Pharmacy500 Specialty Practice Setting Report 2025

MAY 2025

PRACTICE SETTING TEARDOWN

SPECIALTY PHARMACY

©2025 RXinsider | RXinsider Market Intelligence Group | 2025

Alexa DiLuca

Marketing Manager

Michael McEwen

Pharmacy500 Market Analyst

michael.mcewen@rxinsider.com

Gregory Cianfarani, RPh

Founder & CEO

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.

Jeff Rackliff

Pharmacy500 Market Analyst

jeff.rackliff@rxinsider.com

Emma Cidade

Pharmacy500 Market Analyst

emma.cidade@rxinsider.com

Lexi Cianfarani

Pharmacy500 Market Analyst

lexi.cianfarani@rxinsider.com

Report Lead

Emma Cidade

©2025 RXinsider | RXinsider Market Intelligence Group | 2025

A 2025 Breakdown of the Specialty Pharmacy

Practice Setting

Table of Contents

• Introduction..............................................................2-3

• Specialty Pharmacy Overview..................................4

• Executive Snapshot.....................................................5

• Companies by Region & Company Size.................6

• Practice Setting Crossover........................................7

• Supply Chain Crossover............................................8

• Conferences, Trade Shows & Meetings...........9-11

• Market Trends.................................................... 12-13

• Career Center............................................................ 14

• References.......................................................... 15-17

• Pharmacy500 Companies............................... 18-21

The objective of this report is to educate Pharmacy500 The

objective of this report is to educate Pharmacy500 professionals,

pharmacy leadership, and key stakeholders on critical trends

shaping the specialty pharmacy practice setting.

This report provides a focused analysis of Pharmacy500

companies that significantly impact specialty pharmacies,

spanning the entire pharmacy supply chain - including specialty

distributors, delivery services, patient engagement platforms,

adherence technologies, and specialty pharmacy software

vendors.

This report includes a detailed overview of the supply chain

categories

represented,

highlights

Pharmacy500

company

participation at major industry conferences such as NASP and the

Asembia’s AXS25 Summit, and identifies organizations hosting

user conferences in 2025.

Specialty Pharmacy Overview

©2025 RXinsider | RXinsider Market Intelligence Group | 2025

A specialty pharmacy is a type of pharmacy that provides medications and support

services for patients with complex, chronic, or rare medical conditions that require

specialized treatment. These medications, often biologics, injectables, or high-cost

therapies, typically require special handling, administration, or monitoring. Specialty

pharmacies focus on managing these complex therapies by offering personalized

care, education, and clinical management to optimize treatment outcomes,

improve medication adherence, and ensure safe and effective use.

Specialty pharmacies are often tightly integrated into larger healthcare systems,

including hospital networks, health insurance companies, and pharmacy

benefit managers (PBMs). They usually have specialized staff, including clinical

pharmacists, nurses, and patient care coordinators, who work directly with patients

to manage complex conditions and therapies. Specialty pharmacies can be open to

the public or closed to the public.

1. Dispensing Specialized Medications:

Specialty pharmacies dispense medications that are often high-cost, require special storage conditions (e.g., refrigeration), or must

be administered in a specific way (e.g., injectables, infusion therapies). These may include biologics, biosimilars, chemotherapy drugs,

and medications for conditions like cancer, HIV/AIDS, rheumatoid arthritis, and multiple sclerosis.

2. Patient Education and Counseling:

Offering comprehensive patient education on medication use, side effects, injection techniques, administration schedules, and

managing potential drug interactions. This service is designed to ensure patients are fully informed and confident in managing their

therapies.

3. Care Coordination:

Collaborating with healthcare providers, insurance companies, and other healthcare professionals to ensure seamless care. This

may include coordinating medication refills, managing prior authorizations, arranging for in-home infusions, and helping to navigate

insurance or reimbursement issues.

4. Adherence Monitoring and Support:

Implementing programs to improve medication adherence, including regular follow-up calls, medication reminders, and personalized

care plans. Specialty pharmacies often provide dedicated support teams, including pharmacists and nurses, to monitor patient

progress and encourage consistent therapy adherence.

5. Clinical Management:

Offering clinical management services such as medication therapy management (MTM) to assess the effectiveness of therapies,

monitor for side effects, and adjust treatment regimens. This may include monitoring lab values or conducting assessments to

ensure optimal patient outcomes.

6. Risk Management:

Specialty pharmacies are often involved in managing the risks associated with high-cost, high-risk medications, such as providing

support for managing side effects, tracking adverse reactions, and ensuring compliance with safety protocols.

7. Insurance and Reimbursement Assistance:

Helping patients navigate insurance issues, including obtaining prior authorization for treatments, coordinating with payers for

reimbursement, and assisting with financial assistance programs when medications are not fully covered.

8. Compounding:

Some specialty pharmacies may also compound medications to meet specific patient needs, such as customized doses or

formulations.substances, proper storage conditions, and the handling of hazardous medications.

Key Functions & Characteristics

©2025 RXinsider | RXinsider Market Intelligence Group | 2025

©2025 RXinsider | RXinsider Market Intelligence Group | 2025

75%

of approximately 7,000 new

drug development were

represented by specialty

drugs in 2024.

55%

of total pharmacy spending

in 2024 was accounted for

specialty medications.

3,200

Specialty pharmacies in the U.S.

as of December 2024 (approx.).

