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INDUSTRIES & MARKETS

Pharmaceutical industry in
Romania
Table of Contents

01 Market overview Romania: dressings packaged for medical use import value 2012-2022 22
Romania: medicament mixtures not in dosage export value 2012-2022 23
Revenue of pharmaceutical markets in Central and Eastern Europe 2021 04
Romania: medicament mixtures not in dosage import value 2012-2022 24
VAT rates applicable to medicine in Romania 2015-2023 05
Payment value for pharmaceuticals by health insurance systems in Romania 2013-2021 06
04 Pharmacies
R&D value in the pharma industry in Romania 2013-2021 07
Number of pharmacists in Romania 2017-2022 26

02 Drug production market Number of pharmacies in Romania 2010-2022 27


Number of pharmacies per 10,000 inhabitants in Romania 2018-2022, by area 28
Revenue of companies in the pharmaceutical drug production in Romania 2009-2022 09
Number of pharmacies in Romania 2022, by pharmaceutical company 29
Leaders in the pharmaceutical drug production in Romania 2021-2022, by revenue 10
Sold medicine boxes in Romania 2023, by source 30
Leaders in the pharmaceutical drug production in Romania 2021-2022, by net profit 11
Value of sold medicine boxes in Romania 2023, by source 31
Number of employees working in the pharma drug production in Romania 2009-2022 12
Medication-Assisted Treatment (MAT) sales 2022-2023, by group 32
Pharmaceutical drug producers in Romania 2021-2022, by number of employees 13
Medication-Assisted Treatment (MAT) average price 2022-2023, by group 33

03 Trade
05 Leading companies
Romania: pharmaceutical products export value 2021-2022, by type 15
Leaders in the pharmaceutical drugs industry in Romania 2022, by market share 35
Romania: pharmaceutical products imports value 2021-2022 16
Leaders in the pharmaceutical drug industry in Romania 2023, by sales volume 36
Romania: pharmaceutical preparation goods export value 2012-2022 17
Leaders in the pharmaceutical drug industry in Romania 1Q 2023, by revenue 37
Romania: pharmaceutical preparations import value 2012-2022 18
Leading companies in the pharmaceutical industry in Romania 2021-2022, by revenue 38
Romania: medicament mixtures in dosage export value 2012-2022 19
Leading companies in the pharma retail in Romania 2020-2022, by revenue 39
Romania: medicament mixtures put in dosage import value 2012-2022 20
Leading companies in pharma retail in Romania 2020-2022, by net profit 40
Romania: dressings packaged for medical use export value 2012-2022 21

1
Table of Contents

Number of employees in the pharma retail in Romania 2021-2022, by company 41


Pharmaceutical drug distributors in Romania 2022, by revenue and net profit 42
Pharmaceutical drug distributors in Romania 2021-2022, by number of employees 43
Revenue of Antibiotics Iasi in Romania 2020-2022 44

06 COVID-19 impact
Most sold medicine in Romania during the COVID-19 pandemic 2020 46
Revenue of private PCR testing laboratories in Romania 2020 47
Prices for antibody test after COVID-19 vaccine in Romania 2021, by clinic 48
Pharmaceutical products against the spread of COVID-19 in Romanian households 2020 49
Number of COVID-19 vaccines received by Romania 2022, by type 50
Key figures on COVID-19 vaccination in Romania 2023 51

2
CHAPTER 01

Market overview
Revenue of pharmaceutical markets in Central and Eastern Europe in 2021
(in million euros)
Revenue of pharmaceutical markets in Central and Eastern Europe 2021

Revenue in million euros


0 1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 9,000

Poland 7,891

Romania 3,921

Czechia 3,448

Hungary 3,092

Bulgaria 1,915

Slovakia 1,525

Croatia 1,081

Lithuania 833

Slovenia 789

Latvia 380

Estonia 314

4 Description: Poland was by far the leading pharmaceutical market in Central and Eastern Europe in 2021, with a revenue of some 7.9 billion euros. With a pharmaceutical market revenue of 3.9 billion euros in this year, Romania was ranked second. Additionally,
Czechia ranked third among those countries, around 3.4 billion euros. Read more
Note(s): CEE; 2021
Source(s): BPI; IQVIA
Value added tax rates applicable to medicine in Romania from 2015 to
2023
VAT rates applicable to medicine in Romania 2015-2023

Standard VAT rate VAT rate applicable to medicine - Prescription VAT rate applicable to medicine - OTC
30%

25% 24%

20% 19% 19% 19% 19% 19% 19% 19% 19% 19% 19%
VAT rate

15%

10% 9% 9% 9% 9% 9% 9% 9%

5%

0%
2015 2018 2019 2021 2022 2023

5 Description: Romania's value added tax rate dropped from 24 percent to 19 percent. However, the VAT rate applicable to medicine with prescription maintained a value of nine percent from 2015 to 2023. Read more
Note(s): Romania; 2015 to 2023
Source(s): EFPIA
Payment value for pharmaceuticals by compulsory health insurance systems
and national health services in Romania from 2013 to 2021 (in million euros)
Payment value for pharmaceuticals by health insurance systems in Romania 2013-2021

