Counterfeiting drugs has been a global concern for years. Considering the lack of transparency within the current pharmaceutical distribution system, research has shown that blockchain technology is a promising solution for an improved supply chain system. A solution is proposed to provide a transparent flow of medicine between entities within the distribution system. Entities such as hospitals, pharmacies, and government bodies can trace their products back to the manufacturer to ensure the integrity and avoid counterfeit drugs and improve public health using a trust-based reputation decentralized system.