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FFF Enterprises really puts the "fff" in pharmaceuticals. The company distributes biopharmaceuticals, plasma products, and vaccines to medical providers, pharmaceutical companies, contract research organizations, and other medical supply distributors. Already a top distributor of intravenous immune globulin, used to bolster weakened immune systems, FFF Enterprises is also a leading US distributor of influenza vaccines and medicines including Roche's Tamiflu, Sanofi Pasteur's Fluzone, and Novartis' Fluvirin. FFF Enterprises supplies more than 80% of the nation's hospitals with biopharmaceuticals.

Franz Haniel & Cie. is a five-headed hydra. The holding company is comprised of a handful of operating divisions -- Celesio, CWS-boco, ELG, TAKKT, and METRO -- each of which specializes in a different core business. Haniel derives the bulk of its sales from distributing pharmaceuticals to pharmacies worldwide through drug wholesaler Celesio. Its other divisions offer washroom and workwear products and services; stainless steel scrap recycling; mail-order of office and warehouse equipment; and retail store operations. Haniel has operations in some 30 countries. Members of the Haniel family have controlled Franz Haniel and Cie. GmbH company since its founding in 1756.

Genus Pharmaceuticals is owned by German drug maker STADA Arzneimittel. This is the company that put the genius into affordable medicine. Genus Pharmaceuticals supplies more than 40 generic and brand-name medicines in more than 100 forms, which it then sells wholesale to NHS hospitals and retail pharmacies all over the UK. The company's three main focuses are treatments for tuberculosis, pain management, and dermatology. It acquired several brands in the past few years and is looking to expand its portfolio.

Grupo Casa Saba, S.A.B. de C. V., through its subsidiaries, operates as a multi-channel and multi-product wholesale distributor in Mexico, the United States. It distributes pharmaceutical products, health, beauty aids and consumer goods, general merchandise, publications, and various other products. In addition, the company offers freight services to third parties; real estate services; value added services comprising multiple daily deliveries, emergency product replacement, merchandising, marketing support, and other customer counseling services; and training, conferences, and trade fairs. It serves privately-owned and government pharmacies, mass merchandisers, regional and national supermarkets, department stores, retail and convenience stores, wholesalers, and other specialized channels. The company also operates medical clinics; and offers specialized medical, rehabilitation, and surgical services. As of December 31, 2009, Grupo Casa Saba, S.A.B. de C. V. operated a network of 22 distribution centers. Grupo Casa Saba, S.A.B. de C. V. was founded in 1892 and is based in Mexico, Mexico.

With a name like Smith you might think it's all about generics, but H. D. Smith Wholesale Drug is more than that. H. D. Smith Wholesale Drug supplies pharmaceuticals (brand name and generic), over-the-counter supplements, and other health care products to pharmacies, hospitals, and retailers. It also provides inventory management services for government agencies, including most branches of the military, veterans clinics, and federal prisons. In addition to supplying drugs, H. D. Smith offers a variety of marketing and merchandising services including point-of-purchase signage, store design, direct-to-consumer advertising programs, and loyalty program implementation.

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