3,500
3,110
Payment value for pharmaceuticals in million

3,000

2,500

2,000
euros*

1,590
1,471 1,446 1,422
1,500
1,137

1,000

500

0
2013 2016 2017 2019 2020 2021

6 Description: The payment for pharmaceutical products by compulsory health insurance systems and national health services in Romania was valued at over 1.13 billion euros in 2016, increasing to 1.59 billion euros by 2021, with an abnormal amount in 2020 of 3.11
billion euros. Read more
Note(s): Romania; * Ambulatory care only Read more
Source(s): EFPIA
Research and development value in the pharmaceutical industry in
Romania from 2013 to 2021 (in million euros)
R&D value in the pharma industry in Romania 2013-2021

300

250
250
R&D value in million euros

200

150

109
101
100
75 72
69

50

0
2013 2016 2017 2019 2020 2021

7 Description: The value of research and development projects in the pharmaceutical industry in Romania has decreased considerably over the period under consideration. If R&D projects were valued at 250 million euros in 2013, by 2021 the value dropped to 72
million euros. Read more
Note(s): Romania; 2013 to 2021
Source(s): EFPIA
CHAPTER 02

Drug production market


Revenue of companies in the pharmaceutical drug production in Romania
from 2009 to 2022 (in billion Romanian lei)
Revenue of companies in the pharmaceutical drug production in Romania 2009-2022

6 5.7

5
4.5 4.4
Revenue in billion Romanian lei

3.9 3.9
4 3.7
3.6

3.1
2.8 2.9 2.8
3 2.7
2.4

0
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2022

9 Description: In 2022, companies in the pharmaceutical drug production recorded a revenue worth 5.7 billion Romanian lei, increasing it by nearly 30 percent since 2020. Read more
Note(s): Romania; 2009 to 2022
Source(s): Classification of Activities in the National Economy; KeysFin; Oficiul Național al Registrului Comerțului; Ziarul Financiar
Leading companies in the pharmaceutical drug production in Romania
from 2021 to 2022, by revenue (in million Romanian lei)
Leaders in the pharmaceutical drug production in Romania 2021-2022, by revenue

Revenue in million Romanian lei

2021 2022

0 200 400 600 800 1,000 1,200

Zentiva 1,010
1,124
Terapia 845
1,044
Sandoz 452
561.9
Antibiotice 368.4
483.7
Biofarm 239
276.9
RomPharm 206.4
273.8
Fiterman Pharma 198.5
213.1
Gedeon Richter 177.9
210
Laropharm 100
131.2
B. Braun Pharmaceuticals 45.6
55

10 Description: The leading company in the pharmaceutical industry in Romania in 2022 was Zentiva with a revenue over 1.12 billion Romanian lei, increasing it by 11 percent since 2021. It was followed by Terapia and Sandoz. Read more
Note(s): Romania; 2021 to 2022
Source(s): Ministry of Public Finances Romania; Oficiul Național al Registrului Comerțului; Termene; Ziarul Financiar
Leading companies in the pharmaceutical drug production in Romania
from 2021 to 2022, by net profit (in million Romanian lei)
Leaders in the pharmaceutical drug production in Romania 2021-2022, by net profit

Net profit in million Romanian lei

2022 2021

-50 0 50 100 150 200 250 300 350

Terapia 285.8
154.7
Zentiva 171.3
155.7
Gedeon Richter 89
-0.5
Biofarm 70.9
60.3
RomPharm 53
17.5
Fiterman Pharma 44.7
9.9
Antibiotice 38.5
29.9
Sandoz 19.9
17.4
B. Braun Pharmaceuticals 11.3
8.5
Laropharm 4.2
5

11 Description: The leading company in the pharmaceutical industry in Romania in 2022 was Zentiva with a net profit of 171.3 million Romanian lei, increasing it by 10 percent since 2021. Terapia and Sandoz followed it. Read more
Note(s): Romania; 2021 to 2022
Source(s): Ministry of Public Finances Romania; Oficiul Național al Registrului Comerțului; Termene; Ziarul Financiar
Number of employees working in the pharmaceutical drug production in
Romania from 2009 to 2022
Number of employees working in the pharma drug production in Romania 2009-2022

12,000

10,085 9,903
9,773
10,000
9,208
Number of employees

8,000

6,000

4,000

2,000

0
2009 2018 2019 2022

12 Description: The number of employees working in the pharmaceutical drug production totaled 9,903 people in 2022. This represented a slight decrease compared to the workforce in 2019. Read more
Note(s): Romania; 2009 to 2022
Source(s): Classification of Activities in the National Economy; National Institute of Statistics Romania; Oficiul Național al Registrului Comerțului; Ziarul Financiar
Leading companies in the pharmaceutical drug production in Romania
from 2021 to 2022, by number of employees (in million Romanian lei)
Pharmaceutical drug producers in Romania 2021-2022, by number of employees

