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Report Description

Report Description

Forecast Period

2026-2030

Market Size (2024)

USD 10.80 Billion

CAGR (2025-2030)

4.73%

Fastest Growing Segment

Sex Hormones

Largest Market

     Midwest

Market Size (2030)

USD 14.09 Billion

Market Overview

United States Hormone Therapy (Retail Side) Market was valued at USD 10.80 Billion in 2024 and is expected to reach USD 14.09 Billion by 2030 with a CAGR of 4.73%. Hormone therapy involves the administration of hormones to treat a wide range of conditions, including menopause symptoms, thyroid disorders, testosterone deficiency, growth hormone deficiencies, and certain cancers. In recent years, the retail distribution of hormone therapies has expanded significantly, fueled by the increasing trend toward patient-centered care and home-based treatment. Many hormone therapies are now available in user-friendly formats such as oral tablets, transdermal patches, topical creams, and injectable pens, allowing for ease of use and greater adherence outside of clinical settings.

However, the retail hormone therapy market also faces challenges. These include ongoing debates over the long-term safety of certain hormone treatments particularly in postmenopausal women as well as concerns around misuse, overprescription, and the availability of unregulated or compounded hormone products. Moreover, insurance coverage for some therapies, especially bioidentical hormone treatments, can be inconsistent, impacting patient access and affordability.

Key Market Drivers

Growth in Healthcare Industry

In 2023, U.S. healthcare expenditures increased by 7.5%, reaching USD 4.9 trillion equating to approximately USD 14,570 per person. This spending represented 17.6% of the nation's Gross Domestic Product (GDP). The expanding healthcare industry in the United States is a pivotal factor propelling the growth of the hormone therapy market on the retail side. Advances in medical research, increased healthcare spending, and greater access to healthcare services have collectively contributed to a rising demand for hormone therapy products.

The population of Americans aged 65 and older is projected to grow from 58 million in 2022 to 82 million by 2050, representing a 47% increase. Additionally, this age group’s proportion of the total U.S. population is expected to rise from 17% to 23%. With an aging population and a growing prevalence of hormone-related conditions such as menopause, osteoporosis, and hypogonadism, healthcare providers are increasingly recommending hormone replacement therapies (HRT) to improve patient quality of life. This trend is further amplified by the heightened awareness and acceptance of hormone therapies among patients, driven by education and outreach efforts.

Surge in Technological Advancements

The United States hormone therapy market on the retail side is experiencing strong momentum, largely driven by a surge in technological advancements across drug formulation, delivery systems, and personalized medicine. Innovations such as transdermal patches, sustained-release injectables, and bioidentical hormone therapies have significantly improved the safety, efficacy, and convenience of treatment options. These advancements are enhancing patient adherence and expanding access through retail pharmacies.

Additionally, progress in diagnostic tools and hormone level monitoring technologies is enabling more precise and individualized treatment plans, further supporting the shift toward consumer-driven, outpatient hormone therapy. For instance, the VIDAS Fertility Panel offers essential diagnostic tools for assessing eight distinct reproductive hormone disorders. BioMérieux provides a robust, reliable, and clinically validated solution that enables convenient on-site testing at fertility centers. Digital health platforms and telemedicine integration are also playing a critical role, allowing for remote prescription management and increasing retail distribution. As patients and providers seek more effective, accessible, and tailored solutions, technological innovation remains a key growth driver in the retail hormone therapy space.



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Key Market Challenges

Disruptions in Supply Chain

Disruptions in the supply chain pose a significant challenge to the United States Hormone Therapy Market on the retail side. The production and distribution of hormone therapies depend on a complex network of raw material suppliers, manufacturers, distributors, and retail pharmacies. Any interruption at any point in this chain whether due to manufacturing delays, shortages of active pharmaceutical ingredients (APIs), transportation bottlenecks, or regulatory hurdles can lead to product scarcity and delayed availability at the retail level.

