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US Compounding Chemotherapy Market

ID: MRFR/Pharma/51795-HCR
200 Pages
Rahul Gotadki
October 2025

US Compounding Chemotherapy Market Research Report By Dose (Chemotherapeutic, Non-Chemotherapeutics), By Delivery Method (Gravimetric Automated Compounding Device, Volumetric Automated Compounding Device), By Sterility (Sterile, Non-Sterile), and By Technology (With Robotic Arms, Without Robotic Arms) - Forecast to 2035

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US Compounding Chemotherapy Market Summary

As per MRFR analysis, the US compounding chemotherapy market Size was estimated at 111.3 USD Million in 2024. The US compounding chemotherapy market is projected to grow from 118.8 USD Million in 2025 to 227.98 USD Million by 2035, exhibiting a compound annual growth rate (CAGR) of 6.74% during the forecast period 2025 - 2035.

Key Market Trends & Highlights

The US compounding chemotherapy market is experiencing a shift towards personalized treatment approaches driven by technological advancements and regulatory support.

  • The market is witnessing a growing emphasis on personalized treatment approaches, particularly in the oncology segment.
  • Regulatory developments are fostering a more supportive environment for compounding practices, enhancing market growth.
  • Technological advancements are playing a crucial role in improving compounding techniques, thereby increasing efficiency and safety.
  • Rising cancer incidence and growing demand for personalized medicine are key drivers propelling the market forward.

Market Size & Forecast

2024 Market Size 111.3 (USD Million)
2035 Market Size 227.98 (USD Million)

Major Players

Fresenius Kabi (DE), Baxter International (US), Civica Rx (US), PharMEDium Services (US), Compounding Pharmacy of America (US), Avella Specialty Pharmacy (US), PillPack (US), Onco360 (US)

US Compounding Chemotherapy Market Trends

The compounding chemotherapy market is currently experiencing notable transformations driven by various factors. The increasing prevalence of cancer and the growing demand for personalized medicine are influencing the landscape significantly. As healthcare providers seek tailored treatment options, the role of compounding pharmacies becomes more pronounced. These establishments are essential in preparing customized chemotherapy regimens that cater to individual patient needs, thereby enhancing therapeutic outcomes. Furthermore, regulatory frameworks are evolving to ensure the safety and efficacy of compounded medications, which may impact operational practices within the market. In addition, advancements in technology are reshaping the compounding chemotherapy market. Innovations in compounding techniques and equipment are likely to improve the precision and quality of compounded drugs. This technological evolution may also facilitate better compliance with regulatory standards, thereby fostering trust among healthcare professionals and patients alike. As the market continues to adapt to these changes, stakeholders must remain vigilant to emerging trends and challenges that could influence future growth and development.

Personalized Treatment Approaches

The trend towards personalized medicine is gaining traction within the compounding chemotherapy market. Healthcare providers are increasingly recognizing the importance of tailoring treatment plans to individual patient profiles, which may enhance efficacy and minimize adverse effects. This shift is prompting compounding pharmacies to develop customized formulations that align with specific patient needs.

Regulatory Developments

Regulatory bodies are actively revising guidelines related to compounded medications, particularly in the context of chemotherapy. These developments aim to ensure patient safety and drug efficacy, which may lead to stricter compliance requirements for compounding pharmacies. As regulations evolve, stakeholders must adapt to maintain operational standards.

Technological Advancements

Technological innovations are playing a crucial role in the evolution of the compounding chemotherapy market. Enhanced compounding techniques and state-of-the-art equipment are likely to improve the quality and precision of compounded drugs. This progress may also facilitate adherence to regulatory standards, thereby fostering greater confidence among healthcare providers.

US Compounding Chemotherapy Market Drivers

Rising Cancer Incidence

The increasing incidence of cancer in the US is a primary driver for the compounding chemotherapy market. According to the American Cancer Society, approximately 1.9 million new cancer cases are expected to be diagnosed in 2025. This surge in cancer cases necessitates a corresponding rise in chemotherapy treatments, including compounded formulations tailored to individual patient needs. The compounding chemotherapy market is likely to experience growth as healthcare providers seek customized solutions to enhance treatment efficacy and minimize side effects. Furthermore, the demand for personalized medicine is expected to drive the need for compounded chemotherapy, as practitioners aim to optimize therapeutic outcomes for diverse patient populations. As the prevalence of cancer continues to escalate, the compounding chemotherapy market is positioned to expand significantly, reflecting the urgent need for innovative treatment options.

