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Top specialty drug pharmacies in the U.S. by revenue 2019

Top 10 pharmacies based on specialty drug revenue in the U.S. in 2019

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Release date

April 2020


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 and Drug Channels Institute-estimated pro forma full-year revenues from acquisitions completed in 2019. Includes annualized pro forma full-year revenues from Anthem and Coventry, which transitioned from Express Scripts during 2019.
** In 2018, Cigna aquired Express Scripts.
*** Includes pro forma full-tyear revenues from acquisitions completed in 2019.
**** Formally known as BriovaRX.
^ In 2020, Diplomat was aquired by OptumRX.

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