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Birch Allergy Treatment Market Size, Share and Forecast 2026-2036

The global birch allergy treatment market is worth USD 307 mn in 2026 and is forecast to reach USD 551 mn by 2036, growing at a 6.0% CAGR. Germany is the largest country market and Subcutaneous injection extracts is the largest by product segment.

USD 307 mnMarket size 2026
USD 551 mnForecast 2036
6.0%CAGR 2026-2036
GermanyLargest country

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5 segmentation views25 countries2026 to 2036 yearly forecast

Market overview

The global birch allergy treatment market is worth USD 307 mn in 2026 and is forecast to reach USD 551 mn by 2036, growing at a 6.0% CAGR. Germany is the largest country market and Subcutaneous injection extracts is the largest by product segment.

ScopeAllergen immunotherapy for birch pollen allergy: subcutaneous injection extracts, sublingual tablets and sublingual drops, sold mainly in Northern and Central Europe and North America.
IndustryHealthcare
Value 2025USD 290 mn
Value 2026USD 307 mn
Value 2036USD 551 mn
CAGR 2026-20366.0%
Volume 2026357 thousand treatment courses
Volume 2036579 thousand treatment courses
Average price 2026USD 862 per treatment course
Report priceStarts from USD 1,999
PublishedNovember 2026

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Birch Allergy Treatment market size and forecast, 2026-2036

Exhibit 1The global birch allergy treatment market is forecast to grow from USD 307 mn in 2026 to USD 551 mn by 2036, a rise of 79%Global market value in USD: 2025 base year, 2026 estimate and forecast to 2036. CAGR 2026 to 2036: 6.0%
Birch Allergy Treatment market value, 2025 to 2036Market value by year. 2025: USD 290 mn; 2026: USD 307 mn; 2027: USD 326 mn; 2028: USD 345 mn; 2029: USD 366 mn; 2030: USD 388 mn; 2031: USD 411 mn; 2032: USD 436 mn; 2033: USD 462 mn; 2034: USD 490 mn; 2035: USD 519 mn; 2036: USD 551 mn. Compound annual growth rate 2026 to 2036: 6.0%.2025307 mn2026411 mn2031551 mn20366.0% CAGR

Source: Compare Market Research analysis.
© 2026 Compare Market Research. All rights reserved.

YearMarket value
2026USD 307 mn
2027USD 326 mn
2028USD 345 mn
2029USD 366 mn
2030USD 388 mn
2031USD 411 mn
2032USD 436 mn
2033USD 462 mn
2034USD 490 mn
2035USD 519 mn
2036USD 551 mn

Birch Allergy Treatment market segmentation

By product

Exhibit 2Subcutaneous injection extracts is the largest segment by product, with 48.0% of 2026 revenueEstimated share of 2026 global revenue, by product
Birch Allergy Treatment market share by product, 2026Share of 2026 revenue by product. Subcutaneous injection extracts: 48.0%; Sublingual tablets: 30.0%; Sublingual drops: 22.0%.Subcutaneous injection extracts48.0%Sublingual tablets30.0%Sublingual drops22.0%

Source: Compare Market Research analysis.
© 2026 Compare Market Research. All rights reserved.

SegmentShare 2026Share 2036Value 2026CAGR 2026-36
Subcutaneous injection extracts48.0%35.9%USD 148 mn3.0%
Sublingual tablets30.0%43.2%USD 92 mn9.9%
Sublingual drops22.0%20.9%USD 68 mn5.5%

By patient age

Exhibit 3Adults adds the most revenue by patient age, growing from USD 191 mn in 2026 to USD 326 mn by 2036Estimated revenue in USD by patient age, 2026 and 2036 forecast
Birch Allergy Treatment market by patient age, 2026 and 2036Revenue by patient age in 2026 and 2036. Adults: USD 191 mn in 2026, USD 326 mn in 2036, change +71%; Adolescents: USD 61 mn in 2026, USD 116 mn in 2036, change +88%; Children: USD 55 mn in 2026, USD 109 mn in 2036, change +97%.20262036 forecastChangeAdults+71%191 mn326 mnAdolescents+88%61 mn116 mnChildren+97%55 mn109 mn

Source: Compare Market Research analysis.
© 2026 Compare Market Research. All rights reserved.

