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Low and Middle Income Countries Opioid Substitution Therapy Market Snapshot from 2024 to 2034

The low and middle income countries opioid substitution therapy market is expected to develop at a CAGR of 7.4% during the forecast period. The market value is projected to increase from US$ 805.2 million in 2024 to US$ 1,622.1 million by 2034. The low and middle income countries opioid substitution therapy market is valued at US$ 750.2 million at the end of 2023.

Key Highlight

  • Opioid substitution therapy (OST) is gaining prominence in low and middle-income countries, where drug choices depend on local prescription regulations and regulatory approvals.
  • Evidence-based practices are becoming more widely used, which highlights how crucial opioid substitution therapy is to the efficient treatment of drug use disorders.
  • The trend of OST integration into current healthcare systems guarantees a holistic approach to treating opioid addiction in low and middle income countries.
Attributes Details
Estimated Market Size, 2024 US$ 805.2 million
Expected Market Size, 2034 US$ 1,622.1 million
Value CAGR (2024 to 2034) 7.4%

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Key Dynamics Shaping the Low and Middle Income Countries Opioid Substitution Therapy Market Growth

Opioid substitution therapy has emerged as a crucial evidence-based approach for effectively managing opioid dependence. It is gaining increasing prominence in low and middle income countries (LMICs). The choice of drugs for this therapy varies across countries, contingent upon prescription regulations and approvals from relevant regulatory bodies.

Buprenorphine and methadone have garnered widespread acceptance as the treatment of choice, primarily attributed to their availability in diverse formulations, strengths, and brands. It's noteworthy that naloxone and naltrexone, both serving as opioid blockers, play distinct roles in the spectrum of substance use disorder management.

Naloxone, with its rapid-acting nature, is designed as an emergency intervention to reverse the effects of opioid overdose swiftly. Conversely, naltrexone assumes a different role. It is not intended for overdose situations. Instead, it is prescribed as a daily or monthly medication for addressing alcohol use disorder or opioid use disorder as part of ongoing treatment.

Naloxone functions as a critical tool for emergency scenarios, providing rapid response in overdose situations. On the other hand, naltrexone serves as a maintenance medication for the sustained treatment of substance use disorders. The introduction of generic and over-the-counter (OTC) products is poised to enhance accessibility to appropriate treatment, contributing to a forecasted reduction in mortality rates. This development marks a significant stride toward ensuring effective and accessible solutions in the landscape of opioid dependence management.

Analysis of Historical and Future Outlooks of the Low and Middle Income Countries Opioid Substitution Therapy Market

The low and middle-income countries' opioid substitution therapy market recorded a historic CAGR of 5.1% in the last five years from 2019 to 2023.

Opioid use disorder (OUD) stands as a significant global health challenge, contributing to heightened rates of premature mortality and morbidity. Within the framework of comprehensive OUD treatment (OUDT), opioid substitution therapy has gained approval. Opioid use disorders have a significant global impact, affecting over 16 million individuals. The prevalence of opioid use and dependency exhibits variations based on age and gender. Opioid-related deaths are more prevalent in older age groups, particularly between the ages of 40 and 50. However, heroin overdoses peak among individuals aged 20 to 30.

Attributes Details
Low and Middle Income Countries Opioid Substitution Therapy Market Size, 2023 US$ 750.2 million

The widespread prevalence of chronic pain and the concurrent issue of prescription opioid abuse have significant implications for patients, healthcare providers, and society at large. Opioid treatment programs (OTPs) play a vital role in addressing these challenges by offering medication-assisted treatment (MAT) for individuals diagnosed with opioid use disorder (OUD). Increasing prevalence and awareness stand out as crucial factors propelling market growth in low and middle-income countries.

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Insights into Lucrative Opportunities Propelling Low and Middle Income Countries Opioid Substitution Therapy Market

Companies dedicated to opioid substitution therapy are actively developing and introducing novel goods and technologies. They aim to improve accessibility to treatment and diagnostic procedures in low and middle-income countries. This trend has resulted in an increased demand for opioid substitution therapy.

The evolution of therapeutic molecules goes hand in hand with advancements in drug delivery technologies. Innovative delivery systems bring a host of advantages to the medical field. These include enhanced bioavailability, making them well-suited for the long-term treatment of chronic illnesses. Additionally, such systems contribute to sustained maintenance of drug levels, reduced adverse effects, lower dosage requirements, improved patient compliance, minimized damage to healthy tissues, and the potential for cost reductions by developing new delivery systems for existing molecules. Currently, trending drug delivery mechanisms include implants, self-injectable, prefilled syringes, injectable pens, and others.

Over the past decade, a lot of innovation has occurred in injectable therapeutics. For instance, notable manufacturer Rusan Pharma introduced a wide range of product offerings in opioid substitution therapy, one of which is Verso (Naloxone), which is available in prefilled, injectable pen and vial forms.

The emergence of this innovative drug delivery technology and formulations presents promising business prospects for the opioid substitution therapy market in low and middle income countries.

