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US Compounding Chemotherapy Market

ID: MRFR/Pharma/51795-HCR
200 Pages
Rahul Gotadki
February 2026

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) - Growth & Industry Forecast 2025 To 2035

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US Compounding Chemotherapy Market Summary

As per Market Research Future 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 6.7% 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)
CAGR (2025 - 2035) 6.74%

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)

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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

By Dose: Chemotherapeutic (Largest) vs. Non-Chemotherapeutics (Fastest-Growing)

In the US compounding chemotherapy market, the market share distribution reveals that the chemotherapeutic segment holds the largest portion, significantly contributing to overall market activity. This dominance reflects the ongoing reliance on established chemotherapeutic agents for effective cancer treatment, as they have been tried and tested in clinical settings and remain a preferred choice among healthcare professionals. Conversely, the non-chemotherapeutics segment is emerging as the fastest-growing area within the market. This growth can be attributed to the increasing demand for innovative treatment options that enhance patient comfort and minimize side effects. The integration of non-chemotherapeutic solutions alongside traditional treatments is reshaping patient care, highlighting a shift towards more holistic approaches in oncology.

Chemotherapeutic (Dominant) vs. Non-Chemotherapeutics (Emerging)

The dominant chemotherapeutic segment in the US compounding chemotherapy market encompasses a range of traditional cancer therapies that have demonstrated efficacy in treating various malignancies. These therapies are well-established, with extensive clinical data supporting their use. On the other hand, the emerging non-chemotherapeutics segment includes alternative treatments, such as immunotherapies and supportive care medications, focusing on improving patient quality of life. As healthcare providers increasingly incorporate these non-chemotherapeutic options into treatment regimens, the market is witnessing a significant transformation driven by patient-centered care. Both segments play crucial roles, yet their contrasting characteristics highlight the industry's evolution towards innovative treatment paradigms.

By Delivery Method: Gravimetric Automated Compounding Device (Largest) vs. Volumetric Automated Compounding Device (Fastest-Growing)

In the US compounding chemotherapy market, the gravimetric automated compounding device holds the largest market share due to its precise measurement capabilities. This device is favored by healthcare institutions for its accuracy, reliability, and consistency in drug compounding. Conversely, volumetric automated compounding devices are gaining traction as they cater to the increasing demand for efficient and rapid compounding processes, securing a notable share among emerging technologies. The growth trends for these delivery methods are primarily driven by an emphasis on patient safety and the need for exact dosages in chemotherapy treatment. The gravimetric devices are well-established, benefiting from advanced technology and high acceptance among pharmacists. Meanwhile, the volumetric devices are experiencing rapid development and adoption, as they align with the evolving healthcare landscape aiming for higher efficiency and reduced preparation times.

Delivery Method: Gravimetric Automated Compounding Device (Dominant) vs. Volumetric Automated Compounding Device (Emerging)

The gravimetric automated compounding device is recognized as the dominant technology in the US compounding chemotherapy market, offering unparalleled accuracy in medication preparation. Its integral role in minimizing human error and ensuring precise dosages has solidified its position among healthcare providers. On the other hand, the volumetric automated compounding device represents an emerging solution, characterized by its speed and efficiency in the compounding process. As healthcare facilities seek to optimize workflow and improve patient outcomes, this device is rapidly becoming a preferred choice, especially in high-demand environments. The contrasting characteristics of these devices highlight the diverse needs and technological advancements shaping the market.

By Sterility: Sterile (Largest) vs. Non-Sterile (Fastest-Growing)

In the US compounding chemotherapy market, the segment distribution between Sterile and Non-Sterile compounding showcases a clear dominance of the Sterile category. This segment holds the largest share, primarily due to stringent regulatory requirements and the increased focus on safety and efficacy in chemotherapy preparations. Non-Sterile compounding, while still significant, comprises a smaller proportion of the market as healthcare providers increasingly prefer sterile formulations for their patients, especially in oncology settings. Growth trends indicate that while Sterile compounding remains the largest segment, the Non-Sterile category is emerging rapidly. Factors driving this growth include advancements in compounding methods and the rise in customized medication needs among patients. The evolving landscape of patient-tailored therapies and the ongoing demand for innovative drug formulations support the momentum of Non-Sterile compounding as a viable option, contributing to its status as the fastest-growing segment.

Sterile (Dominant) vs. Non-Sterile (Emerging)

The Sterile segment in the US compounding chemotherapy market is characterized by its adherence to high safety standards, necessitating specialized environments and stringent protocols for preparation. As the dominant force, it addresses critical needs in patient care, particularly for immunocompromised individuals receiving chemotherapy. Conversely, the Non-Sterile segment is gaining traction as an emerging category, driven by the increasing demand for personalized medicine. This segment allows for flexibility in formulation, catering to individual patient needs and conditions. With innovations and regulatory support, Non-Sterile compounding is positioned to carve out a more substantial share of the market, particularly in niche therapies that require tailored approaches.

By Technology: With Robotic Arms (Largest) vs. Without Robotic Arms (Fastest-Growing)

The distribution of market share within the technology segment of the US compounding chemotherapy market reveals that the use of robotic arms holds a leading position, attributed to advancements in precision and automation. In contrast, the segment without robotic arms is witnessing a rapid increase in adoption, appealing to facilities seeking cost-effective solutions. The preference for robotic technology highlights significant investments in innovation that address safety and efficiency concerns. Growth trends in the technology segment are propelled by an increasing number of healthcare facilities implementing robotic processes to enhance patient outcomes. The demand for higher efficiency and the ability to minimize human error are key drivers. Furthermore, the rapid integration of artificial intelligence and machine learning into chemotherapy compounding processes without robotic arms is transforming this emerging segment, leading to improved accuracy and operational efficacy.

Technology: With Robotic Arms (Dominant) vs. Without Robotic Arms (Emerging)

The technology segment of the US compounding chemotherapy market is characterized by two distinct methods: those utilizing robotic arms and those that do not. The dominant category, employing robotic arms, is favored for its high precision, reduced risk of contamination, and enhanced operational efficiency. This automated approach is reshaping chemotherapy preparation, ensuring consistency and adherence to protocols. On the other hand, the emerging segment without robotic arms is appealing to a broader range of providers, mainly due to lower initial investment costs and faster implementation timelines. This segment is leveraging innovative technologies to enhance efficiency and functionality, marking a significant trend towards hybrid models that may combine the benefits of both methodologies.

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 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 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 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 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 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 2025 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% (2025 - 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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