Delivery of COVID-19 vaccines will pose unique challenges due to the urgency of achieving population immunity, targeting of non-traditional population groups, and administration of novel vaccines. Information on costs of vaccine delivery is essential for effective planning, budgeting and fundraising for the vaccine pillar of the Access to Covid-19 Tools (ACT) Accelerator. This paper analyses the cost of delivering the vaccine in 92 Advance Market Commitment (AMC) countries.