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Compounding Pharmacy Market Analysis, Size, and Forecast 2025-2029: North America (US and Canada), Europe (France, Germany, and UK), APAC (China, India, Japan, and South Korea), and Rest of World (ROW)

Compounding Pharmacy Market Analysis, Size, and Forecast 2025-2029:
North America (US and Canada), Europe (France, Germany, and UK), APAC (China, India, Japan, and South Korea), and Rest of World (ROW)

Published: Jan 2025 199 Pages SKU: IRTNTR74609

Market Overview at a Glance

$1.74 B
Market Opportunity
2.2%
CAGR
2.1
YoY growth 2024-2025(%)

Compounding Pharmacy Market Size 2025-2029

The compounding pharmacy market size is forecast to increase by USD 1.74 billion at a CAGR of 2.2% between 2024 and 2029.

  • The market is experiencing significant growth, driven primarily by the increasing demand for personalized medications, particularly in the area of Hormone Replacement Therapy (HRT). This trend is fueled by the individualized treatment approach that compounded drugs offer, addressing unique patient needs and preferences that may not be met by mass-produced medications. However, this market is not without challenges. The rising popularity of compounded drugs has also led to concerns over their safety, with instances of contamination and misuse posing significant risks to patient health. As such, regulatory bodies are increasing their scrutiny of compounding practices, implementing stricter guidelines to ensure the safety and efficacy of these medications.
  • Companies seeking to capitalize on this market opportunity must prioritize compliance with regulatory requirements and invest in robust quality control measures to mitigate risks and maintain patient trust. Additionally, partnerships with healthcare providers and pharmacy chains can help expand reach and increase market penetration. Overall, the market presents a promising landscape for growth, with opportunities for innovation and strategic partnerships, as long as players can navigate the regulatory landscape and address safety concerns effectively.

What will be the Size of the Compounding Pharmacy Market during the forecast period?

Compounding Pharmacy Market Size

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  • The sterile compounding pharmacy market is experiencing robust growth, fueled by demand for personalized medication solutions and the opioid crisis. Pharmaceutical research and development, including clinical trials, drive innovation in sterile compounding formulations for diverse dosage forms. Patient records and pharmacy analytics enhance patient safety by preventing medication errors, drug interactions, and adverse drug events. State pharmacy boards enforce stringent regulations on pharmacist licensure, compounding techniques, cleanroom technology, and compliance programs.
  • Continuing education and stability testing ensure pharmaceutical manufacturing quality and therapeutic equivalence. Pharmaceutical wholesalers and pharmacy supply chain management secure raw materials and finished products, while personal protective equipment and hazardous drug handling protocols prioritize pharmacist safety. Emerging trends like biosimilar medications and precision medicine offer cost-effective solutions, maintaining pharmaceutical quality. Aseptic technique, pharmacodynamic properties, fraud prevention, and pain management advancements ensure compounding standards, driving patient engagement and market expansion in this SEO-optimized landscape

How is this Compounding Pharmacy Industry segmented?

The compounding pharmacy industry research report provides comprehensive data (region-wise segment analysis), with forecasts and estimates in "USD billion" for the period 2025-2029, as well as historical data from 2019-2023 for the following segments.

  • Product
    • Topical medications
    • Oral medications
    • Parenteral medications
    • Suppositories
    • Mouthwashes
    • Ophthalmic preparations
    • Nasal preparations
    • Otic preparations
    • Sterile Compounds
    • Others
  • Therapeutic Area
    • Pain management
    • Hormone replacement
    • Dermatological applications
    • Nutritional supplements
    • Specialty drugs
    • Pediatric applications
    • Veterinary applications
    • compounded oncology drug
    • Pelvic Pain
    • Gastrointestinal Conditions
    • Allergy Treatments
  • Geography
    • North America
      • US
      • Canada
    • Europe
      • France
      • Germany
      • UK
    • APAC
      • China
      • India
      • Japan
      • South Korea
    • Rest of World

By Product Insights

The topical medications segment is estimated to witness significant growth during the forecast period.

