Global Gastrointestinal OTC Drugs Market Growth, Share, Size, Trends and Forecast (2025 - 2031)
By Drugs Therapeutic Class;
Gastric Acid Reducers, Gastric Acid Neutralizers, Laxatives, Anti-diarrheals, Anti-emetics and Others.By Indication;
Heartburn, Constipation, Diarrhea, Nausea due to motion sickness and Flatulence.By End-Users;
Hospitals, Clinics, Home Healthcare, and Others.By Distribution Channel;
Direct Tender, Hospital Pharmacy, Retail Pharmacy, Online Pharmacy, and Others.By Geography;
North America, Europe, Asia Pacific, Middle East and Africa and Latin America - Report Timeline (2021 - 2031).Introduction
Global Gastrointestinal OTC Drugs Market (USD Million), 2021 - 2031
In the year 2024, the Global Gastrointestinal OTC Drugs Market was valued at USD 42,434.27 million. The size of this market is expected to increase to USD 58,540.93 million by the year 2031, while growing at a Compounded Annual Growth Rate (CAGR) of 4.7%.
The global gastrointestinal over-the-counter (OTC) drugs market is a significant segment of the healthcare industry, driven by the increasing prevalence of gastrointestinal disorders and the growing demand for self-medication. Gastrointestinal conditions, such as acid reflux, indigestion, constipation, diarrhea, and irritable bowel syndrome (IBS), affect a large proportion of the global population. The accessibility and convenience of OTC drugs allow individuals to manage these common ailments without requiring a prescription, which has significantly boosted market growth. In addition, the rise in awareness about gastrointestinal health and the availability of affordable treatment options have further accelerated demand in this market.
Advancements in pharmaceutical formulations and the introduction of innovative drug delivery systems have played a pivotal role in shaping the gastrointestinal OTC drugs market. Companies are focusing on providing fast-acting, easy-to-administer, and more effective medications to meet consumer needs. The availability of a wide range of products, including antacids, laxatives, anti-diarrheal agents, and probiotics, has ensured that patients can choose solutions that align with their symptoms. Furthermore, increasing consumer preference for natural and herbal remedies has prompted manufacturers to diversify their product offerings to cater to evolving market trends.
The market is also influenced by demographic and lifestyle changes, such as urbanization, dietary habits, and sedentary lifestyles, which have led to a higher incidence of gastrointestinal issues worldwide. The aging population, in particular, is a key driver, as older adults are more susceptible to digestive ailments and are often reliant on OTC drugs for symptom management. Additionally, the expansion of e-commerce and retail pharmacies has enhanced product accessibility, making gastrointestinal OTC drugs widely available to consumers across the globe. These factors collectively position the gastrointestinal OTC drugs market for steady growth in the coming years.
Global Gastrointestinal OTC Drugs Market Recent Developments
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In June 2021,Bayer announced the approval of Astepro Allergyfrom the U.S. Food and Drug(FDA) as an over the counter (OTC) product for the temporary relief of nasal congestion runny nose and Itchy nose and other respiratory allergies
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In March 2020, GSK announced that the company received approval of Advil Dual Action with Acetaminophen from the U.S. Food and Drug Administeration (FDA) as an over the counter (OTC) product for the pain relief .It is the first FDA –Approved OTC combination of ibuprofen and acetaminophen in the U.S. and will be available worldwide
Segment Analysis
The global gastrointestinal OTC drugs market can be segmented based on therapeutic class, indication, end-users, distribution channel, and geography. By therapeutic class, the market includes gastric acid reducers, gastric acid neutralizers, laxatives, anti-diarrheals, anti-emetics, and others. Gastric acid reducers and neutralizers dominate the segment, primarily due to the high prevalence of acid reflux and heartburn caused by modern dietary habits and stress. Laxatives and anti-diarrheals are also witnessing significant demand, particularly among the aging population, where issues like constipation and diarrhea are more frequent. The growing use of anti-emetics for nausea and vomiting, particularly related to motion sickness, further adds to the market’s diversity.