SegmentShare 2026Share 2036Value 2026CAGR 2026-36
Adults62.0%59.2%USD 191 mn5.5%
Adolescents20.0%21.0%USD 61 mn6.5%
Children18.0%19.8%USD 55 mn7.0%

By treatment type

SegmentShare 2026Share 2036Value 2026CAGR 2026-36
Allergen immunotherapy46.0%48.0%USD 141 mn6.5%
Antihistamines24.0%22.0%USD 74 mn5.1%
Nasal corticosteroids18.0%17.0%USD 55 mn5.4%
Other therapies12.0%13.0%USD 37 mn6.8%

By administration route

SegmentShare 2026Share 2036Value 2026CAGR 2026-36
Oral and sublingual38.0%42.0%USD 117 mn7.1%
Nasal26.0%24.0%USD 80 mn5.2%
Subcutaneous injection22.0%22.0%USD 68 mn6.0%
Ocular and topical14.0%12.0%USD 43 mn4.4%

By sales channel

SegmentShare 2026Share 2036Value 2026CAGR 2026-36
Retail pharmacies46.0%44.0%USD 141 mn5.5%
Hospital pharmacies14.0%13.0%USD 43 mn5.2%
Allergy clinics22.0%21.0%USD 68 mn5.5%
Online pharmacies18.0%22.0%USD 55 mn8.2%

Top 25 countries for birch allergy treatment by revenue

Countries are ranked by revenue earned from sales in the country, not by where the product is made. The ten largest hold 74.0% of 2026 revenue and the 25 countries below together hold 93.5%.

Exhibit 4Germany is the largest country market at USD 68 mn in 2026, and the three largest countries hold 40.0% of global revenueEstimated 2026 revenue in USD and share of the global market, ten largest countries
Birch Allergy Treatment market, ten largest countries in 2026Ten largest countries by 2026 revenue. Germany: USD 68 mn, 22.0%; France: USD 31 mn, 10.0%; United States: USD 25 mn, 8.0%; Netherlands: USD 18 mn, 6.0%; United Kingdom: USD 18 mn, 6.0%; Sweden: USD 15 mn, 5.0%; Italy: USD 15 mn, 5.0%; Denmark: USD 12 mn, 4.0%; Austria: USD 12 mn, 4.0%; Switzerland: USD 12 mn, 4.0%.Germany68 mn 22.0%France31 mn 10.0%United States25 mn 8.0%Netherlands18 mn 6.0%United Kingdom18 mn 6.0%Sweden15 mn 5.0%Italy15 mn 5.0%Denmark12 mn 4.0%Austria12 mn 4.0%Switzerland12 mn 4.0%

Source: Compare Market Research analysis.
© 2026 Compare Market Research. All rights reserved.

