Recombinant Human Growth Hormone (RHGH) Market
By Application;
Growth Hormone Deficiency, Turner Syndrome, Idiopathic Short Stature, Prader Willi Syndrome and OthersBy Route Of Administration;
Intravenous, Intramuscular, Subcutaneous and OralBy Distribution Channel;
Hospital Pharmacy, Retail Pharmacy, Clinics and OthersBy Geography;
North America, Europe, Asia Pacific, Middle East & Africa and Latin America - Report Timeline (2021 - 2031)Recombinant Human Growth Hormone (RHGH) Market Overview
Recombinant Human Growth Hormone (RHGH) Market (USD Million)
Recombinant Human Growth Hormone (RHGH) Market was valued at USD 1,726.20 million in the year 2024. The size of this market is expected to increase to USD 3,384.05 million by the year 2031, while growing at a Compounded Annual Growth Rate (CAGR) of 10.1%.
Recombinant Human Growth Hormone (RHGH) Market
*Market size in USD million
CAGR 10.1 %
| Study Period | 2025 - 2031 |
|---|---|
| Base Year | 2024 |
| CAGR (%) | 10.1 % |
| Market Size (2024) | USD 1,726.20 Million |
| Market Size (2031) | USD 3,384.05 Million |
| Market Concentration | Low |
| Report Pages | 383 |
Major Players
- Novo Nordisk
- Pfizer Inc
- Merck & Co Inc
- Eli Lilly and Company
- F. Hoffmann-La Roche AG
- Sandoz International GmbH (a subsidiary of Novartis AG)
- LG Chem
- GeneScience Pharmaceuticals Co Ltd
- Ipsen Pharma
- Teva Pharmaceutical Industries Ltd
Market Concentration
Consolidated - Market dominated by 1 - 5 major players
Recombinant Human Growth Hormone (RHGH) Market
Fragmented - Highly competitive market without dominant players
The Recombinant Human Growth Hormone (RHGH) market is witnessing significant growth due to rising awareness about growth disorders and hormonal deficiencies. Increasing adoption of biopharmaceutical therapies has driven market penetration, with over 30% of patients with growth hormone deficiency opting for RHGH treatments. Technological advancements in recombinant DNA technology have enhanced drug efficacy and safety, making RHGH a preferred solution in endocrinology.
Rising Prevalence of Growth Disorders
The surge in pediatric and adult growth disorders is a key driver for the RHGH market. Approximately 25% of diagnosed cases are now treated with recombinant growth hormones, reflecting a notable shift from traditional therapies. Early diagnosis and advanced hormonal therapies have improved patient outcomes and adherence rates. The increasing demand highlights the critical role of RHGH in addressing short stature and growth hormone deficiency effectively.
Advancements in Production and Delivery
Innovations in protein engineering and delivery systems have strengthened RHGH adoption. Nearly 40% of treatments now utilize injectable pen devices for better convenience and dosage accuracy. These advancements have also reduced adverse reactions, enhancing patient compliance and satisfaction. The integration of biotechnology-driven solutions ensures higher purity, stability, and bioavailability of recombinant hormones.
Expanding Therapeutic Applications
RHGH is increasingly used beyond traditional growth deficiency treatments, including muscle wasting disorders, chronic kidney disease, and Turner syndrome. Around 20% of new prescriptions are for these expanded applications, reflecting the hormone's versatile therapeutic potential. The growing recognition of RHGH in clinical research and specialized treatments contributes to higher adoption across patient groups.
Recombinant Human Growth Hormone (RHGH) Market Key Takeaways
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Rising prevalence of growth hormone deficiencies in children and adults is driving the Recombinant Human Growth Hormone (RHGH) Market, as healthcare providers increasingly adopt synthetic hormones for effective treatment of growth disorders and metabolic imbalances.
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Advancements in biotechnology and genetic engineering are enabling the development of more stable and efficient RHGH formulations, improving patient compliance through longer-lasting therapeutic effects and reduced injection frequency.
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Growing applications of RHGH in areas beyond endocrinology—such as anti-aging therapies, muscle-wasting diseases, and sports medicine—are broadening the market’s scope while stimulating R&D efforts among pharmaceutical innovators.
