Alira Health

How Pharma and Medtech Convergence Is Changing DDS Partner Selection in 2026

The rapid adoption of GLP-1 therapies, combined with the broader expansion of biologics and biosimilars, is reshaping how medicines are delivered. As more treatments move into patients’ hands, the need for combination products, in which the drug and delivery device are developed as a single integrated system, accelerates. This trend is driving growth in drug delivery systems (DDS), the largest medtech contract development and manufacturing organization (CDMO) segment, which is expected to increase from $15.2 billion in 2025 to $23.5 billion by 2030 at a 9.1% compound annual growth rate.

Primary packaging and DDS suppliers that historically sold components and basic quality control services are now moving upstream into early development and pharma-facing services, treating the container, device, and drug product as a single system rather than separate silos. Leading suppliers and CDMOs have publicly signaled this strategic shift via partnerships, new lab capabilities, and selective fill and assembly offerings, ushering in a new age of efficiency in integrated manufacturing.

For pharma and medtech companies, this convergence is raising the bar on partner selection, regulatory readiness, and end-to-end execution. DDS suppliers and CDMOs that operated in separate parts of the value chain are now moving upstream into early development and pharma-facing services. The result is a market in which customers increasingly expect integrated technical support, stronger regulatory alignment, and fewer handoffs across the product lifecycle.

In this article, our DDS expert Giorgia examines the drivers of convergence, suppliers’ upstream moves, and the implications for business development and strategy teams.

Pharma and Medtech Convergence Drivers

Demand boom for a range of combination products: The combination product wave is driven by rising demand for self-administration and home care, a shift already evident in the development pipeline. As of 2024, approximately 15% of approved, clinical-stage IV, subcutaneous biopharmaceuticals were large-volume subcutaneous therapies. Nearly half require 2–5 mL injections, volumes well suited to at-home delivery using autoinjectors and wearable injectors. This evolution extends beyond the first generation of standardized 1- and 2.5-mL autoinjectors, prompting manufacturers to prioritize the development of integrated DDS platforms that can reliably deliver higher-viscosity biologics and larger volumes, forming partnerships to build out a portfolio of intellectual property-protected and differentiated technologies. These market dynamics have pushed device suppliers to offer more development-facing services so that drug developers can lock in platform choices early, thus building loyalty to their manufacturing partner and avoiding costly rework.

Regulatory pressure: Regulatory reviewers treat combination products as a distinct system and expect integrated evidence that demonstrates safety, compatibility, and performance across drug, container, and device. This approach is reflected in both US and EU regulatory frameworks. In the US, the FDA applies an integrated quality framework for combination products under 21 CFR Part 4, while in the EU, Medical Device Regulation (MDR) Article 117 requires marketing authorization applications for integral drug-device products (e.g., prefilled syringes and autoinjectors) to include a Notified Body Opinion confirming that the device complies with the MDR’s General Safety and Performance Requirements. This includes extractables and leachables (E&L) and compatibility data, container-closure integrity (CCI), particle risk assessments like tradeoffs between silicone and particulates, as well as stability, functionality, and human factors testing. Regulators also scrutinize design controls and the supplier’s quality system. As a result, DDS suppliers that expand into pharma services must align medical device quality management systems with pharma good manufacturing practices (GMP) expectations. For example, ISO 13485 and applicable GMP/device GMP requirements like 21 CFR 820 and combination-product GMP considerations under 21 CFR 4. Effective engagement with regulators and alignment across vendors can lead to cleaner regulatory dossiers.

Speed to market and reliability: As biologic, biosimilar, and GLP-1 pipelines expand and competition intensifies, pharmaceutical companies face increasing pressure to accelerate development and capture first-to-market advantages. These compressed timelines favor fewer vendors, fewer tech transfers, and accountable supplier partnerships. Drug developers aim to reduce the number of handoffs that create reformulation risk, while DDS suppliers strive to offer upstream services that can shorten development cycles and reduce the likelihood of later redesigns.

Evolution of Drug Delivery Systems

The DDS model has shifted markedly over the past five years, as the biologics, biosimilar, and GLP-1 wave pushed volume toward self-administration and displaced the traditional siloed model in favor of closer drug-device integration.

Then: Primary packaging and DDS suppliers focused on components and basic quality control, while pharmaceutical CDMOs handled formulation, stability, and GMP fill and finish. Device documentation and drug product chemistry were often prepared separately and integrated late in development, increasing the risk of costly surprises.

