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
1District of Columbia$153,6001.20×~5% effective
2California$151,0001.18×~5% effective
3Hawaii$147,2001.15×~5% effective
4New York$147,2001.15×~5% effective
5Alaska$144,6001.13×No state tax
6New Jersey$144,6001.13×~5% effective
7Massachusetts$143,4001.12×~5% effective
8Connecticut$140,8001.10×~5% effective
9Washington$140,8001.10×No state tax
10Maryland$138,2001.08×~5% effective
All 51 states + DC, ranked
#StateSalaryAfter state tax (rough)
1District of Columbia$153,600$112,666
2California$151,000$110,759
3Hawaii$147,200$107,971
4New York$147,200$107,971
5Alaska$144,600$113,294
6New Jersey$144,600$106,064
7Massachusetts$143,400$105,184
8Connecticut$140,800$103,277
9Washington$140,800$110,317
10Maryland$138,200$101,370
11Colorado$134,400$98,582
12New Hampshire$134,400$105,302
13Oregon$134,400$98,582
14Rhode Island$131,800$96,675
15Virginia$131,800$96,675
16Nevada$130,600$102,325
17Arizona$128,000$93,888
18Delaware$128,000$93,888
19Florida$128,000$100,288
20Illinois$128,000$93,888
21Minnesota$128,000$93,888
22Vermont$126,700$92,934
23Maine$124,200$91,101
24Pennsylvania$124,200$91,101
25Texas$124,200$97,311
26Utah$124,200$91,101
27Georgia$120,300$88,240
28North Carolina$120,300$88,240
29Idaho$119,000$87,287
30Michigan$119,000$87,287
31Montana$119,000$87,287
32Wisconsin$119,000$87,287
33Wyoming$119,000$93,237
34New Mexico$117,800$86,406
35North Dakota$117,800$86,406
36South Carolina$117,800$86,406
37Tennessee$117,800$92,296
38Indiana$116,500$85,453
39Kansas$116,500$85,453
40Nebraska$116,500$85,453
41Ohio$116,500$85,453
42South Dakota$116,500$91,278
43Iowa$115,200$84,499
44Louisiana$115,200$84,499
45Missouri$115,200$84,499
46Alabama$112,600$82,592
47Kentucky$112,600$82,592
48Oklahoma$112,600$82,592
49Arkansas$110,100$80,758
50West Virginia$110,100$80,758
51Mississippi$107,500$78,851
After-state-tax estimate uses federal ~14% + FICA 7.65% + state ~5% (or 0% in no-tax states).

Salary range across states

For Pharmacists, the estimated median salary ranges from $107,500 in Mississippi to $153,600 in District of Columbia — a 43% range. State-by-state variation reflects local cost of living, employer density, and labor market dynamics.

No-state-tax states

Nine US states have no state income tax: Alaska, Washington, New Hampshire, Nevada, Florida, Texas, Wyoming, Tennessee, South Dakota. For high earners, this can mean $5,000-15,000+ extra per year in take-home pay vs neighboring states with similar gross salaries. New Hampshire taxes interest/dividends only (phasing out).

But: many no-state-tax states make up revenue with higher property tax (Texas) or sales tax (Tennessee). And cost of living varies — Texas urban metros (Austin, Houston) have grown expensive while Florida coastal areas command premium real estate prices.

Cost of living matters more than nominal salary

California pays the most for Pharmacists on a nominal basis — but housing in coastal California (SF, LA, San Diego) eats 35-50% of net income for median earners. A Pharmacist earning $151,000 in California often has less spendable income than one earning $124,200 in Texas.

Use our cost-of-living comparison tool to see specific city pairs. For state-level take-home, use our state-specific Paycheck Calculator.

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Frequently Asked Questions

Which state pays the most for Pharmacists?
Based on cost-of-living-adjusted estimates, District of Columbia pays the most with an estimated median of $153,600/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, New Hampshire, Nevada, Florida 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 District of Columbia can easily exceed $230,400, while an entry-level role in a low-cost state might be $75,250.