Based on indication, the market is classified into heartburn, constipation, diarrhea, nausea due to motion sickness, and flatulence. Heartburn remains one of the most common indications driving the demand for gastric acid reducers and antacids. Constipation, a growing concern among individuals with sedentary lifestyles and poor dietary habits, has led to a steady demand for laxatives. Similarly, OTC anti-diarrheal products are widely used for managing acute cases of diarrhea, ensuring effective and timely treatment. Flatulence and nausea due to motion sickness also contribute to market growth, with rising consumer preferences for quick-relief medications that offer immediate symptom management.
In terms of end-users and distribution channels, the market is segmented into hospitals, clinics, home healthcare, and others, with home healthcare dominating due to the convenience of self-medication. OTC drugs are predominantly purchased through retail pharmacies and online platforms, as they provide easy access and a wide range of options. The online pharmacy segment is rapidly growing due to the increasing adoption of e-commerce, which allows consumers to purchase medications with ease. Hospital and direct tender channels, while less prominent in OTC drugs, still play a role in bulk purchasing for certain institutions. Geographically, North America holds a major share of the market, driven by high awareness, a well-established healthcare infrastructure, and easy access to OTC products. Europe and Asia Pacific are also witnessing steady growth due to the rising prevalence of gastrointestinal disorders and the increasing adoption of OTC medications in emerging economies. Latin America and the Middle East and Africa regions are gradually expanding as awareness and access to gastrointestinal OTC drugs improve.
Global Gastrointestinal OTC Drugs Segment Analysis
In this report, the Global Gastrointestinal OTC Drugs Market has been segmented by Drugs Therapeutic Class, Indication, End User, Distribution Channel, and Geography.
Global Gastrointestinal OTC Drugs Market, Segmentation by Drugs Therapeutic Class
The Global Gastrointestinal OTC Drugs Market has been segmented by Drugs Therapeutic Class into Gastric Acid Reducers, Gastric Acid Neutralizers, Laxatives, Anti-diarrheals, Anti-emetics and Others.
Gastric acid reducers, such as H2 blockers and proton pump inhibitors, hold a significant market share due to their effectiveness in managing heartburn and acid reflux, which are increasingly common conditions caused by poor dietary habits and stressful lifestyles. Gastric acid neutralizers, including antacids, are also widely consumed as they provide quick and temporary relief from acidity and indigestion, making them a staple choice among consumers for managing mild gastrointestinal symptoms.
Laxatives represent another prominent segment in the gastrointestinal OTC drugs market, primarily driven by the growing incidence of constipation among different age groups. Factors such as low fiber intake, lack of physical activity, and aging populations contribute to the rising demand for these medications. Anti-diarrheals are also essential in this market, offering quick relief from acute diarrhea and related symptoms, particularly in regions where gastrointestinal infections are prevalent. These drugs are especially popular for their convenience and rapid action, which help improve patient comfort and recovery.
The anti-emetics segment, which includes medications for nausea and vomiting caused by motion sickness, pregnancy, or other medical conditions, also plays a vital role in the market. These drugs are widely used among travelers and individuals prone to motion sickness, driving steady demand. The "others" category includes a variety of additional gastrointestinal treatments, such as probiotics and enzymes, which are gaining popularity due to their role in improving digestion and overall gut health. The continuous advancements in drug formulations and the expansion of product ranges to meet diverse consumer needs are expected to support further growth across all therapeutic classes in the coming years.
Global Gastrointestinal OTC Drugs Market, Segmentation by Indication
The Global Gastrointestinal OTC Drugs Market has been segmented by Indication into Heartburn, Constipation, Diarrhea, Nausea due to motion sickness and Flatulence.
Heartburn remains the leading indication, driven by the rising prevalence of acid reflux and gastroesophageal reflux disease (GERD) caused by modern dietary habits, stress, and sedentary lifestyles. Consumers often rely on OTC gastric acid reducers and neutralizers, such as proton pump inhibitors, H2 blockers, and antacids, for quick and effective symptom relief. The accessibility and convenience of these drugs make them the first line of treatment for mild to moderate heartburn.
