US Export Plan - Sector Report - Pharmaceutical Services

This is one of 8 sector reports that outlines the background research and analysis prepared in support of the US Export Plan and looks to identify the key opportunities in the USA for Scottish companies in this sector.


Table: Top Five Priority States for Scotland in the Sector

The table below provides a summary of the top five priority states identified in the Matrix model, which have been cross-referenced with research, analysis and stakeholder engagement.

State: California

Strengths:

  • A large user and customer base, deep pools of capital, leading universities and deep pools of talent
  • Economic output biopharmaceutical sector: 276,900
  • Clinical Trials: 6,494
  • VC deals in Pharma : 444
  • UK Pharma imports: 181,136,032
  • Total US Pharma imports: 3,727,836,717
  • Presence of Pharma businesses: 8,791

Notable sub-sector Opportunities:

Genetic engineering, cell therapy, and drug discovery

State level risks/considerations for Scottish exporters:

  • California Board of Pharmacy enforces stringent licensing for wholesalers and 3PLs (Third-party Logistics providers).
  • Strict enforcement of Drug Supply Chain Security Act (DSCSA)
  • Environmental compliance (e.g., Proposition 65) requiring warnings for certain chemicals in drug products.
  • Very high operating and talent costs

State: Texas

Strengths:

  • Not only a large potential user and customer base, but also an enhanced support ecosystem through the UK-TMC BioBridge
  • Economic output biopharmaceutical sector: 9,500
  • Clinical Trials: 6,072
  • VC deals in Pharma: 66
  • UK Pharma imports: 461,918,977
  • Total US Pharma imports: 1,452,109,450
  • Presence of Pharma businesses: 3,292

Notable sub-sector Opportunities:

Oncology and biomedical innovation

State level risks/considerations for Scottish exporters:

  • Strong controls on distribution e.g mandatory wholesale distribution and 3PL licensing through the Texas Board of Pharmacy
  • Potential added requirements for controlled substances.
  • Evolving biotech ecosystem operating in distinct clusters rather than a singular hub

State: North Carolina

Strengths:

  • Combination of top universities, research institutions, startups and established pharma companies, and CROs
  • Economic output biopharmaceutical sector: 80,200
  • Clinical Trials: 3,074
  • VC deals in Pharma: 43
  • UK Pharma imports: 386,049,201
  • Total US Pharma imports: 21,225,018,693
  • Presence of Pharma businesses: 1,026

Notable sub-sector Opportunities:

Manufacturing, clinical research and drug development

State level risks/considerations for Scottish exporters:

  • Emphasis on temperature monitoring and facility standards, especially in RTP (Research Triangle Park) corridor.
  • Rigorous state licensing for manufacturers, wholesalers, and 3PLs.
  • Strong integration with DSCSA compliance.
  • Strong competition owing to biotech corridor (RTP)

State: New Jersey

Strengths:

  • Strong customer base across major pharmaceutical headquarters and R&D centres
  • Economic output biopharmaceutical sector: 120,900
  • Clinical Trials: 2,008
  • VC deals in Pharma: 23
  • UK Pharma imports: 1,334,405,480
  • Total US Pharma imports: 11,942,452,729
  • Presence of Pharma businesses: 1,829

Notable sub-sector Opportunities:

Therapeutics, drug development, manufacturing, and clinical trials

State level risks/considerations for Scottish exporters:

  • Requires state‑specific wholesale and 3PL licensing, often with more detailed ownership and quality documentation.
  • Strict expectations for recordkeeping and product integrity assurance.
  • High operating costs

State: Massachusetts

Strengths:

  • World leading cluster for research with strong academic focus and major company headquarters
  • Economic output biopharmaceutical sector: 110,100
  • Clinical Trials: 2,936
  • VC deals in Pharma: 296
  • UK Pharma imports: 90,276,120
  • Total US Pharma imports: 1,858,257,166
  • Presence of Pharma businesses: 1,256

Notable sub-sector Opportunities:

Biotech, difficult-to-treat diseases and therapeutics

State level risks/considerations for Scottish exporters:

  • State-level manufacturer, wholesaler, and 3PL licensure requirements.
  • Emphasis on storage controls, temperature standards, and chain‑of‑custody.
  • Very established cluster requiring strong competitive edge

Contact

Email: William.Gray@gov.scot

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