Overview of Restrictive Factors for the Low and Middle Income Countries Opioid Substitution Therapy Market

The unmet medical needs in rural areas underscore the pressing necessity for improved healthcare access and resources, highlighting disparities that must be addressed to ensure comprehensive and equitable healthcare coverage. In rural parts, substance use patterns show higher rates of tobacco and methamphetamine use among adults, while opioid use has proliferated in towns of varying sizes.

Rural adolescents and young adults tend to exhibit elevated rates of alcohol consumption and engage in risky behaviors like binge drinking and driving under the influence more frequently than their urban counterparts. The battle against substance use in rural communities is complicated by resource limitations for prevention, treatment, and recovery. Multiple factors contribute to this situation, such as limited access to education, financial hardships, joblessness, inadequate availability of mental health support, experiences of isolation and despair, and higher societal stigma around mental health and substance use issues.

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Comparative View of Adjacent Low and Middle Income Countries Opioid Substitution Therapy Market

The dynamics of the global low and middle income countries opioid substitution therapy market could be influenced by related markets in healthcare, such as the opioid use disorder treatment market and bipolar disorder drugs and treatment market. A thorough examination of these sectors can furnish valuable insights, serving as a foundation for crafting strategies that drive growth and uncover opportunities within the low and middle income countries' opioid substitution therapy market.

Exploring these related industries in-depth can yield profound insights. This is likely to enable the formulation of distinctive strategies to pursue growth and capitalize on opportunities within the opioid substitution therapy market in low and middle income countries. For instance, understanding the nuances of the opioid use disorder treatment market may unveil potential collaborative initiatives with existing treatment providers or highlight gaps in accessibility that could be addressed through strategic partnerships.

Global Low and Middle Income Countries Opioid Substitution Therapy Market:

Attributes Low and Middle Income Countries Opioid Substitution Therapy Market
CAGR (2024 to 2034) 7.4%
Growth Factor Supportive policies and funding for addiction treatment
Key Trend The integration of telemedicine in OST allows for remote monitoring and support

Global Opioid Use Disorder Treatment Market:

Attributes Opioid Use Disorder Treatment Market
CAGR (2024 to 2034) 10.5%
Growth Factor Broader insurance coverage for addiction treatment
Key Trend Growing acceptance and utilization of medication-assisted treatment

Global Bipolar Disorder Drugs and Treatment Market:

Attributes Bipolar Disorder Drugs and Treatment Market
CAGR (2024 to 2034) 2.72%
Growth Factor Exploration of combination therapies to address the complex nature
Key Trend Integration of digital tools and apps to support cognitive behavioral therapy

 Country-wise insights

Countries CAGR from 2024 to 2034
Brazil 3.0%
China 8.4%
India 4.1%
Malaysia 13.6%
Georgia 14.3%

Brazil's Strong Market Presence Set to Continue in 2024

Brazil dominated the low and middle-income market as of 2023. With the anticipation of sustaining this momentum, Brazil is expected to demonstrate persistent high growth throughout the forecast period.

Over the past four decades, Brazil has witnessed a steady rise in urban violence and crime, a trend persisting despite positive strides in the nation's social and economic conditions. This surge is closely connected to the escalating domestic drug consumption, prompting significant shifts in the structure, profile, and modus operandi of organized crime groups. The intertwining issues of violence and criminality find a nexus in the operations of organized crime groups engaged in arms and drug trafficking.

Brazil, currently hosting the world's fourth-leading incarcerated population, underscores the urgency for alternative approaches to address the complex challenges of violence and crime, especially in the context of drug consumption. Efforts to navigate these issues require a comprehensive strategy that considers the interconnected factors contributing to the intricate landscape of crime and violence in the country.

India to Offer the Next-door Opportunity for Market Players

In 2023, India held dominant revenue in the low and middle-income market, contributing around US$ 87.25 million.

About 2.1% of India's population is grappling with opioid use, encompassing substances like opium and its derivatives such as poppy husk, heroin (or its impure forms like smack or brown sugar), and various pharmaceutical opioids. Nationally, heroin emerges as a widespread opioid (1.14%), followed by pharmaceutical opioids (0.96%) and opium (0.52%). Notably, Nagaland, Arunachal Pradesh, Manipur, Sikkim, and Mizoram exhibit the highest prevalence of opioid use among the general population, surpassing 10%. The growing concern surrounding opioid consumption in India necessitates targeted interventions and public health initiatives to address the escalating trend.

Georgia is an Emerging Market for Low and Middle Income Countries Opioid Substitution Therapy

Georgia's healthcare system benefits significantly from its access to healthcare supplies and assistance provided by established European countries. This collaboration fosters the exchange of medical resources, expertise, and support, enhancing Georgia's ability to address healthcare challenges effectively. This interconnected network of support reflects a commitment to regional health cooperation and underscores the importance of collective efforts in promoting the well-being of populations across borders.

Category-wise Insights

Insight into Drug Class Stimulating Growth of Low and Middle Income Countries Opioid Substitution Therapy Market

Drug Class CAGR from 2024 to 2034
Opioid Antagonists 9.4%
Opioid Agonists and Partial Agonists 6.6%

The market value of opioid agonists and partial agonists in low and middle-income countries for opioid substitution therapy is US$ 588.5 million, representing a sizable 73.6% market share in 2023. The credibility of the drug's mode of action plays a pivotal role. Given its comparatively lower efficacy, buprenorphine is widely suitable for individuals with mild to moderate dependence. In contrast, methadone is applicable across all levels of support.

