Who insures it · 6 named markets · read 2026-10-28

Who insures Pharmacies and compounding?

Pharmacies and compounding is a risk most standard carriers decline on sight. The markets below say in their own published appetite or program pages that they write it; each line links to that page with the date it was read.

6 markets publicly write Pharmacies and compounding: Pharmacists Mutual Insurance Group, Kinsale Insurance, HPSO (Healthcare Providers Service Organization), Chubb, ProAssurance (Miscellaneous Medical) and others. 2 admitted carriers, 2 E&S carriers, 1 program administrator, 1 wholesaler. 1 through surplus lines.

By Sam Alishahi, independent insurance broker

The markets

Who says they write it

From each market's own appetite, product or program page (or a trade article quoting it), read on the date shown. Appetites change: the linked page controls. A market listed here isn't necessarily one this agency is appointed with; a licensed broker reaches most of them directly or through a wholesaler.

Market	What they say they write	Where	Paper	Source
Pharmacists Mutual Insurance Group Admitted carrier	Pharmacy Services and Specified Products (PSP) professional liability for pharmacies covering pharmacy services, prescription products, compounding services including sterile and intrathecal/epidural preparations, outsourcing services and immunization services (employees covered), plus pharmacy businessowners/commercial package with property, general liability, cyber, EPLI, EBL, sexual misconduct, “Compounding Services, including sterile and intrathecal/epidural preparations”	not stated (not available in all states and territories)	not stated	pmuw.com · read 2026-10-28
Kinsale Insurance E&S carrier	Allied Health Division Miscellaneous Medical target classes include Pharmacies, including medical marijuana dispensaries. “Pharmacies, including medical marijuana dispensaries”	not stated	not stated	kinsaleins.com · read 2026-10-28
HPSO (Healthcare Providers Service Organization) Program administrator	Professional liability for pharmacists and pharmacy businesses plus a pharmacy business insurance program; administered by Affinity Insurance Services, endorsed by the American Pharmacists Association. “That's why HPSO offers professional liability insurance for both pharmacists and pharmacy businesses.”	not stated (some endorsements unavailable in TX and NY)	not stated	hpso.com · read 2026-10-28
Chubb Admitted carrier	Outpatient Medical Facilities liability program whose Classes of Business include Pharmacies, with a Pharmacy Compounding supplemental application. “Pharmacy Compounding”	not stated	not stated	chubb.com · read 2026-10-28
ProAssurance (Miscellaneous Medical) E&S carrier	Medical professional liability underwritten on an excess and surplus lines basis; Preferred Business includes Specialty Pharmacies, Home Health, Hospice, Medical Clinics, Laboratories and Surgery Centers. “Specialty Pharmacies”	not stated	Surplus lines	proassurance.com · read 2026-10-28
Burns & Wilcox Wholesaler	Allied Health Medical Services and Healthcare Facilities specialty naming Pharmacies, placed as professional liability monoline or PL/GL package. “Pharmacies”	not stated	not stated	burnsandwilcox.com · read 2026-10-28

Only Pharmacists Mutual and Chubb publicly reference compounding. Also verified but omitted: Beazley Miscellaneous Medical (Pharmacies), Prime Insurance Company medical-professional page (pharmacists), CNA Allied Healthcare affinity program (pharmacists, admitted in all states). Pharmacists Mutual's phmic.com redirects to pmuw.com.

How Pharmacies and compounding gets placed

Standard markets first where any will look at it; when they won't, the placement goes through surplus lines, where a licensed surplus lines broker places it with an eligible non-admitted insurer and files the state's surplus lines tax and stamping forms. In California, risks on the Department of Insurance export list can go to surplus lines without the usual diligent search of admitted carriers. Surplus lines policies aren't backed by a state guaranty fund, so the insurer's financial rating matters more.

What an underwriter will want before quoting: a full description of the operation, years in business and the owners' experience, revenue or payroll, loss runs (five years where available, currently valued), the contracts or venue requirements that set the limits, and photos or safety plans where the hazard is physical.

I'm licensed in 49 states and Washington, DC and your request stays with my agency, not passed to another agent. In Florida, where my licenses are still being issued, a partner agency in your state helps in the meantime.

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