Overall the value of exported drugs and medicines delivered via international markets expanded by an average 20.8% for all exporting countries since 2020 when drugs and medicines shipments were valued at $412.2 billion.
There was a 5.8% year-over-year gain compared to $470.8 billion during 2023.
The top 5 exporters of drugs and medicines are Germany, Switzerland, Italy, Belgium and the United States of America. Collectively, that quintet of major pharmaceutical suppliers generated almost half (46.5%) of globally exported drugs and medicines in 2024.
Among continents, European countries sold the highest dollar value worth of exported drugs and medicines during 2024 with shipments from Europe accumulating to $396.4 billion or 79.7% of the global total. In second place were pharmaceutical exporters in North America at 9.5% while another 9.3% of worldwide drugs and medicine shipments originated from providers in Asia.
Tinier percentages came from suppliers of drugs and medicines in Latin America (1%) excluding Mexico but including the Caribbean, Oceania (0.3%) led by Australia and New Zealand, then Africa (0.2%).
For research purposes, the 4-digit Harmonized Tariff System code prefixes for drugs and medicines are:
- 3003 for medicaments consisting of two or more mixed constituents (3.7% of global total), and
- 3004 for medicaments consisting of unmixed or other mixed products (96.3%).
Drugs and Medicine Exports by Country
Below are the 15 countries that exported the highest dollar value worth of drugs and medicines during 2024.
- Germany: US$67.8 billion (13.6% of total drugs and medicines exports)
- Switzerland: $50.5 billion (10.1%)
- Italy: $40.8 billion (8.2%)
- Belgium: $37.5 billion (7.5%)
- United States: $35 billion (7%)
- Ireland: $32 billion (6.4%)
- France: $28 billion (5.6%)
- Slovenia: $25.1 billion (5%)
- Netherlands: $21.3 billion (4.3%)
- India: $21.2 billion (4.3%)
- United Kingdom: $19.4 billion (3.9%)
- Denmark: $16 billion (3.2%)
- Spain: $13.3 billion (2.7%)
- Canada: $9.9 billion (2%)
- Sweden: $7.7 billion (1.5%)
By value, the listed 15 countries shipped 85.5% of worldwide exported drugs and medicine for 2024.
Among the above countries, the fastest-growing drugs and medicines exporters from 2023 to 2024 were: Slovenia (up 33.5%), Ireland (up 24.1%), Canada (up 18%) and the Netherlands (up 14.2%).
Those countries that posted declines in their exported drugs and medicines sales were: United States of America (down -2.7%), Spain (down -1.4%), Belgium (down -0.2%) and the United Kingdom (down -0.1%).
Searchable List of 100 Key Medication Exporters in 2024
The 100 top exporters in the automated database below represent 99.4% of the overall value of globally exported drugs and medicines.
| Rank | Exporter | Medicine Exports | 2023-4 |
|---|---|---|---|
| 1. | Germany | $67,825,155,000 | -0.04% |
| 2. | Switzerland | $50,517,804,000 | +9.9% |
| 3. | Italy | $40,831,183,000 | +8.7% |
| 4. | Belgium | $37,530,602,000 | -0.2% |
| 5. | United States | $35,027,260,000 | -2.7% |
| 6. | Ireland | $32,035,615,000 | +24.1% |
| 7. | France | $27,975,179,000 | +30% |
| 8. | Slovenia | $25,100,529,000 | +33.5% |
| 9. | Netherlands | $21,318,459,000 | +14.2% |
| 10. | India | $21,243,993,000 | +10.8% |
| 11. | United Kingdom | $19,426,840,000 | -0.1% |
| 12. | Denmark | $16,008,041,000 | +0.5% |
| 13. | Spain | $13,318,832,000 | -1.4% |
| 14. | Canada | $9,940,994,000 | +180% |
| 15. | Sweden | $7,678,803,000 | +4.2% |
| 16. | mainland China | $7,310,849,000 | +10.2% |
| 17. | Austria | $7,072,312,000 | +1.8% |
| 18. | Hungary | $5,316,142,000 | +130% |
| 19. | Japan | $4,555,596,000 | -1.4% |
| 20. | Poland | $3,605,255,000 | +6.7% |