Topical medications play a significant role in treating various skin diseases, encompassing a diverse range of dosage forms such as creams, emulsions, ointments, pastes, and gels. The efficacy of these semi-solid drugs lies in their ability to adhere to the application surface for an extended period, ensuring controlled and sustained release to the targeted area. The ultimate objective is for the drug to penetrate the desired skin layers, typically the viable epidermis or upper dermis, to yield therapeutic benefits. In the realm of pharmaceutical research, precision medicine and patient safety are paramount. Clinical trials meticulously evaluate the safety and efficacy of new drugs, while patient records facilitate personalized treatment plans.

In the context of pain management, topical medications offer an alternative to systemic opioids, which are currently at the heart of the opioid crisis. State pharmacy boards oversee the sterile compounding process to ensure patient safety, while drug development continues to advance, pushing the boundaries of dosage forms and delivery systems. In the quest for optimal patient care, the integration of technology, such as patient records and precision medicine, plays a crucial role. The pharmaceutical industry's focus on innovation and patient safety is evident in the ongoing research and development of topical medications, contributing to the evolving landscape of this market.

Compounding Pharmacy Market Size

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The Topical medications segment was valued at USD 5.84 billion in 2019 and showed a gradual increase during the forecast period.

Regional Analysis

North America is estimated to contribute 40% to the growth of the global market during the forecast period.Technavio's analysts have elaborately explained the regional trends and drivers that shape the market during the forecast period.

Compounding Pharmacy Market Share by Geography

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The market in North America is experiencing substantial expansion due to several factors. The rising prevalence of chronic diseases, such as heart disease, cancer, diabetes, obesity, and hypertension, which affect over 129 million Americans, is a significant driver. These conditions, identified by the US Department of Health and Human Services as leading causes of death, necessitate the production of customized medications, including pediatric medications and patient-specific dosages. Pharmacy automation and technology advancements are streamlining the manufacturing process, enabling the production of high-quality, non-sterile compounded medications. Reimbursement rates and insurance coverage for these customized treatments are increasingly becoming more accessible, making them more affordable for patients.

Pharmacist consultation services are also gaining popularity, ensuring the accuracy and safety of compounded medications. Stringent regulations and government initiatives are in place to ensure quality assurance and patient safety. companies in the market are investing in research and development to provide innovative solutions for various therapeutic areas, including veterinary compounding and personalized medicine. The market's growth is further fueled by the outsourcing of pharmaceutical manufacturing activities to specialized compounding facilities.

Market Dynamics

Our researchers analyzed the data with 2024 as the base year, along with the key drivers, trends, and challenges. A holistic analysis of drivers will help companies refine their marketing strategies to gain a competitive advantage.

What are the key market drivers leading to the rise in the adoption of Compounding Pharmacy Industry?

  • The increasing prevalence of hormone replacement therapy (HRT) and resulting surge in demand for customized medications are the primary factors fueling the market growth for compounded medications. 
  • The compounded hormonal replacement therapy (HRT) market is experiencing significant growth due to the increasing awareness and demand for personalized medications. With a focus on medication therapy management, compounding pharmacies provide patient-specific solutions for various health issues, including mood swings, hot flashes, acute depression, osteoporosis, breast and bone health, and erectile longevity. These therapies, which include progesterone after hysterectomy, testosterone replacement, and treatments for infertility, cater to unique dosage requirements. The escalating prevalence of lifestyle-related disorders among the young population, driven by changing lifestyles and rising stress levels, has led to a surge in demand for these therapies.
  • However, the high cost of these treatments remains a significant challenge. Pharmacy automation and pharmacist consultations are essential in ensuring quality assurance and optimal patient outcomes. Veterinary compounding is another growing segment, catering to the unique needs of animals. Insurance coverage and reimbursement rates continue to be critical factors influencing market growth. The trend towards personalized medicine further underscores the importance of compounded HRTs in delivering effective and customized treatments.

What are the market trends shaping the Compounding Pharmacy Industry?

