Amazon and Walmart Deepen Healthcare Push With Prescription Delivery and Telehealth Expansion

What used to be a retail war between Amazon and Walmart is now a platform war over who embeds themselves deepest into consumers’ daily routines.

Over the past week alone, a cluster of headline announcements have clarified how far the category-defining rivalry has moved beyond price matching and two-day shipping.

Amazon is scaling same-day prescription delivery, preparing new satellite launches and exploring a marketplace for artificial intelligence (AI) training data. Walmart, meanwhile, is expanding its in-store and digital healthcare services while leaning hard into affordability and the platformization of its business lines as a strategic weapon.

The old story was a simple one: Amazon disrupted retail. Walmart defended it with scale and stores.

Now, both mega-retailers are racing to become infrastructure for everyday living, inlcuding healthcare, logistics, AI and connectivity.

See also: Retailers Focus on Data and Payments as Shoppers Pull Back

The Biggest News Driving the Amazon-Walmart Story Right Now

Amazon shocked investors with plans to spend about $200 billion in 2026, pouring money into AI, chips, robotics and satellite infrastructure in an aggressive bet on long-term dominance.

The scale of tech investment is industry-wide, with major tech companies projected to spend roughly $650 billion collectively on AI infrastructure in 2026, intensifying the arms race Walmart must respond to.

For its part, Walmart has hit a historic $1 trillion valuation, becoming the first traditional retailer to reach that level and spotlighting evidence that investors increasingly see it competing on tech-enabled footing with Big Tech.

At the same time, Amazon is poised to surpass Walmart in annual revenue for the first time this fiscal year, with analyst projections north of $700 billion, underscoring how the competitive balance is shifting even as Walmart’s market value climbs.

A Fight to Run Shoppers’ Lives, Not Just Their Shopping Carts

Amazon is rapidly expanding same-day prescription delivery, aiming to reach about 4,500 U.S. cities, turning healthcare fulfillment into a new logistics battleground.

Walmart is countering with its own healthcare ecosystem, launching Better Care Services to connect customers to telehealth, behavioral health and prescriptions through its retail network.

Elsewhere, Amazon is reportedly in discussions with publishing executives about launching a marketplace that would allow publishers to sell their content directly to companies building AI products. This could embed Amazon deeper into the AI value chain by positioning AWS as a broker of the data fueling generative models.

Walmart is investing more than $330 million to modernize its regional distribution center in Louisiana, focusing on automation and upgrading robotics across its regional network.

The rivalry is shifting from who sells cheaper goods to who controls the systems behind how people shop, receive care and interact with AI-enabled services.

Read more: Does Google’s Agentic Partnership With Walmart Signal the End of Click-and-Buy Retail?

The Amazon versus Walmart rivalry has entered a phase that would have been difficult to imagine even five years ago.

Amazon’s model:
Build technological layers that sit underneath commerce such as cloud, logistics automation, AI infrastructure, connectivity and monetize access to them.

Walmart’s model:
Turn physical scale into a service network via healthcare hubs, fulfillment nodes and value leadership that keeps customers inside its ecosystem.

From Store Wars to Systems Competition

By controlling both digital access and physical fulfillment, Amazon is hoping to extend its ecosystem into regions where traditional infrastructure is weak, effectively creating new markets rather than competing for existing ones. And rather than attempting to out-innovate Amazon technologically, Walmart is redefining the store as a service platform—part clinic, part fulfillment center, part data node.

Both companies are, in different ways, attempting to answer the same strategic question: how do you remain indispensable when shopping becomes ambient? In that sense, the rivalry is no longer about carts and clicks. It is about who owns the rails beneath modern consumption. Crucially, it’s about how seamlessly those rails disappear from view for the end-consumer.

The gold medal in this race is looks less like greater market share and more like the ownership rights to an end-to-end category redefinition.

And the qualifying rounds currently under way have caught the attention of the rest of the retail landscape. Kroger on Monday (Feb. 9) hired a former Walmart U.S. CEO as its own top executive to strengthen its ability to compete against Walmart and eCommerce leaders like Amazon.