Independent Specialty Pharmacies Compose Over One-Third of the Market


Specialty pharmacies owned by the big three pharmacy benefit managers (CVS Health, Cigna (Evernorth/Express Scripts), and UnitedHealth Group/OptumRx) account for a substantial amount of the market’s revenues.

An increasingly diverse set of companies own pharmacies that dispense specialty drugs. These include: pharmacy benefit managers, retail pharmacies, health insurers, food and retail stores, hospitals and health systems, pharmacy services companies, and private equity.

However, independently owned specialty pharmacies compose more than one-third of the market. These companies appear in AMI’s most recent analysis of key specialty pharmacy contacts as 40% hold the job titles of President, Owner, CEO, or Chief Pharmacy Officer.


Key Specialty Pharmacy Contact Title – 2024


Job Title Number of Locations Percentage (%)
President/Owner/CEO/Chief Pharmacy Officer 705 40%
SVP/COO/General Manager 215 12%
Vice President, Pharmacy 165 9%
Pharmacy Director 345 20%
Pharmacy Manager/Supervisor 325 19%
 TOTAL 1,755 100%



AMI’s Specialty Pharmacy Database is the first and most comprehensive specialty pharmacy database that solves the problem of obtaining timely, difficult to obtain business intelligence on specialty pharmacies.

The Specialty Pharmacy Database offers comprehensive business intelligence on over 1,750 specialty pharmacies. AMI updates current records and adds new records daily.