The role of sports pharmacist is recently gaining increasing importance in international sports events such as the Olympics. The role of a sports pharmacist is to audit doping in the preparation of pharmaceuticals, recommend alternatives for prohibited drugs, and confirm or communicate information on therapeutic use exemptions (TUE). In addition, sports pharmacists assist in various ways, from providing drug information for athletes to counseling on healthy and functional foods. This study aims to investigate the current status of sports pharmacy by comparing the guidelines of pharmacies in the world s leading sports organizations. The research was conducted by collating information from the documents of the International Olympic Committee (IOC), Fédération Internationale de Natation Amateur, Federation Internationale de Football Association, guides of pharmacies in the host cities, and website information of World Anti-Doping Agency (WADA), Japan Anti-Doping Agency (JADA), and Korean Anti-Doping Agency (KADA). The finding was that there were insufficient pharmacy guidelines in the world s leading sports organizations, except for the largest competition, the IOC. Compared to the IOC s host city pharmacy guidelines, differences were found in each pharmacy guideline in sports organizations. From the website information of WADA, JADA, and KADA, we could not find guidelines for sports pharmacists. Therefore, it is necessary to review the importance of sports pharmacy in the medical service regulations of international competition for the safe medication use of athletes and fair sports competition.