Pharmacy500 2026 Market Teardown Report

2026

MARKET TEARDOWN

PHARMACY500

COMPANIES

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

Senior Marketing Manager

Gregory Cianfarani, RPh

Founder & CEO

Ellie Krouse

Pharmacy500 Market Analyst

ellie.krouse@rxinsider.com

Emma Cidade

Pharmacy500 Market Analyst

emma.cidade@rxinsider.com

Lexi Cianfarani

Pharmacy500 Market Analyst

lexi.cianfarani@rxinsider.com

Jeff Rackliff

Senior Pharmacy500 Market Analyst

jeff.rackliff@rxinsider.com

Report Lead

Jeff Rackliff

Table of Contents

• Introduction..............................................................2-4

• Pharmacy500 2026 Company Additions...............5

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

• Practice Settings & Supply Chain Breakdown........7

• Supply Chain Teardowns.....................................8-13

• Conferences, Trade Shows & Meetings...........14-17

• Pharmacy500 & Fortune500.................................. 18

• Pharmacy500 Stock ETF.................................. 19-20

• Professional Development Package............... 21-22

• References................................................................ 23

• Pharmacy500 Companies............................... 24-27

2026 Pharmacy500 Companies

This report provides a concise snapshot of the 2026 Pharmacy500

companies, highlighting new company additions, examining

regional distributions, practice settings, supply chain categories,

and key conferences attended.

The “Pharmacy500” are 500 businesses and associations that

significantly impacted the business operations of dispensing

pharmacies in the U.S. over the past year. For Pharmacy500 criteria

and details, please visit www.RXinsider.com/the-Pharmacy500.

The objective of RXinsider’s weekly Market Intelligence Reports

is to educate Pharmacy500 professionals, pharmacy leadership,

and other stakeholders on key trends within the supply chain as it

relates to the pharmacy industry.

Learn more about RXinsider’s weekly Market Intelligence Reports

on our website: RXinsider.com/pharmacy_market_intelligence

Pharmacy500 Market Intelligence Reports

Stay up to date with the “Weekly Dose,”

RXinsider’s weekly eNewsletter:

RXinsider.com/subscribe

PHARMACY500 NEWS & INDUSTRY UPDATES

MARKET REPORT HIGHLIGHTS

Pharmacy500 2026 Company Additions

In 2026, the Pharmacy500 has welcomed the following 55 companies to the community.

Pharmacy500 Companies by State

The Pharmacy500 companies range in

size. There are 241 small companies

with fewer than 35 employees, 112

medium-sized companies with 35 to 200

employees, 99 large companies with 201

to 1,000 employees, and 70 very large

organizations with more than 1,000

employees.

1,000+ EMPLOYEES

201 - 1,000 EMPLOYEES

35 - 200 EMPLOYEES

<35 EMPLOYEES

46%

21%

14%

19%

Pharmacy500 Companies by Size

Practice Settings

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

COMMUNITY / RETAIL

HOSPITAL / HEALTH SYSTEM

180

165

174

321

363

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.

157

198

142

Pharmacy500 companies

serve both Community/

Retail & Hospital/Health

System markets.

Pharmacy500 companies

serve both Long Term

Care & Community

Retail markets.

Pharmacy500 companies

serve both Home

Infusion & Hospital/

Health System markets.

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

Automation

Compounding

Contamination Control

Pharmacy automation enhances efficiency, accuracy, and

safety in medication management through technologies,

including automated dispensing cabinets (ADCs), material

transport delivery, pneumatic tubes, med carts, pharmacy

fulfillment robots, smart pumps, infusion pumps, tablet

and capsule counters. These solutions handle tasks

such as sorting, labeling, dispensing, inventory tracking,

and medication delivery, reducing errors and optimizing

workflows to improve patient care.

Pharmacy compounding involves preparing customized

medications to meet individual patient needs, governed

by strict regulatory standards such as USP <795>, <797>,

and <800>. Non-sterile compounding creates formulations

like creams or capsules in clean environments, while

sterile compounding, essential for injectable and high-

risk medications, requires aseptic conditions to prevent

contamination.

