U.S. 503b Compounding Pharmacies Market

Key Highlights of the report

How are the major segments performing in the U.S. 503b compounding pharmacies market?

• In 2022, the phenylephrine segment accounted for the largest market share as it is widely used to relieve nasal discomfort.
• In 2022, the prefilled syringes segment was anticipated to hold a prominent share in the U.S. 503b compounding pharmacies market. Increasing demands for efficient, easy-to-use drug delivery devices and healthcare professionals’ efforts to reduce hospital errors.

What is the Market Size of U.S. 503b Compounding Pharmacies regarding value?

The U.S. 503b compounding pharmacies market is anticipated to grow at a substantial CAGR of 7.80% in the upcoming years. The U.S. 503b compounding pharmacies industry was estimated to be worth USD 1.1 billion in 2022 and was expected to be worth USD 1.9 billion by 2030.

How is US Market Performing in the 503b Compounding Pharmacies market?

In 2022, compounding pharmacies in the U.S. are seeing increased demand for pain management drugs. According to the National Health Interview Survey, in 2019, 50.2 million Americans (20.5%) reported chronic pain on most days. Knees, backs, feet, and hips are the most common areas of pain. Compounded medications are also a good method of relieving pain. Creams from compounded medications provide instant relief when applied directly to the affected area. Further, compounding pharmacies collaborate with healthcare providers to create customized pain management treatment options and dosages. Such scenarios are expected to drive market growth in the next few years.

How is the economy impacting the U.S. 503b Compounding Pharmacies growth?

Pharmacy staff is struggling to fill the demand for medicines during times of covid-19 pandemic. Because of this, 503B outsourcing facilities are invaluable partners for hospitals and health systems in addressing drug scarcity and its impact on patients during this pandemic. According to the Drug Quality and Security Act, passed in 2013, 503B outsourcing facilities could compound nonsterile and sterile drug products in advance of their providers’ needs if they met certain standards established by the federal government. With the surge in demand for critical care medicines caused by the pandemic, 503B facilities can supply hospitals when commercial manufacturers cannot supply.

What is the competitive environment of the U.S. 503b Compounding Pharmacies market?

The U.S. 503b compounding pharmacies industry’s competitive environment provides information on the entire economic profit made by suppliers and businesses, the sales and revenues created in this sector, the U.S. 503b compounding pharmacies market share, the business organization summary, the introduction of new products, and the opportunities for the industrial U.S. 503b compounding pharmacies market. For instance, in January 2022, in the Nephron 503B Outsourcing Facility operation, Nephron Pharmaceuticals Corporation launched a new syringe presentation, the Cyclic Olefin Copolymer Syringe (COC). In addition to 8.4% sodium bicarbonate injection, the company will also introduce a COC syringe for this product. By pursuing this strategy, the company will be able to grow its product portfolio in compounding pharmacies. Furthermore, in May 2022, A 503B outsourcing facility and a state-licensed pharmacy were acquired by Edgewood Pharmacy through Zoo, Wildlife Specializations. This strategy increased the company’s product portfolio, accelerating its market growth.

Executive Summary

What are the key trends in the U.S. 503b Compounding Pharmacies market?

• Over the forecast period, the U.S. 503B Compounding Pharmacies market is expected to grow due to an increased drug shortage. For example, the Drug Shortages Task Force of the U.S. Food and Drug Administration 2019 report titled ‘Drug Shortages: Root Causes and Potential Solutions’ explains that drug shortages are caused by a lack of incentives to produce less profitable drugs and logistical and regulatory obstacles. As stated in the report, hospitals must pay more for branded and alternative drugs when there is a shortage of low-cost generic drugs or obtain medications from compounding facilities. Therefore, such instances could contribute to the market’s growth in the near future.

How are Pharma Manufacturers Teaming Up with Stakeholders in U.S. 503b Compounding Pharmacies Market?

As geriatric patients suffering from chronic diseases demand more pain management therapies, the market is expected to grow over the forecast period. Chronic pain is a major concern among older adults suffering from chronic diseases, according to Progress in Neuro-Psychopharmacology and Biological Psychiatry Journal: 2019. CDC (The Centers for Disease Control and Prevention) reports that in 2018, the population aged 60 years and older had the highest number of pain management therapies prescribed. The market is projected to grow during the forecast period due to increasing product approvals and launches. For instance, in November 2020, Fagron Compounding Pharmacies launched new intravenous bags (IV bags) containing Fentanyl Hydromorphone and Midazolam. Furthermore, the company plans to add hormones, chemicals, and norepinephrine to its IV bag offerings. According to a the U.S. Food and Drug Administration (FDA), the U.S. has been suffering from a drug shortage for several years, and the outbreak of COVID-19 has made it worse. In addition to supply chain disruptions, manufacturing process delays and discontinuities, quality issues, and difficulties obtaining raw materials, shortages are often caused by supply chain disruptions. As a result of drug shortages, compounding pharmacies in the U.S. have gained additional opportunities. In addition, FDA has issued temporary guidance to federal facilities and state-licensed pharmacies, including hospital pharmacies and compounding pharmacies, that are not registered as outsourcing facilities with FDA. As a result of a shortage of drugs required for patient treatment, compounding certain medications for hospitalized patients was required during the public health emergency.

