Recently, with the reform of traditional economic mechanism and the great changes of various institutions and environment, China pharmaceutical distribution industry faces not only the innovation of industrial structure, but also the big challenge of survival. Under these circumstances, distribution logistics has become the core competence of the development of pharmaceutical business corporations. Based on the study of international pharmaceutical distribution model as well as the investigation of China pharmaceutical distribution logistics, this paper discloses the problems of the industry, and then provides the perspectives of future China pharmaceutical distribution logistics.