2025
MARKET TEARDOWN
PHARMACY500
COMPANIES
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
Alexa DiLuca
Marketing Manager
alexa.diluca@rxinsider.com
Michael McEwen
Pharmacy500 Market Analyst
michael.mcewen@rxinsider.com
Gregory Cianfarani, RPh
Founder & CEO
greg.cianfarani@rxinsider.com
MEET THE
MARKET INTELLIGENCE TEAM
About RXinsider
Founded in 1999, RXinsider is a pharmacist-founded marketing/
communications (MARCOM) and market intelligence (INTEL) company
focused on pharmacy operations and the companies supporting
dispensing pharmacies. Through our publications, digital platforms,
market research, and training resources, RXinsider educates pharmacy
management and industry professionals on the products, services,
and trends that impact pharmacy operations across the supply chain.
RXinsider’s Market Intelligence (INTEL) Group performs market research
on the pharmacy operations supply chain and the Pharmacy500
companies. Through our weekly reports, digital awareness, and online
training, the INTEL Group educates Pharmacy500 professionals and
pharmacy management on the products and services impacting
pharmacy operations.
Lexi Cianfarani
Pharmacy500 Market Analyst
lexi.cianfarani@rxinsider.com
Jeff Rackliff
Pharmacy500 Market Analyst
jeff.rackliff@rxinsider.com
Emma Cidade
Pharmacy500 Market Analyst
emma.cidade@rxinsider.com
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
2025 Pharmacy500
Companies
The “Pharmacy500” are 500 businesses and associations that
significantly impacted the business operations of dispensing
pharmacies in the U.S. over the previous year. For Pharmacy500
criteria and details, please visit www.RXinsider.com/Pharmacy500.
This report offers a concise snapshot of the Pharmacy500
companies by highlighting new company additions, and examining
regional distributions, practice settings, supply chain categories, and
the key conferences attended.
Table of Contents
• Introduction .............................................................2-3
• Pharmacy500 2025 Company Additions ..............4
• Companies by Region & Company Size ................5
• Practice Settings & Supply Chain Breakdown ........6
• Conferences, Trade Shows & Meetings .................7
• Supply Chain Teardowns .....................................8-24
• References ................................................................ 25
Pharmacy500 2025 Company
Additions
In 2025, the Pharmacy500 has welcomed the following 27 companies to
the community.
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
22%
NORTHEAST
MIDWEST
Pharmacy500 Companies by Region
The Pharmacy500 companies range in
sizes. There are 211 small companies
with less than 50 employees, 117
medium-sized companies with 51 to 200
employees, 94 large companies with 201
to 1,000 employees, and 74 very large
organizations with more than 1,000
employees.
WEST 16%
SOUTH
35 %
1,000+ EMPLOYEES
201-1,000 EMPLOYEES
51-200 EMPLOYEES
<50 EMPLOYEES
42%
24%
15%
19%
Pharmacy500 Companies
by Size
INTERNATIONAL
2%
25%
Practice Settings
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
This chart outlines the distribution of the
Pharmacy500 across the following major
pharmacy practice settings: Community/
Retail, Hospital/Health, Specialty,
Managed Care / PBM, Long Term Care,
Home Infusion & Compounding, and
Nuclear.
NUCLEAR
MANAGED CARE / PBM
HOME INFUSION
LONG TERM CARE
SPECIALTY
HOSPITAL / HEALTH SYSTEM
COMMUNITY / RETAIL
164
158
16
14
156
332
313
AUTOMATION
COMPOUNDING
CONTAMINATION CONTROL
DELIVERY & SHIPPING
DISTRIBUTION
FACILITIES
FINANCE
MANUFACTURING
MERCHANDISING
PATIENT CARE
PROFESSIONAL DEVELOPMENT
PROFESSIONAL SERVICES
SOFTWARE
UNIT DOSE
WORKFLOW
Supply Chain Breakdown
This chart reflects the breakdown of
the Pharmacy500 accross the major
pharmacy supply chains.
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
Conferences, Trade Shows & Meetings
162
104
94
84
61
59
52
48
38
34
23
26
22
18
18
14
10
(PHARMACY
FUTURES)
(WINTER)
(SUMMER)
The
top
five
conferences
in
2024 were ASHP Midyear, NCPA,
NACDS TSE, Cardinal Health RBC,
and Asembia.