Now: DDS suppliers have started to move upstream, offering pharma-facing analytical labs, formulation and injectability advice, and selective downstream GMP fill and finish. The modern supplier positions the container, device, and drug product as a single engineered system and starts engaging with pharma early in clinical phases, anticipating the compound’s eventual commercial scale-up.

These market dynamics are expanding the DDS value proposition. Rather than supplying containers and delivery devices alone, leading DDS companies are moving both upstream and downstream to help pharmaceutical customers de-risk development, accelerate time to market, and simplify combination-product execution.

This broader role is most evident in three areas of value chain expansion:

  • Analytical testing
  • Formulation and injectability support
  • Selective fill and finish

Value Chain Expansion #1

Analytical testing is a common upstream service extension: suppliers are building or partnering to provide E&L studies, CCI testing, compatibility and stability support, particulate analysis, aged-functionality tests, and combination-product testing. These labs enable early identification of material-drug interactions, seal performance issues, and particulate risks, all of which DDS companies must address well before pivotal studies to avoid bridging studies or late design changes. Companies are also adding device-specific testing, like glide/break-loose, force/profile, visual/mechanical quality assurance, and inhalation performance testing, which provides the integrated evidence regulators expect.

Value Chain Expansion #2

Formulation and injectability support is increasingly offered by DDS firms, particularly inhalation leaders. Typical services include mapping the viscosity or injectability window for a device, advising on silicone or coating strategies, providing handling and process guidance, and running early-stage stability and compatibility studies. These capabilities help lock the drug-device pairing earlier, reducing iterations.

Value Chain Expansion #3

Fill and finish is growing as a selective, site-dependent capability among primary packaging and DDS suppliers. Some suppliers operate in-house GMP fill lines for clinical and targeted commercial volumes; others use partner-enabled or hybrid models that combine ready-to-use/ready-to-fill components, small-batch clinical fills, and outsourced large-scale aseptic production. Strategic partnerships linking autoinjector platforms to CDMO fill and assembly reduce tech transfers and improve supply-chain accountability.

Key Requirements for Value Chain Expansion

Value chain expansion is becoming a competitive differentiator rather than simply a capability upgrade. As pharmaceutical companies consolidate suppliers and seek partners that can support integrated drug-device development, DDS companies must invest in the quality systems, technical expertise, and operating model required to deliver these services credibly.

Key requirements include:

  • Quality and regulatory alignment: Align with ISO 13485 QMS, drug-manufacturing GMP, and device GMP expectations (e.g., 21 CFR 820 and combination-product GMP considerations under 21 CFR 4) for combination products. Standards and guidance to reference also include ISO 10993 (biocompatibility), ISO 62366 (usability), and ISO 14971 (risk management).
  • People and skills: Hire or partner to secure analytical chemists for E&L, CCI, and particulates testing, alongside materials scientists, formulation and process engineers, device engineers, quality assurance and control, and regulatory affairs experts.
  • Make vs. buy decisions: Determine core capabilities to develop in-house or outsource. E&L, CCI, compatibility, and device testing in-house may be strategically combined with selective partnership networks with GMP fill and finish capabilities.
  • Positioning: Emphasize validated platforms, documented regulatory-grade evidence, and accountable partnerships.

Drug Delivery System Industry Outlook

As drug delivery firms prepare for the next large-molecule blockbuster or generics opportunity, pharmaceutical companies that seek to evaluate new device partners will prioritize suppliers that can:

  • minimize technology transfers and vendor handoffs.
  • accelerate development timelines.
  • improve first-time success rates.
  • deliver cleaner regulatory submissions backed by integrated, risk-based evidence.

In this shifting landscape, to stay competitive, DDS suppliers should invest in capabilities that increase regulatory lock-in, reduce redesigns, and strengthen long-term customer relationships. Strategic partnerships, acquisitions, and targeted capability expansions will remain important levers as companies compete to become the trusted upstream partner for combination products.

Expert insights
provided by:

Giorgia Miglietta,
Principal and Co-Chair, Drug Delivery Systems Center of Excellence

Expert insights
provided by:

Giorgia Migliletta, Principal and Co-Chair, Drug Delivery Systems Center of Excellence

Learn More About Our CDMO Medtech Expertise

Learn how to leverage our years of CDMO medtech experience to help your team make informed decisions, enhance competencies, and drive long-term growth.

Welcome to Alira Health. This site is best viewed in Chrome, Microsoft Edge, or Firefox.