Constipation is another major indication driving the demand for OTC gastrointestinal drugs, particularly laxatives. Factors such as low fiber intake, inadequate hydration, aging populations, and sedentary behaviors contribute to the growing burden of constipation worldwide. OTC laxatives, including stimulant, osmotic, and bulk-forming types, offer effective relief and are widely adopted as self-care solutions. The increasing consumer awareness regarding digestive health and the availability of natural and herbal laxative options have further boosted the growth of this segment.
Diarrhea, nausea due to motion sickness, and flatulence also account for significant shares in the gastrointestinal OTC drugs market. Anti-diarrheal agents are essential for managing acute diarrhea, particularly in developing regions where gastrointestinal infections are prevalent. Meanwhile, nausea caused by motion sickness drives demand for OTC anti-emetics, especially among travelers and individuals sensitive to motion. Products addressing flatulence have also gained traction as they help alleviate bloating and discomfort caused by gas buildup, a common problem associated with dietary choices and digestive inefficiencies. The increasing availability of targeted OTC solutions for these conditions highlights their importance in improving patient comfort and symptom management.
Global Gastrointestinal OTC Drugs Market, Segmentation by End User
The Global Gastrointestinal OTC Drugs Market has been segmented by End User into Hospitals, Clinics, Home Healthcare, and Others.
Among these, home healthcare dominates the market, driven by the growing trend of self-medication and the widespread availability of OTC gastrointestinal drugs. Consumers prefer to manage common gastrointestinal conditions, such as heartburn, constipation, and diarrhea, from the comfort of their homes using easily accessible and cost-effective OTC solutions. This preference is further supported by increasing awareness about digestive health and the convenience of purchasing medications through retail and online pharmacies.
Hospitals and clinics also play a role in the gastrointestinal OTC drugs market, primarily for cases where patients require consultation before choosing an appropriate medication. Although OTC drugs do not require a prescription, many individuals seek advice from healthcare professionals, particularly in cases of recurring symptoms or uncertainty about treatment options. Hospitals and clinics provide a platform for such consultations and often recommend OTC drugs as part of symptom management. These settings are also critical for educating patients about proper drug usage and preventing misuse.
The others category includes institutions such as nursing homes, rehabilitation centers, and specialized care facilities where gastrointestinal OTC drugs are commonly used for elderly patients and those requiring long-term care. The aging population, which is more susceptible to digestive issues like constipation, acid reflux, and flatulence, contributes significantly to this segment. With healthcare systems increasingly focusing on preventive care and patient comfort, the use of OTC gastrointestinal drugs in these settings continues to grow, ensuring effective management of common gastrointestinal conditions across diverse end-user categories.
Global Gastrointestinal OTC Drugs Market, Segmentation by Distribution Channel
The Global Gastrointestinal OTC Drugs Market has been segmented by Distribution Channel into Direct Tender, Hospital Pharmacy, Retail Pharmacy, Online Pharmacy, and Others.
Retail pharmacies hold the largest market share, as they are the most accessible and convenient point of purchase for consumers seeking OTC medications for common gastrointestinal issues like heartburn, constipation, and diarrhea. Retail outlets provide a wide variety of products, enabling customers to compare and choose based on their needs. Additionally, pharmacists play a key role in guiding consumers toward the appropriate OTC drugs, ensuring safe and effective self-medication.
The online pharmacy segment is experiencing rapid growth due to the increasing adoption of e-commerce and digital healthcare platforms. The convenience of ordering medications from home, coupled with competitive pricing, discounts, and doorstep delivery, has made online pharmacies an attractive option for consumers. This channel has particularly gained traction among tech-savvy and elderly populations who prefer hassle-free access to medications. Moreover, advancements in digital payment systems and improvements in logistics have further accelerated the shift toward online purchases of OTC gastrointestinal drugs.
