Speedy delivery to the point of care and application to the wound should occur within 24–48 hours of dispatch from the production facility. Consequently, there is a need for reliable and efficient logistics infrastructure and a diversity of distribution models tailored to regional and local conditions. This chapter describes supply chain architectures and logistics solutions that can be adopted for medicinal maggots. In particular, it explores the case of a small Kenyan medicinal maggot supply chain and the wider Kenyan transport logistics infrastructure for medical commodities with similar characteristics.