Pharmacy contamination control ensures a safe and

sterile environment for medication preparation and storage

through regulated practices in cleanrooms, gloveboxes,

hoods, and isolators, adhering to USP <797> and <800>

standards. Controlled environments maintain air quality,

temperature, and humidity while preventing microbial

contamination through HEPA filtration, environmental

monitoring,

and

strict

cleaning

protocols.

Sterile

equipment and protective gear enforce product integrity

and regulatory compliance, safeguarding patient safety

and ensuring the quality of pharmaceutical products.

Pharmacy500 companies

serve the pharmacy

automation market.

Pharmacy500 companies

serve the pharmacy

contamination

control market.

Pharmacy500 companies

serve the pharmacy

compounding market.

Delivery & Shipping

Distribution

Facilities

Pharmaceutical delivery and shipping rely on strict

systems to ensure medications are transported safely

and effectively. Cold chain management maintains

temperature-sensitive

medications

controlled

temperatures throughout the supply chain to preserve

potency, from the manufacturing facility all the way to the

patient. Retail, specialty, and long-term care pharmacies

utilize courier and last-mile delivery services to ensure

timely and secure transport of medications, including

those requiring special handling or conditions, directly to

patients or care facilities.

Pharmacy distribution channels facilitate the secure and

efficient delivery of medications from manufacturers to

patients through wholesalers, who handle procurement,

storage, and distribution while ensuring regulatory

compliance and inventory management. In addition,

GPOs, COOPs, and programs like 340B, drug security

under DSCSA, as well as reverse distribution, all aid in the

process of the reliable and safe transfer of medications

from manufacturers to patients.

Pharmacy facilities are designed to enhance workflow,

compliance, and patient care with efficient layouts,

specialized

fixtures,

and

advanced

systems.

Key

components include design, fixtures, and engineering,

pharmacy refrigeration and cold storage, pharmacy

security, medication storage, and carousels, as well

as temperature monitoring (wireless). Effective waste

management ensures safe disposal while protecting public

health and the environment. By integrating technology and

sustainable practices, pharmacies optimize efficiency,

safety, and care quality.

Pharmacy500 companies

serve the pharmacy

delivery & shipping

market.

Pharmacy500 companies

serve the pharmacy

facilities market.

131

Pharmacy500 companies

serve the pharmacy

distribution market.

Finance

Manufacturing

Patient Care

Pharmacy finance encompasses a range of specialized

services and processes tailored to support the financial

stability and growth of pharmacy businesses. These

facets include banking solutions like loans and business,

liability and malpractice insurance, worker’s comp,

claims, PA management, and adjudication.Pharmacy

Services Administrative Organizations (PSAOs) streamline

relationships with Pharmacy Benefit Managers (PBMs),

manage claims, and ensure regulatory compliance.

In addition to buying and selling pharmacies, mergers

and acquisitions (M&A) involve the complex transfer of

pharmacy ownership, requiring due diligence, valuation, and

regulatory compliance. Together, these financial tools and

practices ensure operational efficiency, legal compliance,

and long-term profitability in the pharmacy sector.

Pharmacy manufacturing encompasses the production

of brand-name, generic, injectable and compounded

medications to ensure the availability of safe and effective

treatments. 503B outsourcing facilities produce bulk

compounded medications for healthcare providers under

FDA oversight. Pharmacy manufacturing increasingly

relies on contract manufacturing organizations (CMOs)

and drug shortage mitigation strategies to ensure a steady

supply of medications.

Pharmacy

patient

care

emphasizes

adherence,

compliance, and personalized wellness through programs

like medication synchronization (Med Sync), Medication

Therapy Management (MTM), and remote monitoring.

Assistance programs, loyalty resources, and discount

cards improve access and affordability, while point-of-

care services and personalized wellness plans promote

preventive care and holistic health. Patient communication,

outreach, and engagement initiatives ensure medication

compliance, address barriers, and enhance the overall

patient experience, positioning pharmacies as trusted

healthcare partners.

Pharmacy500 companies

serve the pharmacy

finance market.