Overview of Leading Indication in the Low and Middle Income Countries Opioid Substitution Therapy Market

Indication CAGR from 2024 to 2034
Pain Management 13.1%
Opioid Withdrawal/Opioid Use Disorder (OUD) 6.5%

The market value of opioid withdrawal/opioid use disorder (OUD) in low and middle-income countries for opioid substitution therapy is US$ 649.2 million, representing a sizable 86.6% market share in 2023. The prevalence of opioid use disorders, along with the complex nature of withdrawal symptoms, underscores the urgency and necessity of effective interventions and treatments within the broader healthcare landscape. As a result, the demand for solutions addressing opioid withdrawal and use disorder remains high, making it a dominant component in the spectrum of pain management, alcohol de-addiction, and mental health care.

Details on Leading Distribution Channels within the Low and Middle Income Countries Opioid Substitution Therapy Market

Distribution Channel CAGR from 2024 to 2034
Government-supported Centers/NGO’s/Tenders 6.3%
Institutional Sales 10.2%

The government-supported centers/NGOs/tenders have a considerable presence in the low and middle-income countries' opioid substitution therapy market, accounting for 80.5% of end users in 2023. The elevated significance of government-supported centers/NGOs/tenders in claiming the highest share stems from their crucial role in extending treatment accessibility at reduced costs. Additionally, entities funded through these channels often can provide treatment at no cost, further emphasizing their central role in ensuring widespread and affordable healthcare options.

Competitive Landscape

Market players commit resources to advance research and development, aiming to integrate innovative features, technologies, and improvements into their opioid substitution therapy. Furthermore, industry players strategically emphasize expanding their influence in key geographic regions. This strategic expansion entails initiatives such as establishing new distribution channels, fostering partnerships with local distributors, or setting up subsidiaries in strategically advantageous locations for the effective distribution and accessibility of opioid substitution therapy solutions.

  • On May 22, 2023, Indivior PLC recently disclosed that the FDA has given its approval for OPVEE (nalmefene) nasal spray, authorizing its use in emergencies for the treatment of known or suspected opioid overdose.
  • On March 2, 2023, Indivior PLC acquired Opiant Pharmaceuticals, Inc. (Opiant). This strategic development enhances Indivior's addiction treatment and scientific portfolio by integrating Opiant's late-stage assets, with a notable focus on OPNT003.

Report Scope as per Low and Middle Income Countries Opioid Substitution Therapy Industry Analysis

Attribute Details
Forecast Period 2024 to 2034
Historical Data Available for 2018 to 2023
Market Analysis US$ million for Value
Key Regions Covered Latin America, China, South Asia and Pacific, Europe, Arica, Central Asia
Key Countries Covered Brazil, Peru, China, India, Vietnam, Afghanistan, Bangladesh, Cambodia, Myanmar, Nepal, Pakistan, Malaysia, Thailand, Ukraine, Georgia, Armenia, Kyrgyzstan, Kazakhstan, Tajikistan, South Africa, Nigeria, Egypt, Tanzania, Ghana, Kenya, Mozambique, Senegal, Uganda, Côte d'Ivoire (Ivory Coast), and the Rest of the low and middle income countries
Key Market Segments Covered Drug Class, Indication, Distribution Channel, and Region
Key Companies Profiled
  • Indivior Inc.
  • Alkermes, Inc
  • Mundipharma GmbH
  • Viatris Inc
  • Intas Pharmaceuticals
  • Camurus
  • Emergent BioSolutions Inc.
  • Hikma Pharmaceuticals
  • Pfizer Inc.
  • Par Pharmaceutical
  • Mallinckrodt Pharmaceuticals
  • Teva Pharmaceutical Industries Ltd.
  • Purdue Pharma LP
  • The Bristol-Myers Squibb Company
  • Rusan Pharma Ltd
  • Johnson & Johnson (Janssen Pharmaceuticals, Inc.)
  • Takeda Pharmaceutical Company Limited
  • Steris Healthcare Pvt Ltd
  • RINQUE PHARMA (CRISTALIA)
  • Walter Healthcare
  • Somerset Pharma, LLC.
  • Livealth
  • Taj Pharmaceuticals
  • Wellona Pharma
  • USWM
  • Sterinova
  • L. MOLTENI & C. DEI F.LLI ALITTI
  • Braeburn Inc.
  • Boehringer Ingelheim International GmbH
  • Dr. Reddy's Laboratory
  • Knight Therapeutics Inc.
  • Titan Pharmaceuticals, Inc.
  • Collegium Pharmaceutical
  • Atlantic Biologicals Corp.
  • Vistapharm, Inc.
  • JAMP PHARMA
  • Orexo AB
  • Advanced Pharmaceutical Technology, Inc.
Report Coverage Market Forecast, Competition Intelligence, DROT Analysis, Market Dynamics and Challenges, Strategic Growth Initiatives
Pricing Available upon Request

Key Segments Covered in Low and Middle Income Countries Opioid Substitution Therapy Market Research

By Drug Class:

