Q2 2025
PHARMACY500
PHARMACY500 STOCK ETF
QUARTERLY PERFORMANCE
SHAPSHOT
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
Report Lead
Lexi Cianfarani
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.
Alexa DiLuca
Marketing Manager
Gregory Cianfarani, RPh
Founder & CEO
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
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
About the Pharmacy500 Stock ETF
Table of Contents
• Introduction.................................................... 2-3
• Executive Snapshot..........................................4
• Pharmacy500 ETF Companies.......................5
• Portfolio Snapshot.............................................6
• Performance................................................... 7-8
• Benchmarks & Comparisons..........................9
• Stock Blend.......................................................10
• References........................................................11
• Pharmacy500 Companies.......................12-15
What is RXinsider’s Pharmacy500 Stock ETF?
RXinsider’s Pharmacy500 Stock ETF is a stock portfolio
comprised of the largest publicly traded companies in the
Pharmacy500. This ETF (Exchange-Traded Fund) is for
educational and entertainment purposes only and is not
officially registered with the SEC.
What is the history and purpose of the ETF?
On 11/1/2024, RXinsider invested $10,000 in the stock of 11
of the largest companies with a U.S. market presence on the
Pharmacy500 list with the goal of tracking their collective
performance over time and sharing the results with the
pharmacy market.
We also wanted to have a little fun and compare the quarterly
and annual results to other investing benchmarks such as the
S&P500, NASDAQ, and DOW. We felt pharmacy professionals,
pharmacists, and pharmacy students would find this
information both interesting and educational.
What is the methodology for selecting the ETF companies?
More than 40 companies in the Pharmacy500 are publicly
traded companies (the public can purchase company stock).
RXinsider selected the Pharmacy500 companies with the
greatest market cap combined with a significant proportion
of their business focused on pharmacy.
Please note that stock holdings in the ETF are proportional
to the company’s market cap (its overall value). For example,
a greater percentage of the ETF is invested in McKesson vs.
Premier due to McKesson’s larger market cap. Companies
such as CVS Health are not included because they are not a
Pharmacy500 company.
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
$313.26B
Collective market cap of
all 11 Pharmacy500
ETF companies.
+1.97%
Pharmacy500 Stock ETF
performance against the
S&P500 for Q2 2025.
11
companies included in the
ETF for 2025.
ETF companies on the
Forbes Fortune500 list.
$91.53B
Market cap of the largest
Pharmacy500 ETF company
(McKesson Corporation).
+10.55%
Total Pharmacy500 ETF gain in
Q2 2025.
EXECUTIVE SNAPSHOT
PHARMACY500
STOCK ETF
Q2 | 2025
+46.96%
The largest individual company
stock gain in YTD 2025
(Cardinal Health).
Companies
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
Baxter International INC
BAX
270
Medium Cap ($15.54B)
Becton Dickinson & Co
BDX
211
Large Cap ($49.37B)
Cardinal Health Inc
CAH
14
Medium Cap ($39.98B)
Cencora Inc
COR
10
Large Cap ($58.12B)
Dexcom Inc
DXCM
N/A
Medium Cap ($34.23B)
Grifols
GRFS
N/A
Small Cap ($2.33B)
ICU Medical Inc
ICUI
N/A
Small Cap ($3.25B)
McKesson Corporation
MCK
Large Cap ($91.53B)
Omnicell
OMCL
N/A
Micro Cap ($1.38B)
Premier Inc
PINC
N/A
Micro Cap ($1.81B)
West Pharmaceutical Services
WST
N/A
Medium Cap ($15.72B)
STOCK SYMBOL
FORTUNE500 RANK
MARKET CAP
Aggregate:
$313.26B (Q2)
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
Pharmacy500 Stock Portfolio Snapshot
NOV 1, 2024 - JUN 30, 2025 (4:00 PM EST)
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
Last Quarter Performance
YTD Performance
APR 1, 2025 - JUN 30, 2025 (4:00 PM EST)
JAN 1, 2025 - JUN 30, 2025 (4:00 PM EST)
+9.99%
Time-weighted rate of return (pre-tax)
This
measures
the
cumulative
investment
performance
for
the
quarter. It reflects any growth and
income generated by the investments,
net of fees.