Which are the key investments by the U.S. 503b Compounding Pharmacies market players?

Leading players operating in the U.S. 503b compounding pharmacies market focus on expanding 503b compounding. Apart from this, players are concentrating on strategic mergers and acquisitions, collaborations and creating awareness among pharmacies via different associations formed to promote smart practices to serve more end users in the domestic market to gain a competitive edge. For instance, in May 2020, Wedgwood Pharmacy acquired Zoo, Wildlife Specializations to acquire 503B outsourcing facilities and a state-licensed pharmacy to enhance the company’s market position.

Some major players in the U.S. 503b compounding pharmacies market are Central Admixture Pharmacy Services, Inc., Avella Specialty Pharmacy, Atlas Pharmaceuticals, Empower Pharmacy, Carie Boyd’S Prescription Shop, Edge Pharma, Imprimis NJOF, Nephron Pharmaceuticals Corporation, QuVa Pharma, Olympia Pharmacy, ASP Cares, Fagron Compounding Pharmacies, Athenex, Inc., IntegraDose Compounding services, Wells Pharma of Houston, LLC, US Compounding Inc., and SCA Pharma.

What are the Major Driving Factors for the U.S. 503b Compounding Pharmacies Market?

Increasing investments by the key market players in research and development will boost the growth of the US compounding pharmacy market as they innovate and customize formulations to treat various diseases effectively. Market growth is significantly accelerated by the rising prevalence of cancer among the US population. In addition, the growing acceptance of compounding pharmacies in the US is fueled by favorable government reimbursement policies. In addition, the growth of effective compounding pharmacies is being driven by technological advancements. Combined with the strong healthcare infrastructure in the US, the US compounding pharmacy market is growing due to the presence of leading market players.

What are the Major Risks for the U.S. 503b Compounding Pharmacies Market?

As a result of increasing product recalls, the U.S. 503B compounding pharmacy market is expected to slow down. For example, in August 2019, the U.S. Food and Drug Administration requested a recall of sterile compounded drug products produced by Pacifico National Inc. This Melbourne-based outsourcing facility operates as AmEx Pharmacy. Because of significant quality and sterility concerns, compounded ophthalmic and other drug products pose unnecessary risks.

Which is the key packaging in the U.S. 503b Compounding Pharmacies market?

The prefilled syringes segment is expected to hold a prominent share of the U.S. 503b compounding pharmacies market during the forecast period. The pharmaceutical industry seeks new and more convenient ways to deliver drugs, which has led to the rapid growth of prefilled syringes as a unit-dose medication option. In its article published in June 2022 on self-care interventions, the World Health Organization noted that self-injectable contraception could reduce unintended pregnancy rates. Increasing efforts of healthcare professionals to reduce hospital errors and growing demand for easy-to-use drug delivery devices are driving the market.

What is the regulatory landscape for the U.S. 503b Compounding Pharmacies market?

The FDA authorizes 503A pharmacies to provide sterile medicines under patient-specific conditions to fill each patient’s unique prescription. They are also approved for use at home by the FDA. The FDA does not require 503A pharmacies to register with the FDA, nor do they need to follow current good manufacturing practices (cGMP). These regulatory relaxations will boost the demand for 503A compounding pharmacies.

What are the major players planning for the future of the U.S. 503b Compounding Pharmacies market?

Growing regional existence and investment in downstream applications are anticipated to deliver a competitive edge in the market. It was announced in January 2022 that Athenex would manufacture its 503B products at its Dunkirk facility under a preliminary agreement with ImmunityBio, Inc. Through this partnership, the company will gain a competitive advantage and expand its product line.