| 21. | Portugal | $3,514,315,000 | +26.4% |
| 22. | Singapore | $3,364,741,000 | -390% |
| 23. | Czech Republic | $3,237,868,000 | +5.8% |
| 24. | Greece | $2,920,218,000 | +0.4% |
| 25. | Mexico | $2,211,006,000 | +46.1% |
| 26. | Panama | $2,073,762,000 | +1.5% |
| 27. | Finland | $2,003,094,000 | +36.1% |
| 28. | Romania | $1,980,677,000 | +61.3% |
| 29. | Hong Kong | $1,703,324,000 | -4.1% |
| 30. | Israel | $1,500,392,000 | -2.2% |
| 31. | Australia | $1,407,336,000 | +14.8% |
| 32. | Türkiye | $1,348,943,000 | -2.6% |
| 33. | Bulgaria | $1,215,740,000 | -4.9% |
| 34. | Croatia | $959,074,000 | +18.2% |
| 35. | South Korea | $941,491,000 | +3.7% |
| 36. | Lithuania | $866,939,000 | +16.7% |
| 37. | Brazil | $841,679,000 | +2.6% |
| 38. | Slovakia | $729,116,000 | +21.9% |
| 39. | Taiwan | $719,569,000 | -31.4% |
| 40. | Latvia | $633,798,000 | +1.1% |
| 41. | Saudi Arabia | $562,673,000 | +3.3% |
| 42. | Norway | $526,606,000 | +2.6% |
| 43. | Indonesia | $508,105,000 | -0.5% |
| 44. | Cyprus | $462,115,000 | +7.1% |
| 45. | Thailand | $459,033,000 | +30% |
| 46. | Malta | $452,398,000 | +12.1% |
| 47. | Serbia | $442,013,000 | +1.3% |
| 48. | South Africa | $436,448,000 | +23.3% |
| 49. | Pakistan | $416,363,000 | +36.6% |
| 50. | Guatemala | $412,787,000 | +6.7% |
| 51. | Russia | $410,671,000 | -3.6% |
| 52. | Colombia | $343,700,000 | -8.5% |
| 53. | Argentina | $273,658,000 | -2.8% |
| 54. | United Arab Emirates | $271,200,000 | -83.1% |
| 55. | Jordan | $250,527,000 | -66.6% |
| 56. | Luxembourg | $233,115,000 | +41.1% |
| 57. | Ukraine | $232,176,000 | +6.6% |
| 58. | Malaysia | $231,650,000 | +60% |
| 59. | Vietnam | $216,574,000 | -0.4% |
| 60. | North Macedonia | $193,458,000 | +12.7% |
| 61. | El Salvador | $173,910,000 | -0.3% |
| 62. | Egypt | $166,453,000 | -36.5% |
| 63. | Kenya | $166,071,000 | +40% |
| 64. | Chile | $162,122,000 | -140% |
| 65. | Costa Rica | $155,307,000 | +5.6% |
| 66. | Bangladesh | $150,006,000 | -2.8% |
| 67. | New Zealand | $140,290,000 | +36.5% |
| 68. | Uruguay | $110,007,000 | +36.5% |
| 69. | Bosnia/Herzegovina | $106,689,000 | +17.2% |
| 70. | Estonia | $100,289,000 | -18.4% |
| 71. | Peru | $76,726,000 | -5.4% |
| 72. | Paraguay | $68,730,000 | +10.9% |
| 73. | Belarus | $62,940,000 | -1.3% |
| 74. | Oman | $59,298,000 | -42.6% |
| 75. | Georgia | $58,738,000 | -5.1% |
| 76. | Morocco | $58,354,000 | -57.1% |
| 77. | Kazakhstan | $51,720,000 | +35.5% |
| 78. | Moldova | $51,248,000 | +22.5% |
| 79. | Honduras | $45,539,000 | +31.7% |
| 80. | Dominican Republic | $42,299,000 | -25.4% |
| 81. | Montenegro | $41,859,000 | -6.6% |
| 82. | Tunisia | $35,417,000 | -63.2% |
| 83. | Ecuador | $28,917,000 | -6.8% |
| 84. | Barbados | $28,396,000 | +10% |
| 85. | Mauritius | $28,071,000 | -10.5% |
| 86. | Philippines | $23,877,000 | -520% |
| 87. | Macao | $23,732,000 | +343.5% |
| 88. | Algeria | $22,439,000 | +3860% |
| 89. | Uzbekistan | $21,850,000 | +59.9% |
| 90. | Armenia | $20,650,000 | +220% |
| 91. | Kuwait | $19,952,000 | -53.6% |
| 92. | Iceland | $18,903,000 | +14.2% |
| 93. | Uganda | $17,757,000 | -49.5% |
| 94. | Iran | $17,521,000 | -72.7% |
| 95. | Nepal | $13,387,000 | +30.9% |
| 96. | Ghana | $12,180,000 | -13.7% |
| 97. | Ivory Coast | $7,954,000 | +1410% |
| 98. | Cambodia | $7,491,000 | -10.1% |
| 99. | Venezuela | $6,792,000 | +3.6% |
| 100. | Cuba | $6,393,000 | -10.3% |
Expanding the scope to compare the 100 biggest exporters of drugs and medicines, the fastest growers are players including Namibia (up 104.2% from 2023), Romania (up 61.3%), Mexico (up 46.1%), Luxembourg (up 41.1%), Pakistan (up 36.6%) and New Zealand (up 36.5%).
