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The Medicine Shoppe franchise

A retail pharmacy dispensing prescriptions and selling health products. At the end of 2026 there were 244 The Medicine Shoppe locations in the US, all franchised.

Cost to open
$521K–$914K
Franchise fee
$0
Royalty
3% or qualifying $599 monthly option
Locations, 2026
244

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Company snapshot

From MEDICINE SHOPPE INTERNATIONAL, INC’s 2026 filing; SBA status from the SBA Franchise Directory, October 28, 2026.

How much a The Medicine Shoppe franchise costs

Opening New pharmacy costs an estimated $521,150 to $913,653. That covers the franchise fee and everything else needed to open, through the first months of working capital.

Source: MEDICINE SHOPPE INTERNATIONAL, INC, 2026 filing, page 23

The Medicine Shoppe franchise fee

The franchise fee is $0. You pay it when you sign the franchise agreement.

Source: MEDICINE SHOPPE INTERNATIONAL, INC, 2026 filing, page 16

Royalty and ongoing fees

Royalty3% of gross sales; an optional purchasing commitment can replace this with a $599 monthly license fee.

The typical franchise royalty is 6% of sales, plus 2% for marketing. See franchise fees and royalties to compare.

Source: MEDICINE SHOPPE INTERNATIONAL, INC, 2026 filing, page 16

Sales and earnings

No figures The Medicine Shoppe does not share sales or profit figures for its locations. Talking to current and former franchise owners is the usual way to learn what a location earns.

Source: MEDICINE SHOPPE INTERNATIONAL, INC, 2026 filing, page 49

Locations opened and closed

2024
292 (−5)
2025
271 (−21)
2026
244 (−27)
YearFranchisedCompany-owned
2024292 (−5)0
2025271 (−21)0
2026244 (−27)0

Closed or left counts terminations, non-renewals, locations bought back by the franchisor and locations that stopped operating.

See which brands grew most in the fastest-growing franchises rankings.

Source: MEDICINE SHOPPE INTERNATIONAL, INC, 2026 filing, page 50

Source filing (2026, PDF)

How The Medicine Shoppe compares

Of the 65 retail franchises on this site, The Medicine Shoppe is the 60th cheapest to open and the 22nd largest by number of locations.

MeasureThe Medicine ShoppeTypical retail
Cost to open, low end$521K$224K
Change in franchised locations, 0 yrs−17.8%+4.8%
Shares earnings figuresNo56 of 65

Typical is the median across the 65 brands in retail franchises.

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