Pharmacy500 companies

serve the pharmacy

patient care market.

Pharmacy500 companies

serve the pharmacy

manufacturing market.

Professional Development

Professional Services

Software

Schools of Pharmacy are institutions dedicated to training

future

pharmacists

and

advancing

pharmaceutical

education, offering programs like the PharmD, they

combine foundational and clinical coursework with

experiential education, such as rotations in diverse

pharmacy settings. Approximately 150 schools across

the U.S. and Canada prepare students for licensure.

Professional development continues through lifelong

learning opportunities, including Continuing Pharmacy

Education (CPE), trade associations like ASHP and APhA,

and conferences featuring education, networking, and

advocacy. These efforts ensure pharmacists stay current

with innovations and provide high-quality patient care.

Pharmacy professional services encompass a wide range

of specialized support to enhance operational efficiency,

compliance, and patient care. These include accounting

and legal services, accreditation and certification guidance,

and audit support to ensure regulatory adherence.

Consulting services cater to diverse pharmacy sectors,

such as health systems, infusion, retail, and specialty,

while marketing services focus on patient engagement

and business growth. On-site pharmacy management

outsourcing, staffing and recruiting agencies, and

telepharmacy solutions like remote order entry address

workforce and operational needs. Together, these services

enable pharmacies to optimize performance, maintain

compliance, and adapt to evolving industry demands.

Pharmacy

software

solutions

include

business

management, operations, ERP, and inventory management

systems for operational efficiency; clinical monitoring,

decision support, and drug validation tools to improve

patient safety; and controlled substance reporting, drug

diversion monitoring, and stewardship resources for

compliance and prevention. Additional solutions like

eMAR, EMR/EHR integration, IV workflow management,

and long-term care operation management optimize

workflows and medication tracking. Comprehensive

pharmacy management systems, including formulary

and procurement tools, support efficient, accurate, and

compliant pharmacy operations.

Pharmacy500

companies serve the

pharmacy professional

development market.

146

Pharmacy500 companies

serve the pharmacy

software market.

Pharmacy500 companies

serve the pharmacy

professional services

market.

Unit Dose

Workflow

Unit dose services and resources streamline medication

administration by providing outsourced packaging and

repackaging solutions tailored to healthcare needs. These

services include single-dose and multi-dose packaging,

offering pre-portioned medications for accuracy and

efficiency. Supplies and resources for unit dose systems

enhance medication safety, improve workflow, and

support compliance with regulatory standards, making

them essential for pharmacies and healthcare facilities.

Pharmacy workflow solutions enhance efficiency and

patient experience through tools like IVR systems for

automated patient communication, point of sale (POS)

systems for seamless transactions, and barcode printers

for accurate labeling. Will-call and kiosk prescription

management streamline order retrieval and improve

organization, ensuring smooth operations and better

service delivery.

Pharmacy500 companies

serve the pharmacy unit

dose market.

Pharmacy500 companies

serve the pharmacy

workflow market.

PRACTICE SETTING BREAKOUT

Source: RXinsider

User Conferences

Associations

Pharmacy500

Conferences

Pharmacy500 Criteria

Conferences

Community/Retail

Focused Conferences

Hospital / Health

System Focused

Conferences

Home Infusion &

Compounding Focused

Conferences

Long-Term Care

Focused Conferences

Academia Focused

Conferences

Specialty Focused

Conferences

Managed Care/

PBM Focused

Conferences

100,000+

Total attendees across

all conferences

1,900+

Total education

sessions accross

all conferences

5,000+

Total exhibitors accross

all conferences

AS FEATURED IN:

PHARMACY500 CONFERENCES

Conferences, Trade Shows & Meetings

158

103

(PHARMACY

FUTURES)

(WINTER)

(SUMMER)

The top five conferences in 2025

were ASHP Midyear, NCPA Annual

Convention, NACDS TSE, ASHP

Pharmacy Futures, and Cardinal

Health RBC.

Top Five

Conferences

The following identifies the major national pharmacy

conferences at which Pharmacy500 companies exhibited

in 2025.