Segmentation of U.S. 503b Compounding Pharmacies Market-

U.S. 503b Compounding Pharmacies Market – By Molecule

• Acetaminophen
• Phenylephrine
• Midazolam
• Esmolol
• Vancomycin
• Epinephrine
• Adenocaine
• Fentanyl/ Bupivacaine
• Morphine
• Amiodarone
• Heparin
• Ketamine
• Dextrose
• Hydromorphone
• Bupivacaine
• Lidocaine
• BKK (Bupivacaine, ketorolac, Ketamine)
• RCK (Ropivacaine, Clonidine, Ketorolac)
• RKK (Ropivacaine, Ketorolac, Ketamine)
• Other Molecules

U.S. 503b Compounding Pharmacies Market – By Packaging

• Vials
• Prefilled Syringes
• Ampoules
• Syringes
• Others

1. Preface
1.1. Report Description
1.1.1. Purpose of the Report
1.1.2. Target Audience
1.1.3. USP and Key Offerings
1.2. Research Scope
1.3. Research Methodology
1.3.1. Phase I – Secondary Research
1.3.2. Phase II – Primary Research
1.3.3. Phase III – Expert Panel Review
1.3.4. Approach Adopted
1.3.4.1. Top-Down Approach
1.3.4.2. Bottom-Up Approach
1.3.5. Assumptions
1.4. Market Introduction
1.5. Market Research Scope

2. Executive Summary
2.1. Market Snapshot: U.S. 503b Compounding Pharmacies Market
2.2. U.S. 503b Compounding Pharmacies Market, By Molecule
2.3. U.S. 503b Compounding Pharmacies Market, By Packaging
2.4. U.S. 503b Compounding Pharmacies Market, By Region

3. Market Dynamics & Factors Analysis
3.1. Introduction
3.1.1. U.S. 503b Compounding Pharmacies Market Value, 2017-2030, (US$ Bn)
3.1.2. Y-o-Y Growth Trend Analysis
3.2. Market Dynamics
3.2.1. Market Drivers
3.2.2. Market Restraints
3.2.3. Market Opportunities
3.2.4. Major Industry Challenges
3.3. Growth and Development Patterns
3.4. Investment Feasibility Analysis
3.5. Market Opportunity Analysis
3.5.1. Molecule
3.5.2. Packaging
3.5.3. Geography

4. Premium Insights
4.1. STAR (Situation, Task, Action, Results) Analysis
4.2. Porter’s Five Forces Analysis
4.2.1. Threat of New Entrants
4.2.2. Bargaining Power of Buyers/Consumers
4.2.3. Bargaining Power of Suppliers
4.2.4. Threat of Substitute Types
4.2.5. Intensity of Competitive Rivalry
4.3. Key Market Trends
4.3.1. Demand Side Trends
4.3.2. Supply Side Trends
4.4. Value Chain Analysis
4.5. Molecule Analysis
4.6. Analysis and Recommendations
4.7. Marketing Strategy Analysis
4.7.1. Direct Marketing
4.7.2. Indirect Marketing
4.7.3. Marketing Channel Development Trend

5. Market Positioning of Key Players, 2022
5.1. Company market share of key players, 2022
5.2. Competitive Benchmarking
5.3. Market Positioning of Key Vendors
5.4. Geographical Presence Analysis
5.5. Major Strategies Adopted by Key Players
5.5.1. Key Strategies Analysis
5.5.2. Mergers and Acquisitions
5.5.3. Partnerships
5.5.4. Product Launch
5.5.5. Geographical Expansion
5.5.6. Others

