(Source: RUPRI Center for Rural Health Policy Analysis Rural Data Brief)

Nearly a third of rural counties in the United States lack a pharmacy connected to a chain or network that has signed on to participate in the federal government’s Covid-19 vaccination program, a new study shows.

The study from the RUPRI Center for Rural Health Policy and Analysis found that 750 of the 1,962 nonmetropolitan counties in the study do not have a pharmacy that is listed in the federal Health and Human Services vaccine distribution partnerships. The combined population of those rural counties is about 5.6 million, according to the study, or about 13% of the rural population.

The federal plan could include other regional chains and independent pharmacies, according to an announcement from the Department of Health and Human Services. If all pharmacies with the capacity to provide immunizations were included in vaccine distribution, 326 counties would still lack a drugstore distribution point, the study found. 

Counties with the fewest pharmacies are clustered in a north-south band from North Dakota to the western half of Texas.

In November the federal Department of Health and Human Services said it would work to distribute vaccines through pharmacy chains such as Rite Aid and Walgreens, retail outlets with pharmacies such as Kroger and Walmart, and networks of independent pharmacies such as Good Neighbor Pharmacy. Nineteen chains, networks, or retailers were part of the agreement as of November 6.

The announcement said the agreement includes 60% of pharmacies across the country.

The HHS announcement says additional agreements could be reached to include independent and regional-chain pharmacies, “further increasing access to vaccine across the country – particularly in traditionally underserved areas.” HHS has not responded to a request from the Daily Yonder for more information.

To conduct its study, the authors, Fred Ullrich and Keith Mueller, used a database established by the National Council for Prescription Drug Programs of more than 80,000 licensed pharmacies. The researchers narrowed the list to about 62,000 pharmacies with the capacity to help administer the vaccine.

Rural counties had a total of 9,826 pharmacies, totaling about 16% of all pharmacies in the study. More than three quarters of rural counties had two or more such pharmacies. One hundred ten rural counties have no pharmacies capable of providing immunization services, the study found.