Hospital pharmacies and direct tender channels cater primarily to healthcare institutions and organizations. Although hospital pharmacies account for a smaller share in the OTC market, they play an important role in cases where patients seek initial treatment advice during hospital visits. Direct tenders, on the other hand, involve the bulk procurement of OTC drugs for healthcare providers, institutions, and government initiatives. The others category includes small medical stores and community healthcare centers that serve as alternative points of access, especially in rural and semi-urban areas. The growth of all these channels collectively ensures improved accessibility to gastrointestinal OTC drugs across diverse geographic and consumer segments.
Global Gastrointestinal OTC Drugs Market, Segmentation by Geography
In this report, the Global Gastrointestinal OTC Drugs Market has been segmented by Geography into five regions; North America, Europe, Asia Pacific, Middle East and Africa and Latin America.
Global Gastrointestinal OTC Drugs Market Share (%), by Geographical Region, 2024
The global gastrointestinal OTC drugs market can be segmented by geography into North America, Europe, Asia Pacific, Middle East and Africa, and Latin America. North America holds the largest market share, driven by high awareness of gastrointestinal disorders, the prevalence of conditions like heartburn and constipation, and the easy availability of OTC medications. The region's well-established healthcare infrastructure, coupled with the strong presence of key pharmaceutical companies and a growing trend of self-medication, further contributes to its dominance. Additionally, factors like busy lifestyles, poor dietary habits, and stress have led to an increase in gastrointestinal issues, fueling demand for quick-relief OTC drugs.
Europe is another significant market, supported by rising healthcare awareness, an aging population prone to gastrointestinal ailments, and strong regulatory frameworks that ensure the availability of safe and effective OTC products. Countries like Germany, France, and the UK are major contributors to the market, where consumers show a growing preference for gastric acid reducers, laxatives, and probiotics for digestive health. The presence of well-developed retail and online pharmacy channels in Europe further enhances the accessibility of these products, driving market growth.
The Asia Pacific region is expected to witness the fastest growth due to factors such as a large population base, increasing healthcare awareness, and improving access to OTC drugs in emerging economies like China, India, and Southeast Asian countries. Rapid urbanization, changing dietary patterns, and lifestyle shifts have led to a higher prevalence of gastrointestinal disorders, increasing the demand for OTC medications. In Latin America and the Middle East and Africa, market growth is driven by improving healthcare infrastructure, rising disposable incomes, and growing awareness of digestive health. While these regions are still developing, initiatives to enhance access to medications and the expansion of retail and e-commerce channels are creating new opportunities for gastrointestinal OTC drugs.
Market Dynamics
This report provides an in depth analysis of various factors that impact the dynamics of Global Gastrointestinal OTC Drugs Market. These factors include; Market Drivers, Restraints and Opportunities Analysis.
Drivers, Restraints and Opportunity Analysis
Drivers
- Rising prevalence of gastrointestinal disorders (e.g., heartburn, constipation, diarrhea)
- Increasing trend of self-medication and OTC drug adoption
- Growing geriatric population prone to digestive issues
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Expansion of retail and online pharmacy channels-As e-commerce continues to proliferate, consumers are increasingly turning to online platforms for the convenience of purchasing medications from the comfort of their homes. Online pharmacies provide a wide range of gastrointestinal products, enabling consumers to access diverse brands and formulations, often at competitive prices, with doorstep delivery. Additionally, online platforms offer features such as subscription models, automatic refills, and customer reviews, which further enhance the buying experience.
In parallel, traditional retail pharmacies are evolving by adopting omnichannel strategies, blending in-store experiences with digital interfaces. Retail pharmacies have leveraged technology to enhance product availability, improve customer service, and ensure a seamless shopping experience through mobile apps and websites. With growing consumer trust in digital transactions and pharmacy consultations, these channels offer 24/7 access to OTC medications, which is particularly appealing for managing non-urgent gastrointestinal conditions. Furthermore, the integration of advanced logistics, improved payment systems, and expanded distribution networks has facilitated broader market access, particularly in regions with limited physical pharmacy presence. This shift is particularly advantageous in expanding the market reach, especially in remote and underserved areas, where online pharmacies can bridge the accessibility gap.