Such supply chain disruptions not only affect the timely delivery of hormone therapies but can also impact pricing and inventory management. Pharmacies may face difficulties in maintaining consistent stock levels, which in turn can undermine patient adherence and trust. Patients requiring continuous hormone therapy, such as those undergoing hormone replacement therapy or managing endocrine disorders, are particularly vulnerable to interruptions, as inconsistent access can lead to suboptimal treatment outcomes and increased healthcare costs.

Key Market Trends

Integration of Telehealth and Online Platforms

The integration of telehealth services and online platforms is emerging as a significant trend in the United States hormone therapy market, particularly on the retail side. A national study analyzing private insurance claims data from 36 million working-age individuals revealed a 766% increase in telemedicine encounters during the first three months of the pandemic. This trend aligns with findings from Doximity, an online medical networking platform representing approximately 1.8 million physicians about 80% of the U.S. physician workforce which estimated that nearly 20% of all healthcare visits in the U.S. in 2020 were conducted via telemedicine based on private claims data. This shift is driven by evolving consumer preferences for convenience, accessibility, and personalized healthcare solutions.

Telehealth enables patients to consult healthcare professionals remotely, reducing barriers such as geographic distance, time constraints, and mobility issues. This is especially beneficial for hormone therapy patients, who often require ongoing consultations and monitoring. The ability to receive expert guidance and prescriptions through virtual channels has made hormone therapy more accessible to a broader demographic, including those in rural or underserved areas.

Segmental Insights

Product Insights

Based on Product, Sex Hormones have emerged as the fastest growing segment in the United States Hormone Therapy (Retail Side) Market in 2024. This is due to rising awareness of hormone-related health issues and increasing demand for treatments addressing menopause, testosterone deficiency, and reproductive health. Innovations in formulation and delivery methods such as bioidentical hormones, transdermal patches, and gels have improved patient convenience, safety, and efficacy, driving greater adoption.

Indication Insights

Based on Indication, Menopause & Andropause Management have emerged as the fastest growing segment in the United States Hormone Therapy (Retail Side) Market during the forecast period. This is due to increasing awareness and demand for effective treatments that address the symptoms associated with hormonal decline in aging populations. As more individuals seek to improve their quality of life and manage symptoms such as hot flashes, mood swings, fatigue, and decreased libido, hormone therapies specifically targeting menopause and andropause have gained significant traction.

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Regional Insights

Based on Region, Midwest have emerged as the dominating region in the United States Hormone Therapy (Retail Side) Market in 2024. This is due to several strategic and operational advantages. The region benefits from a well-established pharmaceutical manufacturing infrastructure, which supports large-scale production and distribution of hormone therapies. Its central geographic location facilitates efficient logistics, enabling faster and cost-effective delivery to both urban and rural markets across the country.