+3.70%
Time-weighted rate of return (pre-tax)
This
measures
the
cumulative
investment performance for the quarter.
It reflects any growth and income
generated by the investments, net of
fees.
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
All-Time Performance
NOV 1, 2024 - JUN 30, 2025 (4:00 PM EST)
+13.26%
Time-weighted rate of return (pre-tax)
This
measures
the
cumulative
investment
performance
for
the
quarter. It reflects any growth and
income generated by the investments,
net of fees.
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
Benchmarks & Comparisons
The following snapshot compares the Pharmacy500 Stock
ETF to other financial standards and ETF benchmarks.
S&P 500® Index
The S&P 500® Index is a registered service mark of The McGraw-Hill Companies, Inc., and has been licensed for
use by Fidelity Distributors Corporation and its affiliates. It is an unmanaged market capitalization-weighted index
of 500 common stocks chosen for market size, liquidity, and industry group representation to represent U.S. equity
performance.
Dow Jones U.S. Total Stock Market Index
The Dow Jones US Total Stock Market is an unmanaged float-adjusted market capitalization-weighted index of
substantially all equity securities of U.S. headquartered companies with readily available price data.
Dow Jones Industrial Average
The Dow Jones Industrial Average, published by Dow Jones & Company is an unmanaged average of 30 actively traded
stocks (primarily industrials) that assumes reinvestment of dividends.
Russell 1000 Index
Russell 1000 Index is a market capitalization-weighted index designed to measure the performance of the large-cap
segment of the US equity market.
Fidelity US Total Investable Market Index
The Fidelity U.S. Total Investable Market Index is a float-adjusted market capitalization-weighted index designed to
reflect the performance of the U.S. equity market, including large-, mid- and small-capitalization stocks.
Stock ETF
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
10
Stock Blend
We determined that the Pharmacy500 Stock ETF is a medium
blend of stocks. We assessed the 11 stocks and spread them
across two key indicators—market capitalization (Small,
Large, or Mid-sized) and valuation style (Growth, Value, or
Blend) to determine the overall style of those holdings. We
then compared this style to a widely followed benchmark, the
Dow Jones U.S. Total Market Index.
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
11
References
Fidelity Investments. (n.d.). Portfolio summary. Retrieved April 1, 2025, from https://digital.
fidelity.com/ftgw/digital/portfolio/summary
Forbes. (n.d.). Forbes. Retrieved April 1, 2025, from https://www.forbes.com/
Disclaimer
This content has been prepared by RXinsider and is based
on secondary market research and analysis of public
information available or provided to RXinsider, including but
not limited to internal data and other references believed to
be true. While every effort is made to ensure the accuracy
and completeness of the information contained, RXinsider
takes no responsibility and assumes no liability for any error/
omission or accuracy of the information.
Recipients of this material should rely on their own judgments
and conclusions from relevant sources. The information
disclosed in this report is provided for general informational
and educational purposes only and is not a substitute
for professional advice. All information in this report is
provided in good faith, however, we make no representation
or warranty of any kind, express or implied, regarding the
accuracy, adequacy, validity, availability, or completeness of
any information. Under no circumstance shall we have any
liability to you for any loss or damage of any kind incurred as
a result of the use of our report.
The information and analysis herein do not constitute advice
of any kind, are not intended to be used for investment
purposes, and neither RXinsider nor any of its subsidiaries or
their respective officers, directors, shareholders, employees
or agents accept any responsibility or liability with respect
to the use of or reliance on any information or analysis
contained in this document.
