Medicaments: U.S. export markets
U.S. exports of medicaments (HS 3004) totaled $34.6 billion in 2025, shipped to 178 countries and territories. The largest market was Canada, with $4.3 billion (12% of the total, Fromerica calculation). From January–July 2026, exports were $18.1 billion, down 12% from the same months of 2025.
What HS 3004 covers
Heading 3004 of the Harmonized Tariff Schedule: “Medicaments (excluding goods of heading 3002, 3005 or 3006) consisting of mixed or unmixed products for therapeutic or prophylactic uses, put up in measured doses (including those in the form of transdermal administration systems) or in forms or packings for retail sale.”
Top export markets
The 25 largest buyers of U.S. medicaments in 2025, with the change so far this year. Countries with a link have a Fromerica export guide.
| # | Country | 2025 | YTD change |
|---|---|---|---|
| 1 | Canada | $4.3B | ▼ −13% |
| 2 | Spain | $4.1B | ▼ −88% |
| 3 | Germany | $3.5B | ▼ −14% |
| 4 | Japan | $2.9B | ▼ −18% |
| 5 | United Kingdom | $2.3B | ▲ +1.1% |
| 6 | Netherlands | $2.3B | ▼ −30% |
| 7 | Belgium | $1.9B | ▲ +5.5% |
| 8 | Brazil | $1.9B | ▲ +95% |
| 9 | China | $1.8B | ▼ −4.4% |
| 10 | Mexico | $1.3B | ▲ +8.6% |
| 11 | Ireland | $757M | ▼ −5.6% |
| 12 | South Korea | $718M | ▲ +352% |
| 13 | France | $594M | ▼ −55% |
| 14 | Australia | $580M | ▲ +65% |
| 15 | Switzerland | $573M | ▼ −21% |
| 16 | Argentina | $394M | ▼ −25% |
| 17 | Italy | $389M | ▼ −2.4% |
| 18 | Colombia | $376M | ▲ +13% |
| 19 | United Arab Emirates | $314M | ▼ −53% |
| 20 | Israel | $313M | ▲ +24% |
| 21 | Saudi Arabia | $283M | ▼ −25% |
| 22 | India | $253M | ▼ −0.2% |
| 23 | Singapore | $238M | ▲ +22% |
| 24 | Uruguay | $163M | ▼ −9.1% |
| 25 | Taiwan | $161M | ▲ +22% |
Fastest-growing large markets
Among the top markets with at least $1 million in January–July 2025, these grew the most in January–July 2026 (Fromerica calculation): South Korea (+352%, $1.3B), Brazil (+95%, $1.5B), Australia (+65%, $587M), Israel (+24%, $212M) and Taiwan (+22%, $102M).
States that ship the most
By state of origin of movement: where the goods started their trip to the port, not necessarily where they were made.
| # | State | 2025 | YTD change |
|---|---|---|---|
| 1 | Indiana | $7.3B | ▲ +26% |
| 2 | Puerto Rico | $7.2B | ▼ −65% |
| 3 | Florida | $3.6B | ▼ −7.9% |
| 4 | Illinois | $3.5B | ▼ −22% |
| 5 | North Carolina | $2.6B | ▲ +3.7% |
| 6 | Pennsylvania | $1.6B | ▲ +0.7% |
| 7 | Kentucky | $898M | ▲ +24% |
| 8 | California | $815M | ▼ −3.9% |
| 9 | Michigan | $738M | ▼ −49% |
| 10 | New York | $678M | ▲ +18% |
| 11 | Texas | $663M | ▲ +0.5% |
| 12 | Ohio | $661M | ▼ −48% |
| 13 | New Jersey | $636M | ▼ −18% |
| 14 | Delaware | $601M | ▲ +11% |
| 15 | Massachusetts | $471M | ▲ +473% |
Next steps
Data source and notes
This product uses the Census Bureau Data API but is not endorsed or certified by the Census Bureau.
- Export values: U.S. Census Bureau, International Trade data (census.gov/foreign-trade), free-alongside-ship (FAS) value in current U.S. dollars, not adjusted for inflation. Latest month available: July 2026. Retrieved 2026-09-26. Figures are shown as published, rounded for display (on a computer, hover over a table value to see the exact figure). The Census Bureau revises past months, and we refresh the data every month.
- Shares, year-over-year changes and rankings are Fromerica calculations based on these figures. Product names come from the Harmonized Tariff Schedule (U.S. International Trade Commission) heading for each 4-digit code.
- Fromerica is an independent company, not affiliated with any government agency. This page is for information only and is not legal, trade or investment advice.
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