  • Opioid Antagonists
    • Naloxone
    • Naltrexone
  • Opioid Agonists and Partial Agonists
    • Methadone
    • Buprenorphine

By Indication:

  • Pain Management
  • Opioid Withdrawal/Opioid Use Disorder (OUD)
  • Alcohol De-addiction
  • Depression

By Distribution Channel:

  • Government-supported Centers/NGO’s/Tenders
  • Institutional Sales
    • Hospitals
      • Public
      • Private
    • Psychiatric clinics
      • Public
      • Private
  • Retail Sales
    • Retail Pharmacies
    • Mail Order Pharmacies
    • Online Sales
    • Drug Stores

By Region:

  • Latin America
  • China
  • South Asia and Pacific
  • Europe
  • Central Asia
  • Africa

Frequently Asked Questions

How Big Is the Low and Middle Income Countries Opioid Substitution Therapy Market in 2023?

The market is currently valued at around US$ 750.2 million in 2023.

What is the Low and Middle Income Countries Opioid Substitution Therapy Market Projected Value for 2034?

The market is set to reach a valuation of around US$ 1,622.1 million by the end of 2034.

Which Drug Class Segment Contributes More to the Market?

The opioid and partial agonists segment, within the drug class segment, held a 73.6% market share in 2023.

What was the Last five years’ CAGR for the Market?

Demand for opioid substitution therapy in low and middle income countries increased at a 5.1% CAGR from 2019 to 2023.

What is the Estimated Value for Low and Middle Income Countries Opioid Substitution Therapy Market in 2024?

The estimated market value for 2024 is around US$ 805.2 million.

What is the Growth Outlook of the Brazil’s Market?

Brazil accounts for around 13.8% share of the market in 2023.

What is the Growth Outlook of India’s Market?

India holds about 11.6% market share in the market in 2023.

What is the Outlook for the Georgia Market?

Georgia accounted for a market value share of around 1.9% in 2023.

