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Canadian pharmacies and drug stores play a crucial role in the nation’s healthcare system, providing first-point access to essential medications. Even amid recent volatility, drug stores have benefited from consistent health-related spending, mainly driven by prescriptions as chronic diseases become more common across the population. While higher pharmaceutical prices have helped boost overall revenues, provincial drug plans continue to enforce reference-based pricing and mandatory generic substitution, meaning pharmacies are often reimbursed at the lowest available generic price for medications. This approach caps earnings from dispensing drugs and limits profit growth. Pharmacies also face ongoing challenges from inflation and e-commerce disruption, which have led to lower sales of discretionary items like beauty and personal care products. Nonetheless, the essential nature of their services and steady demand for health products have underpinned resilient revenue growth. Revenue has been expanding at a CAGR of 2.0% to an estimated $91.7 billion over the past five years, including expected growth of 1.5% in 2026.
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IBISWorld's research coverage on the Pharmacies & Drug Stores industry in Canada includes market sizing, forecasting, data and analysis from 2016-2031. The most recent publication was released February 2026.
The Pharmacies & Drug Stores industry in Canada operates under the NAICS industry code 44611CA. Pharmacies and Drug Stores in Canada retail a range of prescription and over-the-counter drugs and medications, health and beauty items, toiletries and consumable goods directly to consumers on a walk-in basis. Stores may also provide basic health and photo-processing services. The industry includes retail stores with a pharmacy but excludes mail order and online retailers, hospitals and clinics. Related terms covered in the Pharmacies & Drug Stores industry in Canada include over-the-counter (otc) medications, prescription drug, front-end sales, blockbuster drug and workers' compensation board.
Products and services covered in Pharmacies & Drug Stores industry in Canada include Prescription pharmaceuticals, Nonprescription pharmaceuticals and Infant care products, eyewear and eye care.
Companies covered in the Pharmacies & Drug Stores industry in Canada include Shoppers Drug Mart Corporation, McKesson Canada and Metro Inc.
The Performance chapter covers detailed analysis, datasets, detailed current performance, sources of volatility and an outlook with forecasts for the Pharmacies & Drug Stores industry in Canada.
Questions answered in this chapter include what's driving current industry performance, what influences industry volatility, how do successful businesses overcome volatility, what's driving the industry outlook. This analysis is supported with data and statistics on industry revenues, costs, profits, businesses and employees.
The Products and Markets chapter covers detailed products and service segmentation and analysis of major markets for the for the Pharmacies & Drug Stores industry in Canada.
Questions answered in this chapter include how are the industry's products and services performing, what are innovations in industry products and services, what products or services do successful businesses offer and what's influencing demand from the industry's markets. This includes data and statistics on industry revenues by product and service segmentation and major markets.
The Geographic Breakdown chapter covers detailed analysis and datasets on regional performance of the Pharmacies & Drug Stores industry in Canada.
Questions answered in this chapter include where are industry businesses located and how do businesses use location to their advantage. This includes data and statistics on industry revenues by location.
The Competitive Forces chapter covers the concentration, barriers to entry and supplier and buyer profiles in the Pharmacies & Drug Stores industry in Canada. This includes data and statistics on industry market share concentration, barriers to entry, substitute products and buyer & supplier power.
Questions answered in this chapter include what impacts the industry's market share concentration, how do successful businesses handle concentration, what challenges do potential industry entrants face, how can potential entrants overcome barriers to entry, what are substitutes for industry services, how do successful businesses compete with substitutes and what power do buyers and suppliers have over the industry and how do successful businesses manage buyer & supplier power.
The Companies chapter covers Key Takeaways, Market Share and Companies in the Pharmacies & Drug Stores industry in Canada. This includes data and analysis on companies operating in the industry that hold a market share greater than 5%.
Questions answered in this chapter include what companies have a meaningful market share and how each company is performing.
The External Environment chapter covers Key Takeaways, External Drivers, Regulation & Policy and Assistance in the Pharmacies & Drug Stores industry in Canada. This includes data and statistics on factors impacting industry revenue such as economic indicators, regulation, policy and assistance programs.
Questions answered in this chapter include what demographic and macroeconomic factors impact the industry, what regulations impact the industry, what assistance is available to this industry.
The Financial Benchmarks chapter covers Key Takeaways, Cost Structure, Financial Ratios, Valuation Multiples and Key Ratios in the Pharmacies & Drug Stores industry in Canada. This includes financial data and statistics on industry performance including key cost inputs, profitability, key financial ratios and enterprise value multiples.
Questions answered in this chapter include what trends impact industry costs and how financial ratios have changed overtime.
The Industry Data chapter includes 10 years of historical data with 5 years of forecast data covering statistics like revenue, industry value add, establishments, enterprises, employment and wages in the Pharmacies & Drug Stores industry in Canada.
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The market size of the Pharmacies & Drug Stores industry in Canada is $88.3bn in 2026.
There are 20,238 businesses in the Pharmacies & Drug Stores industry in Canada, which has grown at a CAGR of 3.9 % between 2021 and 2026.
The Pharmacies & Drug Stores industry in Canada is unlikely to be materially impacted by import tariffs with imports accounting for a low share of industry revenue.
The Pharmacies & Drug Stores industry in Canada is unlikely to be materially impacted by export tariffs with exports accounting for a low share of industry revenue.
The market size of the Pharmacies & Drug Stores industry in Canada has been growing at a CAGR of 0.9 % between 2021 and 2026.
Over the next five years, the Pharmacies & Drug Stores industry in Canada is expected to grow.
The biggest companies operating in the Pharmacies & Drug Stores industry in Canada are Shoppers Drug Mart Corporation, McKesson Canada and Metro Inc.
Preparing and selling prescription pharmaceuticals and Selling nonprescription pharmaceuticals are part of the Pharmacies & Drug Stores industry in Canada.
The company holding the most market share in the Pharmacies & Drug Stores industry in Canada is Shoppers Drug Mart Corporation.
The level of competition is high and increasing in the Pharmacies & Drug Stores industry in Canada.