North America
The North American market for Azithromycin initiated the Q4 of 2022 on an upward note, with prices settled at USD 103700 per MT in October. However, these prices started plunging slowly in November and fell even further to USD 102500 per MT in December. The Golden week vacation in the first week of October and repeated lockdowns in China, from which most APIs are imported, significantly reduced imports into the US. As a result, domestic retailers had to raise their prices, considering the low inventories in the market. Consequently, improvement in import frequencies from China led to adequate stock in the market, causing the value to be slightly lower. Also, demand from the downstream pharmaceutical sector in the US reduced in November ahead of the Christmas Holiday. All these factors had a prominent effect on the mixed price trend of Azithromycin in the US domestic market.

Asia- Pacific
Azithromycin prices showcased a see-saw trend in the Asia Pacific region throughout the fourth Quarter of 2022. Some industries were shutdowns due to a long week holiday in the first week of October and later stringent lockdowns resulting in increased risks of further uncertainties in production, operations, logistics, and supply chain activities. Considering the situation, Chinese manufacturers raised their prices of Azithromycin to USD 99000/MT in October to maintain stability in their profit margin. In contrast, prices started declining from the onset of November as demand from the downstream pharmaceutical industries was stable to weak amid the slowdown in China's economy. Towards the end of Q4, prices dropped to USD 97400/MT, supported by sufficient regional stockpiles as production activities resumed.

Europe
Prices for Azithromycin remained high in Europe with the onset of the fourth quarter of 2022 due to limited inventories and constantly increased demand from end-user industries such as pharmaceutical and healthcare sectors. Inadequate imports from major exporting countries, mainly China, were seen due to the Golden Week holiday and lockdown restrictions. Also, the conflict between Russia and Ukraine caused disruption in the supply chain and increased freight costs. However, prices began to drop from November to late December due to the poor offtakes and the underwhelming downstream demand. Additionally, the suppliers had an adequate supply on hand to cover the entire domestic demand. As a ripple effect, Azithromycin CFR Hamburg prices declined from USD 105040/MT to USD 103860/MT from October to December 2022.

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