3,000

Individual members, including pharmacists

represented by NASP.

55%

of net spending was accounted

from specialty medications

in March 2022.

SPECIALTY

PRACTICE

SETTING

SNAPSHOT

50

novel drugs approved in 2024 by the

FDA’s Center for Drug Evaluation and

Research (CDER).

Asembia founded one of the leading group purchasing

organizations (GPOs) in 2005.

Source: Definitive Healthcare

Source: NASP

Source: IQVIA

Source: NASP

Source: IQVIA

Source: FDA

Source: Asembia

52%

of total drug spending is from specialty

pharmacy spending, up from 40% in 2020.

Source: IQVIA

©2025 RXinsider | RXinsider Market Intelligence Group | 2025

26%

NORTHEAST

MIDWEST

Pharmacy500 Companies by Region

The Pharmacy500 companies serving

specialty pharmacies range in size. There

are 56 small companies with less than 50

employees, 45 medium-sized companies

with 51 to 200 employees, 40 large

companies with 201 to 1,000 employees,

and 28 very large organizations with more

than 1,000 employees.

WEST 15%

SOUTH

34%

Companies by Size

INTERNATIONAL

1%

24%

1,000+ EMPLOYEES

201-1,000 EMPLOYEES

51-200 EMPLOYEES

1-50 EMPLOYEES

28

40

56

45

©2025 RXinsider | RXinsider Market Intelligence Group | 2025

The following chart breaks down the

number

of

Pharmacy500

specialty

pharmacy companies that crossover to

additional pharmacy practice settings.

Pharmacy500 Practice Setting Crossover

129

126

89

72

MANAGED CARE / PBM

NUCLEAR

HOME INFUSION & COMPOUNDING

LONG TERM CARE

HOSPITAL / HEALTH SYSTEM

COMMUNITY / RETAIL

12

12

©2025 RXinsider | RXinsider Market Intelligence Group | 2025

Automation & Robotics

• 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, Compliance,

Technology

Contamination Control

• Cleanrooms, Gloveboxes, Hoods, Isolators

• Cleanroom Supplies, Disposables, Sterilization

• 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, Franchising

• PSAOs, Revenue Cycle Management, Reconciliation

• Worker’s Comp, Claims, PA Management, Adjudication

Manufacturing

• 503B Outsourcing Facilities, Compounding Services

• Contract Manufacturing, Drug Shortage Mitigation

• Generics, Brand Name, Biotech

• Injectables

Merchandising

• DME, Devices

• OTC Products, Vitamins, Supplements, Merchandise

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 & Procurement

• 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

TOP FIVE SUPPLY CHAIN CATEGORIES

17

Compounding: USP <797> &

<800> Sterile Resources &

Compliance & Technology

12

Finance: PSAOs & Revenue

Cycle Management &

Reconciliation

17

Finance: Worker’s Comp & Claims

& PA Management & Adjudication

15

Patient Care: Patient

Communication &

Outreach & Engagement

Supply Chain Crossover

TOP FIVE SUPPLY CHAIN CATEGORIES

The

following

chart

represents

the market presence of specialty

pharmacy companies that cross into

the 88 supply chain categories.

13

Delivery & Shipping:

Courier & Delivery & Last-

Mile Services

©2025 RXinsider | RXinsider Market Intelligence Group | 2025

Conferences, Trade Shows & Meetings

The following identifies the top 16

national pharmacy conferences

at which Pharmacy500 specialty

pharmacy

companies

exhibited

in the past year.

62

48

42

37

34

26

18

17

16

14

10

10

The

following

Pharmacy500

specialty

pharmacy

companies that attended one or both of NASP and

Asembia annual conferences.

NASP vs. Asembia

15

21

41

(PHARMACY

FUTURES)

(WINTER)

NASP

(MIDYEAR)

Asembia

21

20

21

(SUMMER)