Recent Development

  • In February 2025, The HRT Club officially launched its direct-to-consumer (DTC) hormone replacement therapy platform, targeting disruption of the USD 7.4 billion U.S. hormonal care market. By removing insurance barriers and reducing costs by up to 90% for members, the company aims to significantly increase accessibility and affordability. Offering a USD 99 annual membership, supported by partnerships with drug manufacturers and a technology-driven platform, The HRT Club plans to expand its member base to 50,000. Future initiatives include introducing new hormonal therapies such as glucagon-like peptide-1 (GLP-1) medications and enhancing telehealth capabilities with features like an integrated pharmacy system for prescription management and a streamlined interface for virtual consultations.
  • In January 2025, AstraZeneca and Daiichi Sankyo’s Enhertu (trastuzumab deruxtecan) received FDA approval in the U.S. for the treatment of adult patients with unresectable or metastatic hormone receptor (HR)-positive, HER2-low (IHC 1+ or IHC 2+/ISH-) or HER2-ultralow (IHC 0 with membrane staining) breast cancer, as identified by an FDA-approved diagnostic test. The approval applies to patients whose disease has progressed following one or more endocrine therapies in the metastatic setting. This FDA approval followed Priority Review and Breakthrough Therapy Designation, based on data from the Phase III DESTINY-Breast06 trial, which was presented at the 2024 American Society of Clinical Oncology (ASCO) Annual Meeting.
  • In January 2024, Merck, operating as MSD outside the United States and Canada, announced the initiation of pivotal Phase 3 clinical trials for four investigational candidates from its broad and diverse oncology pipeline, focused on hematologic malignancies and solid tumors. These Phase 3 trial launches represent a critical advancement in Merck’s ongoing efforts to develop innovative treatment options aimed at improving outcomes for patients with both solid tumors and hematologic cancers. This milestone underscores the company’s commitment to addressing significant unmet medical needs across multiple cancer types.
  • In May 2025, Astellas Pharma Inc. and Pfizer Inc. announced long-term follow-up results from the open-label extension of the Phase 3 ARCHES study, demonstrating a five-year overall survival (OS) benefit. The data showed a 30% reduction in the risk of death among men with metastatic hormone-sensitive prostate cancer (mHSPC) treated with XTANDI (enzalutamide), an androgen receptor pathway inhibitor (ARPI), combined with androgen deprivation therapy (ADT), compared to placebo plus ADT. These findings will be presented in an oral session at the upcoming American Society of Clinical Oncology (ASCO) Annual Meeting in Chicago.

Key Market Players

  • CVS Health
  • Walgreens Boots Alliance, Inc.
  • Walmart Pharmacy
  • Rite Aid Corp
  • The Kroger Co.
  • Albertsons
  • Costco Wholesale Corporation
  • Mark Cuban Cost Plus Drug Company, PBC
  • Blink Health Administration LLC, Inc.
  • GoodRx, Inc.

By Product

By Indication

By Region

  • Sex Hormones
  • Thyroid Hormones
  • Growth Hormones
  • Adrenal Hormones
  • Others
  • Menopause & Andropause Management
  • Hypothyroidism
  • Hypogonadism
  • Growth Hormone Deficiency
  • Fertility Treatment
  • Others
  • Northeast
  • Midwest
  • South
  • West

Report Scope

In this report, the United States Hormone Therapy (Retail Side) Market has been segmented into the following categories, in addition to the industry trends which have also been detailed below:

  • United States Hormone Therapy (Retail Side) Market, By Product:

o   Sex Hormones

o   Thyroid Hormones

o   Growth Hormones

o   Adrenal Hormones

o   Others

  • United States Hormone Therapy (Retail Side) Market, By Indication:

o   Menopause & Andropause Management

o   Hypothyroidism

o   Hypogonadism

o   Growth Hormone Deficiency

o   Fertility Treatment

o   Others

  • United States Hormone Therapy (Retail Side) Market, By Region:

o   Northeast

o   Midwest

o   South

o   West

Competitive Landscape

Company Profiles: Detailed analysis of the major companies present in the United States Hormone Therapy (Retail Side) Market.

Available Customizations:

United States Hormone Therapy (Retail Side) Market report with the given market data, TechSci Research offers customizations according to a company's specific needs. The following customization options are available for the report:

Company Information

  • Detailed analysis and profiling of additional market players (up to five).

United States Hormone Therapy (Retail Side) Market is an upcoming report to be released soon. If you wish an early delivery of this report or want to confirm the date of release, please contact us at [email protected]

