MediTech Media came top, with fee income up 18 per cent to £6.8m.
In second place was Edelman, whose healthcare practice saw 31 per cent growth to £4.1m. Avenue HKM was third, despite a seven per cent drop in income to £3.5m.
The Sarbanes-Oxley Act again affected the number of entrants to PRWeek’s healthcare league tables. As a result, no comparisons have been made with last year’s figures.
Companies that could not enter included healthcare specialists Medical Action Communications and Shire Health Group, as well as full service agencies Burson Marsteller, Fleishman-Hillard and Hill & Knowlton.
Ethical and pharmaceutical communications remained the biggest earner for the sector, generating more than £12m, 58 per cent of overall fee income.