The ACS Green Chemistry Institute Pharmaceutical Roundtable stands at the forefront of promoting and implementing green chemistry and engineering within the pharmaceutical and allied industries (e.g. agricultural, animal health, etc.) to foster the UN Sustainable Development Goal, Good Health and Well-Being. For over two decades, the Roundtable has advanced sustainable chemical innovations, catalyzing collaborations between industry and academia, while educating on green chemistry and sustainability. This session offers a summary of achievements and outlines future needs for to deliver on our strategic outlook for the coming 20 years.