Number of employees

2022 2021

0 200 400 600 800 1,000 1,200 1,400 1,600

Antibiotice 1,355
1,415
Zentiva 1,354
1,223
Terapia 810
816
Gedeon Richter 574
589
Sandoz 510
498
RomPharm 466
449
Biofarm 402
381
Laropharm 349
321
Fiterman Pharma 220
172
B. Braun Pharmaceuticals 174
183

13 Description: The leading company in the pharmaceutical industry in Romania in 2022 was Zentiva with a 1,354 employees, increasing it by 10.7 percent since 2021. Terapia and Sandoz followed it. Read more
Note(s): Romania; 2021 to 2022
Source(s): Ministry of Public Finances Romania; Oficiul Național al Registrului Comerțului; Termene; Ziarul Financiar
CHAPTER 03

Trade
Value of pharmaceutical products exported from Romania in 2021 to 2022,
by type (in 1,000 euros)
Romania: pharmaceutical products export value 2021-2022, by type

2021 2022
1,000,000

900,000 860,962 872,725

800,000
Export value in thousand euros

700,000

600,000

500,000

400,000

300,000

200,000

100,000 56,666 52,721


26,045 28,509 9,263 19,086 7,009 9,872 2,092 5,807
0
Medicament mixtures, Human and animal Medicament mixtures, Pharmaceutical Dressings packaged for Glands and extracts
put in dosage blood not in dosage preparations medical use

15 Description: The value of medicament mixtures put in dosage exported from Romania in 2022 amounted to nearly 873 million euros. Exports of human and animal blood from Romania were valued at approximately 52.72 million euros. Read more
Note(s): Romania; 2021 to 2022
Source(s): UN Comtrade
Value of pharmaceutical products imported to Romania from 2021 to 2022
(in 1,000 euros)
Romania: pharmaceutical products imports value 2021-2022

2021 2022
4,000,000

3,426,336
3,500,000
Import value in thousand euros

2,929,103
3,000,000

2,500,000

2,000,000

1,500,000
1,041,085 960,082
1,000,000

500,000
55,858 82,794 25,485 38,295 18,373 26,240 4,644 5,462
0
Medicament mixtures, Human and animal Pharmaceutical Dressings packaged for Medicament mixtures, Glands and extracts
put in dosage blood preparations medical use not in dosage

16 Description: In 2022, the value of medicament mixtures put in dosage imported to Romania exceeded 3.4 billion euros. Imports of human and animal blood into the country were valued at approximately 960 million euros. Read more
Note(s): Europe, Romania; 2021 to 2022
Source(s): UN Comtrade
Value of pharmaceutical preparation goods exported from Romania from
2012 to 2022 (in 1,000 euros)
Romania: pharmaceutical preparation goods export value 2012-2022

25,000

20,000 19,086
Export value in thousand euros

15,000

10,000
7,162 6,771 6,922 6,846 7,009
6,145
5,444
5,000 3,379 3,500
2,215

0
2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022

17 Description: The value of pharmaceutical preparation goods exported from Romania in 2022 exceeded 19 million euros, increasing by 2.7 times in one year. Previously the highest figure over the period observed was registered in 2017, when the export value
amounted to nearly 7.2 million euros. Read more
Note(s): Romania; 2012 to 2021
Source(s): UN Comtrade
Value of pharmaceutical preparation goods imported to Romania from
2012 to 2022 (in 1,000 euro)
Romania: pharmaceutical preparations import value 2012-2022

95,000

85,000 82,794
Import value in thousand euros

75,000

65,000

55,858
54,257
55,000
50,375
48,223 48,692
47,051
44,011
45,000 41,147 42,142
40,062

35,000
2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022

18 Description: The value of pharmaceutical preparation goods imported to Romania in 2022 amounted to 82.8 million euros. The import value fluctuated over the period observed, reaching its highest in 2022. Read more
Note(s): Romania; 2012 to 2022
Source(s): UN Comtrade
Value of medicament mixtures in dosage exported Romania from 2012 to
2022 (in million euros)
Romania: medicament mixtures in dosage export value 2012-2022

900 882.8
872.73
857.9 860.96

850 834.93

803.1
Export value in million euros

799.93
800 788.35

750
719.08
699.29
700

651.7
650

600
2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022

19 Description: The value of medicament mixtures, put in dosage exported from Romania in 2022 amounted to nearly 873 million euros, marking an increase from the previous year. The highest figure over the period observed was registered in 2013 at over 882 million
euros. Read more
Note(s): Europe, Romania; 2012 to 2022
Source(s): UN Comtrade
Value of medicament mixtures put in dosage imported to Romania from
2012 to 2022 (in billion euros)
Romania: medicament mixtures put in dosage import value 2012-2022

4.0

3.43
3.5
Import value in billion euros

2.93
3.0 2.87
2.73

2.53
2.43
2.5
2.31
2.17 2.16 2.16
2.02
2.0

1.5
2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022

20 Description: The value of medicament mixtures, put in dosage imported to Romania in 2022 was nearly 3.43 billion euros, increasing by 17 percent from the previous year. The import value continued to grow gradually over the period observed, reaching its highest in
2022. Read more
Note(s): Romania; 2012 to 2022
Source(s): UN Comtrade
Value of dressings packaged for medical use exported from Romania from
2012 to 2022 (in 1,000 euros)
Romania: dressings packaged for medical use export value 2012-2022