©2025 RXinsider | RXinsider Market Intelligence Group | 2025

10

340B Health | 340B Coalition Summer

Conference

340B Health | 340B Coalition Winter

Conference

Washington, DC

San Diego, CA

JUL 21-23

FEB 24-26

1,500+

2,000+

50+

60

50+

30+

Hospital / Health

System

Membership

AACP | INitiate Interim Meeting

ACCP | Pharmacy Education Conference

Houston, TX

Chicago, IL

FEB 15-17

JUL 19-22

300+

2,500+

<10

60+

20+

150+

Academia

Membership

AAP | Annual Conference

Austin, TX

APR 10-12

Undisclosed

55+

<10

Community/Retail

Membership

ACA | Annual Conference & Expo

Memphis, TN

SEPT 25-27

Undisclosed

10

10+

Home Infusion &

Compounding

Membership

ACCP | Annual Meeting

Minneapolis, MN

OCT 18-21

1,500+

Undisclosed

100+

Hospital / Health

System

Membership

ACHC | ACHCU Academy

Houston, TX

MAR 3-5

Undisclosed

30+

70+

Various

Users/Customers

ACVP | Veterinary Pharmacy Conference

Fort Worth, TX

JUL 24-26

80+

10

10

Community/Retail

Membership

AMCP | Annual Conference

AMCP | Nexus

Houston, TX

National Harbor, MD

MAR 31-APR 3

OCT 27-30

4,000+

2,500+

70+

40+

30+

30+

Managed Care/

PBM

Membership

American Pharmacies | APEX

San Antonio, TX

JUN 19-21

200+

40+

<10

Community/Retail

Users/Customers

APC | Compounders on Capitol Hill

APC | Owner Summit

Washington, DC

Destin, FL

SEPT 16-17

MAR 14-16

150+

160+

30+

40+

10+

10+

Home Infusion &

Compounding

Membership

APCI | Annual Convention and Stockholders

Meeting

Nashville, TN

MAR 20-23

200+

20+

20+

Community/Retail

Membership

APhA | Annual Meeting & Expo

Nashville, TN

MAR 21-24

4,000+

100+

160+

Various

Membership

ASCP | Annual Meeting & Exhibition

San Diego, CA

OCT 23-26

1,000+

60+

50+

Long Term Care

Membership

Asembia | AXS Summit

Las Vegas, NV

APR 27-

MAY 1

8,000+

170+

70+

Specialty

Users/

Customers

ASHP | Midyear

ASHP | Pharmacy Futures

Las Vegas, NV

Charlotte, NC

DEC 7-11

JUN 7-11

20,000+

1,500+

340+

90+

200+

20+

Hospital / Health

System

Membership

Cardinal Health | RBC

Denver, CO

JUL 9-12

4,500+

200+

30+

Community/Retail

Users/Customers

Cencora | ThoughtSpot

Las Vegas, NV

JUL 16-19

3,500+

500+

20+

Various

Users/Customers

CORE Higher Education Group | Annual

Summit

Providence, RI

SEPT 29 - OCT 1

50+

<10

Academia

Users/Customers

DiversifyRx | Pharmacy Profit Summit

Dallas, TX

MAR 23-24

350+

100+

10+

Community/Retail

Users/Customers

Epic | UGM 2025

Epic | XGM 2025

Verona, WI

AUG 18-21

APR 28 - MAY 8

Undisclosed

10+

20+

Hospital / Health

System

Users/Customers

Epicor | Insights

Las Vegas, NV

MAY 5-8

3,000+

Undisclosed

40+

Community/Retail

Users/Customers

GeriMed | Annual Conference

Marco Island, FL

NOV 7-8

Undisclosed

Undisclosed

Undisclosed

Long Term Care

Users/Customers

HCP | Fall Hospital Pharmacy Conference

HCP | Spring Hospital Pharmacy Conference

Chicago, IL

New Orleans, LA

SEPT 29 - OCT 1

APR 14-16

Undisclosed

Undisclosed

Undisclosed

Hospital / Health

System

Users/Customers

Pharmacy500 Conferences

ATTENDEES

(Approx.)

EXHIBITORS

(Approx.)

EDUCATION

SESSIONS

(Approx.)