#CountryValue 2026Share 2026Value 2036CAGR 2026-36
1GermanyUSD 68 mn22.0%USD 116 mn5.6%
2FranceUSD 31 mn10.0%USD 53 mn5.6%
3United StatesUSD 25 mn8.0%USD 46 mn6.5%
4NetherlandsUSD 18 mn6.0%USD 33 mn6.0%
5United KingdomUSD 18 mn6.0%USD 33 mn6.0%
6SwedenUSD 15 mn5.0%USD 28 mn6.0%
7ItalyUSD 15 mn5.0%USD 25 mn5.1%
8DenmarkUSD 12 mn4.0%USD 21 mn5.5%
9AustriaUSD 12 mn4.0%USD 21 mn5.5%
10SwitzerlandUSD 12 mn4.0%USD 22 mn6.0%
11PolandUSD 10.0 mn3.2%USD 21 mn7.6%
12CanadaUSD 8.3 mn2.7%USD 15 mn6.3%
13BelgiumUSD 6.9 mn2.2%USD 13 mn6.4%
14FinlandUSD 6.7 mn2.2%USD 12 mn6.3%
15NorwayUSD 5.2 mn1.7%USD 9.5 mn6.3%
16SpainUSD 3.9 mn1.3%USD 7.3 mn6.4%
17Czech RepublicUSD 3.8 mn1.2%USD 7.1 mn6.3%
18RussiaUSD 3.4 mn1.1%USD 7.2 mn7.6%
19JapanUSD 2.9 mn0.9%USD 5.3 mn6.3%
20AustraliaUSD 2.4 mn0.8%USD 4.4 mn6.4%
21IrelandUSD 1.7 mn0.6%USD 3.1 mn6.4%
22HungaryUSD 1.5 mn0.5%USD 2.8 mn6.4%
23BrazilUSD 1.4 mn0.4%USD 2.8 mn7.6%
24SlovakiaUSD 1.1 mn0.4%USD 2.1 mn6.3%
25South KoreaUSD 0.92 mn0.3%USD 1.9 mn7.7%
Rest of worldUSD 20 mn6.5%USD 38 mn6.6%
Exhibit 5Germany and France account for 29% of the USD 243 mn the market is forecast to add by 2036Forecast revenue added between 2026 and 2036 by country, in USD
Birch Allergy Treatment market, where the growth to 2036 comes fromRevenue added between 2026 and 2036. Market value 2026: USD 307 mn. Germany: +USD 49 mn; France: +USD 22 mn; United States: +USD 22 mn; Netherlands: +USD 15 mn; United Kingdom: +USD 15 mn; 20 other countries: +USD 104 mn; Rest of world: +USD 18 mn. Market value 2036: USD 551 mn.Market value 2026307 mnGermany+49 mnFrance+22 mnUnited States+22 mnNetherlands+15 mnUnited Kingdom+15 mn20 other countries+104 mnRest of world+18 mnMarket value 2036551 mn

Source: Compare Market Research analysis.
© 2026 Compare Market Research. All rights reserved.

Competitive landscape

Group 1: Global leaders

  • ALK-Abello
  • Stallergenes Greer

Group 2: Regional and specialist players

  • HAL Allergy
  • Allergopharma
  • Inmunotek
  • Jubilant HollisterStier
  • Bencard Allergie
  • Diater
  • Lofarma

Group 3: Emerging and niche players

  • LETI Pharma
  • Roxall
  • Allergy Therapeutics

Research methodology

Every figure on this page comes from the research framework that we apply to all of the markets we cover. The 2025 base for the birch allergy treatment market is built from the volume sold and the price that buyers pay, and is cross-checked against the size of the wider industry the market belongs to. Where a market can be sized in more than one way, the routes are compared before a figure is set.

The forecast runs year by year from the 2025 base to 2036. Growth in each year reflects demand from the industries that buy the product, adoption of new technology, pricing, regulation and replacement cycles. Volume and price are modelled together, so revenue in each year equals volume multiplied by average price. The 2026 to 2036 compound annual growth rate of 6.0% is calculated from the resulting values.

The market is divided by product, by patient age, by treatment type, by administration route, by sales channel. The 25 largest countries are ranked by revenue earned from sales to buyers in each country, not by where the product is made. Segment values and country values add up to the market total in every year, and every report is checked for consistency before it is published.

Companies are placed in three groups: global leaders, regional and specialist players, and emerging and niche players. The groups describe how companies compete in the market. They are not a ranking and they are not market shares.

Our analysts also carry out primary research. Customized reports add interviews with key opinion leaders, such as senior executives, technical specialists and buyers, to test the assumptions behind the numbers for the question being asked.

Read the full research methodology

Frequently asked questions

How big is the birch allergy treatment market?

The global birch allergy treatment market is estimated at USD 290 mn in 2025 and USD 307 mn in 2026.

How fast will the birch allergy treatment market grow?

It is forecast to reach USD 551 mn by 2036, a compound annual growth rate of 6.0% from 2026, an increase of USD 243 mn.

Which country is the largest market for birch allergy treatment?

Germany is the largest market by revenue at USD 68 mn in 2026, 22.0% of the global total. The three largest countries together hold 40.0%.

Which country is growing fastest?

Among the ten largest markets, United States is growing fastest at 6.5% a year from 2026 to 2036.

Which birch allergy treatment segment is largest?

In the by product split, Subcutaneous injection extracts is the largest segment with 48.0% of 2026 revenue.

Who are the leading birch allergy treatment companies?

Global leaders include ALK-Abello, Stallergenes Greer.

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