Table of Content

1. Market Overview

    1.1. Global Market Outlook

    1.2. Demand Side Trends

    1.3. Supply-Side Trends

    1.4. Analysis and Recommendations

2. Market Overview

    2.1. Market Coverage / Taxonomy

    2.2. Market Definition / Scope / Limitations

    2.3. Inclusions and Exclusions

3. Key Market Trends

    3.1. Development/Innovation Trends

4. Value-Added Insights

    4.1. Opioid Use Disorder and Global Overview

    4.2. Disease Epidemiology Data, By Region

    4.3. Drug Adoption / Usage Analysis, by Region

    4.4. Pipeline Assessment

    4.5. Singular Breakthroughs of Buprenorphine

    4.6. Regulations Landscape

    4.7. PESTEL Analysis

    4.8. Porter’s Analysis

    4.9. Value Chain Analysis, By Region

5. Market Background

    5.1. Macro-Economic Factors

        5.1.1. Global Healthcare Expenditure Outlook

        5.1.2. R&D funding By Region

        5.1.3. R&D funding By Country

        5.1.4. Pharmaceutical Spending

        5.1.5. Expenditure on Retail Pharmaceuticals Per Capita

        5.1.6. Parent Market Analysis

    5.2. Forecast Factors - Relevance & Impact

        5.2.1. Recent Developments In Management of Opioid Use

        5.2.2. Rising Prevalence of OUD

        5.2.3. Treatment Seeking Rate

        5.2.4. High Unmet Medical Needs

        5.2.5. Illicit Drug Dependence or Abuse

        5.2.6. Ongoing Active Clinical Trials

        5.2.7. Increasing Number of Programs

        5.2.8. Regulatory Scenario

        5.2.9. Diagnosis Rate

        5.2.10. Drug Delivery Technology

    5.3. Market Dynamics

        5.3.1. Drivers

        5.3.2. Restraints

        5.3.3. Opportunity Analysis

6. Market Demand (in Volume (Units) Analysis 2018 to 2023 and Forecast, 2024 to 2034

    6.1. Historical Market Volume (Units) Analysis, 2018 to 2023

    6.2. Current and Future Market Volume (Units) Projections, 2024 to 2034

        6.2.1. Y-o-Y Growth Trend Analysis

7. Market – Pricing Assessment 

    7.1. Regional Pricing Analysis, By Product

    7.2. Pricing Break-up

        7.2.1. Manufacturer Level Pricing

        7.2.2. Distributor Level Pricing

    7.3. Global Average Pricing Analysis Benchmark, By Product

        7.3.1. Pricing Assumptions

8. Market Demand (in Value or Size in US$ Million) Analysis 2018 to 2023 and Forecast, 2024 to 2034

    8.1. Revenue Opportunity Analysis

    8.2. Historical Market Value (US$ Million) and Volume (Unit) Analysis, 2018 to 2023

    8.3. Current and Future Market Value (US$ Million) and Volume (Unit) Projections, 2024 to 2034

        8.3.1. Y-o-Y Growth Trend Analysis

        8.3.2. Absolute $ Opportunity Analysis

9. Market Analysis 2018 to 2023 and Forecast 2024 to 2034, By Drug Class 

    9.1. Introduction / Key Findings

    9.2. Historical Market Size (US$ Million) & Market Volume(Unit) Analysis, By Drug Class, 2018 to 2023

    9.3. Current and Future Market Size (US$ Million) & Market Volume(Unit) and Forecast By Drug Class, 2024 to 2034

        9.3.1. Opioid Antagonists

            9.3.1.1. Naltrexone

            9.3.1.2. Naloxone

        9.3.2. Opioid Agonists and Partial Agonists

            9.3.2.1. Methadone

            9.3.2.2. Buprenorphine

    9.4. Market Attractiveness Analysis By Drug Class

10. Market Analysis 2018 to 2023 and Forecast 2024 to 2034, By Indication

    10.1. Introduction / Key Findings

    10.2. Historical Market Size (US$ Million) By Indication, 2018 to 2023

    10.3. Current and Future Market Size (US$ Million) and Analysis and Forecast By Indication, 2024 to 2034

        10.3.1. Pain Management

        10.3.2. Opioid Withdrawal/Opioid Use Disorder (OUD)

        10.3.3. Alcohol De-addiction

        10.3.4. Depression

    10.4. Market Attractiveness Analysis By Indication

11. Market Analysis 2018 to 2023 and Forecast 2024 to 2034, By Distribution Channel

    11.1. Introduction / Key Findings

    11.2. Historical Market Size (US$ Million) By Distribution Channel, 2018 to 2023

    11.3. Current and Future Market Size (US$ Million) and Analysis and Forecast By Distribution Channel, 2024 to 2034

        11.3.1. Government Supported Centers/NGO’s/Tenders

        11.3.2. Institutional Sales

            11.3.2.1. Hospitals

                11.3.2.1.1. Private Hospitals

                11.3.2.1.2. Public Hospitals

            11.3.2.2. Psychiatric clinics

                11.3.2.2.1. Private Clinics

                11.3.2.2.2. Public Clinics

        11.3.3. Retail Sales

            11.3.3.1. Retail Pharmacies

            11.3.3.2. Drug Store

            11.3.3.3. Online Sales/Mail Order Pharmacies

    11.4. Market Attractiveness Analysis By Distribution Channel

12. Market Analysis 2018 to 2023 and Forecast 2024 to 2034, By Region

    12.1. Introduction / Key Findings

    12.2. Historical Market Size (US$ Million) Trend Analysis by Region, 2018 to 2023

    12.3. Current and Future Market Size (US$ Million) and Forecast by Region, 2024 to 2034

        12.3.1. Latin America

        12.3.2. Europe

        12.3.3. China

        12.3.4. Central Asia

        12.3.5. South Asia and Pacific

        12.3.6. Middle East and Africa

    12.4. Market Attractiveness Analysis by Region

13. Latin America Market Analysis 2018 to 2023 and Forecast 2024 to 2034

    13.1. Introduction

    13.2. Historical Market Size (US$ Million) and Volume (Unit) Trend Analysis by Market Taxonomy, 2018 to 2023

    13.3. Current and Future Market Size (US$ Million) and Volume (Unit) Forecast by Market Taxonomy, 2024 to 2034

