Introduction: Competitive economy of clinical and health cares forced clinical and health organizations to use new managerial tools. One of the most effective tools is outsourcing. Outsourcing has many benefits and is a solution for finance restricts, and needs less capital investment.

 Methods: This is a descriptive cross-sectional study used Firoozgar hospital's pharmacy data in the years 2005-2007. Data are gathered by questionnaires, guided interviews, financial records, and statistics department documents. Data analyzed through Excel and SPSS softwares using T-test and Wilcoxon test. 

Results: After pharmacy outsourcing, many of hospital personnel’s and drug shopping costs have been saved monthly. The hospital has 100 million Rials monthly for renting the pharmacy place. Number of pharmacy personnel increased from 9 to 14, and their education increased too. The manager's daily spent time decreased. The satisfaction of clinical departments’ staff increased. 10 out of 19 activities had meaningful differences. The number of pharmacy's recipes increased.

Conclusion: The improvement of efficiency and effectiveness state of pharmacy shows that pharmacy outsourcing in Firoozgar hospital was successful.