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Pharmaceutical distribution

The 7 companies in this industry listed on the NYSE and Nasdaq are worth $242 bn combined; the largest are McKesson (MCK), Cencora (COR) and Cardinal Health (CAH). For each one: what it does, revenue, margin, free cash flow over the last five years and a score from 0 to 10.

Data as of October 2026

Comfortable leader
7 companies value 242 bn revenue 998 bn margin 0.9% free cash flow 15 bn avg. score 2.8
MCK holds 48.8% of the group's value, 1.8x the runner-up
Rank Ticker Company Share Value Revenue Margin FCF 5 years FCF/px Yield What it does · why it is here
1 MCK McKesson
United States · score 5.1
49% 118 bn 411 bn 1.1% 6.4 bn 5.4% 0.3% Drug distribution and pharmacy services · Largest US drug distributor; a three-company oligopoly
2 COR Cencora
United States · score 6.3
27% 65 bn 333 bn 0.8% 4.1 bn 6.3% 0.7% Pharmaceutical distribution and services for drugmakers · 2nd largest distributor; stable margins and high return on capital
3 CAH Cardinal Health
United States · score 5.3
24% 59 bn 254 bn 0.7% 4.5 bn 7.7% 0.8% Distribution of drugs and medical products · No. 3 in the US drug distribution oligopoly
4 COSM Cosmos Health Inc.
Greece · score 0.0
0% 0.0 bn 0.1 bn -33.1% -0.0 bn -30.4% — Vertically integrated health group: medicines, generics and telehealth · Greece — revenue of $74m
5 MEDS DataMeds AI, Inc.
United States · score 0.0
0% 0.0 bn 0.0 bn -11x -0.0 bn -167.5% — Pharmacy, wholesale and technology for clinical services · Florida — revenue of $8m
6 RDGT Ridgetech Inc.
China · score 1.4
— — 0.1 bn -0.9% 0.0 bn — — Wholesale distribution of drugs and health products in China · China — revenue of $132m
7 HKPD Cellyan Biotechnology Co., Ltd
Hong Kong · score 1.7
— — 0.0 bn -8.5% 0.0 bn — — Imported over-the-counter medicines on Chinese e-commerce · Hong Kong — revenue of $13m

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What this is. A catalogue, not a guide. Every industry with stocks listed on the NYSE or NASDAQ, the companies contending for its leadership, what each one does according to its own annual report, and the balance sheet it filed with the SEC.

The score runs from 0 to 10 and compares each company with every other one in the almanac on cash generation, profitability, debt, dividends and consistency over the last five years. The higher it is, the better the company fares in that comparison. Curious how much each part weighs? Ask at the bottom of the page.

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