Restraints
- Risk of misuse or overuse of OTC gastrointestinal drugs
- Stringent regulatory policies governing OTC drug approvals
- Limited awareness in underdeveloped regions impacting market penetration
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Side effects and contraindications associated with long-term OTC drug use- The side effects and contraindications associated with long-term OTC drug use present a significant restraint in the global gastrointestinal OTC drugs market. While these medications provide effective relief for acute symptoms, prolonged or excessive use can lead to a range of adverse effects, which may compromise patient health. For instance, long-term use of gastric acid reducers such as proton pump inhibitors (PPIs) and H2 blockers can result in reduced gastric acid production, potentially leading to nutrient deficiencies (e.g., calcium, magnesium, and vitamin B12), increased risk of bone fractures, and gastrointestinal infections due to altered gut flora. Chronic use of antacids can also lead to electrolyte imbalances and kidney problems, particularly in individuals with pre-existing kidney conditions.
Laxatives, commonly used for constipation, can cause dependency with prolonged use, impairing the natural bowel function and leading to a cycle of reliance on these drugs for regular bowel movements. Overuse of anti-diarrheals, while effective in managing acute diarrhea, can lead to complications such as constipation or bloating. Furthermore, misuse of anti-emetics for nausea can mask underlying serious conditions, delaying appropriate medical intervention.
Contraindications also pose a significant challenge in the OTC drugs market, as certain gastrointestinal medications may not be suitable for individuals with specific medical conditions. For example, people with heart disease or hypertension may face risks when using certain antacids or laxatives due to their sodium content, which could exacerbate fluid retention and high blood pressure. These safety concerns and contraindications underscore the need for greater awareness among consumers about the appropriate use of OTC drugs and highlight the importance of professional guidance for long-term management of gastrointestinal health. Additionally, regulatory bodies may impose stricter guidelines on the sale and distribution of these medications, further influencing the market dynamics.
Opportunities
- Expansion of e-commerce and online pharmacy channels
- Rising demand for natural, herbal, and probiotic-based gastrointestinal products
- Growth prospects in emerging markets of Asia-Pacific and Latin America
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Increasing R&D investments in targeted, fast-acting OTC therapies- The increasing R&D investments in targeted, fast-acting OTC therapies represent a significant opportunity for growth in the gastrointestinal OTC drugs market. As consumer demands evolve toward more effective and quicker solutions for gastrointestinal issues, pharmaceutical companies are focusing their research efforts on developing innovative formulations that deliver rapid symptom relief with minimal side effects. This focus on targeted therapies enables the development of drugs that act directly on specific gastrointestinal receptors or pathways, improving the efficacy and precision of treatment. For example, the advancement of bioavailable drugs and novel delivery systems, such as fast-dissolving tablets or liquid gel capsules, allows for quicker absorption and more immediate relief from conditions like heartburn, indigestion, and bloating.
R&D investments are also driving the exploration of multi-ingredient combinations that provide comprehensive relief for complex gastrointestinal disorders, such as irritable bowel syndrome (IBS) or dyspepsia, by targeting multiple symptoms simultaneously. Moreover, there is an increasing interest in developing personalized OTC treatments based on individual genetic profiles and microbiome analyses, which could lead to more customized and effective treatment regimens. This push for personalized medicine is especially relevant as gastrointestinal health is closely tied to individual differences in diet, lifestyle, and gut microbiota.
Additionally, research into natural and herbal therapies is gaining momentum, as consumers increasingly seek alternatives to synthetic drugs. Investments in understanding the efficacy and safety of herbal and plant-based solutions have led to the introduction of probiotics, digestive enzymes, and other botanicals in OTC formulations. These innovations cater to the rising trend of consumers preferring natural products that promise fewer side effects and long-term benefits. With growing awareness of digestive health and increasing consumer reliance on OTC products, ongoing advancements in research and development will likely lead to a new wave of fast-acting, highly targeted gastrointestinal therapies that enhance patient compliance and overall market growth.