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Increasing use of pen devices and needle-free delivery systems is enhancing treatment convenience and accuracy, reducing pain during administration, and expanding adoption among pediatric and geriatric patient populations.
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North America dominates the market due to the presence of advanced healthcare infrastructure, high diagnosis rates, and regulatory support for biologic therapies, while Asia-Pacific shows rapid growth driven by rising healthcare access and government funding for rare disease treatment programs.
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Challenges such as high treatment costs, stringent regulatory requirements, and the growing presence of biosimilars are intensifying competition and compelling established players to invest in product differentiation and patient support programs.
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Leading companies are focusing on strategic partnerships, new drug delivery technologies, and expanded clinical trials to introduce innovative therapies and strengthen their foothold in the global Recombinant Human Growth Hormone (RHGH) Market.
Recombinant Human Growth Hormone (rhGH) Market Recent Developments
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In April 2025, major biopharmaceutical firms announced the launch of next-generation long-acting formulations of recombinant human growth hormone (rHGH) for improved adherence in the Recombinant Human Growth Hormone (RHGH) Market.
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In March 2024, leading endocrine specialists expanded strategic collaborations with drug-delivery technology companies to develop non-invasive administration platforms, accelerating innovation in the Recombinant Human Growth Hormone (RHGH) Market.
Recombinant Human Growth Hormone (RHGH) Market Segment Analysis
In this report, the Recombinant Human Growth Hormone (RHGH) Market has been segmented by Application, Route Of Administration, Distribution Channel and Geography.
Recombinant Human Growth Hormone (RHGH) Market, Segmentation by Application
The RHGH market is structured around core therapeutic applications that determine clinical protocols, dosing patterns, and long-term monitoring requirements. Vendors focus on label expansions, real-world evidence, and patient-support programs to optimize adherence and outcomes. Across applications, companies pursue co-promotion agreements, companion diagnostics, and digital adherence tools to mitigate discontinuation risk and to strengthen payer engagement in competitive tender environments.
Growth Hormone Deficiency
This is the anchor indication driving steady demand through pediatric and adult populations, with prescribing shaped by endocrinology guidelines and national formularies. Stakeholders differentiate through pen devices, long-acting options, and patient services that streamline titration and monitoring. Strategic priorities include harmonized reimbursement pathways, physician education on diagnostic criteria, and data packages demonstrating durable quality-of-life benefits and resource utilization reductions.
Turner Syndrome
RHGH therapy in Turner syndrome emphasizes early identification, height outcomes, and multidisciplinary care. Market participants collaborate with specialty centers and advocacy groups to improve pathways from genetic screening to treatment initiation. Tailored dosing support, fertility counseling interfaces, and long-term follow-up programs strengthen persistence, while real-world registries help quantify outcomes valued by payers and caregivers.
Idiopathic Short Stature
Adoption in idiopathic short stature is shaped by variable reimbursement, necessity assessments, and family preferences, creating a competitive landscape for value communication. Companies invest in shared-decision tools, transparent expectations on growth velocity, and home-delivery plus training solutions to reduce friction. Evidence development focuses on longitudinal benefit-risk profiles and adherence optimization via connected auto-injectors and data-enabled reminders.
Prader Willi Syndrome
In Prader Willi syndrome, RHGH supports improvements beyond stature, driving interest in holistic outcomes and caregiver support. Vendors partner with centers of excellence to integrate nutritional, behavioral, and sleep management alongside therapy. Differentiation increasingly includes remote monitoring, targeted education for transition-of-care, and collaboration with payers on care-pathway optimization to sustain therapy over the long term.
Others
The “Others” category captures emerging or niche use cases where evidence generation and regulatory clarity are still evolving. Manufacturers explore post-marketing studies, investigator-initiated trials, and compassionate-use frameworks to define value. Commercial strategy centers on medical-affairs engagement, precise patient selection, and scalable support services that can be extended if indications mature into broader market access.
Recombinant Human Growth Hormone (RHGH) Market, Segmentation by Route Of Administration
Route of administration is a pivotal differentiator influencing patient adherence, initiation timing, and provider preferences. The field is characterized by iterative device innovation, training simplification, and the pursuit of convenience without compromising safety. Across routes, companies prioritize human-factors engineering, cold-chain reliability, and digital training aids to enhance real-world outcomes and reduce therapy discontinuation.
