Top specialty drug pharmacies in the U.S. by revenue 2018

This statistic depicts the top 10 specialty pharmacies based on revenues generated from specialty pharmaceuticals in the United States in 2018. During this year, Express Scripts' Accredo/Freedom Fertility generated some 30.7 billion U.S. dollars from specialty pharmaceuticals.

Top 10 pharmacies based on specialty drug revenue in the U.S. in 2018

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Release date

April 2019


United States

Survey time period


Supplementary notes

Includes prescription revenues; includes revenues from retail, specialty, and mail pharmacies. Excludes revenues from network pharmacies of PBM-owned specialty pharmacies and infusion services covered by medical benefits. Totals may not sum due to rounding.
* Includes CVS Caremark Specialty Pharmacy and CVS/retail drugstores. Includes Aetna specilaty pharmacy volume.
** North American revenue only. Changes in revenues computed based on pro forma combination with Prime Therapeutics.
*** Includes pro forma full-year revenues from acquisitions completed in 2018.
**** Includes specialty revenues from retail locations.
***** Includes Biologics Oncology Pharmacy, the Patient Assistance Pharmacy (formerly known as Care Advantage), and RxC | Custom Pharmacy Solutions.

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