Advancements in Compounding Techniques

Innovations in compounding techniques are transforming the landscape of the compounding chemotherapy market. Enhanced methodologies, such as sterile compounding and automated compounding systems, are improving the safety and efficiency of chemotherapy preparations. These advancements are crucial in ensuring that compounded medications meet stringent quality standards, thereby increasing their acceptance among healthcare providers. The compounding chemotherapy market is witnessing a shift towards more sophisticated compounding practices, which not only enhance the precision of drug formulations but also reduce the risk of contamination. As a result, the market is likely to see a rise in demand for compounded chemotherapy products that leverage these advanced techniques. The integration of technology in compounding processes may also lead to cost reductions, making compounded therapies more accessible to patients and healthcare facilities alike.

Increased Focus on Patient-Centric Care

The growing emphasis on patient-centric care is reshaping the compounding chemotherapy market. Healthcare providers are increasingly prioritizing patient preferences and experiences in treatment planning, which includes the use of compounded chemotherapy. This focus on patient-centered approaches is likely to drive demand for customized chemotherapy formulations that align with individual patient needs and preferences. The compounding chemotherapy market is responding to this trend by offering a wider range of compounded products that cater to specific patient requirements, such as dosage forms and delivery methods. As patients become more involved in their treatment decisions, the market may see a rise in the adoption of compounded therapies that enhance comfort and adherence. This shift towards patient-centric care is expected to foster a more collaborative relationship between patients and healthcare providers, ultimately benefiting the compounding chemotherapy market.

Growing Demand for Personalized Medicine

The shift towards personalized medicine is significantly influencing the compounding chemotherapy market. Patients increasingly seek treatments that are tailored to their unique genetic profiles and specific cancer types. This trend is prompting healthcare providers to explore compounded chemotherapy options that can be customized to meet individual patient needs. The compounding chemotherapy market is likely to expand as practitioners recognize the potential benefits of personalized therapies, which may enhance treatment outcomes and reduce adverse effects. Additionally, the rise of pharmacogenomics is providing insights into how patients metabolize drugs, further driving the demand for tailored chemotherapy solutions. As the healthcare landscape continues to evolve towards personalized approaches, the compounding chemotherapy market is expected to play a pivotal role in delivering effective and individualized cancer treatments.

Regulatory Support for Compounding Practices

Regulatory frameworks in the US are evolving to support the compounding chemotherapy market. The FDA has established guidelines that facilitate the safe and effective compounding of chemotherapy drugs, which is essential for patient safety and treatment efficacy. These regulations aim to ensure that compounded medications are produced in compliance with established quality standards, thereby enhancing the credibility of the compounding chemotherapy market. As regulatory bodies continue to refine their policies, compounding pharmacies are likely to benefit from increased clarity and support, which may encourage further investment in compounding practices. This supportive regulatory environment could lead to a broader acceptance of compounded chemotherapy among healthcare providers, ultimately driving market growth. The emphasis on compliance and safety is expected to foster trust in compounded therapies, making them a viable option for cancer treatment.

Market Segment Insights

US Compounding Chemotherapy Market Segment Insights

US Compounding Chemotherapy Market Segment Insights

Compounding Chemotherapy Market Dose Insights

Compounding Chemotherapy Market Dose Insights

The Dose segment within the US Compounding Chemotherapy Market represents a critical aspect of the treatment landscape for patients with cancer. This segment includes both Chemotherapeutic and Non-Chemotherapeutic agents, each playing a vital role in therapeutic regimens. Chemotherapeutic agents, which are primarily used for their cytotoxic effects against rapidly dividing cancer cells, remain integral to treatment protocols; they are designed to target specific types of malignant cells while minimizing the impact on healthy tissues.