6. Economic Impact Analysis
6.1. Recession Impact
6.2. Ukraine-Russia War Impact
6.3. COVID-19 Impact Analysis

7. U.S. 503b Compounding Pharmacies Market
7.1. U.S. 503b Compounding Pharmacies Market, by Molecule, 2017-2030 (US$ Bn)
7.1.1. Overview
7.1.2. U.S. 503b Compounding Pharmacies Market, By Molecule, 2022 vs 2030 (in%)
7.1.3. U.S. 503b Compounding Pharmacies Market, By Acetaminophen, 2017-2030 (US$ Bn)
7.1.4. U.S. 503b Compounding Pharmacies Market, By Phenylephrine, 2017-2030 (US$ Bn)
7.1.5. U.S. 503b Compounding Pharmacies Market, By Midazolam, 2017-2030 (US$ Bn)
7.1.6. U.S. 503b Compounding Pharmacies Market, By Esmolol, 2017-2030 (US$ Bn)
7.1.7. U.S. 503b Compounding Pharmacies Market, By Vancomycin, 2017-2030 (US$ Bn)
7.1.8. U.S. 503b Compounding Pharmacies Market, By Epinephrine, 2017-2030 (US$ Bn)
7.1.9. U.S. 503b Compounding Pharmacies Market, By Adenocaine, 2017-2030 (US$ Bn)
7.1.10. U.S. 503b Compounding Pharmacies Market, By Fentanyl/ Bupivacaine, 2017-2030 (US$ Bn)
7.1.11. U.S. 503b Compounding Pharmacies Market, By Morphine, 2017-2030 (US$ Bn)
7.1.12. U.S. 503b Compounding Pharmacies Market, By Amiodarone, 2017-2030 (US$ Bn)
7.1.13. U.S. 503b Compounding Pharmacies Market, By Heparin, 2017-2030 (US$ Bn)
7.1.14. U.S. 503b Compounding Pharmacies Market, By Ketamine, 2017-2030 (US$ Bn)
7.1.15. U.S. 503b Compounding Pharmacies Market, By Dextrose, 2017-2030 (US$ Bn)
7.1.16. U.S. 503b Compounding Pharmacies Market, By Hydromorphone, 2017-2030 (US$ Bn)
7.1.17. U.S. 503b Compounding Pharmacies Market, By Bupivacaine, 2017-2030 (US$ Bn)
7.1.18. U.S. 503b Compounding Pharmacies Market, By Lidocaine, 2017-2030 (US$ Bn)
7.1.19. U.S. 503b Compounding Pharmacies Market, By BKK (Bupivacaine, ketorolac, Ketamine), 2017-2030 (US$ Bn)
7.1.20. U.S. 503b Compounding Pharmacies Market, By RCK (Ropivacaine, Clonidine, Ketorolac), 2017-2030 (US$ Bn)
7.1.21. U.S. 503b Compounding Pharmacies Market, By RKK (Ropivacaine, Ketorolac, Ketamine), 2017-2030 (US$ Bn)
7.1.22. U.S. 503b Compounding Pharmacies Market, By Other Molecules, 2017-2030 (US$ Bn)
7.2. U.S. 503b Compounding Pharmacies Market, by Packaging, 2017-2030 (US$ Bn)
7.2.1. Overview
7.2.2. U.S. 503b Compounding Pharmacies Market, By Packaging, 2022 vs 2030 (in%)
7.2.3. U.S. 503b Compounding Pharmacies Market, By Vials, 2017-2030 (US$ Bn)
7.2.4. U.S. 503b Compounding Pharmacies Market, By Prefilled Syringes, 2017-2030 (US$ Bn)
7.2.5. U.S. 503b Compounding Pharmacies Market, By Ampoules, 2017-2030 (US$ Bn)
7.2.6. U.S. 503b Compounding Pharmacies Market, By Syringes, 2017-2030 (US$ Bn)
7.2.7. U.S. 503b Compounding Pharmacies Market, By Others, 2017-2030 (US$ Bn)
7.3. U.S. 503b Compounding Pharmacies Market Estimates and Forecast, 2017-2030 (US$ Bn)
7.3.1. U.S.
7.3.1.1. U.S. 503b Compounding Pharmacies, By Molecule, 2017-2030 (US$ Bn)
7.3.1.2. U.S. 503b Compounding Pharmacies, By Packaging, 2017-2030 (US$ Bn)

8. Company Profiles
8.1. Central Admixture Pharmacy Services, Inc.
8.1.1. Company Overview
8.1.2. Products/Services Portfolio
8.1.3. Geographical Presence
8.1.4. Financial Summary
8.1.4.1. Market Revenue and Net Profit (2019-2022)
8.1.4.2. Business Segment Revenue Analysis
8.1.4.3. Geographical Revenue Analysis
8.2. Nephron Pharmaceuticals Corporation
8.3. QuVa Pharma
8.4. Olympia Pharmacy
8.5. ASP Cares
8.6. Fagron Compounding Pharmacies
8.7. Athenex, Inc.
8.8. Avella Specialty Pharmacy
8.9. Atlas Pharmaceuticals
8.10. Empower Pharmacy
8.11. Carie Boyd’S Prescription Shop
8.12. Edge Pharma, Imprimis NJOF
8.13. IntegraDose Compounding services
8.14. Wells Pharma of Houston, LLC
8.15. US Compounding Inc.
8.16. SCA Pharma