LOCATION

DATE

ATTENDEE

TYPE

SETTING

FOCUS

©2025 RXinsider | RXinsider Market Intelligence Group | 2025

11

HealthTrust | University Conference

San Antonio, TX

AUG 18-20

3,500+

380+

40+

Hospital / Health

System

Users/Customers

HOPA | Annual Conference

Portland, OR

APR 9-12

1,500+

60+

75+

Specialty

Membership

Liberty Software | Engage Pharmacy

Success Summit

Grapevine, TX

MAR 21-22

200+

20+

<10

Community/Retail

Users/Customers

McKesson | ideaShare

Orlando, FL

JUL 10-13

2,500+

140+

50+

Community/Retail

Users/Customers

Meditech | LIVE

Nashville, TN

SEPT 17-19

300+

Undisclosed

10+

Hospital / Health

System

Users/Customers

Merative | Merge User Conference

Nashville, TN

JUN 22-25

Undisclosed

10

Hospital / Health

System

Users/Customers

MHA | Navigator Business Summit

Foxborough, MA

MAR 17-19

1,000+

100+

10+

Community/Retail

Users/Customers

NABP | Annual Meeting

Fort Lauderdale, FL

MAY 13-16

400+

<10

<10

Various

Membership

NACDS | Annual Meeting

NACDS | Total Store Expo

Palm Beach, FL

San Diego, CA

APR 26-29

AUG 23-25

Undisclosed

2,500+

110+

620+

10+

<10

Community/Retail

Membership

NASP | Annual Meeting & Expo

Denver, CO

SEPT 14-17

2,000+

200+

70+

Specialty

Membership

NCPA | Annual Convention and Expo

NCPA | Multiple Locations Conference

New Orleans, LA

Clearwater Beach, FL

OCT 18-21

FEB 19-22

3,000+

80+

230+

70+

40+

10+

Community/Retail

Membership

NCPDP | Annual Technology & Business

Conference

Scottsdale, AZ

MAY 5-7

700+

Undisclosed

10+

Community/Retail

Membership

NHIA | Annual Conference

Washington, DC

MAR 29 - APR 2

1,600+

130+

60+

Home Infusion &

Compounding

Membership

NPPA | Annual Conference

Las Vegas, NV

SEPT 29 - OCT 2

190+

80+

20+

Community/Retail

Membership

PCCA | ThinkNext International Seminar

Houston, TX

OCT 9-11

400+

30+

20+

Long Term Care

Users/Customers

PointClickCare | SUMMIT

Las Vegas, NV

MAR 31 - APR 2

2,000+

100+

60+

Various

Users/Customers

PQA | Annual Meeting

Tampa, FL

MAY 19-21

400+

Undisclosed

20+

Hospital / Health

System

Users/Customers

Premier | Breakthroughs

National Harbor, MD

JUL 15-17

4,000+

400+

<10

Hospital / Health

System

Users/Customers

PrimeRx | Xplore User Conference

Jersey City, NJ

OCT 10-11

Undisclosed

Undisclosed

Undisclosed

Community/Retail

Users/Customers

RedSail Technologies | Connect Pharmacy

Conference

Grapevine, TX

JUN 5-8

800+

100+

60+

Various

Users/Customers

SmartSense | LIVE User Conference

Nashville, TN

OCT 22-24

200+

10+

Community/Retail

Users/Customers

SoftWriters | FrameworkLTC Annual User

Conference

San Diego, CA

SEPT 15-17

300+

30+

10+

Long Term Care

Users/Customers

SureCost | Insights

Nashville, TN

NOV 13-14

Undisclosed

Undisclosed

Undisclosed

Community/Retail

Users/Customers

TraceLink | FutureLink

Boston, MA

APR 28 - MAY 2

200+

100+

50+

Various

Users/Customers

ATTENDEES

(Approx.)

EXHIBITORS

(Approx.)

EDUCATION

SESSIONS

(Approx.)

ATTENDEE

TYPE

SETTING

FOCUS

LOCATION

DATE

©2025 RXinsider | RXinsider Market Intelligence Group | 2025

12

©2025 RXinsider | RXinsider Market Intelligence Group | 2025

Clinical Innovation & Emerging Therapies

• Specialty pharmacy continues to lead the way in adopting advanced treatments

across respiratory, inflammatory, cardiovascular, and rare diseases.

• Emphasis on real-world application of new therapies reflects a shift toward

evidence-backed, outcomes-driven clinical decision-making.

• Pharmacists are playing a more integrated role in specialty disease management

and personalized care planning.

Technology Integration & Digital Health

• AI, automation, and predictive analytics are being positioned as core drivers of

operational efficiency and clinical precision.

• Pharmacy leaders are exploring how digital dashboards, EHR integration, and

emerging tech like voice and blockchain can reshape workflows.

• Legal and regulatory considerations around technology adoption remain top of

mind for implementation at scale.

Market Trends

The following trends were analyzed from the Asembia

educational and training sessions.

Asembia Education Session Breakdown

The following trends were analyzed from the

70+ Asembia educational and training sessions.

13

Clinical Innovation & Therapeutic

Advancements

15

Market Access, Commercialization

& Pipeline Strategy

Policy, Reimbursement &

Managed Care Strategy

Health Equity, DEI & Access

Expansion

Technology, AI & Digital Health

Business Strategy, Partnerships &

Operational Excellence

15

13

©2025 RXinsider | RXinsider Market Intelligence Group | 2025

13

©2025 RXinsider | RXinsider Market Intelligence Group | 2025

Policy, Payers & Economic Pressures

• Payer policy shifts—especially in Medicare—are creating urgency around flexible

reimbursement and access strategies.

• Stakeholders discussed the economic challenges of rare disease therapies, cost

alignment, and performance-based contracting.

• Specialty pharmacy leaders are navigating tighter payer controls by emphasizing

data-driven outcomes and cost transparency.

Health Equity, DEI & Workforce Strategy

• Asembia AXS Summit 25 spotlighted the intersection of health equity and business

sustainability, especially in the context of underserved populations.

• Sessions emphasized workforce development, leadership inclusion, and DEI as

strategic imperatives, not just HR initiatives.

• Advocacy and access organizations are shaping new models that blend equity with

innovation and patient engagement.

Market Access & Commercialization Strategy

• Organizations are refining strategies for commercializing cell, gene, and orphan

therapies, with a focus on value demonstration and access.

• Specialty pharmacies are increasingly supporting payer engagement, real-world

data generation, and tailored launch models.

• Discussions centered on aligning commercialization with provider networks,

Centers of Excellence (COEs), and community-based access points.

©2025 RXinsider | RXinsider Market Intelligence Group | 2025

14

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If you are a Pharmacy500 company, please contact us to claim your account:

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Explore Active Job Opportunities in the

Specialty Pharmacy Practice Setting

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15

References

340B Health. (2025, February 24–26). 340B Winter Conference. San Diego, CA. https://

www.340bwinterconference.org/

Accreditation Commission for Health Care (ACHC). (2025, March 3–5). ACHC Educational

Conference.

Dallas,

TX.

https://web.cvent.com/event/99aff516-1e4b-4f1f-a591-

4357740e7be5/summary

Alliance for Pharmacy Compounding. (2025, March 14–16). 2025 Owner Summit. Destin, FL.

https://a4pc.org/event/ownersummit

American College of Clinical Pharmacy (ACCP). (2025, October 18–21). 2025 ACCP Annual

Meeting. Minneapolis, MN. https://www.accp.com/meetings/am25/index.aspx

American Pharmacists Association (APhA). (2025, March 21–24). APhA 2025 Annual

Meeting & Exposition. Nashville, TN. https://aphameeting.pharmacist.com/

Amsino International Inc. (2024, November 25). Amsino International Inc. completes

acquisition of MedXL. BLG. https://www.blg.com/en/about-us/deals-and-suits/2024/11/

amsino-international-inc-completes-acquisition-of-medxl

Apexus LLC. (2025, April 10). Apexus 340B Education Event. Dallas, TX. https://

na.eventscloud.com/ereg/index.php?eventid=825574&

Apexus LLC. (2025, May 28). 340B Education Event. Kansas City, MO. https://na.eventscloud.

