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<h3>Background and Importance</h3> Authorised healthcare facilities involved in the transfer of care dispense specific treatments to non-hospitalised patients, often for follow-up or reimbursement purposes. In our hospital pharmacy department, patients travel an average round-trip distance of 50 km to collect their medications. <h3>Aim and Objectives</h3> We aimed to reduce the environmental impact of this activity, ensure patient safety, and better meet their needs by optimising this pathway. <h3>Material and Methods</h3> A review of current practices in France was conducted. We assembled a multidisciplinary working group to address the following challenges: Improving the patient journey: Facilitate access to retrocessed medications by delivering them directly to local pharmacies, thereby reducing travel for patients, many of whom are elderly. Ensuring safe medication management: Guarantee that treatments initiated or modified in the hospital are dispensed by the hospital pharmacy department (HPD) with appropriate pharmaceutical follow–up. Only treatment renewals will be eligible for this pathway, with regular communication maintained between the HPD and patients. <h3>Results</h3> A collaborative methodology was adopted, involving all stakeholders at each stage. Following institutional validation (management, regional health agency, pharmacy inspection, regional healthcare coordination bodies), the project was presented to the Medical Commission of the Establishment. The project is based on strengthened collaboration between the hospital pharmacy, community pharmacies, and the logistics of a private partner using an electric vehicle fleet. Specific training was provided to community pharmacists. After one month of implementation, the uptake rate for this system is 45%, against a success target of 50%. The project has had an impact at various levels within the HPD: 30% reduction in time spent on planning, stock management, and preparation. Optimisation of off–peak periods and reduction of dormant stock. Enhanced skills for pharmacy technicians. Increased city–hospital collaboration through regular exchanges. Regarding environmental impact, a 45% uptake results in an estimated annual saving of 12 tonnes of CO<sub>2</sub> equivalent. <h3>Conclusion and Relevance</h3> This initiative tackles challenges related to organisation, the environment, and society. By integrating sustainable logistics, local proximity, and improved connections between the city and hospital, it aims to improve both care quality and patient services. A survey is currently being conducted to evaluate the satisfaction of patients and community pharmacies. <h3>Conflict of Interest</h3> No conflict of interest