Background: Integrated pharmaceutical logistic system is a single system of reporting and distribution pharmaceutical items by integrating various programs with the objective of improving efficiency and reduces redundancy while enhancing product availability. Method: We electronically searched from Google Scholar and PubMed using inclusion and exclusion criteria. Results: A complete of 102 sorts of literature were searched. After exclusion of redundant and irrelevant literature, 31 literatures were reviewed. Quality and availability of logistic formats, availability of medicines, storage and store organization, manpower deployment and development, infrastructure, inter-sectorial collaboration were a challenge of integrated pharmaceutical logistic system. The future priorities would be capacity building, warehouse improvement, close partnership with key stakeholders, supportive supervision and implementation follow up and creating ownership and sustainability at all levels of a supply chain. Conclusion: In the past few years integrated pharmaceutical logistic system has brought significant improvements to a supply chain of Ethiopia, although the system faced with various challenges which still remain to be addressed.