SITCSection 5
U.S. imports of adrenal cortical hormone medicaments, dosage form or retail packings (SITC 54224) totaled $199.5M in April 2026, traded with 24 countries.
Adrenal Cortical Hormone Medicaments, Dosage Form or Retail Packings imports of $199.5M in April 2026 ran 16% above the year-to-date monthly average of $171.7M.
Last updated: April 2026 dataAdrenal cortical hormone medicaments — corticosteroids such as hydrocortisone, cortisone, prednisone, and their synthetic analogs — put up in measured doses or retail packaging occupy a distinct heading that reflects their clinical importance across inflammation, autoimmune, and endocrine indications. FDA admissibility review governs all such imports, with foreign manufacturers required to hold valid drug approvals and cGMP compliance. The explicit separation of adrenal cortical hormones from the broader hormone NES heading means importers must confirm the specific active ingredient to avoid misclassification, particularly for combination products. These finished corticosteroid products serve hospital, outpatient, and specialty pharmacy channels globally.
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Adrenal cortical hormones are specifically those produced by the adrenal cortex or their synthetic equivalents — glucocorticoids and mineralocorticoids such as hydrocortisone, cortisone, dexamethasone, and aldosterone. The NES heading captures all other hormonal medicaments in dosage form that are not insulin and not adrenal cortical hormones. When a product contains an adrenal cortical hormone as its primary active ingredient, this specific heading takes precedence over the NES category.
Finished corticosteroid products from certain origins may be subject to Section 301 tariffs depending on the country of manufacture. Importers should verify current trade-remedy orders with CBP and confirm the correct country of origin — which for pharmaceutical products is typically where the final dosage form is manufactured — before entry.
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| Country | Imports | Exports | Balance |
|---|---|---|---|
| FRANCE | $139.1M | $216K | -$138.9M |
| INDIA | $13.8M | $2.9M | -$10.8M |
| CANADA | $8.4M | $6.0M | -$2.4M |
| UNITED KINGDOM | $10.9M | $86K | -$10.8M |
| IRELAND | $10.1M | $94K | -$10.0M |
Monthly import values over time