        13.3.1. By Country

            13.3.1.1. Brazil

            13.3.1.2. Peru

            13.3.1.3. Rest of Latin America

        13.3.2. By Drug Class

        13.3.3. By Indication

        13.3.4. By Distribution Channel

    13.4. Market Attractiveness Analysis

        13.4.1. By Country

        13.4.2. By Drug Class

        13.4.3. By Indication

        13.4.4. By Distribution Channel

    13.5. Drivers & Restraints Impact Analysis

    13.6. Country-Wise Analysis

        13.6.1. Brazil Market Analysis

            13.6.1.1. Introduction

            13.6.1.2. Market Analysis and Forecast by Market Taxonomy

                13.6.1.2.1. By Drug Class

                13.6.1.2.2. By Indication

                13.6.1.2.3. By Distribution Channel

        13.6.2. Peru Market Analysis

            13.6.2.1. Introduction

            13.6.2.2. Market Analysis and Forecast by Market Taxonomy

                13.6.2.2.1. By Drug Class

                13.6.2.2.2. By Indication

                13.6.2.2.3. By Distribution Channel

        13.6.3. Rest of Latin America Market Analysis

            13.6.3.1. Introduction

            13.6.3.2. Market Analysis and Forecast by Market Taxonomy

                13.6.3.2.1. By Drug Class

                13.6.3.2.2. By Indication

                13.6.3.2.3. By Distribution Channel

14. China Market Analysis 2018 to 2023 and Forecast 2024 to 2034

    14.1. Introduction

    14.2. Historical Market Size (US$ Million) and Volume (Unit) Trend Analysis by Market Taxonomy, 2018 to 2023

    14.3. Current and Future Market Size (US$ Million) and Volume (Unit) Forecast by Market Taxonomy, 2024 to 2034

        14.3.1. By Drug Class

        14.3.2. By Indication

        14.3.3. By Distribution Channel

    14.4. Market Attractiveness Analysis

        14.4.1. By Drug Class

        14.4.2. By Indication

        14.4.3. By Distribution Channel

    14.5. Drivers & Restraints Impact Analysis

15. South Asia and Pacific Market Analysis 2018 to 2023 and Forecast 2024 to 2034

    15.1. Introduction

    15.2. Historical Market Size (US$ Million) and Volume (Unit) Trend Analysis by Market Taxonomy, 2018 to 2023

    15.3. Current and Future Market Size (US$ Million) and Volume (Unit) Forecast by Market Taxonomy, 2024 to 2034

        15.3.1. By Country

            15.3.1.1. India

            15.3.1.2. Thailand

            15.3.1.3. Malaysia

            15.3.1.4. Vietnam

            15.3.1.5. Afghanistan

            15.3.1.6. Bangladesh

            15.3.1.7. Cambodia

            15.3.1.8. Myanmar

            15.3.1.9. Nepal

            15.3.1.10. Pakistan

        15.3.2. By Drug Class

        15.3.3. By Indication

        15.3.4. By Distribution Channel

    15.4. Market Attractiveness Analysis

        15.4.1. By Country

        15.4.2. By Drug Class

        15.4.3. By Indication

        15.4.4. By Distribution Channel

    15.5. Market Trends

    15.6. Drivers & Restraints Impact Analysis

    15.7. Key Market Players Intensity Mapping

    15.8. PESTEL Analysis

    15.9. Country-Wise Analysis

        15.9.1. India Market Analysis

            15.9.1.1. Introduction

            15.9.1.2. Market Analysis and Forecast by Market Taxonomy

                15.9.1.2.1. By Drug Class

                15.9.1.2.2. By Indication

                15.9.1.2.3. By Distribution Channel

        15.9.2. Thailand Market Analysis

            15.9.2.1. Introduction

            15.9.2.2. Market Analysis and Forecast by Market Taxonomy

                15.9.2.2.1. By Drug Class

                15.9.2.2.2. By Indication

                15.9.2.2.3. By Distribution Channel

        15.9.3. Malaysia Market Analysis

            15.9.3.1. Introduction

            15.9.3.2. Market Analysis and Forecast by Market Taxonomy

                15.9.3.2.1. By Drug Class

                15.9.3.2.2. By Indication

                15.9.3.2.3. By Distribution Channel

        15.9.4. Vietnam Market Analysis

            15.9.4.1. Introduction

            15.9.4.2. Market Analysis and Forecast by Market Taxonomy

                15.9.4.2.1. By Drug Class

                15.9.4.2.2. By Indication

                15.9.4.2.3. By Distribution Channel

        15.9.5. Afghanistan Market Analysis

            15.9.5.1. Introduction

            15.9.5.2. Market Analysis and Forecast by Market Taxonomy

                15.9.5.2.1. By Drug Class

                15.9.5.2.2. By Indication

                15.9.5.2.3. By Distribution Channel

        15.9.6. Bangladesh Market Analysis

            15.9.6.1. Introduction

            15.9.6.2. Market Analysis and Forecast by Market Taxonomy

                15.9.6.2.1. By Drug Class

                15.9.6.2.2. By Indication

                15.9.6.2.3. By Distribution Channel

        15.9.7. Cambodia Market Analysis

            15.9.7.1. Introduction

            15.9.7.2. Market Analysis and Forecast by Market Taxonomy

                15.9.7.2.1. By Drug Class

                15.9.7.2.2. By Indication

                15.9.7.2.3. By Distribution Channel

        15.9.8. Myanmar Market Analysis

            15.9.8.1. Introduction

            15.9.8.2. Market Analysis and Forecast by Market Taxonomy

                15.9.8.2.1. By Drug Class

                15.9.8.2.2. By Indication

                15.9.8.2.3. By Distribution Channel

        15.9.9. Nepal Market Analysis