This work is copyrighted by RXinsider and may not be
published, transmitted, broadcast, copied, reproduced, or
reprinted in whole or in part without the explicit written
permission of RXinsider.
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
12
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
Coldkeepers
ComCo Systems
CompleteRx
ConsortiEX Inc.
Containment Technologies Group, Inc.
Contec, Inc.
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
13
CORE Higher Education Group
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.
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
14
Maxor National Pharmacy Services, LLC
Maxpert Medical
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
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.
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
15
Retail Management Solutions, LLC
Return Solutions, Inc.
Revelation Pharma
RevSpring, Inc.
Roemer Industries
RPh on the Go
Rx Advisors
RX Destroyer
Rx relief
Rx Return Services, LLC.
Rx Reverse Distributors, Inc.
Rx Systems, Inc.
Rx2Go
RxConnexion
RxDispense
RXinnovate Consulting
RXinsider
RxLive, Inc.
RxMile
RxOwnership (McKesson)
RxPreferred
RxRise
RxScan
RXshelving.com (Surplus Equipment Company)
Safecor Health
Samson Medical Technologies, LLC
Sanford Guide
SCA Pharma
ScriptPro LLC
SDS Rx
SensoScientific, Inc.
ServRx, Inc.
Shamrock Labels
Sharps Medical Waste Services
Shepard Medical Products
Shields Health Solutions
Skyline Pharmaceuticals
SmartCells (SATECH, Inc.)
SmartSense (Digi International)
Smith Drug Company
So-Low Environmental Equipment Co.
SoftWriters, Inc
Soliant Health
Source Communications LLP
South Pointe Wholesale, Inc.
SpecializedRx Products, LLC
Specialty Medical Staffing
Spectrum Pharmacy Products
Speed Script
SpendMend
Sphinx Strategies
SpotSee
SRS Pharmacy Systems
STACK, LLC
STAQ Pharma, Inc.
STChealth
Stericycle, Inc. (WM)
Stratix Labs Corporation
SuiteRx, LLC
Suncrest Solutions
SUNRx
SureCost, LLC
Surescripts
Swisslog Healthcare
Sykes & Company, P.A.
TailorMed
TEAM Technologies, Inc.
Teknipure
TelNet-Rx
Tension Packaging & Automation
Terso Solutions, Inc.
Texwipe (ITW)
The Baker Company
The Compliance Team, Inc.
The Craneware Group
The Medicine Shoppe Pharmacy
The Relief Products
Thermo Fisher Scientific, Inc.
ThoroughCare, Inc.
TICKERWORKS
TopRx, LLC
Total Pharmacy Supply, Inc.
Total-Shield PLUS (McGowan Industries, Inc.)
TouchPoint Medical
TraceLink, Inc.
TrackTraceRx, Inc.
Trane Technologies
TransferMyRx
Travis CleanAir, Inc.
TRC Healthcare
Trilogy MedWaste, Inc.
TruMed Systems, Inc.
Turbare Manufacturing
U.S. Micro-Solutions, Inc.
UGO
Unidoses
United Pharmacy Network (UPN)
UNITED Staffing Network, Inc.
United States Pharmacopeia (USP)
UNIWEB, Inc.
Updox by EverHealth
Value Drug Company
Veltek Associates, Inc.
Veracity Group, Inc.
Veridikal
Verity Solutions
Vileda Professional
Virtue Technologies
Visante
VIVID (Scientific Industries, Inc.)
Vizient, Inc.
VMI Care
VPL, Inc.
WeInfuse, LLC
Well-Served Pharmacy Community (WSPC)
Wellgistics
Wellpartner
Wells Pharma
West Pharmaceutical Services, Inc.
Winfield Laboratories Inc
Wolters Kluwer
Workflow Services
WorkingBuildings
Yardi Systems, Inc.
Yukon Medical, LLC
Yuyama USA, Inc.
Zebra Technologies Corp.
340B Health
340BDirect | Procuity
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