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THE MEDICINE SHOPPE OR MEDICINE SHOPPE
Medicine Shoppe International, Inc. offers franchises for operating retail pharmacy businesses under The Medicine Shoppe® name, marks, and systems. Franchisees sell prescription and non-prescription medicines, vitamins, and potentially wellness services to the general public, with elderly persons comprising a disproportionate share of customers due to the aging population. The business model provides access to core support services from parent company Cardinal Health and affiliates, including pharmaceutical distribution and administrative support.
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Franchise Costs
3% of Gross Sales continuing license fee (or $599/mo fixed if electing 95% pharmaceutical purchases from Cardinal Health) + no brand ad fund + optional monthly Retail Solutions fees ($55-$1,015 depending on services).
Financial Performance
Item 19 Financial Performance
This franchise did not provide Item 19 financial performance data.
Be careful if you are interested in investing. The lack of financial performance representations may indicate limited data or varying results across franchises.
Extracted Item 19 Section
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Unlock financial performance dataTHE MEDICINE SHOPPE OR MEDICINE SHOPPE Franchise Analysis
Picture stepping into a pharmacy franchise backed by a pharmaceutical giant like Cardinal Health, tapping into an aging population's steady demand for prescriptions and wellness products. Yet behind the reliable brand—franchising since 1970—lurks a system contraction story and SBA financing data that could sway your decision. What do the termination trends and loan performance really signal for new investors?
Item 7 of the 2025 FDD pegs the initial investment at $513,050 to $895,653, covering build-out, inventory, and equipment for a retail pharmacy selling Rx drugs, OTC meds, vitamins, and possibly wellness services. Ongoing fees include a 3% royalty on gross sales—or a $599 monthly fixed fee if you commit to 95% pharmaceutical buys from Cardinal Health—plus no brand advertising fund and optional Retail Solutions fees from $55 to $1,015 monthly. Notably, there's no Item 19 financial performance representations, so no disclosed average revenues or profits; you'll need to dig into franchisee contacts for those figures, making validated earnings opaque compared to peers.
The system's 271 locations dropped 7% from 292 in 2024, with 21 terminations, just 2 non-renewals, 12 transfers, and 17 projected new units signaling modest expansion plans. Litigation centers on fee disputes where franchisees skipped payments, leading to settlements or exits, hinting at cash flow pressures for some. On a brighter note, 75 SBA loans average $758,527 with a low 2.7% default rate, suggesting financed owners generally succeed. This mature concept offers supply chain perks via Cardinal but demands $500K+ upfront in a shrinking footprint—ideal if you have pharmacy experience and deep pockets, riskier otherwise.
Analysis based on the 2025 Franchise Disclosure Document. All figures should be independently verified before making investment decisions.
How THE MEDICINE SHOPPE OR MEDICINE SHOPPE Compares
Key Insights
- Higher investment than 83% of Medical Services franchises
- Top 10 largest franchise system in Medical Services
- Lower than average SBA loan default rate in Medical Services
| Franchise | Investment | Fee | Royalty | Locations |
|---|---|---|---|---|
THE MEDICINE SHOPPE OR MEDICINE SHOPPE Current | $513K – $896K | N/A | 3.0% | 271 |
| VISION SOURCE | $100K – $450K | N/A | 2.5% | 3,027 |
| THE JOINT CHIROPRACTIC (UNIT) | $254K – $521K | $40K | 7.0% | 696 |
| AFC/AMERICAN FAMILY CARE | $948K – $1.5M | $60K | 6.0% | 327 |
| ANY LAB TEST NOW | $183K – $318K | $55K | 7.0% | 247 |
| ANY LAB TEST NOW | $145K – $272K | $40K | 8.0% | 221 |
Medical Services Average 23 franchises | $281K – $571K | $59K | 6.5% | – |
* Comparison based on latest FDD filings. Investment ranges from Item 7, fees from Item 5. Showing top 5 of 23 Medical Services franchises by location count.
Locations & Growth
Outlet Growth Over Time
Total outlets at end of each year
Geographic Distribution (2025)
Outlets by state across the United States
+25 more states
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Unlock location growth dataSBA Loan History
Historical SBA 7(a) loan data for THE MEDICINE SHOPPE OR MEDICINE SHOPPE franchisees (2010 – 2025)
Loans by Year
SBA 7(a) loan activity over time
* Data sourced from SBA 7(a) FOIA loan records. Default rate calculated from charged-off loans.
75 SBA loans on record
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Unlock SBA loan historyFranchisee Contacts
298 franchisee contacts on file from official FDD filings.
298 Contacts Available
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Unlock contactsDue Diligence
Litigation (Item 3)
Primarily fee collection disputes where franchisees failed to pay amounts due under franchise agreements, including unilateral termination attempts, with counterclaims for breach of contract and good faith and fair dealing. All resolved via settlements involving payments to MSI, conversion to new agreements, or exit from the system.
Bankruptcy (Item 4)
System Health (Item 20)
Franchise system changes reported in the most recent fiscal year
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Unlock due diligence reportsFrequently Asked Questions
The total initial investment to open a THE MEDICINE SHOPPE OR MEDICINE SHOPPE franchise ranges from $513,050 to $895,653. Ongoing royalty fees are 3.0% of gross sales.
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