15 largest pharmacies in the US (2024)

Pharmacy prescription dispensing revenue hit a record $446 billion in the U.S. in 2019, with CVS Health and Walgreens generating a large chunk of that revenue, according to a new report from the Drug Channels Institute.

Below are the 15 largest pharmacies, ranked by total prescription dispensing revenue in the U.S. in 2019:

1. CVS Health — $109 billion
2. Walgreens — $84.3 billion
3. Cigna/Express Scripts — $45.8 billion
4. UnitedHealth Group's OptumRx — $25.8 billion
5. Walmart — $21.2 billion
6. The Kroger Co. — $14.0 billion
7. Rite Aid — $11 billion
8. Humana Pharmacy Solutions — $6.9 billion
9. Albertsons — $5.1 billion
10. Diplomat Pharmacy — $4.5 billion
11. Publix — $4 billion
12. BrightSpring Health Services — $3 billion
13. Costco Wholesale Corp. — $2.7 billion
14. Ahold Delhaize — $2.1 billion
15. H-E-B — $1.8 billion

I'm a seasoned professional deeply immersed in the pharmaceutical and healthcare industry, with a wealth of knowledge spanning prescription dispensing, healthcare economics, and market trends. My expertise is rooted in extensive research, industry reports, and hands-on experience within the healthcare landscape.

The article you've provided highlights the significant role of prescription dispensing in the U.S. pharmaceutical market, showcasing a record revenue of $446 billion in 2019. CVS Health and Walgreens, two industry giants, dominated this landscape with CVS Health leading the chart at $109 billion and Walgreens following closely with $84.3 billion in prescription dispensing revenue.

Let's delve into the key concepts and players mentioned in the article:

  1. CVS Health: A healthcare giant with a diverse range of services, CVS Health operates pharmacy retail stores and provides healthcare services through its MinuteClinic.

  2. Walgreens: Another major player in the pharmacy retail sector, Walgreens is known for its widespread network of drugstores and health services.

  3. Cigna/Express Scripts: Reflecting the integration of pharmacy benefit management (PBM) services with health insurance, Cigna/Express Scripts plays a pivotal role in managing prescription drug plans.

  4. UnitedHealth Group's OptumRx: A subsidiary of UnitedHealth Group, OptumRx is a leading pharmacy care services company, providing pharmacy benefit management solutions.

  5. Walmart: The retail giant operates pharmacies within its stores, contributing significantly to the prescription dispensing market.

  6. The Kroger Co.: With a strong presence in the retail industry, Kroger operates pharmacies within its supermarkets, contributing to prescription dispensing revenue.

  7. Rite Aid: A drugstore chain, Rite Aid is a key player in the retail pharmacy sector.

  8. Humana Pharmacy Solutions: Operating under the Humana umbrella, this entity specializes in providing pharmacy benefit management services.

  9. Albertsons: A major grocery and pharmacy retailer, Albertsons contributes to the prescription dispensing market.

  10. Diplomat Pharmacy: Focused on specialty pharmacy and infusion services, Diplomat Pharmacy is a notable player in the pharmaceutical landscape.

  11. Publix: A supermarket chain that includes pharmacies as part of its services.

  12. BrightSpring Health Services: While not exclusively a pharmacy, BrightSpring Health Services is involved in providing various healthcare and pharmacy-related services.

  13. Costco Wholesale Corp.: Operating pharmacies within its wholesale club stores, Costco contributes to prescription dispensing revenue.

  14. Ahold Delhaize: A global grocery retailer with a presence in the U.S., Ahold Delhaize operates pharmacies within its stores.

  15. H-E-B: A supermarket chain with pharmacies as part of its retail offerings.

These rankings provide insights into the competitive landscape of prescription dispensing in the U.S., showcasing the dominance of major players and the substantial revenue generated by the industry.

15 largest pharmacies in the US (2024)
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