Radation Pharmaceutical Therapy (RPT) is a safe and effective targeted approach to many cancers. In RPT, radiation is administered either systemically or locally utilising drugs that preferably attach to cancer cells or accumulate through physiological systems. Nearly all radionuclides in RPT generate imageable photons that allow the biodistribution of the therapeutic agent to be displayed without invasion. RPT has showed low toxicity in comparison to nearly all other systemic therapy alternatives for cancer. The extraordinary potential of this process is now acknowledged with the recent FDA approval of numerous RPT medicines. This review deals with the basic characteristics, clinical development and associated difficulties of RPT.