Top Five
Conferences
The following identifies the major national pharmacy
conferences at which Pharmacy500 companies exhibited
in 2024.
ASHP Midyear
NACDS TSE
Cardinal Health RBC
NCPA
Asembia
21%
19%
17%
12%
32%
(MIDYEAR)
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
Automation
• Automated Dispensing Cabinets (ADCs)
• Med Carts, Computer Carts, COWs
• Pharmacy Fulfillment Robots
• Material Transport Delivery, Pneumatic Tubes
• Smart Pumps & Infusion Pumps
• Tablet & Capsule Counters
Compounding
• Closed System Drug-Transfer Devices (CSTDs)
• Sterile Compounding Automation, IV Automation
• USP <795> Non-Sterile Resources, Compliance,
Technology
• USP <797> & <800> Sterile Resources, Compli-
ance, Technology
Contamination Control
• Cleanrooms, Gloveboxes, Hoods, Isolators
• Cleanroom Supplies, Disposables
• Environmental Monitoring & Compliance
• Quality Control, Lab Testing Services
Delivery & Shipping
• Cold Chain Management & Supplies
• Courier, Delivery, Last-Mile Services
Distribution
• 340B Solutions, 340B Management Systems
• DSCSA Solutions
• GPOs, Buying Groups, COOPs
• Pharmacy Supplies
• Returns, Reverse Distribution
• Wholesalers & Distributors
Facilities
• Design, Fixtures, Engineering
• Pharmacy Refrigeration & Cold Storage
• Pharmacy Security, Medication Storage,
Carousels
• Temperature Monitoring (Wireless)
• Waste Management & Destruction
Finance
• Financing, Banking, Business Loans
• Insurance (Business, Liability, Malpractice)
• Mergers, Acquisitions, Buying-Selling, Franchis-
ing
• PSAOs, Revenue Cycle Management, Reconcil-
iation
• Worker’s Comp, Claims, PA Management,
Adjudication
Manufacturing
• 503B Outsourcing Facilities, Compounding
Services
• Contract Manufacturing, Drug Shortage Miti-
gation
• Generics, Brand Name, Biotech
• Injectables
Merchandising
• DME, Devices
• OTC Products, Vitamins, Supplements, Mer-
chandise
Patient Care
• Adherence, Compliance, Remote Monitoring,
Med Sync
• Assistance Programs, Loyalty Resources,
Discount Cards
• Diabetic Care
• Medication Therapy Management (MTM)
• Patient Communication, Outreach, Engagement
• Personalized Wellness, Point-of-Care Services
Professional Development
• Associations, Trade Organizations
• Conferences, Trade Shows, Expos, Summits
• Continuing Education, Training
• Degree Programs, Masters, Post-Secondary
• Jobs, Careers
Professional Services
• Accounting & Legal Services
• Accreditation, Certification, Compliance
• Audit Support
• Consulting (Health Systems & Infusion)
• Consulting (Retail/Community & Specialty)
• Marketing Services
• On-Site Pharmacy Management Outsourcing
• Staffing Services, Recruiting Agencies
• Telepharmacy, Remote Order Entry
Software
• Business Management, Operations, ERP
• Clinical Monitoring, Surveillance, Insights
• Controlled Substance Reporting, Ordering
• Decision Support, Point of Care Reference,
Dosing, DUR
• Drug Diversion Monitoring, Diversion Prevention
• eMAR, EMR, EHR, Bedside Verification
• Error Prevention, Drug Validation
• Formulary Management
• IV Workflow Management
• Long-Term Care Operation Management
• Medication Inventory Management & Procure-
ment
• Pharmacy Management Systems, Workflow
• Stewardship Resources (Antibiotic, Opioid)
Unit Dose
• Outsourced Packaging & Repackaging Services
• Multi-Dose Packaging Resources, Supplies
• Single-Dose Packaging Resources, Supplies
Workflow
• IVR / Interactive Voice Response Systems
• POS / Point of Sale Systems
• Printers, Barcode Printing
• Will-Call & Kiosk Prescription Management
Pharmacy Supply Chain Categories
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
AUTOMATION
Automated Dispensing Cabinets (ADCs)
Material Transport Delivery,
Med Carts, Computer Carts, COWs
Pneumatic Tubes
Pharmacy Fulfillment Robots
Smart Pumps, Infusion Pumps
Tablet & Capsule Counters
Accu-Chart Plus Health Care Systems
Air Link International
APS - Advanced Pharmacy Solutions
ARxIUM
Avery Weigh-Tronix | Eyecon/RxSafe
B. Braun Medical Inc.
Baxter
BD
Capsa Healthcare
ComCo Systems
CoverMyMeds (McKesson Corporation)
Crocus Medical Inc.
