This study takes a close look at the medical transportation sector in Brazil, observing the complexity of this branch of the pharmaceutical industry and its peculiarities from an approach that considers the present competitive landscape and the effects of the primary changes that have taken place in recent years, as well as prospects for the area. In this context, the publication points to advances and obstacles in the development of the transport of medicine in the country, while also reflecting on the integration of different actors in the pharmaceutical chain.