7,000

5,807
6,000
Export value in thousand euros

5,000

4,000
3,364 3,334

3,000

2,092
2,000 1,571 1,660 1,545
1,472
1,332
1,046
904
1,000

0
2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022

21 Description: The value of dressings packaged for medical use exported from Romania in 2022 increased to about 5.8 million euros, increasing by 2.8 times in one year. Read more
Note(s): Romania; 2012 to 2022
Source(s): UN Comtrade
Value of dressings packaged for medical use imported to Romania from
2012 to 2022 (in 1,000 euros)
Romania: dressings packaged for medical use import value 2012-2022

40,000 38,295

35,000
Import value in thousand euros

30,000

24,973 25,485
25,000 23,270

20,346
20,000
17,559
16,174 16,008 16,137

13,823 14,276
15,000

10,000
2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022

22 Description: The value of dressings packaged for medical use imported to Romania in 2022 amounted to nearly 38.3 million euros, increasing by 50 percent from the previous year. The figure continued to grow gradually over the period observed, reaching its highest
in 2022. Read more
Note(s): Europe, Romania; 2012 to 2022
Source(s): UN Comtrade
Value of medicament mixtures not in dosage exported from Romania
from 2012 to 2022 (in 1,000 euros)
Romania: medicament mixtures not in dosage export value 2012-2022

60,000
52,721

50,000
Export value in thousand euros

40,000

30,000 26,045

20,000
13,719 13,539
12,202 12,310 12,365 11,318
10,341 10,055
10,000 7,315

0
2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022

23 Description: The value of medicament mixtures, not in dosage exported from Romania in 2022 exceeded 52 million euros, marking a significant increase from the previous year. The export value fluctuated over the period observed, reaching its highest in 2022. Read
more
Note(s): Europe, Romania; 2012 to 2022
Source(s): UN Comtrade
Value of medicament mixtures not in dosage imported to Romania from
2012 to 2022 (in 1,000 euros)
Romania: medicament mixtures not in dosage import value 2012-2022

30,000
26,240

25,000
Import value in thousand euros

20,000 18,373

15,000

11,203
10,097
9,362
10,000 8,439
6,348 6,909 6,688
6,038
5,461
5,000

0
2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022

24 Description: The value of medicament mixtures not in dosage imported to Romania in 2022 amounted over 26.2 million euros, which was the highest figure registered over the period observed. The lowest import value was registered in 2016. Read more
Note(s): Europe, Romania; 2012 to 2022
Source(s): UN Comtrade
CHAPTER 04

Pharmacies
Number of pharmacists in Romania from 2017 to 2022
Number of pharmacists in Romania 2017-2022

25,000
22,661
21,470

19,470
20,000
17,833 17,620 18,093
Number of pharmacists

15,000

10,000

5,000

0
2017 2018 2019 2020 2021 2022

26 Description: The number of pharmacists in Romania peaked in 2022 at 22,661 professionals. This represented an increase of approximately 27 percent compared to the number registered in 2017. Read more
Note(s): Romania; 2017 to 2022
Source(s): National Institute of Statistics Romania
Number of pharmacies in Romania from 2010 to 2022
Number of pharmacies in Romania 2010-2022

9,000
8,147 8,099 8,045 8,181 8,135
7,825 7,758 7,802 7,850
8,000 7,560
7,226
6,969
7,000 6,682
Number of pharmacies

6,000

5,000

4,000

3,000

2,000

1,000

0
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022

27 Description: The number of pharmacies in Romania has been increasing over the last ten years. Since 2018, over eight thousand pharmacies have been recorded in the country each year. In 2022, there were 8,135 pharmacies - 5,431 were in the urban area. Read
more
Note(s): Romania; 2010 to 2022
Source(s): National Institute of Statistics Romania
Number of pharmacies per 10,000 inhabitants in Romania from 2018 to
2022, by area of residence
Number of pharmacies per 10,000 inhabitants in Romania 2018-2022, by area

Rural area Urban area


7
Number of pharmacies per 10,000 inhabitants

6.1 6.1
6 5.8 5.8 5.8

5
4.3 4.3 4.2 4.2 4.1
4

0
2018 2019 2020 2021 2022

28 Description: The number of pharmacies per 10,000 inhabitants increased from 2018 to 2022 for urban areas. As expected, the number of pharmacies per 10,000 people was lower in the rural areas compared to the cities and also decreasing over time. Read more
Note(s): Romania; 2018 to 2022
Source(s): National Institute of Statistics Romania
Number of pharmacies in Romania in 2022, by pharmaceutical company
Number of pharmacies in Romania 2022, by pharmaceutical company

