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Cencora to Invest $1 Billion in U.S. Supply Chain Expansion

Pharmaceutical distribution giant Cencora, Inc. (formerly AmerisourceBergen) has announced a major initiative: a $1 billion investment in its U.S. supply-chain infrastructure over the next five years.

Why the investment

Cencora is responding to a rising trend in medications that require complex handling — especially specialty, injectable and cold-chain therapies. The company noted that about half of new drugs launching between 2023 and 2027 will require refrigerated or frozen storage, up sharply from prior cycles.

The investment reflects broader pressures: medicines such as weight-loss GLP-1 therapies (for example, the class typified by Ozempic), oncology drugs, biologics and other injectables increasingly dominate the pipeline and require more advanced logistics.

What the investment will support

Construction of two new national distribution centres, including a 530,000-square-foot facility near Harrison, Ohio, scheduled for spring 2027.

Expansion of a specialty-drug distribution centre in Dothan, Alabama—boosting refrigerated and frozen capacity.

Replacement of a facility in California (Corona) with a new facility in Fontana, doubling size and upgrading capabilities.

Enhanced automation and robotic picking systems, aimed at more efficient breakdown, staging and delivery of physician offices, hospitals and pharmacies.

Strategic significance

With this move, Cencora is repositioning from a traditional bulk-drug distributor to a logistics engine for next-generation therapies. Its strong performance on specialty drugs and injectable products underpins the investment: for example, the company reported quarterly revenues of approximately $80.7 billion, up about 9% year-over-year — with growth driven in part by GLP-1 weight-loss drugs and other injectables.

From a competitive standpoint, this positions Cencora to deal with supply-chain risks (such as logistics disruptions, cold-chain failures and inventory spoilage) better than many peers. Analyst commentary highlights that failing to manage cold-chain properly can result in product loss or spoilage — a material cost in specialty pharmaceuticals.

Implications for the industry

Providers and pharmacies: A more resilient distribution network means fewer delays or stock-outs of advanced medications, which can improve patient care continuity.

Manufacturers: Pharmaceutical companies launching cold-chain therapies gain confidence in the logistics capabilities of their distributor partners.

Investors: The investment reflects the growing margin-rich segment of specialty drugs versus traditional generics and pills — favoring players with logistics strength.

Supply-chain resilience: Geographic diversification (Ohio, Alabama, California) and automation reduce risk from regional outages or labour constraints.

Key takeaways

The $1 billion investment is forward-looking and spread over a multiyear horizon, aligning with the expected surge in cold-chain medications.

Cencora is both scaling up capacity (new and expanded facilities) and modernising processes (automation, robotics, improved cold storage).

The move highlights the evolving role of drug distributors: not just moving pills, but handling complex biologics, injectables and therapies with intricate storage/handling needs.

For stakeholders across the healthcare ecosystem, it signals that infrastructure is catching up to therapeutic innovation — logistics is becoming a strategic enabler for medicine access

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