The rise in personalized medicine, supported by advancements in genomics and diagnostics, has created a significant opportunity for tailored chemotherapeutic dosing, enhancing efficacy and reducing adverse effects in patients. On the other hand, Non-Chemotherapeutics, which might include supportive care medications, antiemetics, or biological therapies, are essential for improving the overall quality of life for patients undergoing chemotherapy. This growing awareness of the importance of supportive therapies is propelling the segmentation further into the spotlight. As the US healthcare system increasingly shifts towards patient-centered care, tailored dosing solutions that integrate both Chemotherapeutics and Non-Chemotherapeutics are expected to gain prominence.

The evolving treatment paradigms and an increase in patient compliance with personalized dosing regimes are anticipated to influence the entire US Compounding Chemotherapy Market positively. Furthermore, ongoing research initiatives and collaborations among healthcare providers, biotech firms, and pharmaceutical companies aim to refine these dosing strategies. The emphasis on improving patient outcomes through precise medication dosing and minimizing side effects is strengthening the foundation of the Dose segment in this market.

With the US population aging and an increasing prevalence of cancer cases, the growth potential for both Chemotherapeutic and Non-Chemotherapeutic agents within this segment is underscored by the need for effective and efficient treatment strategies that align with the evolving landscape of oncology care. Overall, the Dose segment is expected to play a significant role in shaping the future dynamics of the US Compounding Chemotherapy Market, leveraging innovative approaches to enhance treatment effectiveness and patient satisfaction.

Compounding Chemotherapy Market Delivery Method Insights

Compounding Chemotherapy Market Delivery Method Insights

The Delivery Method segment of the US Compounding Chemotherapy Market plays a crucial role in improving the accuracy and safety of chemotherapy preparations. Gravimetric Automated Compounding Devices are increasingly favored due to their precision in measuring ingredients by weight, which minimizes human error and enhances patient safety. On the other hand, Volumetric Automated Compounding Devices offer significant advantages in terms of speed and efficiency, as they measure liquids based on volume. Both methods cater to the increasing demand for personalized medicine and customized chemotherapy regimens.

The growing emphasis on patient safety, stringent regulatory standards, and advancements in technology are key drivers behind the elevated adoption of these automated devices. In the landscape of the US healthcare system, where the prevalence of cancer continues to rise, these delivery methods represent a significant shift towards safer, more efficient compounding practices, thus serving an important role in maintaining the quality of care in cancer treatment.

Compounding Chemotherapy Market Sterility Insights

Compounding Chemotherapy Market Sterility Insights

The Sterility segment within the US Compounding Chemotherapy Market is a critical component, reflecting the growing emphasis on patient safety and treatment efficacy. This segment encompasses two primary categories: Sterile and Non-Sterile compounding. Sterile compounds are particularly significant as they are essential in preparing medications that are injected or infused, where any contamination can pose serious health risks. With the escalation in cancer cases and advancements in compounding technologies, the demand for sterile preparations has witnessed heightened growth, reflecting a strong focus on quality assurance and stringent regulatory compliance typical in the US market.

On the other hand, Non-Sterile compounding plays an important role in the creation of medications that do not require sterile conditions, accommodating a wider range of therapeutic options. The growing acceptance of personalized medicine and an increase in outpatient treatments can enhance the opportunities for both segments. Regulatory bodies continuously emphasize maintaining quality standards, shaping the growth dynamics within this sector. Overall, the Sterility segment is vital in ensuring effective treatment delivery while navigating challenges related to compliance and operational processes in the US health system.

Compounding Chemotherapy Market Technology Insights

Compounding Chemotherapy Market Technology Insights

The Technology segment within the US Compounding Chemotherapy Market plays a critical role in the delivery and efficiency of chemotherapy treatments. As the market has expanded, innovations such as robotic-assisted systems have significantly increased precision in drug compounding, helping to enhance safety and reduce human error. These robotic systems are designed to streamline the compounding process, ensuring that the correct dosages are delivered, which is a growing concern in the healthcare industry.

On the other hand, traditional compounding methods without robotic arms still dominate a substantial portion of the market as they offer flexibility and cost-effectiveness, catering to smaller facilities that may not afford advanced technology.