com/website/68427/

Apothecary Products. (2024, July 29). Apothecary Products expands product portfolio with

acquisition of Equadose. Chain Drug Review. https://chaindrugreview.com/apothecary-

products-expands-product-portfolio-with-acquisition-of-equadose/

Asembia. (2025, April 18). Asembia25 Digital Guide (Version 2). https://asembia.paperturn-

view.com/axs25-digitalguide-v2-04-18-pages?pid=ODg8881331

Asembia. About Asembia. Asembia. https://asembia.com/about

ASMS / Thermo Fisher Scientific. (2025, June 1–5). ASMS 2025 Annual Conference.

Baltimore,

MD.

https://www.thermofisher.com/us/en/home/about-us/events/industrial/

asms.html?erpType=Global_E1

AssureCare. (2024, September 12). AssureCare doubles down on its advance analytics

platform offering with acquisition of Clinigence Health. https://www.assurecare.com/

articles/assurecare-doubles-down-on-its-advance-analytics-platform-offering-with-

acquisition-of-clinigence-health

BD. (2024, September 3). BD completes acquisition of Critical Care from Edwards

Lifesciences.

https://investors.bd.com/news-events/press-releases/detail/849/bd-

completes-acquisition-of-critical-care-from-edwards-lifesciences

Bluesight. (2025, March 18). Diversion Monitoring Symposium 2025. https://lp.bluesight.

com/diversion-symposium-2025?hsCtaAttrib=186399780268

Business Standard. (2024, September 30). Dr. Reddy’s completes acquisition of Haleon’s

global NRT portfolio. https://www.business-standard.com/companies/news/dr-reddy-s-

completes-acquisition-of-haleon-s-global-nrt-portfolio-124093001066_1.html

Charles River. (2025, March 25–27). QC Micro Summit 2025. Charleston, SC. https://events.

criver.com/event/qcmicrosummit/home

Core Higher Education Group. (2025, October 1–3). CORE Annual Summit 2025. Providence,

RI. https://corehighered.com/core-annual-summit-2024

Definitive Healthcare. (2023, October 24). Someday we’ll find it: The specialty pharmacy and

IDN connection. Definitive Healthcare. https://www.definitivehc.com/blog/someday-well-

find-it-the-specialty-pharmacy-and-idn-connection

Epic Systems Corporation. (2025, April 28–May 8). XGM 2025. Verona, WI. https://xgm.epic.

com/

Frazier Healthcare Partners. (2024, March 12). Frazier Healthcare Partners announces

acquisition of RevSpring. RevSpring. https://revspringinc.com/resources/blog/frazier-

healthcare-partners-announces-acquisition-of-revspring/

Health Connect Partners. (2025). 2025 HCP Conferences. April (New Orleans, LA), July

(Chicago, IL), September (Chicago, IL). https://hlthcp.com/conferences

HealthTrust. (2025, August 18–20). HealthTrust University Conference 2025. San Antonio,

TX. https://460623.hs-sites.com/home-1

Inmar Intelligence. (2025, January 6). Pharma Logistics, LLC and Rx Reverse Distributors,

Inc. unite, setting a new standard in pharmaceutical reverse distribution. BusinessWire.

https://www.businesswire.com/news/home/20250106268250/en/Pharma-Logistics-LLC-

and-Rx-Reverse-Distributors-Inc.-Unite-Setting-a-New-Standard-in-Pharmaceutical-Reverse-

Distribution

IQVIA. (2023, July). Insights into the 2023 U.S. pharmaceutical market. IQVIA. https://

www.iqvia.com/locations/united-states/blogs/2023/07/insights-into-the-2023-us-

pharmaceutical-market

IQVIA Institute for Human Data Science. (2020). Global medicine spending and usage trends:

Outlook to 2024. IQVIA. https://www.iqvia.com/-/media/iqvia/pdfs/institute-reports/global-

medicine-spending-and-usage-trends.pdf

IQVIA Institute for Human Data Science. (2024). The use of medicines: Outlook for usage

and spending. IQVIA. https://www.iqvia.com/-/media/iqvia/pdfs/china/viewpoints/iqvia-

institute-general-use-of-medicines-2024-for-print.pdf

Liberty Software. (2025, March 21–22). Engage 2025. Grapevine, TX. https://libertysoftware.

com/engage/

Maxor. (2024, January 11). A look back: Top health system 2024 market trends. Maxor.

https://www.maxor.com/a-look-back-top-health-system-2024-market-trends

McKesson. (2025, April 2). McKesson Corporation completes acquisition of PRISM

Vision Holdings, LLC. https://www.mckesson.com/about-mckesson/newsroom/press-

releases/2025/mckesson-completes-acquisition-prism-vision-holdings/

McKesson. (2025, July 10–13). McKesson ideaShare 2025. Nashville, TN. https://

mckessonideashare.com/

Meditech. (2025, September 17–19). MEDITECH LIVE 2025. Foxborough, MA. https://ehr.

meditech.com/events/meditech-live-24

Mesa Laboratories. (2024, June). Mesa Laboratories acquires Canadian company Infitrak.