List of Figures
FIG. 1 U.S. 503b Compounding Pharmacies Market: Research Methodology
FIG. 2 Market Size Estimation – Top Down & Bottom up Approach
FIG. 3 U.S. 503b Compounding Pharmacies Market Segmentation
FIG. 4 U.S. 503b Compounding Pharmacies Market, by Molecule, 2022 (US$ Bn)
FIG. 5 U.S. 503b Compounding Pharmacies Market, by Packaging, 2022 (US$ Bn)
FIG. 6 Attractive Investment Proposition, by Molecule, 2022
FIG. 7 Attractive Investment Proposition, by Packaging, 2022
FIG. 8 Market Share Analysis of Key U.S. 503b Compounding Pharmacies Market Manufacturers, 2022
FIG. 9 Market Positioning of Key U.S. 503b Compounding Pharmacies Market Manufacturers, 2022
FIG. 10 U.S. 503b Compounding Pharmacies Market Value Contribution, By Molecule, 2022 & 2030 (Value %)
FIG. 11 U.S. 503b Compounding Pharmacies Market, by Acetaminophen, Value, 2017-2030 (US$ Bn)
FIG. 12 U.S. 503b Compounding Pharmacies Market, by Phenylephrine, Value, 2017-2030 (US$ Bn)
FIG. 13 U.S. 503b Compounding Pharmacies Market, by Midazolam, Value, 2017-2030 (US$ Bn)
FIG. 14 U.S. 503b Compounding Pharmacies Market, by Esmolol, Value, 2017-2030 (US$ Bn)
FIG. 15 U.S. 503b Compounding Pharmacies Market, by Vancomycin, Value, 2017-2030 (US$ Bn)
FIG. 16 U.S. 503b Compounding Pharmacies Market, by Epinephrine, Value, 2017-2030 (US$ Bn)
FIG. 17 U.S. 503b Compounding Pharmacies Market, by Adenocaine, Value, 2017-2030 (US$ Bn)
FIG. 18 U.S. 503b Compounding Pharmacies Market, by Fentanyl/ Bupivacaine, Value, 2017-2030 (US$ Bn)
FIG. 19 U.S. 503b Compounding Pharmacies Market, by Morphine, Value, 2017-2030 (US$ Bn)
FIG. 20 U.S. 503b Compounding Pharmacies Market, by Amiodarone, Value, 2017-2030 (US$ Bn)
FIG. 21 U.S. 503b Compounding Pharmacies Market, by Heparin, Value, 2017-2030 (US$ Bn)
FIG. 22 U.S. 503b Compounding Pharmacies Market, by Ketamine, Value, 2017-2030 (US$ Bn)
FIG. 23 U.S. 503b Compounding Pharmacies Market, by Dextrose, Value, 2017-2030 (US$ Bn)
FIG. 24 U.S. 503b Compounding Pharmacies Market, by Hydromorphone, Value, 2017-2030 (US$ Bn)
FIG. 25 U.S. 503b Compounding Pharmacies Market, by Bupivacaine, Value, 2017-2030 (US$ Bn)
FIG. 26 U.S. 503b Compounding Pharmacies Market, by Lidocaine, Value, 2017-2030 (US$ Bn)
FIG. 27 U.S. 503b Compounding Pharmacies Market, by BKK (Bupivacaine, ketorolac, Ketamine), Value, 2017-2030 (US$ Bn)
FIG. 28 U.S. 503b Compounding Pharmacies Market, by RCK (Ropivacaine, Clonidine, Ketorolac), Value, 2017-2030 (US$ Bn)
FIG. 29 U.S. 503b Compounding Pharmacies Market, by RKK (Ropivacaine, Ketorolac, Ketamine), Value, 2017-2030 (US$ Bn)
FIG. 30 U.S. 503b Compounding Pharmacies Market, by Other Molecules, Value, 2017-2030 (US$ Bn)
FIG. 31 U.S. 503b Compounding Pharmacies Market Value Contribution, By Packaging, 2022 & 2030 (Value %)
FIG. 32 U.S. 503b Compounding Pharmacies Market, by Vials, Value, 2017-2030 (US$ Bn)
FIG. 33 U.S. 503b Compounding Pharmacies Market, by Prefilled Syringes, 2017-2030 (US$ Bn)
FIG. 34 U.S. 503b Compounding Pharmacies Market, by Ampoules, 2017-2030 (US$ Bn)
FIG. 35 U.S. 503b Compounding Pharmacies Market, by Syringes, 2017-2030 (US$ Bn)
FIG. 36 U.S. 503b Compounding Pharmacies Market, by Others, 2017-2030 (US$ Bn)

List of Tables
TABLE 1 Market Snapshot: U.S. 503b Compounding Pharmacies Market
TABLE 2 U.S. 503b Compounding Pharmacies Market, by Competitive Benchmarking, 2022
TABLE 3 U.S. 503b Compounding Pharmacies Market, by Geographical Presence Analysis, 2022
TABLE 4 U.S. 503b Compounding Pharmacies Market, by Key Strategies Analysis, 2022
TABLE 5 U.S. 503b Compounding Pharmacies Market, by Molecule, 2017-2030 (US$ Bn)
TABLE 6 U.S. 503b Compounding Pharmacies Market, by Packaging, 2017-2030 (US$ Bn)