Pharmacy
HSA is the largest pharmacy provider in the Cayman Islands.
HSA Pharmacy offers a wide selection of medications for hospital patients, government employees and individuals with prescriptions from private physicians. With eight pharmacy locations across Grand Cayman and Cayman Brac, it provides accessible, high-quality pharmacy services close to home for residents throughout the Cayman Islands.
The Smith Road Pharmacy, which serves as the main location, offers a full range of outpatient pharmacy services, including prescription refills and medication dispensing. The Smith Road Medical Centre also houses General Practice and Specialist Clinics, providing convenient access to comprehensive healthcare services in one location.
The Anthony S. Eden Hospital Pharmacy continues to support the needs of patients accessing Accident & Emergency (A&E), Urgent Care and other outpatient services at the hospital. It is conveniently located in the front entrance atrium of the Cayman Islands Hospital at 95 Hospital Road, George Town.
The are pharmacy services available at each district clinic in Grand Cayman, at Faith Hospital in Cayman Brac and at the Government Administration Building (for civil servants).
Pharmacy Services
HSA Pharmacy supports patients with short-term illnesses, ongoing health conditions and specialised treatment needs. Our pharmacists work with patients and healthcare teams to help people understand their medicines and use them safely and effectively.
Outpatient Pharmacy Services
We dispense prescribed medicines and explain how to take them, what side effects to look out for and how to keep up with treatment. We also review patients’ medication lists to help ensure they are accurate and up to date and provide diabetes education and support.
Specially Prepared Medicines (Compounding)
We prepare medicines that are not available as ready-made products or when a medicine is in short supply.
Cancer Care Pharmacy Services
We prepare chemotherapy medicines in specially designed facilities that support safe handling and preparation. Our pharmacists review treatment plans, work with the cancer care team on any necessary dose adjustments and advise patients on medicines that help manage treatment side effects.
Diabetes Management
Our pharmacy team helps patients manage their diabetes through clinic-based care and education. Working with the patient’s primary doctor, we help start or adjust medicines, including insulin and other diabetes treatments. We also teach patients how to use blood glucose meters, support day-to-day self-care and monitor blood sugar levels over time.
Blood-Thinning Medication Management
We support patients taking warfarin, a medicine that helps prevent blood clots, and explain how to use it safely. We also advise healthcare teams on managing blood-thinning medicines before and after surgery, assessing bleeding risks and responding when their effects need to be reversed.
Supporting Safe and Effective Prescribing
Through the Drugs & Therapeutics Committee, we help assess and select medicines for use at HSA and develop guidance on prescribing. We also review medicine safety, reported side effects and the use of new or higher-risk medicines to support effective treatment and good value.
Pharmacy Support for Cardiac Rehabilitation
We provide individual sessions to help patients in cardiac rehabilitation understand their heart condition and medicines. We explain what each medicine does, how to take it, possible side effects, how it may interact with other medicines and when to expect benefits. These sessions also give patients an opportunity to discuss concerns or difficulties with their treatment.
Inpatient Pharmacy Services
Our pharmacists work with hospital care teams to support patients during their stay. We review prescriptions, supply medicines, take part in ward rounds and check that medication lists are accurate and up to date. We also review treatment daily and help patients understand their medicines.
Pharmacists provide 24-hour on-call support to hospital wards and emergency departments.
Prescription Refill Options
WhatsApp (Preferred Method) – Send a clear photograph of your prescription label or share the patient's full name, date of birth, and the medication required to:
925-6534 (Grand Cayman)
916-9555 (Sister Islands)
WhatsApp is the preferred method for refill requests, as it allows our pharmacy team to communicate directly with patients in real time regarding the status of their request and any additional information required.
Online Refills – Click here to submit an online refill.
Please note that online requests are submitted via email and do not provide direct status updates or feedback regarding the progress of your refill request.
Phone – Call 345-244-2715 or 345-244-7542 between 9:00 a.m. and 5:00 p.m. to request a refill or speak with a member of our pharmacy team.
In Person – Refill requests may be made in person at any HSA Pharmacy location (including district pharmacies) except the Anthony S. Eden Hospital Pharmacy.
Refills will also be delivered to civil servants working at the Government Administration Building.
*Refill requests submitted via WhatsApp, phone, online form, or in person are only available for prescriptions with refills remaining. If you require a new prescription, please contact your doctor. Most refill requests are processed within 24 hours. Refill services are available at all HSA Pharmacy locations (including district pharmacies) except the Anthony S. Eden Hospital Pharmacy.
Please be advised
When collecting your medication, please provide photo identification along with your current health insurance card. The average wait time for prescriptions to be filled is approximately 30 – 45 minutes, although during peak times such as 10:00am – 2:00pm you may incur extended wait times.
Medication Disposal
Members of the public can safely dispose of unused and expired medications in two new medication disposal bins located at:
- Anthony S. Eden Hospital Pharmacy
- Smith Road Medical Centre Pharmacy
The bins are available to everyone in the community during regular opening hours.
Important: These bins are NOT the same as the refill Dropbox.
Accepted and Not Accepted Items
Before depositing medications, users should remove labels containing personal information where possible OR completely obscure personal information with a dark permanent marker.
Medications Accepted
- Prescription medications
- Over-the-counter medications
- Vitamins
- Prescription ointments
- Prescription patches
- Pet medications
Note: Medications should preferably remain in their original containers. Blister packs and loose tablets are accepted but place loose tablets in a sealed container.
Items Not Accepted
- Needles/sharps
- Inhalers
- Aerosol cans
- Thermometers
- Lotions or liquids
- Hydrogen peroxide
Note: For guidance on disposing of these and other items not accepted in the bins, patients can speak with their pharmacist and/or confirm whether the items can be returned to their pharmacy for appropriate disposal.
Pharmacy Locations and Hours
Smith Road Medical Center Pharmacy (main location)
All refills will be processed at this location
Monday to Friday: 8:00am – 9:00pm
Saturday, Sunday & Public Holidays: 9:00am – 5:00pm
Anthony S. Eden Hospital Pharmacy
For patients accessing care on-site. Formerly George Town Hospital Pharmacy
Monday to Friday: 8:00am – 9:00pm
Saturday, Sunday & Public Holidays: 11:00am – 7:00pm
Faith Hospital in Cayman Brac
Monday to Friday: 8:30am to 8pm
Saturdays: 10:00am to 1:00pm
Sundays and Public Holidays 3:00pm to 4.00pm
Bodden Town Health Centre Pharmacy
Monday and Thursday: 1:30pm – 8:00pm
Wednesday and Friday: 8:30am-4:00pm
No Pharmacist on Tuesdays
Closed Saturday & Sunday
West Bay Health Centre Pharmacy
Monday, Tuesday, Thursday & Friday: 8:30am – 5:00pm
Wednesday: 1:30pm – 8:00pm
Closed Saturday & Sunday
East End Health Centre Pharmacy
Monday, Wednesday & Thursday: 8:30am – 4:00pm
Closed Tuesday, Friday, Saturday, Sunday
North Side Health Centre Pharmacy
Tuesday, Thursday, & Friday: 8:30am – 4:00pm
Closed Monday, Wednesday, Saturday, Sunday
HSA Medication Formulary
The HSA Medication Formulary provides a publicly accessible link to the Cayman Islands Health Services Authority's comprehensive Formulary.
This resource allows you to conduct searches throughout the formulary, enabling you to explore its contents encompassing medications, wound management products, and medical devices.