration
- Companies
- Company Spotlights
Charts
- Industry market share by company in 2019 through 2023
- Major companies in the industry, including market share, revenue, profit and profit margin in 2023
- Overview of Mckesson Corporation's performance by revenue, market share and profit margin from 2017 through 2023
- Overview of Amerisourcebergen Corp's performance by revenue, market share and profit margin from 2017 through 2023
- Overview of Cardinal Health, Inc.'s performance by revenue, market share and profit margin from 2017 through 2023
Detailed analysis
- Description and key data for Mckesson Corporation, and factors influencing its performance in the industry
- Description and key data for Amerisourcebergen Corp, and factors influencing its performance in the industry
- Description and key data for Cardinal Health, Inc., and factors influencing its performance in the industry
External Environment
Understand the demographic, economic and regulatory factors that shape how businesses in an industry perform.
Analyst insights
Pharmaceutical wholesaling is highly regulated at both the federal and state level. Regulation covers the supply chain that wholesalers are involved in and areas, such as hea...
In this chapter
- External Drivers
- Regulation & Policy
- Assistance
Key metrics
- Regulation & policy level and trend
- Assistance level and trend
Charts
- Regulation & Policy historical data and forecast (2013-2028)
- Assistance historical data and forecast (2013-2028)
Detailed analysis
- Demographic and macroeconomic factors influencing the industry, including Regulation & Policy and Assistance
- Major types of regulations, regulatory bodies, industry standards or specific regulations impacting requirements for industry operators
- Key governmental and non-governmental groups or policies that may provide some relief for industry operators.
Financial Benchmarks
View average costs for industry operators and compare financial data against an industry's financial benchmarks over time.
Analyst insights
Wholesalers have experienced competitive pressure from e-commerce retailers, slimming margins. This has encouraged consolidation among the largest companies.
In this chapter
- Cost Structure
- Financial Ratios
- Key Ratios
Key metrics
- Profit margin, and how it compares to the sector-wide margin
- Average wages, and how it compares to the sector-wide average wage
- Largest cost component as a percentage of revenue
- Industry average ratios for days' receivables, industry coverage and debt-to-net-worth ratio
Charts
- Average industry operating costs as a share of revenue, including purchases, wages, depreciation, utilities, rent, other costs and profit in 2023
- Average sector operating costs as a share of revenue, including purchases, wages, depreciation, utilities, rent, other costs and profit in 2023
- Investment vs. share of economy
Data tables
- Industry Multiples (2016-2021)
- Industry Tax Structure (2016-2021)
- Income Statement (2016-2021)
- Balance Sheet (2016-2021)
- Liquidity Ratios (2016-2021)
- Coverage Ratios (2016-2021)
- Leverage Ratios (2016-2021)
- Operating Ratios (2016-2021)
- Cash Flow & Debt Service Ratios (2013-2028)
- Revenue per Employee (2013-2028)
- Revenue per Enterprise (2013-2028)
- Employees per Establishment (2013-2028)
- Employees per Enterprise (2013-2028)
- Average Wage (2013-2028)
- Wages/Revenue (2013-2028)
- Establishments per Enterprise (2013-2028)
- IVA/Revenue (2013-2028)
- Imports/Demand (2013-2028)
- Exports/Revenue (2013-2028)
Detailed analysis
- Trends in the cost component for industry operators and their impact on industry costs and profitability
Key Statistics
Industry Data
Data Tables
Including values and annual change:
- Revenue (2013-2028)
- IVA (2013-2028)
- Establishments (2013-2028)
- Enterprises (2013-2028)
- Employment (2013-2028)
- Exports (2013-2028)
- Imports (2013-2028)
- Wages (2013-2028)
Top Questions Answered
Unlock comprehensive answers and precise data upon purchase. View purchase options.
What is the market size of the Pharmaceuticals Wholesaling in the US industry in United States in 2024?
The market size of the Pharmaceuticals Wholesaling in the US industry in United States is $1.3tr in 2024.
How many businesses are there in the Pharmaceuticals Wholesaling in the US industry in 2023?
There are 2,762 businesses in the Pharmaceuticals Wholesaling in the US industry in United States, which has declined at a CAGR of 1.2 % between 2018 and 2023.
Has the Pharmaceuticals Wholesaling in the US industry in United States grown or declined over the past 5 years?