ASHP | Midyear

NACDS | Total Store Expo

ASHP | Pharmacy Futures

NCPA | Annual Convention & Expo

Cardinal Health | RBC

103

158

(MIDYEAR)

MULTIPLE

LOCATIONS

CONFERENCE

ATTENDEES

(Approx.)

EXHIBITORS

(Approx.)

EDUCATION

SESSIONS

(Approx.)

LOCATION

DATE

ATTENDEE

TYPE

SETTING

FOCUS

Pharmacy500 Conferences 2026

CONFERENCE

340B Health | 340B Coalition Summer

Conference

340B Health | 340B Coalition Winter

Conference

Washington, DC

San Diego, CA

JUL 13-15, 2026

FEB 9-11, 2026

1,500+

2,000+

50+

30+

Hospital /

Health System

Membership

AACP | INitiate Interim Meeting

AACP | Pharmacy Education

Conference

San Juan, PR

Grapevine, TX

FEB 14-17, 2026

JUL 18-21, 2026

300+

2,500+

<10

60+

20+

150+

Academia

Membership

AAP | Annual Conference

TBD

Undisclosed

55+

<10

Community/

Retail

Membership

ACA | Annual Conference & Expo

New Orleans, LA

SEPT 24-26, 2026

Undisclosed

10+

Home Infusion

& Compounding

Membership

ACCP | Annual Meeting

Salt Lake City, UT

OCT 17-20, 2026

1,500+

Undisclosed

100+

Hospital /

Health System

Membership

ACHC | ACHCU Academy

Amelia Island, FL

MAR 2-4, 2026

Undisclosed

30+

70+

Various

Users/Customers

ACVP | Veterinary Pharmacy

Conference

Providence, RI

JUL 30 - AUG 1,

2026

80+

Community/

Retail

Membership

AMCP | Annual Conference

AMCP | Nexus

Nashville, TN

San Diego, CA

APR 13-16, 2026

OCT 26-29, 2026

4,000+

2,500+

70+

40+

30+

Managed Care/

PBM

Membership

American Pharmacies | APEX

Conference

San Antonio, TX

JUN 18-20, 2026

200+

40+

<10

Community/

Retail

Membership

APC | Compounders on Capitol Hill

APC | Owner Summit

Washington, DC

Austin, TX

SEPT 15-16, 2026

MAR 19-21, 2026

150+

160+

30+

40+

10+

Home Infusion

& Compounding

Membership

APCI | Annual Convention and

Stockholders Meeting

Louisville, KY

MAR 6-8, 2026

200+

20+

Community/

Retail

Membership

APhA | Annual Meeting & Expo

Los Angeles, CA

MAR 27-30, 2026

4,000+

100+

160+

Various

Membership

ASCP | Annual Meeting & Exhibition

National Harbor, MD

OCT 30-NOV 1,

2026

1,000+

60+

50+

Long Term Care

Membership

Asembia | AXS Summit

Las Vegas, NV

APR 26-30, 2026

8,000+

170+

70+

Specialty

Membership

ASHP | Midyear

ASHP | Pharmacy Futures

Orlando, FL

St. Louis, MO

DEC 6-9, 2026

JUN 13–17, 2026

20,000+

1,500+

340+

90+

200+

20+

Hospital /

Health System

Membership

Cardinal Health | RBC

Orlando, FL

JUL 22-25, 2026

4,500+

200+

30+

Community/

Retail

Users/Customers

Cencora | ThoughtSpot

Orlando, FL

JUL 29-AUG 1,

2026

3,500+

500+

20+

Various

Users/Customers

DiversifyRx | Pharmacy Profit Summit

Dallas, TX

MAR 28-29, 2026

350+

100+

10+

Community/

Retail

Users/Customers

ECRM | The Health System & Alternate

Site Pharmacy Session

ECRM | The Pharmacy Technology,

Services, Supplies & Automation

Session

ECRM | The Specialty Pharmacy/

Distribution Session

San Antonio, TX

Hilton Head Island,

SEPT 15-17, 2026

NOV 16-18, 2026

Nov 15-17, 2026

40+

60+

40+

20+

30+

20+

<10

Hospital /

Health System

Various

Specialty

Users/Customers