Number of pharmacies
0 100 200 300 400 500 600 700 800 900 1,000

Catena 909

Dr. Max 769

Help Net 418

Dona (SIEPCOFAR) 345

Ropharma 160

Myosotis 150

MiniFarm 100

Remedium Farm 25

DucFarm 24

Farmacia Tei 7

29 Description: By the end of 2022, Catena had 909 pharmacies in Romania. It was followed by Dr. Max with nearly 770 pharmacies. Read more
Note(s): Romania; 2022
Source(s): Ministry of Public Finances Romania; Oficiul Național al Registrului Comerțului; Termene; Ziarul Financiar
Sold medicine boxes in Romania in 2023, by source (in millions)
Sold medicine boxes in Romania 2023, by source

200
178.3
180

160
Sales volume in million boxes

140

120
106.1
100

80 72.2

60

40

20
7.1
0
Retail Rx OTC Hospital

30 Description: In the first trimester of 2023, there were 185.4 million medication boxes sold in Romania. The majority were sold through retail channels, out of which 106.1 million boxes were sold with prescription and 72.2 million over-the-counter. Only 7.1 million
boxes were sold in hospitals. Read more
Note(s): Romania; T1 2023
Source(s): Cegedim SRH; Univers Farmaceutic
Value of sold medicine boxes in Romania in 2023, by source (in million
euros)
Value of sold medicine boxes in Romania 2023, by source

1,400
1,238.4
1,200
Value of sold medicine in million euros

1,000
849.5
800

600

388.8
400

195
200

0
Retail Rx OTC Hospital

31 Description: In the first trimester of 2023, there were 185.4 million medication boxes sold in Romania with a value of 1,433.4 euros. The majority was sold through retail channels, out of which boxes sold with prescription had a value of over 849 million euros and over-
the-counter sales had a value of nearly 389 million euros. Hospital sales accounted for 195 million euros. Read more
Note(s): Romania; T1 2023
Source(s): Cegedim SRH; Univers Farmaceutic
Medication-Assisted Treatment (MAT) sales between 2022 and 2023, by
group (in million boxes)
Medication-Assisted Treatment (MAT) sales 2022-2023, by group

Sales volume in million boxes


0 20 40 60 80 100 120 140 160 180

C (Cardiovascular system) 156.5

A (Alimentary tract and metabolism) 153.5

N (Nervous system) 111.9

R (Respiratory system) 88.7

M (Musculo-skeletal system) 51.2

J (Antiinfectives for systemic use) 42.1

L (Antineoplastic and immunomodulating agents) 4.5

Other ATC1 groups 104.2

32 Description: In the period April 2022 to March 2023, there were 712.6 million Medication-Assisted Treatment (MAT) boxes sold in Romania. The most sales were of group C (Cardiovascular system) - 156.5 million boxes. It was closely followed by group A (Alimentary
tract and metabolism) and group N (Nervous system). Read more
Note(s): Romania; April 2022 to March 2023
Source(s): Cegedim SRH; Univers Farmaceutic
Medication-Assisted Treatment (MAT) average price from 2022 to 2023, by
group ( in Romanian lei)
Medication-Assisted Treatment (MAT) average price 2022-2023, by group

Average price in Romanian lei


0 200 400 600 800 1,000 1,200 1,400

L (Antineoplastic and immunomodulating agents) 1,147.2

J (Antiinfectives for systemic use) 52.6

A (Alimentary tract and metabolism) 36.1

M (Musculo-skeletal system) 26.3

R (Respiratory system) 25.8

N (Nervous system) 21.9

C (Cardiovascular system) 19.9

Other ATC1 groups 45

33 Description: In the period between April 2022 to March 2023, there were 712.6 million Medication-Assisted Treatment (MAT) boxes sold in Romania. The most sales were of group A (Alimentary tract and metabolism), the average price for group A products being 36.1
Romanian lei. The most expensive products were the ones belonging to group L (Antineoplastic and immunomodulating agents), with an average price of 1,147.2 Romanian lei. Read more
Note(s): Romania; April 2022 to March 2023
Source(s): Cegedim SRH; Univers Farmaceutic
CHAPTER 05

Leading companies
Leaders in the pharmaceutical drugs industry in Romania in 2022, by
market share
Leaders in the pharmaceutical drugs industry in Romania 2022, by market share

Market share
0% 1% 2% 3% 4% 5% 6%

Sanofi 5%

Novartis 4.8%

Sun Pharma 4.3%

Zentiva 4.3%

AstraZeneca 3.9%

Bristol Myers Squibb 3.9%

Servier 3.7%

GlaxoSmithKline 3.4%

Johnson&Johnson 3.2%

Hoffman La Roche 2.9%

35 Description: Six companies registered sales above one billion Romanian lei in Romania in 2022. Sanofi was the leading company in the pharmaceutical drugs industry, with a market share of five percent, followed by Novartis, with a market share of 4.8 percent. Read
more
Note(s): Romania; 2022
Source(s): Ministry of Public Finances Romania; Ziarul Financiar
Leading companies in the pharmaceutical drug industry in Romania in
2023, by sales volume (in million units)
Leaders in the pharmaceutical drug industry in Romania 2023, by sales volume