You can change the presentation order by clicking the triangle icon at the top of any of the columns below. The right-most shows the percentage change in international product sales for each exporting entity year over year.
Countries Generating Greatest Surpluses Trading Drugs and Medicines
The following countries posted the highest positive net exports for drugs and medicines during 2024. Investopedia defines net exports as the value of a country’s total exports minus the value of its total imports. Thus, the statistics below present the surplus between the value of each country’s drugs and medicine exports and its import purchases for that same commodity.
- Germany: US$32.7 billion (product surplus down -6.9% from 2023)
- Ireland: $22.8 billion (up 14.8%)
- Italy: $21.6 billion (up 27.3%)
- India: $19.9 billion (up 11.6%)
- Slovenia: $16.7 billion (up 48%)
- Denmark: $11 billion (down -8.7%)
- France: $9.8 billion (up 12.4%)
- Belgium: $8.1 billion (down -5.4%)
- Netherlands: $7.7 billion (up 173.4%)
- Sweden: $3.8 billion (down -5.8%)
- Switzerland: $2.7 billion (down -50.9%)
- Austria: $2.2 billion (down -5.2%)
- Hungary: $2 billion (up 20.3%)
- Singapore: $1.5 billion (down -58%)
- United Kingdom: $991.2 million (down -62.7%)
Germany trailed by Ireland are the two top competitors for generating the highest surpluses in the international trade of drugs and medicines. In turn, these positive cashflows confirm both countries’ strong competitive advantages for this specific product category.
Countries Causing Worst Deficits Trading Drugs and Medicines
The following countries posted the highest negative net exports for drugs and medicines during 2024. Investopedia defines net exports as the value of a country’s total exports minus the value of its total imports.
Thus, the statistics below present the deficit between the value of each country’s drugs and medicine import purchases and its exports for that same commodity.
- United States: -US$53.8 billion (product deficit down -8.9% from 2023)
- mainland China: -$15.7 billion (down -12.5%)
- Japan: -$11.1 billion (down -1.8%)
- Russia: -$8.3 billion (up 0.2%)
- Saudi Arabia: -$6.5 billion (up 19.7%)
- Brazil: -$5.2 billion (up 21.9%)
- Poland: -$4.7 billion (up 31.3%)
- Australia: -$4.6 billion (down -5.6%)
- South Korea: -$4.1 billion (down -7.8%)
- Taiwan: -$3.17 billion (up 1.7%)
- Romania: -$3.16 billion (up 2.9%)
- United Arab Emirates: -$3 billion (down -6.2%)
- Mexico: -$2.59 billion (down -14.3%)
- Czech Republic: -$2.49 billion (up 5.8%)
- Uzbekistan: -$2.48 billion (up 82.3%)
By far, the United States of America incurred the greatest deficit in the international trade of drugs and medicine. In turn, this massive negative cashflow highlights America’s strong competitive disadvantage for this specific product category but also signals opportunities for drugs and medicine-supplying countries that help satisfy the powerful consumer demand.
Major Drugs and Medicine Exporting Companies
Below are conglomerates that are leading suppliers satisfying the global demand for pharmaceuticals. Shown within parenthesis is the country where the supplying company is headquartered.
- Abbott Laboratories (United States)
- AbbVie (United States)
- Actavis (Ireland)
- Allergan (United States)
- AmerisourceBergen (United States)
- Astellas Pharma (Japan)
- AstraZeneca (United Kingdom)
- Bristol-Myers Squibb (United States)
- Cardinal Health (United States)
- Daiichi Sankyo (Japan)
- Eli Lilly & Co (United States)
- GlaxoSmithKline (United Kingdom)
- McKesson (United States)
- Merck & Co (United States)
- Merck (Germany)
- Mylan (United States)
- Novartis (Switzerland)
- Novo Nordisk (Denmark)
- Otsuka Holding (Japan)
- Pfizer (United States)
- Roche Holding (Switzerland)
- Sanofi (France)
- Sinopharm Group (China)
- Takeda Pharmaceutical (Japan)
- Teva Pharmaceutical (Israel)
- Valeant Pharmaceuticals (Canada)
See also Top Antibiotics Exporters by Country, Imports of Drugs and Medicines by Country, Heart Pacemaker Export Sales by Country and Top Human Vaccines Exports by Country
Research Sources:
Central Intelligence Agency, The World Factbook Field Listing: Exports – Commodities. Accessed on May 26, 2025
Forbes Global 2000 rankings, The World’s Biggest Public Companies. Accessed on May 26, 2025
International Trade Centre, Trade Map. Accessed on May 26, 2025
Investopedia, Net Exports Definition. Accessed on May 26, 2025
Wikipedia, Drug. Accessed on May 26, 2025
Wikipedia, List of pharmaceutical companies. Accessed on May 26, 2025