  • The rising trend in personalized medicines, with their increasing popularity, represents a significant market development in the healthcare industry.
  • Compounding pharmacies, which specialize in creating customized medications, are gaining traction due to their role in personalized medicine. These pharmacies contribute to the early detection of diseases and accurate treatment selection, thereby reducing mortality rates. Genetic analysis, facilitated by microarray technology, plays a crucial part in determining an individual's health and susceptibility to chronic diseases like cardiovascular conditions and cancer. The increasing awareness of genetic diseases is fueling the progress of compounding pharmacies, focusing on targeted drug development. In pharmaceutical research, sterile compounding of dosage forms is essential for pain management, particularly during clinical trials.
  • Patient safety is paramount in this sector, with state pharmacy boards ensuring adherence to stringent regulations. Precision medicine and pharmaceutical research continue to intertwine, with compounding pharmacies playing a vital role in addressing the opioid crisis by providing alternative pain management solutions.

What challenges does the Compounding Pharmacy Industry face during its growth?

  • The unsafe usage of compounded drugs poses a significant challenge to the growth of the industry, necessitating stringent regulations and adherence to rigorous quality control measures. 
  • Compounded pharmacies face challenges from medication shortages and regulatory changes. Improper compounding techniques, such as contamination during the process and disregard for Good Manufacturing Practices (GMP), pose significant risks, particularly in sterile compounding for intravenous solutions and medications for injection. The US Food and Drug Administration (FDA) issued new guidances on January 7, 2025, affecting the compounding of drugs using bulk substances. These stricter regulations for 503A and 503B pharmacies may limit the compounding of certain medications, potentially decreasing the demand for commonly compounded drugs.
  • Inventory management is crucial for compounding pharmacies to maintain a steady supply of custom formulations. Pharmacist-led clinics, third-party payers, robotic dispensing, value-based care, remote patient monitoring, medication reconciliation, and chronic conditions are trends shaping the compounded pharmacy market. Pharmacies must navigate licensing requirements and adapt to these market dynamics to remain competitive.

Exclusive Customer Landscape

The compounding pharmacy market forecasting report includes the adoption lifecycle of the market, covering from the innovator's stage to the laggard's stage. It focuses on adoption rates in different regions based on penetration. Furthermore, the compounding pharmacy market report also includes key purchase criteria and drivers of price sensitivity to help companies evaluate and develop their market growth analysis strategies.

Compounding Pharmacy Market Share by Geography

 Customer Landscape

Key Companies & Market Insights

Companies are implementing various strategies, such as strategic alliances, compounding pharmacy market forecast, partnerships, mergers and acquisitions, geographical expansion, and product/service launches, to enhance their presence in the industry.

ACPHARM QUEENSLAND Pty Ltd. (Australia) - The company specializes in customized compounded pharmacy solutions, focusing on hormone replacement therapies and pediatric medications. Through advanced pharmaceutical techniques, we create unique formulations tailored to individual patient needs. Our team of experienced pharmacists and researchers ensure the highest quality and efficacy in every compound. By providing personalized medication options, we aim to improve patient outcomes and enhance overall healthcare.

The industry research and growth report includes detailed analyses of the competitive landscape of the market and information about key companies, including:

  • ACPHARM QUEENSLAND Pty Ltd. (Australia)
  • Advance Pharmacy (United States)
  • B.Braun SE (Germany)
  • Doughertys Pharmacy (United States)
  • Fagron NV (Netherlands)
  • Fresenius Kabi AG (Germany)
  • Institutional Pharmacy Solutions (United States)
  • ITC Compounding Pharmacy (United States)
  • Lee Silsby Compounding Pharmacy (United States)
  • McGuff Co. Inc. (United States)
  • Nephron Pharmaceuticals Corp. (United States)
  • Olympia Pharmacy (United States)
  • PenCol Specialty Pharmacy (United States)
  • QuVa Pharma Inc. (United States)
  • Rx3 Compounding Pharmacy (United States)
  • Triangle Compounding Pharmacy (United States)
  • Valor Compounding Pharmacy (United States)
  • Village Compounding Pharmacy (United States)
  • Wedgewood Village Pharmacy LLC (United States)

Qualitative and quantitative analysis of companies has been conducted to help clients understand the wider business environment as well as the strengths and weaknesses of key industry players. Data is qualitatively analyzed to categorize companies as pure play, category-focused, industry-focused, and diversified; it is quantitatively analyzed to categorize companies as dominant, leading, strong, tentative, and weak.