Sales volume in million units


0 2 4 6 8 10 12 14 16 18 20

Sun Pharma 18.5

Zentiva 16.8

Servier 10.3

KRKA D.D. 8.9

Viatris 8.3

Sanofi 8

Antibiotice 8

Biofarm 6.5

Menarini 5.4

Gedeon Richter 5.4

Haleon 5.2

Novartis 4.9

Reckitt Benckiser 4.5

Teva 3.2

Merck KGaA 3.1

36 Description: The leading company in the pharmaceutical industry in Romania in the first trimester of 2023 by sales volume was Sun Pharma, with 18.5 million units. It was followed by Zentiva and Servier. Read more
Note(s): Romania; T1 2023
Source(s): Cegedim SRH; Univers Farmaceutic
Leading companies in the pharmaceutical drug industry in Romania in the
first quarter 2023, by revenue (in million Romanian lei)
Leaders in the pharmaceutical drug industry in Romania 1Q 2023, by revenue

Revenue in million Romanian lei


0 50 100 150 200 250 300 350

Sun Pharma 328

Novartis 325.9

Sanofi 325.4

Astrazeneca 310.3

Zentiva 287.2

Pfizer 258.3

Servier 255.1

Johnson & Johnson 233

Hoffman La Roche 201.4

Viatris 182.4

Novo Nordisk 167

Bayer AG 161

Merck & Co 156

Eli Lilly 138

Bristol Myers Squibb 133.9

37 Description: The leading company in the pharmaceutical industry in Romania in the first quarter of 2023 was Sun Pharma, with a revenue of 328 million Romanian lei (in 2022they were on the third place with a revenue of 1.11 billion Romanian lei). Novartis and Sanofi
followed it. Read more
Note(s): Romania; 1Q 2023
Source(s): Cegedim SRH; Univers Farmaceutic
Leading companies in the pharmaceutical industry in Romania from 2021
to 2022, by revenue (in million Romanian lei)
Leading companies in the pharmaceutical industry in Romania 2021-2022, by revenue

Revenue in million Romanian lei

2021 2022

0 200 400 600 800 1,000 1,200 1,400

Sanofi 1,131
1,282
Novartis 1,048
1,241
Sun Pharma 892
1,107
Zentiva 923
1,104
AstraZeneca 816
1,006
Bristol Myers Squibb 826
1,000
Servier 822
943
Galaxosmithkline 733
879.7
Johnson&Johnson 540.5
817.7
Hoffmann La Roche 610
746.7

38 Description: In 2022, the pharmaceutical companies Sanofi and Novartis recorded a revenue of over 1.2 billion Romanian lei each. Zentiva ranked 3rd in 2021 and 4th in 2022, with a revenue worth over 1.1 billion Romanian lei. Read more
Note(s): Romania; 2021 to 2022
Source(s): Cegedim SRH; Ziarul Financiar
Leading companies in the pharma retail in Romania from 2020 to 2022, by
revenue (in million Romanian lei)
Leading companies in the pharma retail in Romania 2020-2022, by revenue

Revenue in million Romanian lei

2020 2021 2022

0 1,000 2,000 3,000 4,000 5,000 6,000 7,000


4,752
Catena 5,150
6,302
1,918.8
Dr.Max (Sensiblu) 2,374
3,193
1,067.9
Help Net 1,286
1,511
1,001
Dona (SIEPCOFAR) 1,129
1,262
755
Farmacia Tei 867
949
448.6
RoPharma 469.3
550
255
DucFarm 313.8
372.6
219.7
MiniFarm 250
319.5
223.6
Myosotis 243
317.8
0
Remedium Farm 204.8
252.4

39 Description: The leading company in the pharma retail in Romania was Catena, with a revenue of 6.3 billion Romanian lei, increasing it by a third since 2020. It was followed by Dr. Max (Sensiblu) with a revenue of nearly 3.2 billion Romanian lei. Read more
Note(s): Romania; 2020 to 2022
Source(s): Ministry of Public Finances Romania; Oficiul Național al Registrului Comerțului; Termene; Ziarul Financiar
Leading companies in pharma retail in Romania from 2020 to 2022, by net
profit (in million Romanian lei)
Leading companies in pharma retail in Romania 2020-2022, by net profit

Net profit in million Romanian lei

2022 2021 2020

-100 -50 0 50 100 150 200 250 300 350


316
Catena 306
256
-6.8
Dr.Max (Sensiblu) -14.8
-47.7
42
Help Net 26.3
0
18
Dona (SIEPCOFAR) 15.9
14.5
41.8
Farmacia Tei 39.8
28.4
7
RoPharma 6.6
6.1
11.8
DucFarm 12.1
6.1
3.4
MiniFarm 4.6
3.2
6.9
Myosotis 7.6
7.2
5.9
Remedium Farm 6
0

40 Description: The leading company in pharma retail in Romania was Catena, with a net profit of 316 million Romanian lei, increasing it by 23.4 percent since 2020. It was followed by Dr. Max (Sensiblu) with a net loss of 6.8 million Romanian lei. Read more
Note(s): Romania; 2020 to 2022
Source(s): Ministry of Public Finances Romania; Oficiul Național al Registrului Comerțului; Termene; Ziarul Financiar
Number of employees working in the pharma retail in Romania from 2021
to 2022, by company
Number of employees in the pharma retail in Romania 2021-2022, by company

