Amazon Pharmacy to Expand Same-Day Delivery to 4,500 Cities Across the US

The expansion increases competition in the home drug delivery market, where Amazon competes with Walmart, Optum Home Delivery, Cigna Express Scripts, and CVS Caremark.

Amazon Pharmacy will expand its same-day prescription delivery service to nearly 4,500 cities across the United States in 2026, adding approximately 2,000 new communities to an initiative that began in 2024 in New York City and the greater Los Angeles area.

New states added to the same-day network include Idaho and Massachusetts. The company said it improved delivery speeds across all 50 states and Washington, D.C., in 2025. Traditional mail-order pharmacy services typically take five to 10 days for delivery, according to the company.

The expansion increases competition in the home drug delivery market, where Amazon competes with Walmart, Optum Home Delivery, Cigna Express Scripts, and CVS Caremark. While Amazon continues to scale its pharmacy operations, it currently holds about 1% of the pharmacy market, according to Seeking Alpha. Walmart, by comparison, holds roughly 4.8%, supported by 4,600 in-store pharmacies and delivery services.

Amazon is also integrating pharmacy services through One Medical and its Prime membership program. In Los Angeles, One Medical patients can collect prescriptions within minutes from Amazon Pharmacy kiosks located inside clinics. The company said it plans to expand these in-person kiosks to additional locations in 2026.

For Prime members without insurance, Amazon offers discounts of up to 80% on generic medications and up to 40% on brand-name drugs.

The company highlighted delivery capabilities in remote locations, including Mackinac Island, Michigan, where prescriptions are transported by ferry and horse-drawn carriage, and in Manhattan, where deliveries are made via e-bikes. Amazon Pharmacy also serves remote areas in Alaska and communities across the Navajo Nation, including Fort Defiance and Keams Canyon, where access to physical pharmacies may require drives exceeding 45 minutes.

John Love, vice president of Amazon Pharmacy, said the expansion is aimed at improving speed, cost, and convenience in medication access as pharmacy closures and staffing shortages continue to affect parts of the country.

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