Evidence from the ePharma4FP Project shows that e-pharmacy is an emerging and scalable channel for expanding equitable access to family planning and essential primary healthcare in Nigeria. Supportive national policies are taking shape, user readiness is clear across multiple segments, and inclusive digital models such as IVR and USSD have proven effective at reaching underserved populations. The conditions for scale now exist. Unlocking the full potential of e-pharmacy will require coordinated action from government, regulators, private-sector innovators, development partners, and community actors. With sustained collaboration, Nigeria can consolidate its readiness in digital pharmaceutical services and deliver safer, more efficient, and more equitable reproductive-health access while advancing UHC, FP2030 commitments, and national digital health priorities.

This report consolidates the key insights, evidence, and practical considerations the ePharma4FP Project generated in three years focused on optimizing hybrid e-pharmacy models for family planning and primary healthcare access in Nigeria. It synthesizes findings from behavioural research, market studies, equity pilots, platform evaluations, policy analysis, and business-case assessments conducted between 2023 and 2025. The document is intended to guide policymakers, regulators, private-sector innovators, development partners, and implementers seeking to strengthen Nigeria’s digital pharmacy ecosystem. It provides a clear evidence base, highlights operational and regulatory implications, and outlines actionable recommendations to support the safe, equitable, and scalable integration of e-pharmacy into the national health system.