Epic | UGM

Epic | XGM

Verona, WI

AUG 17-20, 2026

APR 27-MAY 7,

2026

Undisclosed

9,000+

10+

20+

Hospital /

Health System

Users/Customers

Epicor | Insights

Nashville, TN

MAR 18-21, 2026

3,000+

Undisclosed

40+

Community/

Retail

Users/Customers

GeriMed | Annual Conference

Marco Island, FL

TBD

Undisclosed

Long Term Care

Membership

HCP | Fall Hospital Pharmacy

Conference

HCP | Spring Hospital Pharmacy

Conference

Chicago, IL

Louisville, KY

OCT 26-28, 2026

MAY 18-20, 2026

Undisclosed

Hospital /

Health System

Users/Customers

HealthTrust | University Conference

Denver, CO

JUL 20-22, 2026

3,500+

380+

40+

Hospital /

Health System

Membership

HOPA | Annual Conference

New Orleans, LA

MAR 25-28, 2026

1,500+

60+

75+

Specialty

Membership

Informa Connect | Compounding

Pharmacy Compliance Conference

Philadelphia, PA

JUN 9-10, 2026

100+

15+

20+

Various

Users/Customers

INTERPHEX | Conference

New York, NY

APR 21-23 2026

9,000+

55+

50+

Hospital /

Health System

Users/Customers

Liberty Software | Engage Pharmacy

Success Summit

Grapevine, TX

MAY 1-2, 2026

200+

20+

<10

Community/

Retail

Users/Customers

McKesson | ideaShare

Denver, CO

JUN 18-21, 2026

2,500+

140+

50+

Community/

Retail

Users/Customers

MEDITECH | LIVE

TBD

350+

Undisclosed

10+

Hospital /

Health System

Users/Customers

MHA | Connect

Orlando, FL

MAR 16-18, 2026

1,000+

100+

10+

Community/

Retail

Membership

NABP | Annual Meeting

Boston, MA

MAY 12-25, 2026

400+

<10

Various

Membership

NACDS | Annual Meeting

NACDS | Total Store Expo

Palm Beach, FL

Boston, MA

APR 18-21, 2026

AUG 16-17, 2026

Undisclosed

2,500+

110+

620+

10+

<10

Community/

Retail

Membership

NASP | inSPire

National Harbor, MD

SEPT 22-25, 2026

2,000+

200+

70+

Specialty

Membership

NCPA | Annual Convention and Expo

NCPA | Multiple Locations Conference

Kansas City, MO

Clearwater Beach, FL

OCT 3-6, 2026

FEB 19-22, 2026

3,000+

80+

230+

70+

40+

10+

Community/

Retail

Membership

NCPDP | Annual Technology &

Business Conference

Scottsdale, AZ

MAY 4-6, 2026

700+

Undisclosed

10+

Community/

Retail

Membership

NHIA | Annual Conference

Denver, CO

APR 18-22, 2026

1,600+

130+

60+

Home Infusion

& Compounding

Membership

Oracle Health | Summit

Orlando, FL

SEPT 22-24, 2026

500+

<10

Hospital /

Health System

Users/Customers

PCCA | ThinkNext International

Seminar

TBD

OCT 15-17, 2026

400+

30+

20+

Long Term Care

Users/Customers

PeopleGrove (CORE Higher Education

Group) | Annual Summit

TBD

200+

<10

Academia

Users/Customers

PointClickCare | SUMMIT

Orlando, FL

FEB 22-24, 2026

2,000+

100+

60+

Various

Users/Customers

PQA | Annual Meeting

Baltimore, MD

MAY 12-14, 2026

400+

Undisclosed

20+

Hospital /

Health System

Membership

Premier | Breakthroughs

National Harbor, MD

OCT 6-8, 2026

4,000+

400+

<10

Hospital /

Health System

Membership

PrimeRx | Xplore User Conference

TBD

Undisclosed

Community/

Retail

Users/Customers

RedSail Technologies | Connect

Pharmacy Conference

Nashville, TN