MPO.

https://www.mpo-mag.com/mesa-laboratories-acquires-canadian-company-

infitr/#:~:text=Mesa%20officials%20expect%20the%20acquisition%20to%20add,to%20

the%20United%20States%20and%20other%20markets.

National Association of Boards of Pharmacy (NABP). (2025, May 13–16). NABP Annual

Meeting 2025. Fort Lauderdale, FL. https://web.cvent.com/event/5a436751-a83f-4baa-

aeb3-58257b2fc7d5/summary

National Association of Specialty Pharmacy (NASP). (2022, September). 2021 NASP Patient

Survey White Paper. https://naspnet.org/wp-content/uploads/2022/09/NASP-2021-Patient-

Survey-White-Paper_FINAL.pdf

National Pharmacy Purchasing Association (NPPA). (2025, September 29–October 2). NPPA

Annual Conference 2025. Las Vegas, NV. https://www.pharmacypurchasing.com/nppa-

conference/

Optum Oregon. (2024, March 8). Optum acquired the Corvallis Clinic in Oregon. MVHCA.

https://www.mvhca.org/blog/apwg9oiyo5sw7y8xzc7q13hq75rbe0#:~:text=Optum%20

Oregon%20is%20a%20subsidiary,management%20functions%20of%20Corvallis%20Clinic.

Optum. (2025, January 17). Optum to acquire ambulatory infusion chain. Becker’s ASC

Review.

https://www.beckersasc.com/asc-transactions-and-valuation-issues/optum-to-

acquire-ambulatory-infusion-chain.html

Oracle Health. (2025, September 8–10). Oracle Health Summit 2025. Orlando, FL. https://

www.oracle.com/health/health-summit/

PCCA. (2025, October 9–11). PCCA International Seminar 2025. Houston, TX. https://www.

pccainternationalseminar.com/

Pharmacy Quality Alliance (PQA). (2025, May 19–21). PQA Annual Meeting 2025. Tampa, FL.

https://pqaannualmeeting2025.eventscribe.net/

PointClickCare. (2025, March 31–April 2). PointClickCare SUMMIT 2025. Las Vegas, NV.

https://summit.pointclickcare.com/

Premier. (2025, July 15–17). Premier Breakthroughs 2025 Conference. National Harbor, MD.

https://breakthroughs.premierinc.com/

QuVa Pharma. (2024, July 25). QuVa Pharma completes acquisition of LogicStream

Health.

https://www.quvapharma.com/news-and-events/press/quva-pharma-completes-

acquisition-of-logicstream-health

RedSail Technologies. (2025, June 5–8). Connect 2025 Pharmacy Conference. Grapevine,

TX.

https://www.connectpharmacyconference.com/event/8dc1a8fb-5b69-4f7b-8d0a-

0c87193f3cd5/home

RedSail Technologies. (2025, March 17). RedSail Technologies announces acquisition

of

Emporos.

https://www.redsailtechnologies.com/press-releases/redsail-technologies-

announces-acquisition-of-emporos

Resenex. (2024, October 15). PDC North Corporation of America acquired Resenex. https://

resenex.com/pdc-acquires-resenex-to-provide-fluid-management-solutions-for-global-

healthcare-and-biotechnology-markets/

RXinsider. (2024, January 8). Specialty pharmacy outlook 2024. Market Buzz. https://

rxinsider.com/market-buzz/?p=17144-specialty-pharmacy-outlook-2024

Scriptology. (2024, September 16). Scriptology acquires RxLive to build out its tech stack.

Fierce Healthcare. https://www.fiercehealthcare.com/digital-health/scriptology-acquires-

rxlive-continue-prove-worth-clinical-pharmacists-lowering

Smartsense. (2025, October 22–24). LIVE 25 – Smartsense User Conference. Nashville, TN.

https://info.smartsense.co/live25

Stat News. (2024, February 1). CPS Solutions was acquired by UnitedHealth Group. https://

www.statnews.com/2025/03/07/unitedhealth-surgery-centers-physicians-endoscopy-

pharmacies-acquisitions/#:~:text=Specialty%20pharmacies%20have%20become%20

a,drugs%2C%20and%20update%20pharmacy%20technology.

©2025 RXinsider | RXinsider Market Intelligence Group | 2025

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Trane Technologies. (2025, January 3). Trane Technologies completes acquisition of

BrainBox

AI.

https://investors.tranetechnologies.com/news-and-events/news-releases/

news-release-details/2025/Trane-Technologies-Completes-Acquisition-of-BrainBox-AI/

default.aspx

U.S. Food and Drug Administration. (2024). Novel drug approvals for 2024. https://www.fda.

gov/drugs/novel-drug-approvals-fda/novel-drug-approvals-2024

WM. (2024, November 4). WM completes acquisition of Stericycle. https://investors.

wm.com/news-releases/news-release-details/wm-completes-acquisition-stericycle

Wolters Kluwer. (2025, February 7). Wolters Kluwer announces agreement to acquire

Registered Agent Solutions, Inc. (RASi). GlobeNewswire. https://ml-eu.globenewswire.

com/Resource/Download/1ab23158-5166-4486-931d-6fc291f07fee#:~:text=On%20

February%207%2C%202025%2C%20we,above%20Wolters%20Kluwer’s%20after%2Dtax

Zebra Technologies. (2025, March 3). Zebra Technologies completes acquisition of

Photoneo. BusinessWire. https://www.businesswire.com/news/home/20250303219561/

en/Zebra-Technologies-Completes-Acquisition-of-Photoneo

©2025 RXinsider | RXinsider Market Intelligence Group | 2025

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©2025 RXinsider | RXinsider Market Intelligence Group | 2025

18

The Pharmacy500 is awarded to 500 pharmacy

supply chain businesses and associations

with the most significant impact on dispensing

pharmacies in the U.S. over the past year. For

Pharmacy500 selection criteria and details,

please visit www.rxinsider.com/Pharmacy500.