Intravenous
Intravenous delivery is typically reserved for controlled settings, shaping a smaller but critical niche supported by specialist centers. Utilization is aligned with acute needs, intensive monitoring, or specific clinical protocols where rapid onset is prioritized. Suppliers focus on hospital partnerships, reliable supply logistics, and comprehensive pharmacovigilance to ensure safe administration in complex cases.
Intramuscular
Intramuscular administration has historical relevance and maintains use in certain protocols, especially where practice patterns remain entrenched. Vendors competing here emphasize training, standardized technique, and needle-safety features to support consistent outcomes. As delivery science advances, IM products are supported with education and service models that bridge to more convenient options when appropriate.
Subcutaneous
Subcutaneous delivery is the mainstream route given its alignment with home-based therapy and patient autonomy. Companies differentiate with pen injectors, fine-gauge needles, and connectivity that supports adherence monitoring and refill coordination. Strategic levers include once-weekly formulations, streamlined training, and integrated patient-support programs that lower burden for children, adults, and caregivers.
Oral
Oral approaches remain an area of R&D focus, reflecting the market’s appetite for non-invasive, convenient alternatives. Stakeholders are exploring formulation science, permeability enhancers, and novel delivery technologies to improve bioavailability. Commercial scenarios anticipate strong payer interest if durable outcomes are demonstrated, with plans for access strategies, adherence analytics, and lifecycle management upon successful validation.
Recombinant Human Growth Hormone (RHGH) Market, Segmentation by Distribution Channel
Distribution models determine how products reach patients, influence affordability, and shape support services. Market participants balance hospital-based starts with ongoing community access, deploying specialty pharmacy alliances, data-driven adherence programs, and coordinated home-delivery. The channel mix is optimized through tender participation, HUB services, and digital workflows that align clinicians, payers, and families.
Hospital Pharmacy
Hospital pharmacies oversee initiation, dose titration, and pharmacovigilance, particularly for complex cases and pediatric starts. Partnerships with tertiary centers and endocrine clinics facilitate seamless transitions to outpatient settings. Vendors support hospitals with education kits, device training, and inventory planning to maintain continuity of care and minimize therapy interruptions.
Retail Pharmacy
Retail pharmacies expand access and convenience, especially in regions with strong insurance coverage and e-prescribing. Success depends on reimbursement navigation, pharmacist counseling, and integration with patient-support hubs for prior authorizations and refills. Manufacturers co-develop adherence initiatives and reminders that help families manage long-term regimens effectively.
Clinics
Specialist and multidisciplinary clinics provide coordinated follow-up, reinforcing adherence and monitoring outcomes across pediatric and adult cohorts. Collaboration with nurse educators and dieticians supports comprehensive care, while digital telehealth models reduce travel burden. Clinic-anchored programs also enable structured data collection to inform practice patterns and payer value assessments.
Others
This category encompasses specialty distributors, home-care providers, and direct-to-patient services tailored to local regulations. Suppliers leverage logistics partnerships, temperature-controlled delivery, and virtual onboarding to reach underserved populations. Emphasis on continuity of supply and flexible financial assistance programs strengthens access where standard channels are constrained.
Recombinant Human Growth Hormone (RHGH) Market, Segmentation by Geography
In this report, the Recombinant Human Growth Hormone (RHGH) Market has been segmented by Geography into five regions: North America, Europe, Asia Pacific, Middle East and Africa and Latin America.
Regions and Countries Analyzed in this Report
North America
North America benefits from mature endocrinology networks, strong insurance frameworks, and high awareness of pediatric and adult indications. Market growth is supported by device innovation, real-world data collaborations, and broad access to specialty pharmacies. Key challenges include formulary management and prior authorization burden, addressed through integrated patient-support services and outcomes-based contracting.
Europe
Europe features coordinated tendering systems and national guidelines that shape utilization and pricing dynamics. Manufacturers compete on value dossiers, evidence from registries, and adherence-enhancing devices to secure inclusion on reimbursement lists. Cross-border collaborations, pharmacovigilance harmonization, and clinician training underpin steady adoption despite budgetary constraints.
