Top 22 Pharmaceutical Manufacturers in North Carolina 2026

MedPharm was founded in 1999 at King’s College London, emerging from academic research into topical and transdermal drug delivery. The company established its U.S.

KBI Biopharma operates a contract development and manufacturing organization (CDMO) focused on biologics from its Durham, North Carolina facility The company is a subsidiary of JSR Life Sciences and maintains additional sites in Research Triangle Park, Boulder, Louisville, The Woodlands, Geneva, and Leuven. While the firm celebrates 30 years of experience, an explicit founding year is not disclosed.

Cambrex High Point operates in High Point, North Carolina, as a dedicated facility within Cambrex's global contract development and manufacturing network. The site focuses on small-molecule active pharmaceutical ingredient (API) development and manufacturing for Phase I through III clinical trials and small-volume commercial supply.

Cosette Pharmaceuticals operates a manufacturing hub in Lincolnton, North Carolina. The company traces its heritage back more than 100 years, building on a century-plus legacy in pharmaceutical production.

FUJIFILM Biotechnologies operates a large-scale contract development and manufacturing organization (CDMO) site in Holly Springs, North Carolina. The facility is part of Fujifilm Corporation's global biologics network, which maintains additional production sites in the United States and Europe.

Fresenius Kabi USA operates a sterile fill-finish facility in Wilson, North Carolina. Ownership is corporate, with the Wilson plant serving as a key U.S.

Grifols’ Clayton, North Carolina facility operates as a plasma fractionation complex housing a fractionation plant and an immunoglobulin purification and filling plant. The site is part of Grifols, a global healthcare company founded in 1909 by Dr.

Sterling Pharma Solutions operates a cGMP active pharmaceutical ingredient (API) manufacturing facility in Cary, North Carolina. The site is part of Sterling Pharma Solutions Limited, a UK-registered company (registration 05712796) with a 50-plus-year heritage in small-molecule development and manufacturing.

Thermo Fisher Scientific Pharma Services operates a multipurpose pharmaceutical manufacturing campus in Greenville, North Carolina. The campus provides solid dose manufacturing and packaging alongside sterile liquid filling and lyophilization for small molecules and biologics.

Merck’s Durham, North Carolina site houses a 225,000-square-foot facility dedicated to vaccine manufacturing. The site operates as part of Merck & Co., Inc., a global biopharmaceutical company headquartered in Rahway, New Jersey, with a history spanning more than 130 years of developing medicines and vaccines.