The coronavirus disease 2019 (COVID-19) pandemic continues to rapidly evolve. Given the origins of COVID-19 in China, there were initial concerns regarding medication shortages due to the reliance of the US on overseas manufacturing of active pharmaceutical ingredients. 1,2 Although no major disruptions in pharmaceutical access have occurred thus far, the future of the pandemic and its effect on the US drug supply remains far from certain. The pharmaceutical supply chain represents a series of interdependent steps that ultimately produce the products that are used by consumers in the US. From manufacturers, pharmaceuticals are shipped through wholesalers or distributors and on to retail, specialty, and mail-order pharmacies as well as to hospitals, nursing homes, prisons, clinics, and other sites of care. Retail pharmacies have an especially important role in this process, dispensing more than 85% of all prescription medications in the US. 3 From manufacturers to end users, the pharmaceutical supply chain is vast, employing tens of thousands of workers who manage the annual distribution of an estimated nearly 6 billion prescriptions in the US. 3