Healthcare · State Rankings

Best US States for Pharmacists

All 50 states + DC ranked by Pharmacist salary. State tax structure noted for take-home math.

Top 10 states by salary
#StateEstimated salaryCost mult.State tax
1California$160,0001.18×~5% effective
2Hawaii$157,0001.15×~5% effective
3Massachusetts$154,1001.12×~5% effective
4Maryland$150,1001.08×~5% effective
5New York$149,9001.15×~5% effective
6Alaska$148,0001.13×No state tax
7New Jersey$148,0001.13×~5% effective
8District of Columbia$145,9001.20×~5% effective
9Washington$145,2001.10×No state tax
10Nevada$144,1001.02×No state tax
All 51 states + DC, ranked
#StateSalaryAfter state tax (rough)
1California$160,000$117,360
2Hawaii$157,000$115,160
3Massachusetts$154,100$113,032
4Maryland$150,100$110,098
5New York$149,900$109,952
6Alaska$148,000$115,958
7New Jersey$148,000$108,558
8District of Columbia$145,900$107,018
9Washington$145,200$113,764
10Nevada$144,100$112,902
11Colorado$140,500$103,057
12Oregon$140,500$103,057
13Pennsylvania$139,100$102,030
14Connecticut$137,000$100,490
15Arizona$135,700$99,536
16Delaware$135,700$99,536
17Florida$135,700$106,321
18Minnesota$135,700$99,536
19Texas$132,800$104,049
20Utah$132,800$97,409
21New Hampshire$132,500$103,814
22Louisiana$132,100$96,895
23Rhode Island$130,700$95,868
24Virginia$130,700$95,868
25Alabama$130,100$95,428
26North Carolina$130,000$95,355
27Idaho$129,000$94,622
28Michigan$129,000$94,622
29Wisconsin$129,000$94,622
30Illinois$128,000$93,888
31New Mexico$128,000$93,888
32Tennessee$128,000$100,288
33Indiana$127,100$93,228
34Kansas$127,100$93,228
35Ohio$127,100$93,228
36Vermont$127,100$93,228
37Maine$125,300$91,908
38Kentucky$124,200$91,101
39Georgia$122,600$89,927
40Montana$121,700$89,267
41Wyoming$121,700$95,352
42North Dakota$120,800$88,607
43South Carolina$120,800$88,607
44Nebraska$119,900$87,947
45South Dakota$119,900$93,942
46Iowa$119,000$87,287
47Missouri$119,000$87,287
48Oklahoma$117,200$85,966
49Arkansas$115,500$84,719
50West Virginia$115,500$84,719
51Mississippi$113,700$83,399
After-state-tax estimate uses federal ~14% + FICA 7.65% + state ~5% (or 0% in no-tax states).

What moves with you and what does not

Because Pharmacist is a licensed occupation (NAPLEX and MPJE state licensing exams), the pay differences between states persist in a way they would not otherwise. Workers cannot freely move to the highest-paying state, so the gap does not close. That is worth knowing both as a barrier and, once you hold the license, as protection.

Tax and what the numbers are worth

Income tax reshuffles this ranking. Alaska, Washington, Nevada appear in the top ten and levy no state income tax, so the gross figures understate take-home there by roughly 3–6% relative to a taxing state at the same salary. Against a high-tax state, that is worth several thousand dollars a year at this occupation's median of $128,000.

The offset is usually property tax. States without an income tax recover the revenue elsewhere, so the advantage is largest for renters and narrows considerably for homeowners. Run both if you plan to buy.

The spread from Mississippi ($113,700) to California ($160,000) is 41%. Cost of living explains most of it — a state paying 25% above the national median for this role usually costs proportionally more to live in, which is why cost-adjusted rankings look different from nominal ones.

Where the field is heading

Nationally, Pharmacist employment is projected to grow — 5% through 2034, with roughly 14,200 openings a year counting replacements. Growth is rarely evenly distributed: states with the industry concentration driving that growth will feel it first, and the ranking above is a reasonable proxy for where.

Salaries are modelled from BLS national medians adjusted for local price level at a wage elasticity below 1 — pay rises with local costs but not proportionally. See our methodology.

Frequently Asked Questions

Which state pays the most for Pharmacists?
Based on cost-of-living-adjusted estimates, California pays the most with an estimated median of $160,000/year for Pharmacists. High-cost states (CA, NY, MA, HI) tend to top the list because employers compensate for local cost of living.
Do no-state-tax states pay better effective?
Often yes after taxes. Alaska, Washington, Nevada, Florida, Texas have no state income tax. A 5% state tax savings on $100K = $5,000 more take-home. But verify cost of living too — Texas pays well and has no tax, but Houston/Austin housing has risen dramatically.
Why do some states pay so much more?
Three factors: (1) cost of living — coastal states cost 15-25% more, employers adjust pay; (2) employer concentration — CA dominates tech, NY finance, MA biotech; (3) regulatory environment — some states have higher unionization or licensing requirements that increase wages.
Are these salaries net or gross?
Gross — before federal income tax (~14% effective at this income), FICA (7.65%), state income tax (varies), and local taxes if applicable. Use our state-specific Paycheck Calculator for exact take-home in any state.
How does experience affect these numbers?
These are medians — entry-level often runs 25-35% below median, senior roles 40-60%+ above. A senior Pharmacist in California can easily exceed $240,000, while an entry-level role in a low-cost state might be $79,590.