Update: Independently Owned Pharmacy Closures in Rural America, 2003-2018


Over the last 16 years, 1,231 independently owned rural pharmacies (16.1%) in the United States have closed. The most drastic decline occurred in the immediate period following the implementation of Medicare Part D - between 2007 and 2009. This decline has continued through 2018, although at a slower rate. Six hundred and thirty rural communities that had at least one retail (independent, chain, or franchise) pharmacy in March 2003 had no retail pharmacy in March 2018.

RUPRI Center for Rural Health Policy Analysis
Abiodun Salako, Fred Ullrich, Keith Mueller