Number of employees

2022 2021

0 1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000

Catena 6,725
6,550
Dr. Max 3,838
3,355
Help Net 2,345
2,537
Dona (SIEPCOFAR) 1,822
1,704
Farmacia Tei 611
598
RoPharma 878
858
DucFarm 238
208
MiniFarm 499
460
Myosotis 529
508
Remedium Farm 193
163

41 Description: In 2022, Catena was not only the leading company in the pharma retail in terms of revenue, but also had the biggest number of employees, totaling over 6.7 thousand. It was followed by Dr. Max, Help Net, and Dona, each totaling more than one thousand
employees as of 2022. Read more
Note(s): Romania; 2021 to 2022
Source(s): Ministry of Public Finances Romania; Oficiul Național al Registrului Comerțului; Termene; Ziarul Financiar
Pharmaceutical drug distributors in Romania in 2022, by revenue and net
profit (in million Romanian lei)
Pharmaceutical drug distributors in Romania 2022, by revenue and net profit

Revenue/Net profit in million Romanian lei

Net profit Revenue

0 1,000 2,000 3,000 4,000 5,000 6,000 7,000

Fildas Trading 247


5,908
Mediplus 79.8
5,715
Alliance Healthcare 85.6
4,584
Farmexim 8
3,453
Dona. Logistic 7.5
1,526
Ropharma Logistic 3.2
733.7
Bioeel Distribuie 8.8
677.3
Framaceutica Remedia 5.8
535
Ducfarm Logistic 2.9
255.6

42 Description: Fildas Trading has surpassed its concurrent Mediplus in a highly competitive market in 2022 in Romania; it was also the leading company in pharmaceutical drugs distribution with a revenue of over 5.9 billion Romanian lei, followed by Mediplus, with a
revenue of 5.71 billion Romanian lei. Fildas Trading also registered the highest net profit - 247 million Romanian lei. Read more
Note(s): Romania; 2022
Source(s): Ministry of Public Finances Romania; Oficiul Național al Registrului Comerțului; Termene; Ziarul Financiar
Pharmaceutical drug distributors in Romania in from 2021 to 2022, by
number of employees (in million Romanian lei)
Pharmaceutical drug distributors in Romania 2021-2022, by number of employees

Number of employees

2022 2021

0 200 400 600 800 1,000 1,200 1,400 1,600 1,800

Fildas Trading 1,666


2
Mediplus 1,087
1,037
Alliance Healthcare 845
866
Farmexim 702
748
Ropharma Logistic 328
317
Dona. Logistic 274
218
Framaceutica Remedia 223
224
Bioeel Distribuie 212
179
Ducfarm Logistic 40
32
Europharm 0
301

43 Description: Fildas Trading surpassed its concurrent Mediplus in a highly competitive market in 2022 in Romania. It was also the leading company in pharmaceutical drug distribution with 1,666 employees, followed by Mediplus, with 1,087 employees. Read more
Note(s): Romania; 2021 to 2022
Source(s): Ministry of Public Finances Romania; Oficiul Național al Registrului Comerțului; Termene; Ziarul Financiar
Revenue of Antibiotics Iasi in Romania from 2020 to 2022 (in million
Romanian lei)
Revenue of Antibiotics Iasi in Romania 2020-2022

600

500 483.7
Revenue in million Romanian lei

400 368.4
341

300

200

100

0
2020 2021 2022

44 Description: In 2022, Antibiotics Iasi recorded a revenue worth 483.7 million Romanian lei. The company already surpassed the expected revenue for 2023 which was 425 million Romanian lei. Read more
Note(s): Romania; 2020 to 2022
Source(s): Ministry of Public Finances Romania; Oficiul Național al Registrului Comerțului; Termene; Ziarul Financiar
CHAPTER 06

COVID-19 impact
Most sold medicine in Romania during the coronavirus (COVID-19)
pandemic in 2020*
Most sold medicine in Romania during the COVID-19 pandemic 2020

Number of units sold


0 1,000,000 2,000,000 3,000,000 4,000,000 5,000,000 6,000,000 7,000,000 8,000,000 9,000,000 10,000,000 11,000,000

Nurofen 9,765,845

Parasinus 7,759,323

Paracetamol 6,507,992

Algocalmin 6,380,502

Aspenter 5,961,615

Antinevralgic 4,431,575

Detralex 4,036,422

Tertensif 3,748,409

Atoris 3,404,384

Sortis 3,257,223

46 Description: From January to August 2020, there were over 9.5 million units of Nurofen sold in Romania. The second and third most sold medicine were Parasinus and Paracetamol. Read more
Note(s): Romania; 2020; * From January to August 2020 Read more
Source(s): Ministry of Public Finances Romania; Ziarul Financiar
Revenue of private PCR testing laboratories in Romania in 2020 (in million
Romanian lei)
Revenue of private PCR testing laboratories in Romania 2020