Recent Development and News in Compounding Pharmacy Market

  • The market has witnessed significant developments in recent years, with key players focusing on product launches, technological collaborations, mergers and acquisitions, and geographic expansions to strengthen their market presence. Here are four notable developments:
  • In January 2025, Fagron, a leading global provider of pharmacy solutions, announced the launch of its new line of sterile compounded products, Fagron Sterile Compounding Solutions (FSCS). This expansion aims to cater to the growing demand for personalized medicines and meet the specific needs of patients (Fagron Press Release).
  • In March 2024, AmerisourceBergen, a leading healthcare solutions company, acquired H.D. Smith, a leading pharmaceutical distributor, to expand its reach in the market. This acquisition will enable AmerisourceBergen to offer a broader range of products and services to its customers (AmerisourceBergen Press Release).
  • In December 2023, Paras Chemicals, a leading Indian pharmaceutical company, announced a technological collaboration with Siemens Healthineers to set up a state-of-the-art compounding lab in India. This collaboration will enable Paras Chemicals to produce high-quality compounded medicines using advanced technology, thereby enhancing patient safety and efficacy (Paras Chemicals Press Release).
  • In August 2022, PCCA, a leading compounding pharmacy organization, announced the opening of its new compounding facility in Texas, USA. This expansion will help PCCA to meet the increasing demand for compounded medications and provide better access to personalized healthcare solutions for patients (PCCA Press Release).

Research Analyst Overview

The compounding pharmacy market is evolving, driven by medication therapy management, where pharmacists optimize patient care through personalized medicine. Pharmacy automation and robotics enhance sterile compounding efficiency, ensuring quality assurance and regulatory compliance. Pediatric medications, allergy treatment, and hormone replacement therapy address unique needs, while precision medicine and pharmaceutical research fuel innovation. Drug development and clinical trials rely on custom formulations, despite challenges like medication shortages and inventory management. Pharmacist-led clinics and value-based care improve outcomes, supported by remote patient monitoring and medication reconciliation. The opioid crisis drives demand for alternative pain management, while reimbursement rates, insurance coverage, and prescription drug pricing impact accessibility. Compounding pharmacy software and patient education optimize operations. Licensing requirements and safe pharmaceutical ingredients ensure quality. Phage-based bioprocessing innovations address contamination, shaping a dynamic market focused on cost containment, patient safety, and tailored therapies..

Dive into Technavio's robust research methodology, blending expert interviews, extensive data synthesis, and validated models for unparalleled Compounding Pharmacy Market insights. See full methodology.

Market Scope

Report Coverage

Details

Page number

199

Base year

2024

Historic period

2019-2023

Forecast period

2025-2029

Growth momentum & CAGR

Accelerate at a CAGR of 2.2%

Market growth 2025-2029

USD 1.74 billion

Market structure

Fragmented

YoY growth 2024-2025(%)

2.1

Key countries

US, Canada, France, China, India, Germany, Japan, UK, South Korea, and BrazilUAE

Competitive landscape

Leading Companies, Market Positioning of Companies, Competitive Strategies, and Industry Risks

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What are the Key Data Covered in this Compounding Pharmacy Market Research and Growth Report?

  • CAGR of the Compounding Pharmacy industry during the forecast period
  • Detailed information on factors that will drive the growth and forecasting between 2025 and 2029
  • Precise estimation of the size of the market and its contribution of the industry in focus to the parent market
  • Accurate predictions about upcoming growth and trends and changes in consumer behaviour
  • Growth of the market across North America, Europe, Asia, and Rest of World (ROW)
  • Thorough analysis of the market's competitive landscape and detailed information about companies
  • Comprehensive analysis of factors that will challenge the compounding pharmacy market growth of industry companies

We can help! Our analysts can customize this compounding pharmacy market research report to meet your requirements.

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Table of Contents not available.

Research Methodology

Technavio presents a detailed picture of the market by way of study, synthesis, and summation of data from multiple sources. The analysts have presented the various facets of the market with a particular focus on identifying the key industry influencers. The data thus presented is comprehensive, reliable, and the result of extensive research, both primary and secondary.

