eCommerce: Specialist Pharmacy Retail

Online Pharmacy Market: Global Revenues, Key Players & Trends

The online pharmacy market outlived its pandemic hype. Because eCommerce pharmacies are highly convenient and practical, consumers continue to shop for health products online. Combined with warehouse automation that enables fast delivery and hybrid services, companies reach consumers at their convenience. Can you guess which markets are driving online pharmacy growth?

Article by Nadine Koutsou-Wehling | June 05, 2024

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Online Pharmacy Market: Key Insights

  • Walgreens and CVS on Top: The world's most lucrative online pharmacies are two U.S. drugstores with an expansive network of physical stores. With online revenues over US$1 billion, their continued success reflects the importance of an efficient network in delivering health products fast and reliable.

  • Latin American Providers on the Rise: ECDB's dedicated online pharmacy ranking shows how Brazil's Drogaraia and Mexico's Fahorro climbed into the top 10. Their success lies in providing affordable products to remote populations during the pandemic and into 2023.

  • Warehouse Automation and Network Management: The most profitable online pharmacies know how to integrate extensive physical and digital networks with advanced communication technology. Automated distribution ensures round-the-clock order processing, which improves product availability.


Online pharmacies continue to thrive in global eCommerce, which is due to the convenience and accessibility with which they sell pharmaceutical and health products. Combined with home delivery, omnichannel services and innovative logistics solutions, online pharmacies have a far wider reach today than what was common before the pandemic.

With the help of ECDB, learn more about the online pharmacy trend: We provide market revenues, store rankings and key trends.

In Scope: What Is a Specialist Online Pharmacy?

Our ECDB Store Ranking offers a selection of specialist online stores from different global regions. A specialist store primarily sells products in one product category.

In the case of online pharmacies, it is health-related products such as medicines, hygiene products, disinfectants, skin treatment, nutritional foods and supplements, as well as other miscellaneous health products such as first aid items, condoms, and biometric monitors.

It is important to note, however, that our market data does not include prescription drugs in the online revenue analysis due to inconsistent regulations across countries. Homeopathic remedies are also out of scope.

Which Online Pharmacies Are in the Top 10?

The chart below depicts a ranking of the top 10 specialist online pharmacies by online revenues.

Top 10 Specialist Online Pharmacies Worldwide by eCommerce Net Sales, 2022

  • Walgreens.com is the pharmacy with the highest online net sales worldwide, having generated a rounded US$1.9 billion in 2023.

  • CVS.com is a close competitor, with online net sales of US$1.6 billion.

The Strategy: Both Walgreens and CVS are traditional brick-and-mortar drugstores with a successful online presence, offering customers a convenient and accessible delivery service for health products.

Two German Online Stores Rank Fourth and Sixth

  • Other successful specialist online pharmacies include two German stores, shop-apotheke.com and docmorris.de, with 2023 online revenues of US$834.8 million and US$675.2 million, respectively.

  • Two Russian pharmacies made the top 10 as well, apteka.ru and eapteka.ru.

  • In 7th place is Brazil's drogaraia.com.br with US$560.8 million in 2023 eCommerce revenues. It is followed by Swedish online store apotea.se.

Swedish Innovation: Apotea uses automation in its warehouse. Machine learning algorithms ensure efficient and round-the-clock handling of its products.

In eighth place is the Saudi Arabian pharmacy nahdionline.com, with 2023 net sales of US$372 million. Ranked tenth is Mexican fahorro.com, with online net sales of US$333.5 million in 2023.

Latin American Online Pharmacies Improve Their Global Standing

Considering Walgreen’s outstanding online revenues in the market, it should not come as too much of a surprise that the established U.S. retailer has already been in first place among online pharmacies for years. The same goes for CVS in second place.

Rankings of Top 10 Specialist Online Pharmacies Worldwide by eCommerce Net Sales, 2018-2022

Most notable is the rising importance of Latin American online pharmacies over recent years:

  • Brazil’s Drogaraia ranked 24th in 2019, but it gradually climbed in the following years, jumping to 6th rank in 2023.

  • Fahorro, which was in 26th place in 2019, also made significant progress, reaching 11th place in 2020 and rose from 9th to 10th place in the following three years. 

  • The two German stores, Shop-Apotheke and Docmorris are within the top 10 ranking since 2019.

  • Another consistent top 10 player is Russian pharmacy apteka.ru, while eapteka.ru improved its placement from 20th place in 2019 up into the top 10 since 2022.

A noteworthy emerging competitor in this ranking is nahdionline.com, a Saudi Arabian online pharmacy. Similar to the previous stores, Nahdi Medical is an established company with a brick-and-mortar presence throughout Saudi Arabia. But only recently has the health products and service provider entered the top 10 ranking, which is due to an improved strategy including bigger stores with a hybrid offering, home delivery of international products, and digital health services.

The data shows us that the online pharmacy market is not only promising for future profitability, but also highly diversified and competitive. With technological innovation, affordable offers, increased consumer demand, and trade-friendly national regulations, online pharmacies will continue to change the way we shop for healthcare products.

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Online Pharmacy Market: Wrap-Up

The online pharmacy market continues its upward trajectory. Key online stores in this sector emphasize customer convenience through their extensive physical store networks and digital capabilities, as well as logistics automation. A few provide 24/7 product access. These innovations also hold promise in low- and middle-income economies, extending affordable healthcare to remote areas and enabling consumers to find the best deals.


Sources: Arabnews - ElementLogic - FPI - Netmeds - PNI