AAPA

Abbott | Abbott Diabetes Care

Academy of Managed Care Pharmacy (AMCP)

Accreditation Commission for Health Care

Accreditation Council for Pharmacy Education

Accu-Chart Plus Health Care Systems

Accucold

Acute Care Pharmaceuticals

AdvanceNet Health Solutions

Advasur

Agadia

Air Link International

AirCare Automation

AirClean Systems, Inc.

AIS Healthcare

Akro-Mils

Alliance for Pharmacy Compounding

Allied Pharmacy Products

Altium Packaging

American Analytics

American Associated Pharmacies (AAP)

American Association of Colleges of Pharmacy

American Association of Health System Pharmacists

(ASHP)

American BioTech Supply

American College of Apothecaries

American College of Clinical Pharmacy

American College of Veterinary Pharmacists

American HealthCare Capital

American Pharmacies, Inc.

American Pharmacists Association (APhA)

American Pharmacy Cooperative, Inc. (APCI)

American Rx Group

American Society of Consultant Pharmacists (ASCP)

Americorp Financial, LLC

Amneal Pharmaceuticals LLC

Anda Inc.

AnewHealth

ANiGENT LLC

Animal Med Express

Apexus LLC

Apothecary Products, LLC

APS - Advanced Pharmacy Solutions

ARL Bio Pharma

ARxIUM

Asembia

AssistRx

Associates of Cape Cod, Inc

AssureCare LLC

Asteres Inc.

Athenahealth

Atlas Health

Avel eCare

Aventi Health

Avery Weigh-Tronix | RxSafe/Eyecon

AvKARE, LLC

Azurity Pharmaceuticals, Inc.

Azzur Group

B Medical Systems

B. Braun Medical Inc.

BA Sciences

Baxter

BD

Berkshire Corporation

Berry Global Inc.

BestRx (Redsail)

Beutlich Pharmaceuticals, LLC

BioCareSD

Blue Thunder Technologies Inc.

Bluesight

BluPax Pharma

Board of Certification/Accreditation, International (BOC)

Board of Pharmacy Specialties (BPS)

Bonita Pharmaceuticals

Bureau Veritas

Buy-Sellapharmacy.com

Byline Bank

CAM Commerce Solutions/Celerant Technology

Capital Inventory, Inc

Capital Wholesale Drug Company

Capsa Healthcare

CaptureRx

Cardinal Health

Care Services, LLC.

CarepathRx

CarePoint

CaryHealth

CEImpact

Cencora/AmerisourceBergen

Centor

Central Admixture Pharmacy Services, Inc. (CAPS)

Cervey

Charles River Laboratories

ChemoGLO

CINTAS Corporation

Cipla, Inc.

Civica

Clean Harbors, Inc.

Cleanetics

Cleanroom Connection

Clearway Health

Codonics

Cold Chain Technologies

ComCo Systems

CompleteRx

ConsortiEX Inc.

Containment Technologies Group, Inc.

Contec, Inc.

CORE Higher Education Group

©2025 RXinsider | RXinsider Market Intelligence Group | 2025

19

CORMED

COSHATT

CoverMyMeds (McKesson Corporation)

CPESN USA, LLC

CPS Solutions, LLC

Crocus Medical Inc.

CuraScriptSD

Cypress Software, Inc.

D2 Solutions

Datarithm

Datascan Pharmacy, Inc.

Dexcom, Inc.

Dickson

Digital Business Solutions, Inc.

DisposeRx, Inc.

DiversifyRx

DocStation

DoseMe

DosePacker, Inc.

DosePlanner

Dr.Reddy’s Laboratories Ltd.

DrFirst

Drugstore2Door

DRX SOFTWARE LLC

Dycem Ltd

Eagle Analytical Services

Ecolab

ECRM

Elsevier

Embecta

Emporos

Endo USA

EnlivenHealth

EPIC Rx

Epic Systems Corporation

Epicor Software Corporation

EQUASHIELD

Esco

Euclid Medical Products

Eurofins Analytics

EveryDose

Everyware

EzriRx

EZSCRIPTRx

Fagron

FFF Enterprises, Inc.

FG Clean Wipes

First Databank, Inc.

First Financial Bank, Inc.

Flash Returns, LLC

FLAVORx

Flexible Pharmacy Services, PLLC

Flowsell

Follett

Franklin Eyewear

Fresenius Kabi Group

Frier Levitt

Fullscript

Genetco Inc.

GeriMed, Inc.

Germfree

Grifols

GRX Marketing

H+H System, Inc.

Hardy Diagnostics

Hayslip Rx Brokers Inc.

HealNow

Health Care Logistics, Inc.

Health Connect Partners, Inc.

HealthTrust

HealthWell Foundation

HelioMetrics

Hematology/Oncology Pharmacy Association (HOPA)

Hikma Pharmaceuticals

iA

ICU Medical

iLocalBox

Imprivata/FairWarning

IND Consulting

Independent Pharmacy Cooperative (IPC)

InfiniTrak, LLC

InfinityLaboratories

InfoWerks

Inmar Inc.

