Segmenting by Application maps directly to the clinical risk–response continuum: first-line high-risk, relapsed/refractory high-risk, intermediate-risk, and low-risk populations. First-line high-risk is the revenue engine, accounting for roughly 45 % of 2023 global sales; multidrug induction, high-dose myeloablative chemotherapy, and anti-GD2 immunotherapy maintenance create an average treatment cost exceeding USD 350 k. Relapsed/refractory high-risk, while numerically smaller (incidence ≈ 600–700 cases/year in the U.S.), attracts the highest per-patient spend on salvage antibody–chemo combinations, MIBG radiotherapy and cellular trials, translating into 30 % of segment value. Intermediate-risk patients receive dose-reduced chemotherapy plus surgery; lower drug intensity caps the share at 15 %. Low-risk cohorts are mainly surgical with limited chemotherapy cycles, so prescription volume is minimal, representing roughly 10 % of the application market. Collectively, these risk-stratified utilisations frame the Neuroblastoma Treatment Drugs market taxonomy and guide forecasting models.