Pharmacist Salary in Montana: $128K Median

The average Pharmacist salary in Montana is $127,856 per year as of April 2026. Salaries range from $97,650 (entry, 25th percentile) up to $153,450 (90th percentile). State income tax applies.

Pharmacists in Montana earn approximately 7% less than the US national median ($137,480 nationally vs $127,856 in Montana). Montana's cost-of-living index of 100 is close to the national average.

Yes — Pharmacist salaries in Montana grew approximately 560.0% year-over-year, from $19,372 in 2025 to $127,856 in 2026. This reflects the broader Healthcare sector's wage growth, driven by Clinical pharmacy and Specialty drugs demand.

Montana has no major metros in our database — fallback to the closest tracked city for detailed breakdowns.

Pharmacist employment relatively stable. Clinical pharmacist roles growing fastest as retail consolidates. Montana's top industries include Agriculture, Tourism, Mining, and the state's unemployment rate is 3% — a tight labor market favoring candidates.

Yes, Montana has state income tax. This affects take-home pay — at $127,856, expect 4-7% effective state tax depending on filing status. See city pages for detailed take-home calculations.

Hottest 2026 skills: Clinical pharmacy, Specialty drugs, MTM, Telepharmacy, PharmGenomics. ATS systems specifically scan for these. Adding them to your resume — naturally and in context — improves your match rate with Montana employers.

Given the current shortage in this specialty and my certifications, I'm looking for $X base plus shift differential and a sign-on bonus. What flexibility do you have on those line items? Beyond base, negotiate: Sign-on bonus ($10K-$30K, often $50K+ for hard-to-fill roles), Tuition reimbursement and certification stipends, Loan repayment programs (especially federal/HRSA-eligible), Shift differentials (nights +15%, weekends +10%). Walk-away anchor for Montana: $116,233.