Both approaches face challenges such as stringent regulatory requirements and the necessity for skilled operators. However, the demand for personalized medicine continues to fuel growth, leading to more opportunities for technologies that can accommodate individualized treatment plans. The overall market growth reflects a growing trend towards enhancing patient care and safety, and navigating the complexities of chemotherapy administration effectively.

Get more detailed insights about US Compounding Chemotherapy Market

Key Players and Competitive Insights

The compounding chemotherapy market in the US is characterized by a dynamic competitive landscape, driven by increasing demand for personalized medicine and the need for tailored treatment regimens. Key players such as Fresenius Kabi (DE), Baxter International (US), and Civica Rx (US) are actively shaping the market through strategic initiatives focused on innovation and operational efficiency. Fresenius Kabi (DE) emphasizes its commitment to quality and safety in compounding practices, while Baxter International (US) leverages its extensive distribution network to enhance accessibility. Civica Rx (US) positions itself as a non-profit entity aiming to reduce drug shortages, thereby influencing pricing strategies and market availability. Collectively, these strategies contribute to a moderately fragmented market structure, where collaboration and competition coexist to meet evolving healthcare needs.

In terms of business tactics, companies are increasingly localizing manufacturing to mitigate supply chain disruptions and enhance responsiveness to market demands. This approach not only optimizes operational efficiency but also aligns with regulatory requirements for compounding practices. The competitive structure remains moderately fragmented, with several players vying for market share, yet the influence of major companies is palpable as they set industry standards and drive innovation.

In October 2025, Baxter International (US) announced a strategic partnership with a leading technology firm to develop an AI-driven platform aimed at optimizing compounding processes. This initiative is expected to enhance precision in drug formulation, thereby improving patient outcomes and operational efficiency. The integration of AI into compounding practices signifies a pivotal shift towards technology-driven solutions, potentially setting a new benchmark in the industry.

In September 2025, Fresenius Kabi (DE) expanded its compounding facilities in the Midwest, a move aimed at increasing production capacity and reducing lead times for critical chemotherapy drugs. This expansion not only reflects the company's commitment to meeting rising demand but also positions it strategically to respond to regional healthcare needs more effectively. Such operational enhancements are likely to bolster Fresenius Kabi's competitive edge in a rapidly evolving market.

In August 2025, Civica Rx (US) launched a new initiative to collaborate with local pharmacies to ensure the availability of essential chemotherapy drugs at competitive prices. This initiative underscores Civica's mission to address drug shortages and enhance access to vital treatments. By fostering partnerships with local entities, Civica Rx is not only addressing immediate market needs but also reinforcing its position as a leader in equitable healthcare solutions.

As of November 2025, the competitive trends in the compounding chemotherapy market are increasingly defined by digitalization, sustainability, and the integration of advanced technologies such as AI. Strategic alliances are becoming more prevalent, as companies recognize the value of collaboration in enhancing innovation and operational capabilities. Looking ahead, the competitive differentiation is likely to evolve from traditional price-based competition towards a focus on technological advancements, supply chain reliability, and innovative solutions that cater to the specific needs of patients and healthcare providers.

Key Companies in the US Compounding Chemotherapy Market market include

Industry Developments

Recent developments in the US Compounding Chemotherapy Market have indicated notable changes, especially with the rise in demand for personalized medicine and the growing complexity of chemotherapy regimens. Companies such as Pharmacy Solutions and Walgreens Boots Alliance are increasingly focusing on enhancing their compounding capabilities to meet regulatory standards and patient needs. In September 2023, UnitedHealth Group announced its partnership with OptumRx to expand access to compounded therapies, indicating a shift toward more customized patient care. 

Additionally, mergers and acquisitions activities are shaping the landscape, with Fresenius Kabi acquiring a specialty pharmacy in August 2023 to bolster its oncology service offerings. The growth in market valuation, driven by advancements in compounding technology and increasing healthcare expenditure, is significantly impacting the offerings of organizations like Cardinal Health and Accredo Health. 

