This cross-sectional study aimed to explore the perceptions and performances of hospital pharmacists in providing services for people with visual impairment. This study surveyed 150 hospital pharmacists at all levels in public hospitals in Bangkok, Thailand. The results demonstrate that hospitals faced challenges in translating the principles of the Convention Rights of People with Disabilities into hospital policy guidelines and service plans. Due to lack of policy endorsement, pharmacists were left unsupported for critical resources, such as facilities, budgets, staff, and materials to provide services quality. The hospital management and disability cultural competency were facilitating factors that promoted equitable care for vulnerable groups.