Table of content

Table of content

1.    Product Overview

1.1.  Market Definition

1.2.  Scope of the Market

1.2.1.     Markets Covered

1.2.2.     Years Considered for Study

1.2.3.     Key Market Segmentations

2.    Research Methodology

2.1.  Objective of the Study

2.2.  Baseline Methodology

2.3.  Key Industry Partners

2.4.  Major Association and Secondary Sources

2.5.  Forecasting Methodology

2.6.  Data Triangulation & Validation

2.7.  Assumptions and Limitations

3.    Executive Summary

3.1.  Overview of the Market

3.2.  Overview of Key Market Segmentations

3.3.  Overview of Key Market Players

3.4.  Overview of Key Regions/Countries

3.5.  Overview of Market Drivers, Challenges, and Trends

4.    Impact of COVID-19 on United States Hormone Therapy (Retail Side) Market

5.    United States Hormone Therapy (Retail Side) Market Outlook

5.1.  Market Size & Forecast

5.1.1.     By Value

5.2.  Market Share & Forecast

5.2.1.     By Product (Sex Hormones, Thyroid Hormones, Growth Hormones, Adrenal Hormones, Others)

5.2.2.     By Indication (Menopause & Andropause Management, Hypothyroidism, Hypogonadism, Growth Hormone Deficiency, Fertility Treatment, Others)

5.2.3.     By Region

5.2.4.     By Company (2024)  

5.3.  Market Map

6.    Northeast Hormone Therapy (Retail Side) Market Outlook

6.1.  Market Size & Forecast          

6.1.1.     By Value

6.2.  Market Share & Forecast

6.2.1.     By Product

6.2.2.     By Indication

7.    Midwest Hormone Therapy (Retail Side) Market Outlook

7.1.  Market Size & Forecast          

7.1.1.     By Value

7.2.  Market Share & Forecast

7.2.1.     By Product

7.2.2.     By Indication

8.    South Hormone Therapy (Retail Side) Market Outlook

8.1.  Market Size & Forecast          

8.1.1.     By Value

8.2.  Market Share & Forecast

8.2.1.     By Product

8.2.2.     By Indication

9.    West Hormone Therapy (Retail Side) Market Outlook

9.1.  Market Size & Forecast          

9.1.1.     By Value

9.2.  Market Share & Forecast

9.2.1.     By Product

9.2.2.     By Indication

10.  Market Dynamics

10.1.              Drivers

10.2.              Challenges

11.  Market Trends & Developments

11.1.              Merger & Acquisition (If Any)

11.2.              Product Launches (If Any)

11.3.              Recent Developments

12.  Disruptions: Conflicts, Pandemics and Trade Barriers

13.  United States Hormone Therapy (Retail Side) Market: SWOT Analysis

14.  Porters Five Forces Analysis

14.1.              Competition in the Industry

14.2.              Potential of New Entrants

14.3.              Power of Suppliers

14.4.              Power of Customers

14.5.              Threat of Substitute Products

15.  Competitive Landscape 

15.1.             CVS Health

15.1.1.  Business Overview

15.1.2.  Company Snapshot

15.1.3.  Products & Services

15.1.4.  Financials (As Reported)

15.1.5.  Recent Developments

15.1.6.  Key Personnel Details

15.1.7.  SWOT Analysis

15.2.             ​​Walgreens Boots Alliance, Inc.

15.3.              Walmart Pharmacy

15.4.              Rite Aid Corp

15.5.              The Kroger Co.

15.6.              Albertsons

15.7.              Costco Wholesale Corporation

15.8.              Mark Cuban Cost Plus Drug Company, PBC

15.9.              Blink Health Administration LLC, Inc.

15.10.            GoodRx, Inc.

16.  Strategic Recommendations

17.  About Us & Disclaimer

Figures and Tables

Frequently asked questions

Frequently asked questions

The market size of the United States Hormone Therapy (Retail Side) Market was estimated to be USD 10.80 Billion in 2024.

The Sex Hormones segment demonstrated significant growth in 2024. This is due to the growing acceptance of hormone replacement therapy (HRT) among both patients and healthcare providers.

Midwest dominated the market with a revenue share in 2024. This is due to supportive state policies and favorable business climates which encourage pharmaceutical companies and retail pharmacies to expand their operations in the region.

Growth in healthcare industry and surge in technological advancements are the major drivers for the United States Hormone Therapy (Retail Side) Market.

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