Revenue in million Romanian lei


0 50 100 150 200 250 300 350

Synevo 321

Clinica Sante SRL Sediu Agricultori 147.7

S.C. Bioclinica S.A. Timisoara 99.9

SYNLAB SRL Bucharest 40.8

SC Lotus Med SRL Bucharest 31.7

SC Soutinr Med SRL Tulcea 15

SC Prodia SRL Miercurea Ciuc 6.9

Laborator Cuza Voda SRL Bucharest 6

SC Centrul Medical Avanta SRL Bucharest 5.3

AMS Laborator Genetic Bucharest 4.3

SC Medicavol A.M. Complet SRL, Voluntari, Ilfov 3.8

47 Description: Because of the coronavirus (COVID-19) outbreak in 2020, Synevo laboratories were accredited by the Romanian Ministry of Health for PCR testing, which led to the company recording a revenue worth 321 million Romanian lei. It was followed by Clinica
Sante, with a revenue of nearly 150 million Romanian lei. Read more
Note(s): Romania; 2020
Source(s): Ministerul Sănătății; Ministry of Public Finances Romania; Ziarul Financiar
Prices for antibody test after COVID-19 vaccine in Romania in 2021, by
clinic (in Romanian lei)
Prices for antibody test after COVID-19 vaccine in Romania 2021, by clinic

250

200 200
200
Test price in Romanian lei

150 140
130
120

100

50

0
Regina Maria Sanador Gral Synevo (Medicover) MedLife

48 Description: The post-COVID-19 vaccination test for the detection of neutralizing antibodies started to be provided by the big medical clinics in Romania, such as Regina Maria or Medlife. Currently, prices for the post-COVID-19 vaccination test vary from 120 to 200
Romanian lei. Read more
Note(s): Romania; 2021
Source(s): Gral Medical; Medlife Romania; Private health network Queen Mary; Sanador; Synevo; Ziarul Financiar
Do you have the following means of protection against the coronavirus
(COVID-19) in your home?*
Pharmaceutical products against the spread of COVID-19 in Romanian households 2020

I have enough I have some but not enough I do not have


60% 57%
55%

50% 47%

41% 40%
Share of respondents

40% 37%
33%
31%
30% 28%
26%
23% 23%
20% 19%
20% 18%

10%

0%
Surface sanitizer Hand sanitizer Gloves Masks Clothes sanitizer

49 Description: Most of the respondents stated that they have sufficient hand and surface hygiene products in their households. However, only 31 percent of them managed to buy gloves, but not in large quantities, while more than 20 percent of respondents have
neither surface sanitizers nor masks or gloves. Read more
Note(s): Romania; April 7-8, 2020; 1055 respondents; 18 years and older; Multi-layered, probabilistic, representative at a national level.
Source(s): Institutul Român pentru Evaluare și Strategie
Number of vaccines against the coronavirus (COVID-19) received by
Romania as of March 12, 2022, by type of vaccine (in 1,000s)
Number of COVID-19 vaccines received by Romania 2022, by type

14,000
12,809.7

12,000
Number of vaccines in thousands

10,000

8,000

6,000

4,000

2,046.6
2,000
1,009.4 852.4
16
0
Pfizer Johnson & Johnson Moderna AstraZeneca Pfizer Pediatric

50 Description: Pfizer was the most popular vaccine in Romania so far, with over 12.8 vaccines being administered from December 27, 2020 to March 12, 2022. Furthermore, Johnson & Johnson vaccines were received by approximately two million people from May 4,
2021 to March 12, 2022. Read more
Note(s): Romania; as of March 12, 2022
Source(s): Vaccinare-COVID
Key figures on vaccination against the coronavirus (COVID-19) in Romania
as of March 19, 2023
Key figures on COVID-19 vaccination in Romania 2023

Indicator Key figures


Total vaccination doses administered 16108109
Total number of people vaccinated 8187261
with at least one dose
Total number of people fully vaccinated 8141409
Total vaccination doses administered 83.3
per 100 population
Total number of people vaccinated 42.36
with at least one dose per 100
population
Total number of people fully vaccinated 42.12
per 100 population
COVID-19 vaccines used AstraZeneca - Vaxzevria, Janssen - Ad26.COV 2-S, Moderna - Spikevax, Pfizer BioNTech - Comirnaty

51 Description: As of March 19, 2023, over 16.1 million vaccine doses against COVID-19 were administrated in Romania. In total, over 8.1 million people were fully vaccinated in the country. Read more
Note(s): Romania; as of March 19, 2023
Source(s): WHO
Sources

BPI Ziarul Financiar


Cegedim SRH
Classification of Activities in the National Economy
EFPIA
Gral Medical
Institutul Român pentru Evaluare și Strategie
International Trade Centre
IQVIA
KeysFin
Medlife Romania
Ministerul Finanțelor Publice
Ministerul Sănătății
National Institute of Statistics Romania
Oficiul Național al Registrului Comerțului
Private health network Queen Mary
Sanador
Synevo
Termene
UN Comtrade
Univers Farmaceutic
Vaccinare-COVID
WHO

52

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