            15.9.9.1. Introduction

            15.9.9.2. Market Analysis and Forecast by Market Taxonomy

                15.9.9.2.1. By Drug Class

                15.9.9.2.2. By Indication

                15.9.9.2.3. By Distribution Channel

        15.9.10. Pakistan Market Analysis

            15.9.10.1. Introduction

            15.9.10.2. Market Analysis and Forecast by Market Taxonomy

                15.9.10.2.1. By Drug Class

                15.9.10.2.2. By Indication

    15.10. By Distribution Channel

16. Europe Market Analysis 2018 to 2023 and Forecast 2024 to 2034

    16.1. Introduction

    16.2. Historical Market Size (US$ Million) and Volume (Unit) Trend Analysis by Market Taxonomy, 2018 to 2023

    16.3. Current and Future Market Size (US$ Million) and Volume (Unit) Forecast by Market Taxonomy, 2024 to 2034

        16.3.1. By Country

            16.3.1.1. Ukraine

            16.3.1.2. Armenia

            16.3.1.3. Georgia

        16.3.2. By Drug Class

        16.3.3. By Indication

        16.3.4. By Distribution Channel

    16.4. Market Attractiveness Analysis

        16.4.1. By Country

        16.4.2. By Drug Class

        16.4.3. By Indication

        16.4.4. By Distribution Channel

    16.5. Drivers & Restraints Impact Analysis

    16.6. Country-Wise Analysis

        16.6.1. Ukraine Market Analysis

            16.6.1.1. Introduction

            16.6.1.2. Market Analysis and Forecast by Market Taxonomy

                16.6.1.2.1. By Drug Class

                16.6.1.2.2. By Indication

                16.6.1.2.3. By Distribution Channel

        16.6.2. Armenia Market Analysis

            16.6.2.1. Introduction

            16.6.2.2. Market Analysis and Forecast by Market Taxonomy

                16.6.2.2.1. By Drug Class

                16.6.2.2.2. By Indication

                16.6.2.2.3. By Distribution Channel

        16.6.3. Georgia Market Analysis

            16.6.3.1. Introduction

            16.6.3.2. Market Analysis and Forecast by Market Taxonomy

                16.6.3.2.1. By Drug Class

                16.6.3.2.2. By Indication

                16.6.3.2.3. By Distribution Channel

17. Central Asia Market Analysis 2018 to 2023 and Forecast 2024 to 2034

    17.1. Introduction

    17.2. Historical Market Size (US$ Million) and Volume (Unit) Trend Analysis by Market Taxonomy, 2018 to 2023

    17.3. Current and Future Market Size (US$ Million) and Volume (Unit) Forecast by Market Taxonomy, 2024 to 2034

        17.3.1. By Country

            17.3.1.1. Kazakhstan

            17.3.1.2. Kyrgyzstan

            17.3.1.3. Tajikistan

            17.3.1.4. Rest of Central Asia

        17.3.2. By Drug Class

        17.3.3. By Indication

        17.3.4. By Distribution Channel

    17.4. Market Attractiveness Analysis

        17.4.1. By Country

        17.4.2. By Drug Class

        17.4.3. By Indication

        17.4.4. By Distribution Channel

    17.5. Drivers & Restraints Impact Analysis

    17.6. Country-Wise Analysis

        17.6.1. Kazakhstan Market Analysis

            17.6.1.1. Introduction

            17.6.1.2. Market Analysis and Forecast by Market Taxonomy

                17.6.1.2.1. By Drug Class

                17.6.1.2.2. By Indication

                17.6.1.2.3. By Distribution Channel

        17.6.2. Kyrgyzstan Market Analysis

            17.6.2.1. Introduction

            17.6.2.2. Market Analysis and Forecast by Market Taxonomy

                17.6.2.2.1. By Drug Class

                17.6.2.2.2. By Indication

                17.6.2.2.3. By Distribution Channel

        17.6.3. Tajikistan Market Analysis

            17.6.3.1. Introduction

            17.6.3.2. Market Analysis and Forecast by Market Taxonomy

                17.6.3.2.1. By Drug Class

                17.6.3.2.2. By Indication

                17.6.3.2.3. By Distribution Channel

18. Africa Market Analysis 2018 to 2023 and Forecast 2024 to 2034

    18.1. Introduction

    18.2. Historical Market Size (US$ Million) and Volume (Unit) Trend Analysis by Market Taxonomy, 2018 to 2023

    18.3. Current and Future Market Size (US$ Million) and Volume (Unit) Forecast by Market Taxonomy, 2024 to 2034

        18.3.1. By Country

            18.3.1.1. Kenya

            18.3.1.2. Egypt

            18.3.1.3. South Africa

            18.3.1.4. Nigeria

            18.3.1.5. Cote d'Ivoire

            18.3.1.6. Ghana

            18.3.1.7. Mozambique

            18.3.1.8. Senegal

            18.3.1.9. Tanzania

            18.3.1.10. Uganda

        18.3.2. By Drug Class

        18.3.3. By Indication

        18.3.4. By Distribution Channel

    18.4. Market Attractiveness Analysis

        18.4.1. By Country

        18.4.2. By Drug Class

        18.4.3. By Indication

        18.4.4. By Distribution Channel

    18.5. Drivers & Restraints Impact Analysis

    18.6. Country Level Analysis

        18.6.1. Kenya Market Analysis

            18.6.1.1. Introduction

            18.6.1.2. Market Analysis and Forecast by Market Taxonomy

                18.6.1.2.1. By Drug Class

                18.6.1.2.2. By Indication

                18.6.1.2.3. By Distribution Channel

        18.6.2. Egypt Market Analysis

            18.6.2.1. Introduction

            18.6.2.2. Market Analysis and Forecast by Market Taxonomy

                18.6.2.2.1. By Drug Class

                18.6.2.2.2. By Indication

                18.6.2.2.3. By Distribution Channel

        18.6.3. South Africa Market Analysis