Competitive Landscape Analysis
Key players in Global Gastrointestinal OTC Drugs Market include:
- Viatris Inc. (U.S.)
- Sandoz AG (Switzerland)
- Johnson & Johnson Services, Inc. (U.S.)
- Sun Pharmaceuticals Industries Limited (India)
- Teva Pharmaceuticals Industries Ltd. (Israel)
- Zydus Cadila (India)
- Sanofi (France)
- Bayer AG (Germany)
- Pfizer Inc. (U.S.)
- Abbott (U.S.)
- Lupin (India)
- GSK Plc. (U.K.)
- Prestige Consumer Healthcare Inc. (U.S.)
- Procter & Gamble (U.S.)
- Amneal Pharmaceuticals LLC (U.S.)
- Hikma Pharmaceutical PLC (U.K.)
- Perrigo Company plc. (Ireland)
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 Drugs Therapeutic Class
- Market Snapshot, By Indication
- Market Snapshot, By End-Users
- Market Snapshot, By Distribution Channel
- Market Snapshot, By Region
- Global Gastrointestinal OTC Drugs Market Dynamics
- Drivers, Restraints and Opportunities
- Drivers
- Rising prevalence of gastrointestinal disorders (e.g., heartburn, constipation, diarrhea).
- Increasing trend of self-medication and OTC drug adoption.
- Growing geriatric population prone to digestive issues.
- Expansion of retail and online pharmacy channels.
- Restraints
- Risk of misuse or overuse of OTC gastrointestinal drugs.
- Stringent regulatory policies governing OTC drug approvals.
- Limited awareness in underdeveloped regions impacting market penetration.
- Side effects and contraindications associated with long-term OTC drug use.
- Opportunities
- Expansion of e-commerce and online pharmacy channels.
- Rising demand for natural, herbal, and probiotic-based gastrointestinal products.
- Growth prospects in emerging markets of Asia-Pacific and Latin America.
- Increasing R&D investments in targeted, fast-acting OTC therapies.
- 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
- Global Gastrointestinal OTC Drugs Market, By Drugs Therapeutic Class, 2021 - 2031 (USD Million)
- Gastric Acid Reducers
- Gastric Acid Neutralizers
- Laxatives
- Anti-diarrheals
- Anti-emetics
- Others
- Global Gastrointestinal OTC Drugs Market, By Indication, 2021 - 2031 (USD Million)
- Heartburn
- Constipation
- Diarrhea
- Nausea due to motion sickness
- Flatulence
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Global Gastrointestinal OTC Drugs Market, By End-user , 2021 - 2031 (USD Million)
- Hospitals
- Clinics
- Home Healthcare
- Others
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Global Gastrointestinal OTC Drugs Market, By Distribution Channel, 2021 - 2031 (USD Million)
- Direct Tender
- Hospital Pharmacy
- Retail Pharmacy
- Online Pharmacy
- Others
- Global Gastrointestinal OTC Drugs 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
- Global Gastrointestinal OTC Drugs Market, By Drugs Therapeutic Class, 2021 - 2031 (USD Million)
- Competitive Landscape
- Company Profiles
- Viatris Inc. (U.S.)
- Sandoz AG (Switzerland)
- Johnson & Johnson Services, Inc. (U.S.)
- Sun Pharmaceuticals Industries Limited (India)
- Teva Pharmaceuticals Industries Ltd. (Israel)
- Zydus Cadila (India)
- Sanofi (France)
- Bayer AG (Germany)
- Pfizer Inc. (U.S.)
- Abbott (U.S.)
- Lupin (India)
- GSK Plc. (U.K.)
- Prestige Consumer Healthcare Inc. (U.S.)
- Procter & Gamble (U.S.)
- Amneal Pharmaceuticals LLC (U.S.)
- Hikma Pharmaceutical PLC (U.K.)
- Perrigo Company plc. (Ireland)
- Company Profiles
- Analyst Views
- Future Outlook of the Market