JUN 4-7, 2026

800+

100+

60+

Various

Users/Customers

SmartSense | LIVE User Conference

Austin, TX

OCT 7-9 2026

200+

10+

Community/

Retail

Users/Customers

SoftWriters | FrameworkLTC

Innovation Conference

Chicago, IL

OCT 12-14, 2026

300+

30+

10+

Long Term Care

Users/Customers

SPS Health/Innovatix | LTC Pharmacy

Summit

Las Vegas, NV

SEPT 15-17, 2026

200+

30+

10+

Long Term Care

Users/Customers

SureCost | Insights

TBD

Undisclosed

Community/

Retail

Users/Customers

TraceLink | FutureLink

TBD

200+

100+

50+

Various

Users/Customers

ATTENDEES

(Approx.)

EXHIBITORS

(Approx.)

EDUCATION

SESSIONS

(Approx.)

ATTENDEE

TYPE

SETTING

FOCUS

LOCATION

DATE

Pharmacy500 Companies in the Fortune 500

McKesson

Wholesalers: Health Care

Texas

48,000

$309,000,000,000

Brian Tyler

mckesson.com

Cencora

Wholesalers: Health Care

Pennsylvania

44,000

$294,000,000,000

Robert Mauch

cencora.com

Cardinal Health

Wholesalers: Health Care

Ohio

48,400

$226,800,000,000

Jason Hollar

cardinalhealth.com

Oracle

Computer Software

Texas

159,000

$53,000,000,000

Safra Catz

oracle.com

Thermo Fisher Scientific

104

Scientific, Photographic and

Control Equipment

Massachusetts

125,000

$42,900,000,000

Marc Casper

thermofisher.com

Abbott Laboratories

107

Medical Products and

Equipment

Illinois

114,000

$42,000,000,000

Robert Ford

abbott.com

Waste Management

197

Waste Management

Texas

61,700

$22,100,000,000

James Fish Jr.

wm.com

Becton Dickinson

211

Medical Products and

Equipment

New Jersey

74,000

$20,200,000,000

Thomas Polen

bd.com

Ecolab

274

Chemicals

Minnesota

48,000

$15,700,000,000

Christophe Beck

ecolab.com

Baxter International

288

Medical Products and

Equipment

Illinois

38,000

$15,100,000,000

Brent Shafer

baxter.com

Cintas

427

Diversified Outsourcing

Services

Ohio

46,500

$9,600,000,000

Todd Schneider

cintas.com

RANK

FORTUNE 500

INDUSTRY

STATE

EMPLOYEES

EST.

REVENUE

(ROUNDED)

CEO

COMPANY

WEBSITE

The

Pharmacy500

awarded

500

pharmacy operations supply chain businesses

and associations that significantly impacted

dispensing pharmacies in the U.S. over the

past year. Similarly, the Fortune 500, published

annually by Fortune Magazine, ranks the nation’s

largest companies by revenue, serving as a

benchmark for corporate success and economic

influence.

About the Pharmacy500 Stock ETF

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.

Pharmacy500 Companies

Baxter International INC

BAX

270

Small Cap ($10.02B)

Becton Dickinson & Co

BDX

211

Medium Cap ($55.54B)

Cardinal Health Inc

CAH

Medium Cap ($48.88B)

Cencora Inc

COR

Large Cap ($65.74B)

Dexcom Inc

DXCM

N/A

Medium Cap ($25.95B)

Grifols

GRFS

N/A

Micro Cap ($2.38B)

ICU Medical Inc

ICUI

N/A

Small Cap ($3.42B)

McKesson Corporation

MCK

Large Cap ($101.63B)

Omnicell

OMCL

N/A

Micro Cap ($2.03B)

West Pharmaceutical Services

WST

N/A

Medium Cap ($19.89B)

STOCK SYMBOL

FORTUNE500 RANK

MARKET CAP

Aggregate:

$335.48B (Q4)

Pharmacy500 Stock Portfolio Snapshot

NOV 1, 2024 - DEC 31, 2025 (4:00 PM EST)