[Simulacra]

Not neccessarily. There has been a push in the past ten years for mail order handled by Pharmacy Benefit Managers. PBM's are entities that work directly with the drug manufacturer to purchase in bulk, then delivering straight to the consumer at a lower cost than the pharmacy. The retail pharmacy industry, both chain and independent, absolutely despise PBM's and fight vociferously against them because it gives consumers the option not to go to the pharmacy. I predict Amazon will face the same attacks.

Much to a larger issue, though, is the question: Do we really need pharmacists that much anymore? Vending systems would accomplish the same task, for less money. I contend most people don't even speak to a pharmacist anymore.

[yourapostasy]

> I contend most people don't even speak to a pharmacist anymore.

While compounding pharmacists are still useful for those esoteric formularies, I would wager "normal" US pharmacists are still relied upon by the vast segment of the US population who are near-functionally illiterate and innumerate, on a big combination of drugs (don't get me started on how unhealthy swathes of the US population are), and cannot be bothered to work out for themselves drug interactions (much less how to get off of the drugs if possible). The disjointed nature of the US healthcare system promotes such inefficiencies.

[Nasrudith]

Just because you don't speak to them or see them doesn't mean they don't do work. They still have the responsibility of spotting known complications.

Theoretically it could be replaced with a large database but that is a major undertaking to encode once, let alone keep it up to date. In practice there are also trade-offs and judgement calls like "Yeah this may cause kidney failure but living on dialysis is better than dying of cancer."