When it comes to determining the largest Pharmaceutical companies, the ranking of one company can go up or down from one year to the next.

Covetrus as a global company focused solely on animal health with a multi-channel strategy, they seek to leverage their experience within the veterinary channel with a differentiated value proposition by increasing innovation, providing a more comprehensive set of integrated services, improving the experience and engagement of their Clients and of the people and entities that purchase products and services from them.The Animal Health Business served approximately 100,000 Customers in over 100 countries and had net sales of approximately of $3.8 billion for the fiscal year ended December 29, 2018. This company is based in the United States and is listed on the New York Stock Exchange.

We’ve looked into the top performers and have put together a ranked list of the top 20 pharmaceutical companies in the United States for 2019, in accordance with their market cap, beginning with the 20th and moving forward to the 1st.Cardinal Health, Inc. is a United States-based pharmaceutical company which is the 20th largest in the nation.

Biomarin is a biotechnology and pharmaceutical company which manufactures and distributes healthcare products.AmerisourceBergen Corporation is a Holding Company which focuses upon the distribution of medicine and pharmaceutical products. Covetrus has some of the veterinary software systems in the world, like AVImark®, eVetPractice®, ImproMed®, and ImproMed® Equine in North America; and VisionVPM® and RxWorks® in Australia and New Zealand. The company is listed on the New York Stock Exchange. It is ranked as the 166th largest in the world, moving up two positions since March of 2019.

It manufactures medicines and other products as well as overseeing over 500,000 lab tests. It is listed on the NASDAQ Stock Exchange. For each of the fiscal years ended December 29, 2018, December 30, 2017, and December 31, 2016, approximately 70% of the Animal Health Business revenue was derived from the sales of pharmaceuticals and nutrition products. The healthier lifestyle movement has driven broad growth in consumer health sales. The figures were compared and the companies have been ranked in accordance with updated and current market values.

​​​​​​​Johnson & Johnson is the number one ranked pharmaceutical company in the United States as of July 1, 2019. It is headquartered in California, United States and is listed on the NASDAQ exchange. Top 50. This is a company that is based in the United States, but it operates on a global level to deliver medicines and vaccines for humans as well as animal health products. It is currently ranked the 82nd largest pharma company in the world. Again however, consumers driven by price factors can also be swayed by greater outreach from market leaders in the form of smaller, sampler pack sizes and greater availability in cheaper discount outlets.As a result, larger FMCG companies are acquiring smaller labels, direct-to-consumer firms, and niche positionings. For the fiscal year ended December 29, 2018, the Animal Health Business’ supply chain segment and its technology and value-added services segment made up approximately 97% ($ 3677.188 million) and 3% ($ 100.806 million), respectively, of its net sales.The supply chain segment includes the distribution of pharmaceuticals, nutrition products, consumable products, diagnostic tests, small and large equipment, laboratory products and surgical products, among others.