State Market Insights
By Category
All Pharmacies
263
Retail
146
Specialty
21
Hospital
32
LTC
49
MailOrder
2
Wholesale
5
Remote
8
Market Scale
Population
1,091,840
Density (all) /10k
2.41
Density (retail) /10k
1.34
Pharmacy Desert Counties
33
Avg. VigilScale™
58/100
Avg. Enrollment Age
15 yrs
Chain Mix
Solo (1)
108
Small Group (2–9)
61
Mid Chain (10–49)
3
Large Chain (50+)
47
Mega Chain
44
Special Designations
Independent
108
Sterile Compounding
8
Tele-Pharmacy
8
Government Owned
20
Non-Profit
18
Top Chains
ALBERTSONS
9%
WALMART
5%
WALGREENS
5%
Montana Pharmacy Landscape
🔒 Browse New Pharmacy Openings in Montana
Search recently enrolled pharmacies and filter by category
Montana Board of Pharmacy
State Regulator
Visit official state pharmacy board website
MPDR
Official Program Information
Prescription Drug Monitoring Program requirements and information
MPDR
Clinical Login
Look up patient prescription history before dispensing controlled substances
MPDR
Data Submission Portal
Submit prescription dispensing data to state monitoring database
Quick Facts
Key regulatory requirements and practice standards
Pharmacist-Technician Ratio
State regulations require a pharmacist-to-technician ratio of 1:3 (Community), 1:4 (Inst) to maintain safe pharmacy operations.
Continuing Education
Pharmacists must complete 15 hrs annually of continuing education to maintain active licensure.
Technician Requirements
Pharmacy technicians in this state must meet the following requirement: Licensure + certification.
Intern Supervision
Pharmacy intern supervision follows this standard: 1:1.
Remote Pharmacy
Remote pharmacy work and telepharmacy services are governed by these rules: Permitted.
Vaccine Authority
Pharmacist authority to administer vaccines: Independent authority.
Regulatory Warnings
Compliance requirements and monitoring obligations
Pharmacist in Charge Notification
When a Pharmacist in Charge (PIC) changes, the pharmacy must notify the state board within the following timeframe: 30 days.
Prescription Monitoring Reporting
Prescription Monitoring Program (PMP) reporting requirements: Daily.
PMP Query Requirements
Before dispensing controlled substances, pharmacists must check the Prescription Monitoring Program: Mandatory for all controls.
Board Inspection Focus
State pharmacy board inspections frequently focus on: MT has robust 'Telepharmacy' rules for frontier counties..
Top Cities by Pharmacy Count
Largest pharmacy markets in Montana
Browse by County
All counties sorted by pharmacy count
Yellowstone County
165,524 pop · 30 retail · 1.81 density
Missoula County
118,541 pop · 19 retail · 1.60 density
Flathead County
105,950 pop · 13 retail · 1.23 density
Cascade County
84,423 pop · 13 retail · 1.54 density
Gallatin CountyPharmacy Desert
119,685 pop · 8 retail · 0.67 density
Lewis and Clark CountyPharmacy Desert
71,487 pop · 6 retail · 0.84 density
Lake County
31,509 pop · 8 retail · 2.54 density
Silver Bow County
35,306 pop · 7 retail · 1.98 density
Ravalli CountyPharmacy Desert
44,876 pop · 4 retail · 0.89 density
Hill County
16,238 pop · 5 retail · 3.08 density
Big Horn County
13,090 pop · 2 retail · 1.53 density
Deer Lodge County
9,435 pop · 3 retail · 3.18 density
Lincoln County
20,157 pop · 3 retail · 1.49 density
Blaine County
7,030 pop · 1 retail · 1.42 density
Custer County
11,957 pop · 3 retail · 2.51 density
Park County
17,320 pop · 3 retail · 1.73 density
Beaverhead County
9,469 pop · 2 retail · 2.11 density
Dawson County
8,915 pop · 2 retail · 2.24 density
Fergus County
11,496 pop · 3 retail · 2.61 density
Glacier CountyPharmacy Desert
13,781 pop · 1 retail · 0.73 density
Madison County
8,742 pop · 2 retail · 2.29 density
Roosevelt CountyPharmacy Desert
10,799 pop · 0 retail · 0.00 density
Chouteau CountyPharmacy Desert
5,897 pop · 0 retail · 0.00 density
Rosebud CountyPharmacy Desert
8,310 pop · 0 retail · 0.00 density
Sanders CountyPharmacy Desert
12,615 pop · 1 retail · 0.79 density
Stillwater CountyPharmacy Desert
8,978 pop · 0 retail · 0.00 density
Toole County
5,018 pop · 1 retail · 1.99 density
Valley County
7,552 pop · 1 retail · 1.32 density
Carbon CountyPharmacy Desert
10,645 pop · 1 retail · 0.94 density
Carter CountyPharmacy Desert
1,332 pop · 0 retail · 0.00 density
Daniels County
1,535 pop · 1 retail · 6.51 density
Fallon CountyPharmacy Desert
2,941 pop · 0 retail · 0.00 density
Granite CountyPharmacy Desert
3,368 pop · 0 retail · 0.00 density
Jefferson CountyPharmacy Desert
12,273 pop · 0 retail · 0.00 density
Judith Basin CountyPharmacy Desert
2,039 pop · 0 retail · 0.00 density
Liberty CountyPharmacy Desert
1,993 pop · 0 retail · 0.00 density
McCone CountyPharmacy Desert
1,746 pop · 0 retail · 0.00 density
Meagher CountyPharmacy Desert
1,948 pop · 0 retail · 0.00 density
Mineral County
4,652 pop · 1 retail · 2.15 density
Musselshell CountyPharmacy Desert
4,924 pop · 0 retail · 0.00 density
Pondera CountyPharmacy Desert
5,987 pop · 0 retail · 0.00 density
Powder River CountyPharmacy Desert
1,773 pop · 0 retail · 0.00 density
Powell County
6,998 pop · 1 retail · 1.43 density
Richland CountyPharmacy Desert
11,366 pop · 0 retail · 0.00 density
Sweet Grass CountyPharmacy Desert
3,697 pop · 0 retail · 0.00 density
Teton CountyPharmacy Desert
6,238 pop · 0 retail · 0.00 density
Wheatland County
2,060 pop · 1 retail · 4.85 density
Broadwater CountyPharmacy Desert
6,977 pop · 0 retail · 0.00 density
Garfield CountyPharmacy Desert
976 pop · 0 retail · 0.00 density
Golden Valley CountyPharmacy Desert
841 pop · 0 retail · 0.00 density
Petroleum CountyPharmacy Desert
416 pop · 0 retail · 0.00 density
Phillips CountyPharmacy Desert
4,233 pop · 0 retail · 0.00 density
Prairie CountyPharmacy Desert
1,283 pop · 0 retail · 0.00 density
Sheridan CountyPharmacy Desert
3,700 pop · 0 retail · 0.00 density
Treasure CountyPharmacy Desert
680 pop · 0 retail · 0.00 density
Wibaux CountyPharmacy Desert
1,119 pop · 0 retail · 0.00 density
* Pharmacy Desert: fewer than 1 retail pharmacy per 10,000 residents, based on 2026 NPI and ROPA billing data.