The market size of the Pharmaceuticals Wholesaling in the US industry in United States has been growing at a CAGR of 5.4 % between 2018 and 2023.
What is the forecast growth of the Pharmaceuticals Wholesaling in the US industry in United States over the next 5 years?
Over the next five years, the Pharmaceuticals Wholesaling in the US industry in United States is expected to grow.
What are the biggest companies in the Pharmaceuticals Wholesaling in the US market in United States?
The biggest companies operating in the Pharmaceuticals Wholesaling market in United States are Mckesson Corporation, Amerisourcebergen Corp and Cardinal Health, Inc.
What does the Pharmaceuticals Wholesaling in the US in United States include?
Antibiotics wholesaling and Prescription drugs wholesaling are part of the Pharmaceuticals Wholesaling in the US industry.
Which companies have the highest market share in the Pharmaceuticals Wholesaling in the US in United States?
The company holding the most market share in United States is Mckesson Corporation.
How competitive is the Pharmaceuticals Wholesaling in the US industry in United States?
The level of competition is high and increasing in the Pharmaceuticals Wholesaling in the US industry in United States.
Related Industries
Widen your competitive advantage with related industries
Competitors
- There are no industries to display.
Complementors
- Brand Name Pharmaceutical Manufacturing in the US
- Generic Pharmaceutical Manufacturing in the US
- Medical Supplies Wholesaling in the US
- Pharmacies & Drug Stores in the US
International industries
- Pharmaceuticals & Pharmacy Supplies Wholesaling in Canada
- Pharmaceuticals Wholesaling in Australia
- Pharmaceutical and Toiletry Goods Wholesaling in New Zealand
- Pharmaceutical Wholesaling in the UK
- Pharmaceutical Wholesaling in Ireland
View all industries in United States
Methodology
How are Alfabank-Adres reports created?
Alfabank-Adres has been a leading provider of trusted industry research for over 50 years to the most successful companies worldwide. With offices in Australia, the United States, the United Kingdom, Germany and China, we are proud to have local teams of analysts that conduct research, data analysis and forecasting to produce data-driven industry reports.
Our analysts start with official, verified and publicly available sources of data to build the most accurate picture of each industry. Analysts then leverage their expertise and knowledge of the local markets to synthesize trends into digestible content for Alfabank-Adres readers. Finally, each report is reviewed by one of Alfabank-Adres’s editors, who provide quality assurance to ensure accuracy and readability.
Alfabank-Adres relies on human-verified data and human-written analysis to compile each standard industry report. We do not use generative AI tools to write insights, although members can choose to leverage AI-based tools within the platform to generate additional analysis formats.
What data sources do Alfabank-Adres analysts use?
Each industry report incorporates data and research from government databases, industry-specific sources, industry contacts, and our own proprietary database of statistics and analysis to provide balanced, independent and accurate insights.
Key data sources in the US include:
- US Census Bureau
- US Bureau of Labor Statistics
- US International Trade Commission
Analysts also use industry specific sources to complement catch-all sources, although their perspective may focus on a particular organization or representative body, rather than a clear overview of all industry operations. However, when balanced against other perspectives, industry-specific sources provide insights into industry trends.
These sources include:
- Industry and trade associations
- Industry federations or regulators
- Major industry players annual or quarterly filings
Finally, Alfabank-Adres’s global data scientists maintain a proprietary database of macroeconomic and demand drivers, which our analysts use to help inform industry data and trends. They also maintain a database of statistics and analysis on thousands of industries, which has been built over our more than 50-year history and offers comprehensive insights into long-term trends.
How does Alfabank-Adres forecast its data?
Alfabank-Adres’s analysts and data scientists use the sources above to create forecasts for our proprietary datasets and industry statistics. Depending on the dataset, they may use regression analysis, multivariate analysis, time-series analysis or exponential smoothing techniques to project future data for the industry or driver. Additionally, analysts will leverage their local knowledge of industry operating and regulatory conditions to impart their best judgment on the forecast model.
Alfabank-Adres prides itself on being a trusted, independent source of data, with over 50 years of experience building and maintaining rich datasets and forecasting tools. We are proud to be the keystone source of industry information for thousands of companies across the world.
Learn more about our methodology and data sourcing on the Help Center.