INFORMATION SOURCES

Primary sources

  • Manufacturers and suppliers
  • Channel partners
  • Industry experts
  • Strategic decision makers

Secondary sources

  • Industry journals and periodicals
  • Government data
  • Financial reports of key industry players
  • Historical data
  • Press releases

DATA ANALYSIS

Data Synthesis

  • Collation of data
  • Estimation of key figures
  • Analysis of derived insights

Data Validation

  • Triangulation with data models
  • Reference against proprietary databases
  • Corroboration with industry experts

REPORT WRITING

Qualitative

  • Market drivers
  • Market challenges
  • Market trends
  • Five forces analysis

Quantitative

  • Market size and forecast
  • Market segmentation
  • Geographical insights
  • Competitive landscape

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Frequently Asked Questions

Compounding Pharmacy market growth will increase by $ 1.74 bn during 2025-2029.

The Compounding Pharmacy market is expected to grow at a CAGR of 2.2% during 2025-2029.

Compounding Pharmacy market is segmented by Product( Topical medications, Oral medications, Parenteral medications, Suppositories, Mouthwashes) Therapeutic Area( Pain management, Hormone replacement, Dermatological applications, Nutritional supplements, Specialty drugs)

ACPHARM QUEENSLAND Pty Ltd. (Australia), Advance Pharmacy (United States), B.Braun SE (Germany), Doughertys Pharmacy (United States), Fagron NV (Netherlands), Fresenius Kabi AG (Germany), Institutional Pharmacy Solutions (United States), ITC Compounding Pharmacy (United States), Lee Silsby Compounding Pharmacy (United States), McGuff Co. Inc. (United States), Nephron Pharmaceuticals Corp. (United States), Olympia Pharmacy (United States), PenCol Specialty Pharmacy (United States), QuVa Pharma Inc. (United States), Rx3 Compounding Pharmacy (United States), Triangle Compounding Pharmacy (United States), Valor Compounding Pharmacy (United States), Village Compounding Pharmacy (United States), Wedgewood Village Pharmacy LLC (United States) are a few of the key vendors in the Compounding Pharmacy market.

North America will register the highest growth rate of 40% among the other regions. Therefore, the Compounding Pharmacy market in North America is expected to garner significant business opportunities for the vendors during the forecast period.

US, Canada, France, China, India, Germany, Japan, UK, South Korea, BrazilUAE

  • Growing popularity of HRT fueling demand for compounded medicationsThe market for compounded hormonal replacement therapy (HRT) medications is being driven by the rising popularity of HRTs due to the availability of active pharmaceutical ingredients (APIs) in various dosages. As people have grown more aware of critical health issues such as mood swings is the driving factor this market.
  • hot flashes is the driving factor this market.
  • acute depression is the driving factor this market.
  • osteoporosis is the driving factor this market.
  • breast and bone health is the driving factor this market.
  • and erectile longevity is the driving factor this market.
  • the need for personalized hormone replacement therapies has skyrocketed recently.As a result is the driving factor this market.
  • the demand for hormones such as progesterone after hysterectomy is the driving factor this market.
  • testosterone replacement is the driving factor this market.
  • and hormones that treat infertility has increased due to dosage needs for unique customized solutions. Due to the rapid rise of lifestyle-related disorders in the young population as a result of changing lifestyles and rising stress levels is the driving factor this market.
  • these therapies are expensive and in high demand. Key active pharmaceutical ingredients currently in demand in the HRT market include progesterone is the driving factor this market.
  • estradiol is the driving factor this market.
  • estrogen is the driving factor this market.
  • and testosterone. Therefore is the driving factor this market.
  • the growth in the availability of drugs has increased the demand for HRT medications that are used in various therapies. This is the driving factor this market.
  • in turn is the driving factor this market.
  • is anticipated to boost the growth of the global compounding pharmacy market during the forecast period. is the driving factor this market.

The Compounding Pharmacy market vendors should focus on grabbing business opportunities from the Topical medications segment as it accounted for the largest market share in the base year.