Amazon Pharmacy plans to expand same-day prescription delivery to 4,500 cities and towns across the United States by the end of 2026. The move adds nearly 2,000 new communities and extends service into newly covered states, including Idaho and Massachusetts.
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The expansion comes as many parts of the country face pharmacy closures, staffing shortages, and transportation barriers. Amazon says it is using its logistics network to help close those gaps by bringing medications directly to customers’ doors, often within hours.
“Patients shouldn’t have to choose between speed, cost, and convenience when it comes to their medication, regardless of where they live,” said John Love, Vice President of Amazon Pharmacy. “By combining our pharmacy expertise with our logistics network, we’re removing critical barriers and helping patients start treatment faster—setting a new standard for accessible, digital-forward pharmacy care.”
Amazon said it improved delivery speeds across all 50 states and Washington, D.C., in 2025. The company uses different delivery methods depending on the location. In dense urban areas like Manhattan, medications are delivered by e-bike. In suburban areas such as Chesterbrook, Pennsylvania, electric vehicles are used. In remote places like Mackinac Island, Michigan, deliveries arrive by ferry and horse-drawn carriage.
The service also reaches hard-to-access regions, including remote towns in Alaska and communities across the Navajo Nation, where the nearest pharmacy can be a 45- to 60-minute drive away. Amazon says it can deliver prescriptions the next day or within two to three days in many of those areas.
In Los Angeles, One Medical patients can pick up prescriptions within minutes through Amazon Pharmacy kiosks located inside select clinics. The company plans to expand kiosk access in 2026.
Amazon Pharmacy also continues to push affordability programs. Prime members without insurance can save up to 80% on generic medications and 40% on brand-name medications through Prime Rx. RxPass, a $ 5-per-month subscription, now covers more than 50 commonly prescribed medications in 48 states and includes free delivery in eligible areas.
Last year, Walmart began offering same-day delivery for refrigerated medications such as insulin and antibiotics. That move signaled how quickly pharmacy delivery is shifting and how retailers are investing in faster, temperature-controlled last-mile networks.
