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How much do upstream pharmacy jobs pay per hour?

As of Jun 11, 2026, the average hourly pay for upstream pharmacy in the United States is $19.27, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $20.43 per hour, depending on experience, location, and employer.

What is the difference between Upstream Pharmacy vs Pharmacist?

AspectUpstream PharmacyPharmacist
CredentialsLicensed pharmacy technicians, pharmacy assistantsLicensed pharmacists with Doctor of Pharmacy (Pharm.D.) degree
Work EnvironmentPharmacy settings, distribution centers, manufacturingCommunity pharmacies, hospitals, clinics
Industry UsageSupports pharmacy operations, medication preparationPatient care, medication management, counseling

Upstream Pharmacy roles focus on medication preparation and support within pharmacy operations, often requiring pharmacy technician certifications. Pharmacists, on the other hand, are licensed healthcare professionals responsible for patient medication management and counseling. While both work within the pharmacy industry, their responsibilities and credentials differ significantly.

How does an Upstream Pharmacy professional typically collaborate with healthcare providers and insurers to optimize medication management?

Upstream Pharmacy professionals work closely with healthcare providers and insurance companies to streamline medication access and ensure clinically appropriate therapies are prescribed. This role often involves reviewing formulary options, communicating medication alternatives, and addressing prior authorization requirements. Regular collaboration helps resolve barriers to patient access and supports evidence-based prescribing, ultimately improving patient outcomes while managing costs. Teamwork and effective communication are essential skills in this environment.

What are the key skills and qualifications needed to thrive as an Upstream Pharmacy professional, and why are they important?

To thrive as an Upstream Pharmacy professional, you need a strong background in pharmaceutical sciences, supply chain management, and regulatory compliance, often supported by a pharmacy or related degree. Familiarity with inventory management systems, pharmaceutical manufacturing processes, and relevant compliance certifications such as cGMP is typically required. Strong problem-solving abilities, attention to detail, and effective communication skills help professionals excel in coordinating with suppliers and ensuring product quality. These skills ensure the safe, efficient sourcing and distribution of pharmaceutical products, which is critical for maintaining the integrity of the healthcare supply chain.

What is Upstream Pharmacy?

Upstream Pharmacy refers to the processes and roles that occur early in the medication supply chain, often focusing on the sourcing, manufacturing, and distribution of pharmaceuticals before they reach traditional retail or hospital pharmacies. This can include working with pharmaceutical manufacturers, wholesalers, and pharmacy benefit managers (PBMs) to ensure that medications are available, affordable, and properly managed. Upstream pharmacy professionals may also be involved in formulary management, utilization review, and negotiating drug prices or contracts. Their work helps control healthcare costs and improve patient access to necessary medications.
More about Upstream Pharmacy jobs
What states have the most Upstream Pharmacy jobs? States with the most job openings for Upstream Pharmacy jobs include:
What job categories do people searching Upstream Pharmacy jobs look for? The top searched job categories for Upstream Pharmacy jobs are:
Upstream Pharmacy jobs near you
Infographic showing various Upstream Pharmacy job openings in the United States as of June 2026, with employment types broken down into 1% Internship, 1% As Needed, 97% Full Time, and 1% Part Time. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $40,074 per year, or $19.3 per hour.
Physical Therapist - Northwest Orthopaedic Specialists

Physical Therapist - Northwest Orthopaedic Specialists

Upstream Rehabilitation

Spokane, WA • On-site

$80K - $95K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 8 hours ago

Upstream Rehabilitation rating

6.3

Company rating: 6.3 out of 10

Based on 68 frontline employees who took The Breakroom Quiz

663rd of 870 rated healthcare providers

Job description

Upstream Rehab is an industry leading therapy management company that partners with physician practices across the nation. In partnering with Northwest Orthopaedic Specialists we have become a preferred outpatient orthopedic therapy service provider to the Spokane, WA community. To further support the needs of this community we are looking to add a Physical Therapist to our team that is committed to providing a remarkable patient experience through advancing our vision of coordinating patient-centered care with an emphasis on comprehensive evidence-based treatment. This is enhanced through building integral relationships with our physician partners. Together, we strive to provide exceptional patient outcomes and a positive atmosphere for patient healing while promoting a collaborative and supportive work environment.
Salary: $80,000 -$95,000
Company Benefits:
  • Sign on Bonus Incentives
  • Student Loan Repayment Program
  • 40 min appointment model
  • 12 Month New Grad Mentorship program
  • Annual continuing education benefit $1500, free MedBridge subscription, and flexible work schedules
  • A comprehensive benefits package with PTO, holiday pay, health/pharmacy/dental/vision, 401k match
  • Opportunities for physician interaction including clinic shadowing and surgery observation
  • Therapy license renewal reimbursement
  • Orthopedic and Sports Residencies available in-house
  • Leadership development coursework and mentorship
  • Life Insurance: will cover 1 x your base salary
  • Voluntary Short -Term and Long-Term Disability insurance available
  • Employee Assistance Program that provides support, resources, and information for personal and work-life issues

Requirements:
  • Current or pending PT license
  • Graduate of an accredited physical therapy program
  • CPR certified

Follow @Lifeatupstream on Instagram, and check out our LinkedIn company page to learn more about what it's like to be part of the #upstreamfamily.
CLICK HERE TO LEARN EVEN MORE ABOUT UPSTREAM
This annual salary ranges within the specified amounts depending on experience, credentials, certifications, and other qualifications. Full-time positions may also have the opportunity to participate in bonus programs or other incentive plans.
Washington pay range
$80,000-$95,000 USD
Upstream Rehabilitation is an Equal Opportunity Employer that strives to provide an inclusive work environment where our differences are celebrated for the value they bring to our communities, our patients and our teammates. Upstream Rehabilitation does not discriminate on the basis of race, color, national origin, religion, gender (including pregnancy), sexual orientation, age, disability, veteran status, or other status protected under applicable law.

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