            18.6.3.1. Introduction

            18.6.3.2. Market Analysis and Forecast by Market Taxonomy

                18.6.3.2.1. By Drug Class

                18.6.3.2.2. By Indication

                18.6.3.2.3. By Distribution Channel

        18.6.4. Nigeria Market Analysis

            18.6.4.1. Introduction

            18.6.4.2. Market Analysis and Forecast by Market Taxonomy

                18.6.4.2.1. By Drug Class

                18.6.4.2.2. By Indication

                18.6.4.2.3. By Distribution Channel

        18.6.5. Cote d'Ivoire Market Analysis

            18.6.5.1. Introduction

            18.6.5.2. Market Analysis and Forecast by Market Taxonomy

                18.6.5.2.1. By Drug Class

                18.6.5.2.2. By Indication

                18.6.5.2.3. By Distribution Channel

        18.6.6. Ghana Market Analysis

            18.6.6.1. Introduction

            18.6.6.2. Market Analysis and Forecast by Market Taxonomy

                18.6.6.2.1. By Drug Class

                18.6.6.2.2. By Indication

                18.6.6.2.3. By Distribution Channel

        18.6.7. Mozambique Market Analysis

            18.6.7.1. Introduction

            18.6.7.2. Market Analysis and Forecast by Market Taxonomy

                18.6.7.2.1. By Drug Class

                18.6.7.2.2. By Indication

                18.6.7.2.3. By Distribution Channel

        18.6.8. Senegal Market Analysis

            18.6.8.1. Introduction

            18.6.8.2. Market Analysis and Forecast by Market Taxonomy

                18.6.8.2.1. By Drug Class

                18.6.8.2.2. By Indication

                18.6.8.2.3. By Distribution Channel

        18.6.9. Tanzania Market Analysis

            18.6.9.1. Introduction

            18.6.9.2. Market Analysis and Forecast by Market Taxonomy

                18.6.9.2.1. By Drug Class

                18.6.9.2.2. By Indication

                18.6.9.2.3. By Distribution Channel

        18.6.10. Uganda Market Analysis

            18.6.10.1. Introduction

            18.6.10.2. Market Analysis and Forecast by Market Taxonomy

                18.6.10.2.1. By Drug Class

                18.6.10.2.2. By Indication

                18.6.10.2.3. By Distribution Channel

19. Rest of Countries Market Analysis 2018–2023 and Forecast 2024 to 2034

    19.1. Introduction

    19.2. Historical Market Size (US$ Million) and Volume (Unit) Trend Analysis by Market Taxonomy, 2018 to 2023

    19.3. Current and Future Market Size (US$ Million) and Volume (Unit) Forecast by Market Taxonomy, 2024 to 2034

        19.3.1. By Drug Class

        19.3.2. By Indication

        19.3.3. By Distribution Channel

    19.4. Market Attractiveness Analysis

        19.4.1. By Country

        19.4.2. By Drug Class

        19.4.3. By Indication

        19.4.4. By Distribution Channel

    19.5. Drivers & Restraints Impact Analysis

20. Market Structure Analysis

    20.1. Market Analysis by Tier of Companies

    20.2. Market Share Analysis of Top Players (%)

    20.3. Market Presence Analysis

        20.3.1. Regional footprint of Players

        20.3.2. Platform Type foot print by Players

        20.3.3. Channel Foot Print by Players

21. Competition Analysis

    21.1. Competition Dashboard

    21.2. Competition Benchmarking

    21.3. Branding and Promotional Strategies, By Key Manufactures

    21.4. Key Development Analysis

    21.5. Competition Deep Dive

        21.5.1. Pfizer Inc.

            21.5.1.1. Overview

            21.5.1.2. Drug Pipeline Portfolio

            21.5.1.3. Key Financials

            21.5.1.4. SWOT Analysis

            21.5.1.5. Key Developments

            21.5.1.6. Sales Footprint

            21.5.1.7. Strategy Overview

                21.5.1.7.1. Marketing Strategy

                21.5.1.7.2. Product Strategy

                21.5.1.7.3. Channel Strategy

        21.5.2. Takeda Pharmaceuticals

        21.5.3. Alkermes, Inc

        21.5.4. Hikma Pharmaceuticals

        21.5.5. Emergent BioSolutions Inc.

        21.5.6. Indivior Inc.

        21.5.7. Mundipharma GmbH

        21.5.8. Purdue Pharma LP

        21.5.9. Orexo US, Inc.

        21.5.10. Boehringer Ingelheim

        21.5.11. Jamp Pharma Corporation

        21.5.12. Vistapharm, Inc.

        21.5.13. Atlantic Biologicals Corp.

        21.5.14. BLISTECO S.A.S.

        21.5.15. BioDelivery Sciences International Inc

        21.5.16. Purdue Pharma

        21.5.17. Braeburn Inc.

        21.5.18. Camurus Ab

        21.5.19. Knight Therapeutics Inc.

        21.5.20. Titan Pharmaceuticals, Inc.

        21.5.21. Braeburn Pharmaceuticals

        21.5.22. L. Molteni & C. Dei Fratelli Alitti Società Di Esercizio S.P.A.

        21.5.23. Sterinova Inc

        21.5.24. Teva Pharmaceutical Industries Ltd.

        21.5.25. USWM, LLC.

        21.5.26. Wellona Pharma

        21.5.27. Taj Pharmaceuticals Limited

        21.5.28. Livealth Biopharma Pvt Ltd

        21.5.29. Somerset Therapeutics Limited

        21.5.30. Walter Healthcare Private Limited

        21.5.31. Mallinckrodt Pharmaceuticals

        21.5.32. Rusan Pharma Ltd

        21.5.33. Viatris Inc

        21.5.34. RINQUE PHARMA.

        21.5.35. Par Pharmaceutical

        21.5.36. The Bristol-Myers Squibb Company

        21.5.37. Intas Pharmaceuticals

        21.5.38. STERIS PHARMA

22. Assumptions and Acronyms Used

23. Research Methodology

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