Asia Pacific
Asia Pacific shows heterogeneous access, with rapid growth in markets investing in specialist capacity and pediatric screening programs. Companies expand through local partnerships, clinician education, and tiered pricing strategies to reach emerging middle-income populations. Improving supply chains, digital engagement, and government initiatives to standardize referral pathways support the region’s long-term outlook.
Middle East & Africa
In the Middle East & Africa, demand is influenced by evolving public procurement, private sector growth, and investments in tertiary care. Vendors focus on cold-chain reliability, clinician upskilling, and partnerships with centers of excellence to improve initiation and follow-up. Addressing affordability and diagnostic capacity is central to unlocking sustainable market expansion.
Latin America
Latin America’s trajectory reflects mixed reimbursement environments and increasing access through specialty distributors and patient assistance. Strategic levers include local manufacturing alliances, policy engagement on rare-disease pathways, and targeted medical education to standardize care. Enhanced data collection and real-world outcome measurement are priorities to support payer confidence and therapy continuity.
Market Trends
This report provides an in depth analysis of various factors that impact the dynamics of Global Recombinant Human Growth Hormone (rhGH) Market. These factors include; Market Drivers, Restraints and Opportunities Analysis.
Drivers, Restraints and Opportunity Analysis
Drivers
- Increasing Prevalence of Growth Hormone Deficiency
- Technological Advancements in Biotechnology
- Growing Awareness-
Growing awareness about the importance of hormone replacement therapies, including recombinant human growth hormone (rhGH), has been a significant driver in the global market. Increased awareness among healthcare professionals and patients about the potential benefits of rhGH therapy in addressing growth hormone deficiency (GHD) and other related conditions has led to higher diagnosis rates and treatment initiation. Furthermore, educational campaigns, patient advocacy groups, and online resources have played a pivotal role in disseminating information about growth disorders, treatment options, and the importance of early intervention, thereby contributing to improved patient outcomes.
In addition to awareness initiatives targeted at healthcare professionals and patients, there has been a concerted effort to raise awareness among payers, policymakers, and regulatory authorities regarding the value of rhGH therapy. This includes highlighting the long-term benefits of early intervention in children with GHD, such as improved growth, bone health, and overall quality of life. By emphasizing the cost-effectiveness of rhGH therapy in preventing complications associated with untreated GHD, stakeholders aim to secure broader reimbursement coverage and favorable regulatory policies, thereby increasing access to treatment for eligible patients.
The advent of digital health technologies has facilitated the dissemination of information and educational resources about rhGH therapy through various online platforms, mobile applications, and telemedicine services. These digital tools not only provide access to educational materials but also enable remote monitoring of treatment adherence and outcomes, fostering greater engagement and empowerment among patients. As awareness continues to grow and technological advancements further enhance patient education and support, the global rhGH market is expected to witness sustained expansion, benefiting both patients and healthcare stakeholders alike.
Restraints
- Regulatory Hurdles and Approval Processes
- Pricing Pressure and Patent Expirations
- Limited Reimbursement Coverage-
Limited reimbursement coverage presents a significant challenge in the global recombinant human growth hormone (rhGH) market, hindering patient access to essential treatments. While rhGH therapy is often considered medically necessary for individuals with growth hormone deficiency (GHD) and other approved indications, reimbursement policies vary widely between regions and healthcare systems. In many cases, strict eligibility criteria, administrative hurdles, and inadequate reimbursement rates limit patient access to rhGH therapy, particularly in lower-income or underinsured populations. This disparity in reimbursement coverage can exacerbate healthcare inequalities and impact patient outcomes, as individuals may forego or delay treatment due to financial constraints.
The lack of comprehensive reimbursement coverage also poses challenges for healthcare providers and pharmaceutical companies, affecting market dynamics and investment decisions. Limited reimbursement can deter physicians from prescribing rhGH therapy, leading to underutilization of available treatments and potential missed opportunities for early intervention and improved patient outcomes. Furthermore, pharmaceutical companies may face difficulties in commercializing rhGH products in regions with inadequate reimbursement policies, impacting market penetration and revenue generation. As a result, stakeholders in the rhGH market are advocating for broader reimbursement coverage and policy reforms to ensure equitable access to essential therapies for patients with growth disorders.