Furthermore, major happenings in recent years, such as the introduction of stricter compounding regulations in 2021, have urged companies like Therigy and Omnicare to adapt their practices accordingly, ensuring safety and efficacy in compounded chemotherapy products. These trends suggest a rapidly evolving market landscape with an emphasis on innovation and regulatory compliance.

Future Outlook

US Compounding Chemotherapy Market Future Outlook

The Compounding Chemotherapy Market is projected to grow at a 6.74% CAGR from 2024 to 2035, driven by increasing cancer prevalence, technological advancements, and personalized medicine.

New opportunities lie in:

  • Expansion of telepharmacy services for remote patient consultations.
  • Development of automated compounding systems to enhance efficiency.
  • Partnerships with oncology clinics for tailored chemotherapy solutions.

By 2035, the market is expected to achieve substantial growth, reflecting evolving healthcare needs.

Market Segmentation

US Compounding Chemotherapy Market Dose Outlook

  • Chemotherapeutic
  • Non-Chemotherapeutics

US Compounding Chemotherapy Market Sterility Outlook

  • Sterile
  • Non-Sterile

US Compounding Chemotherapy Market Technology Outlook

  • With Robotic Arms
  • Without Robotic Arms

US Compounding Chemotherapy Market Delivery Method Outlook

  • Gravimetric Automated Compounding Device
  • Volumetric Automated Compounding Device

Report Scope

MARKET SIZE 2024 111.3(USD Million)
MARKET SIZE 2025 118.8(USD Million)
MARKET SIZE 2035 227.98(USD Million)
COMPOUND ANNUAL GROWTH RATE (CAGR) 6.74% (2024 - 2035)
REPORT COVERAGE Revenue Forecast, Competitive Landscape, Growth Factors, and Trends
BASE YEAR 2024
Market Forecast Period 2025 - 2035
Historical Data 2019 - 2024
Market Forecast Units USD Million
Key Companies Profiled Fresenius Kabi (DE), Baxter International (US), Civica Rx (US), PharMEDium Services (US), Compounding Pharmacy of America (US), Avella Specialty Pharmacy (US), PillPack (US), Onco360 (US)
Segments Covered Dose, Delivery Method, Sterility, Technology
Key Market Opportunities Integration of personalized medicine and advanced compounding techniques enhances treatment efficacy in the compounding chemotherapy market.
Key Market Dynamics Regulatory changes and technological advancements drive innovation in the compounding chemotherapy market.
Countries Covered US

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FAQs

What is the projected market size of the US Compounding Chemotherapy Market in 2024?

The US Compounding Chemotherapy Market is expected to be valued at 111.3 million USD in 2024.

What will the market size of the US Compounding Chemotherapy Market be by 2035?

By 2035, the market is projected to reach a valuation of 222.6 million USD.

What is the expected compound annual growth rate (CAGR) for the US Compounding Chemotherapy Market from 2025 to 2035?

The expected CAGR for the US Compounding Chemotherapy Market from 2025 to 2035 is 6.504%.

Which segment of the US Compounding Chemotherapy Market has a larger share based on dosage in 2024?

In 2024, the Chemotherapeutic segment is valued at 66.2 million USD, which is larger compared to the Non-Chemotherapeutic segment valued at 45.1 million USD.

What is the expected value of the Chemotherapeutic segment in the US Compounding Chemotherapy Market by 2035?

By 2035, the Chemotherapeutic segment is anticipated to grow to 133.9 million USD.

What is the anticipated market value for the Non-Chemotherapeutics segment in 2035?

The Non-Chemotherapeutics segment is projected to be valued at 88.7 million USD by 2035.

Who are some of the key players in the US Compounding Chemotherapy Market?

Major players in the market include Pharmacy Solutions, CuraScript SD, and Walgreens Boots Alliance, among others.

How are the global market trends impacting the US Compounding Chemotherapy Market?

Current global market trends are driving innovation and competitiveness in the US Compounding Chemotherapy Market.

What key challenges does the US Compounding Chemotherapy Market face?

Challenges in the market may include regulatory hurdles and increasing competition among key players.

What growth opportunities exist for the US Compounding Chemotherapy Market in the coming years?

There are significant growth opportunities due to advancements in technology and increased demand for personalized medication.

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