DosePacker, Inc.
Euclid Medical Products
Fresenius Kabi Group
Health Care Logistics, Inc.
iA
ICU Medical
Interlink AI, Inc.
JFCRx
KNAPP
Manchac Technologies
McKesson Corporation
Medility Inc.
Noritsu Pharmacy Automation
Omnicell
Outcomes
Parata Systems (BD)
Pevco
Pharmathek
Relay Robotics, Inc.
Rx Systems, Inc.
ScriptPro
RXshelving.com (Surplus Equipment
Company)
Swisslog Healthcare
Tension Packaging & Automation
TouchPoint Medical
VIVID (Scientific Industries, Inc.)
VMI Care
Yuyama USA, Inc.
Pharmacy500 COMPANIES
Automated Dispensing
Cabinets (ADCs)
10
Med Carts, Computer
Carts, COWs
23
Pharmacy
Fulfillment Robots
Smart Pumps,
Infusion Pumps
10
Tablet & Capsule
Counters
Material Transport
Delivery, Pneumatic
Tubes
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
10
COMPOUNDING
Closed System Drug-Transfer
Devices (CSTDs)
Sterile Compounding Automation,
IV Automation
USP <795> Non-Sterile Resources,
Compliance, Technology
USP <797> & <800> Sterile Resources,
Compliance, Technology
Accu-Chart Plus Health Care Systems
Acute Care Pharmaceuticals
AirCare Automation
AirClean Systems, Inc.
AIS Healthcare
Allied Pharmacy Products
American Analytics
ARL Bio Pharma
ARxIUM
Associates of Cape Cod, Inc
B. Braun Medical Inc.
Baxter
BD
Berkshire Corporation
Bureau Veritas
Cardinal Heallth
Central Admixture Pharmacy Services, Inc. (CAPS)
ChemoGLO
Cleanetics
ConsortiEX Inc.
Containment Technologies Group, Inc.
Contec, Inc.
CORMED
Eagle Analytical Services
EQUASHIELD
Esco
Eurofins Analytics
Fagron
FLAVORx
Grifols
Hardy Diagnostics
Health Care Logistics, Inc.
ICU Medical
Innovatix, LLC
Integrated Medical Systems, Inc. (IMS)
International Journal of Pharmaceutical
Compounding (IJPC)
International Medical Industries
ISO-MED, Inc.
IsoTech Design
Medi-Dose, Inc./EPS, Inc.
Medisca Inc.
MediZap
MedXL Inc.
Modular Devices
Modular Pharmacy Solutions, LLC
Omnicell
P&C Pharma
PAAS National LLC
Parasol Medical, LLC
PCCA
Pestle
Pharma Source Direct
Pharmacy Stars, LLC
PharmEcology
Prudential Cleanroom Services
Pure Microbiology, LLC
Q.I. Medical Inc
QleanAir Scandinavia
Samson Medical Technologies, LLC
Sharps Medical Waste Services
SpecializedRx Products, LLC
Spectrum Pharmacy Products
TEAM Technologies, Inc.
The Baker Company
TICKERWORKS
Total Pharmacy Supply, Inc.
Travis CleanAir, Inc.
TRC Healthcare
United States Pharmacopeia (USP)
Vileda Professional
Winfield Laboratories Inc
Wolters Kluwer
WorkingBuildings
Yukon Medical, LLC
Pharmacy500 COMPANIES
7
Sterile Compounding
Automation, IV
Automation
24
USP <795> Non-Sterile
Resources, Compliance,
Technology
61
USP <797> & <800>
Sterile Resources,
Compliance,
Technology
Closed System Drug-Transfer
Devices (CSTDs)