Addressing the issue of limited reimbursement coverage requires a collaborative effort among policymakers, healthcare providers, payers, and pharmaceutical companies to develop sustainable solutions. This may involve revising reimbursement policies to reflect the clinical benefits and cost-effectiveness of rhGH therapy, as well as expanding coverage to include additional patient populations and indications. Furthermore, efforts to streamline administrative processes, reduce bureaucratic barriers, and improve transparency in reimbursement decisions can facilitate timely access to treatment for eligible patients. By prioritizing patient needs and aligning incentives across the healthcare ecosystem, stakeholders can work towards ensuring equitable reimbursement coverage and optimizing patient outcomes in the global rhGH market.
Opportunities
- Emerging Markets Expansion
- Development of Long-Acting Formulations
- Strategic Partnerships and Collaborations-
Strategic partnerships and collaborations have become increasingly prevalent in the global recombinant human growth hormone (rhGH) market, facilitating innovation, market expansion, and improved patient care. Pharmaceutical companies often collaborate with biotech firms, research institutions, and healthcare organizations to leverage their combined expertise and resources. These collaborations enable the development of novel formulations, advanced delivery systems, and cutting-edge technologies to enhance the efficacy, safety, and patient experience of rhGH treatments.
Strategic partnerships allow companies to access new markets and strengthen their global presence. By joining forces with local distributors, healthcare providers, and regulatory experts, rhGH manufacturers can navigate complex regulatory landscapes more effectively, accelerate market entry, and ensure compliance with regional requirements. These collaborations also facilitate knowledge exchange and capacity building, as companies gain insights into local healthcare needs and consumer preferences, enabling them to tailor their products and marketing strategies accordingly.
Partnerships between pharmaceutical companies and digital health firms are transforming the rhGH market by integrating technology into treatment delivery and patient management. By harnessing digital platforms for remote monitoring, telemedicine consultations, and personalized care plans, companies can enhance treatment adherence, optimize therapeutic outcomes, and improve patient engagement. These collaborations not only drive innovation but also contribute to the evolution of healthcare delivery models, paving the way for more efficient and patient-centric approaches in the management of growth disorders.
Recombinant Human Growth Hormone (RHGH) Market Competitive Landscape Analysis
Recombinant Human Growth Hormone (RHGH) Market features intensifying competition as reference brands defend share against biosimilars through targeted strategies, payer contracts, and real-world evidence. Consolidation among distributors and specialty pharmacies supports scale expansion. Cross-industry collaboration on delivery devices and adherence platforms accelerates innovation, while patient-support programs sustain prescription growth across pediatric and adult endocrinology segments, with uptake differences exceeding 20–30% between regions.
Market Structure and Concentration
Market concentration remains moderate, with innovators and leading biosimilars retaining around 55% share through portfolio breadth and tenders. Horizontal supply agreements and selective merger activities enhance manufacturing resilience. Mid-tier entrants leverage cost leadership and targeted indications. Contract manufacturing and API alliances reinforce upstream security, while vigilant pharmacovigilance and post-marketing commitments shape competitive positioning and procurement strategies.
Brand and Channel Strategies
Brands prioritize specialty-pharmacy agreements, institutional formularies, and e-commerce channels that drive over 60% of dispenses in certain markets. Patient starter kits and connected pens differentiate adherence. Co-pay harmonization and HCP education foster partnerships. Field forces pivot to outcomes-based messaging, while key account strategies coordinate with payers, group purchasing bodies, and clinics to defend tier placement and encourage growth.
Innovation Drivers and Technological Advancements
Sustained-release formulations, autoinjectors, and digital titration tools reflect fast-moving technological advancements. More than 70% of pipeline efforts emphasize once-weekly dosing, temperature-stable formats, and device connectivity. Data-enabled innovation supports individualized regimens and persistence analytics. Co-development collaboration between biotech, device makers, and CROs compresses timelines, while lifecycle management broadens labels and underpins revenue expansion.
Regional Momentum and Expansion
Reimbursement-led North America and Europe contribute roughly 65% share, shaped by HTA assessments and biosimilar penetration. Asia Pacific posts the fastest growth as tender frameworks mature and local bioproduction scales. Regional partnerships secure cold-chain reliability and pharmacovigilance compliance. Differentiated dosing and delivery ecosystems help brands navigate procurement variability, enabling footprint expansion and clinician adoption in emerging therapy centers.
