<![CDATA[The distribution of pharmaceuticals and medical devices is a crucial component of hospital pharmaceutical services, ensuring availability and timely delivery to each healthcare unit. This study aims to analyze internal and external factors influencing the distribution process from the pharmaceutical warehouse to inpatient, outpatient, and emergency departments at Sembiring Hospital. A qualitative descriptive approach was employed, using purposive sampling. Data were collected through in-depth interviews, observations, and documentation involving pharmacy staff and relevant units. The results indicate that internal factors such as inventory management, human resources, and distribution procedures significantly influence distribution efficiency. External factors, including supplier availability, delivery delays, and information system support, also play an important role. The main challenges identified include limited logistics personnel and suboptimal use of technology. To ensure effective and efficient distribution, strategies such as improved coordination, enhanced technology utilization, and regular training for logistics personnel are recommended.]]>
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