Innovatix, LLC

Inovalon

InsightRX, Inc.

Institute for Safe Medication Practices (ISMP)

InstyMeds

Integrated Medical Systems, Inc. (IMS)

Integrity Pharmacy Consultants

Intelliguard/MEPS Real-Time, Inc.

InTemp Monitoring Solutions

Interlink AI, Inc.

International Journal of Pharmaceutical Compounding

(IJPC)

International Medical Industries

Isak Computing (SiCompounding & SiPrescribe)

ISO-MED, Inc.

IsoTech Design

Jackson Pharmacy Professionals

Jays Company

JFCRx

Jones Healthcare Group

Keycentrix, LLC

KeySource

KNAPP

Labconco

Lakeland Industries, Inc.

Legacy Pharmacy Group

Leiters Health

Liberty Software

Liebherr

LifeFile

Lincoln Savings Bank

Live Oak Bank

Loopback Analytics

LSPedia, Inc.

Lumistry

Lupin Pharmaceuticals Inc.

Managed Health Care Associates, Inc. (MHA)

Manchac Technologies

Masters Pharmaceutical (McKesson Corporation)

MatchRX

Maximum Rx Credit, Inc.

Maxor National Pharmacy Services, LLC

Maxpert Medical

©2025 RXinsider | RXinsider Market Intelligence Group | 2025

20

MAXQ

McKesson Corporation

MedAdvisor Solutions (Adheris Health)

Medi-Dose, Inc./EPS, Inc.

Medical Packaging Inc., LLC

Medicine-On-Time

Medigi

Medility Inc.

Medisca Inc.

Meditech

Medivant Healthcare

MediZap

MedMe Health

MedSafety Solutions

Medtel Communications (Lumistry)

MedXL Inc.

Merative

Mesmerize

Micro Merchant Systems, Inc.

MIDAS Healthcare Solutions

Mideast Delivery Solutions

Migali Scientific

Mobile MediClaim, Inc.

Moderna, Inc.

Modular Cleanrooms, Inc.

Modular Devices

Modular Pharmacy Solutions, LLC

Morris & Dickson

N3PR

NarcX

National Association of Boards of Pharmacy (NABP)

National Association of Chain Drug Stores (NACDS)

National Association of Specialty Pharmacy (NASP)

National Community Pharmacists Association (NCPA)

National Council for Prescription Drug Programs (NCPDP)

National Home Infusion Association (NHIA)

National Pharmaceutical Returns, Inc.

National Pharmacy Purchasing Association (NPPA)

National Pharmacy Technician Association (NPTA)

Nephron Pharmaceuticals Corporation

Net-Rx (an MHA Solution)

Nimble

Nordic Cold Chain Solutions

Noritsu Pharmacy Automation

NuAire, Inc.

Nuvem

Omega Pharmacy Group

Omnicell

OmniSYS (XiFin Pharmacy Solutions)

Optum, Inc.

Oracle Health/Cerner

OrderInsite, LLC

OurPharma LLC

Outcomes

Owen Mumford

P&C Pharma

PAAS National LLC

Paladin Data Corporation

Paragon Ventures

Parasol Medical, LLC

Parata Systems (BD)

ParcelShield

Patient Access Network Foundation

PCCA

PDM Healthcare

PDR/ConnectiveRx

Pentapack

PEPID, LLC

Perfex Corporation

Pestle

Pevco

phactMI

Pharma Logistics, LLC

Pharma Source Direct

Pharmacists Mutual Insurance Company

PharmaComplete

Pharmacy Automation Supplies

Pharmacy Brokers

Pharmacy Consulting Broker Services

Pharmacy First

Pharmacy Podcast Network

Pharmacy Quality Alliance (PQA)

Pharmacy Quality Solutions (PQS)

Pharmacy Stars, LLC

Pharmacy Technician Certification Board (PTCB)

Pharmacy Times (MJH Life Sciences)

Pharmacy-Lite Packaging

PharmaForce

PharmaLink Inc.

Pharmapod

PharmaPoint, LLC

Pharmathek

PharmCon

PharmEcology (WM)

Pharmetric Laboratory

PharmID, Inc.

Pharmsource, LLC

PharmWaste Technologies, Inc.

PHC Corporation of North America

Phox Health, Inc

Pillr Health

Pine Pharmaceuticals

PK Telehealth (TCE Group)

Plenful

PointClickCare

Powerpak (Postgraduate Healthcare Education)

PPOk

PreciseRX

Precision Dose, Inc.

Premier

Prescryptive Health, Inc.

Primex Inc.

Prompt Praxis Laboratories

ProPharma Cleanrooms

ProxsysRx

PRS Pharmacy Services

Prudential Cleanroom Services

Pure Microbiology, LLC

Pyrls (Cosmas Health, Inc)

Q.I. Medical Inc

QleanAir Scandinavia

QRx Solutions

QuicksortRx, Inc.

QuidelOrtho Corporation

QuVa Pharma

R.C. Smith

R.J. Hedges & Associates

R&S Northeast LLC

RD Plastics Company, Inc.

Real Value Rx

Redsail Technologies, LLC

Rees Scientific

Relay Robotics, Inc.

Retail Designs Inc.