Future Outlook
The future outlook centers on adherence-centric ecosystems, value-based contracts, and robust real-world datasets exceeding 50% coverage in priority indications. Strategic collaboration will align manufacturers, payers, and providers on outcomes and persistence. Portfolio innovation via long-acting assets and smart devices should sustain mid-to-high single-digit growth, while disciplined strategies around access and supply continuity fortify competitive advantage.
Key players in Recombinant Human Growth Hormone (rhGH) Market include:
- Novo Nordisk
- Pfizer Inc
- Merck & Co Inc
- Eli Lilly and Company
- F. Hoffmann-La Roche AG
- Sandoz International GmbH (a subsidiary of Novartis AG)
- LG Chem
- GeneScience Pharmaceuticals Co Ltd
- Ipsen Pharma
- Teva Pharmaceutical Industries Ltd
In this report, the profile of each market player provides following information:
- Company Overview and Product Portfolio
- Key Developments
- Financial Overview
- Strategies
- Company SWOT Analysis
- Introduction
- Research Objectives and Assumptions
- Research Methodology
- Abbreviations
- Market Definition & Study Scope
- Executive Summary
- Market Snapshot, By Application
- Market Snapshot, By Route Of Administration
- Market Snapshot, By Distribution Channel
- Market Snapshot, By Region
- Recombinant Human Growth Hormone (RHGH) Market Dynamics
- Drivers, Restraints and Opportunities
- Drivers
- Increasing Prevalence of Growth Hormone Deficiency
- Technological Advancements in Biotechnology
- Growing Awareness
- Restraints
- Regulatory Hurdles and Approval Processes
- Pricing Pressure and Patent Expirations
- Limited Reimbursement Coverage
- Opportunities
- Emerging Markets Expansion
- Development of Long-Acting Formulations
- Strategic Partnerships and Collaborations
- Drivers
- PEST Analysis
- Political Analysis
- Economic Analysis
- Social Analysis
- Technological Analysis
- Porter's Analysis
- Bargaining Power of Suppliers
- Bargaining Power of Buyers
- Threat of Substitutes
- Threat of New Entrants
- Competitive Rivalry
- Drivers, Restraints and Opportunities
- Market Segmentation
- Recombinant Human Growth Hormone (RHGH) Market, By Application, 2021 - 2031 (USD Million)
- Growth Hormone Deficiency
- Turner Syndrome
- Idiopathic Short Stature
- Prader Willi Syndrome
- Others
- Recombinant Human Growth Hormone (RHGH) Market, By Route Of Administration, 2021 - 2031 (USD Million)
- Intravenous
- Intramuscular
- Subcutaneous
- Oral
- Recombinant Human Growth Hormone (RHGH) Market, By Distribution Channel, 2021 - 2031 (USD Million)
- Hospital Pharmacy
- Retail Pharmacy
- Clinics
- Others
- Recombinant Human Growth Hormone (RHGH) Market, By Geography, 2021 - 2031 (USD Million)
- North America
- United States
- Canada
- Europe
- Germany
- United Kingdom
- France
- Italy
- Spain
- Nordic
- Benelux
- Rest of Europe
- Asia Pacific
- Japan
- China
- India
- Australia & New Zealand
- South Korea
- ASEAN (Association of South East Asian Countries)
- Rest of Asia Pacific
- Middle East & Africa
- GCC
- Israel
- South Africa
- Rest of Middle East & Africa
- Latin America
- Brazil
- Mexico
- Argentina
- Rest of Latin America
- North America
- Recombinant Human Growth Hormone (RHGH) Market, By Application, 2021 - 2031 (USD Million)
- Competitive Landscape
- Company Profiles
- Novo Nordisk
- Pfizer Inc
- Merck & Co Inc
- Eli Lilly and Company
- F. Hoffmann-La Roche AG
- Sandoz International GmbH (a subsidiary of Novartis AG)
- LG Chem
- GeneScience Pharmaceuticals Co Ltd
- Ipsen Pharma
- Teva Pharmaceutical Industries Ltd
- Company Profiles
- Analyst Views
- Future Outlook of the Market

