Management of pharmaceutical logistics, especially in hospitals, is a complex process involving various stages. The objective of this process is to ensure the provision of high-quality medications and effective pharmaceutical services. However, hospitals in island regions face unique challenges such as limited accessibility and resource constraints, which can hinder the effectiveness of pharmaceutical logistics management. To analyze the management in the Pharmacy Installation of Hospital X, a qualitative descriptive method with a case study approach was used. Primary data were obtained through interviews and direct observations, while secondary data were obtained through a review of hospital documents. All data were collected from August 2024 to September 2024. Triangulation was used to confirm and validate the data. The most common problem encountered was the availability of medications. Several factors may have contributed, including limitations in the qualifications of human resources in the Pharmacy Installation, suboptimal medication planning and procurement activities, limited capacity of medication storage space, and the high variability of lead time for medications due to the hospital's geographic location. This research concludes that the pharmaceutical logistics management at Hospital X still needs to be improved to gradually minimize the incidence of stockouts in the hospital. Development of human resources, hospital facilities and infrastructure is needed. The researcher also recommends the formation of a Pharmacy and Therapeutics Committee and the development of a hospital information management system to facilitate pharmaceutical logistics activities and ultimately improve the quality of services to the community.