20Ways Fall Retail 2025

FALL 2025

I M P R O V I N G PAT I E N T CARE & PHARMACY PROFITABILITY C O M M U N I T Y ,

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20 Unique Products & Services Long-Term Care Resources

Industry Expert Q&A, Market Leaders Buyer’s Guide, and More pg. 24

Specialty Pharmacy 2025 pg. 18

How LTC Pharmacies Empower CCBHCs in Behavioral Health pg. 66

Empowering Long-Term Care Pharmacies Through Smarter Procurement Technology A Case Study From SureCost pg. 32 William Posten, Senior Manager of Purchasing and Analytics, Guardian Pharmacy Services

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FROM OUR FOUNDER

At RXinsider, our mission remains focused on connecting pharmacy professionals with the resources, technologies, and thought leadership that drive meaningful patient outcomes.

In this Fall issue of 20Ways, we spotlight Long-Term Care Pharmacy Resources, a sector increasingly central to addressing the complex needs of aging populations and underserved communities. Long-term care pharmacies are not just service providers; they are care collaborators, bridging gaps across clinical settings and helping to deliver more consistent, compassionate, and cost-effective care.

FOUNDER & CEO

This edition also dives into a timely and urgent editorial focus: Medication, Access, and Hope: How LTC Pharmacies Empower Certified Community Behavioral Health Clinics (CCBHCs) in Behavioral Health. As CCBHCs lead the charge in reshaping mental health and substance use treatment across the country, LTC pharmacies are emerging as vital partners, ensuring access to psychiatric medications, supporting adherence, and streamlining care coordination. Together, they are improving lives by reinforcing the infrastructure of behavioral health with the precision and compassion of pharmacy care.

EVP, Sales & Marketing, Mike Rahme VP of Strategic Accounts, Chris Kolkhorst Executive Sales Director, Shaun Russell Senior Account Executive, Savannah DaSilva Account Executive, Jake Studley Account Executive, Madelyn Almeida

In addition to the LTC theme, dive deeper into a contribution from the National Association of Specialty Pharmacy (NASP). This editorial offers valuable insight into the evolving role of specialty pharmacy in delivering complex, patient-centered care. As specialty pharmacy continues to expand, NASP’s expertise provides essential guidance for pharmacy leaders navigating this dynamic landscape.

EDITORIAL ADVISORY BOARD

Gregory Cianfarani, RPh

DESIGN & PRODUCTION Design & Layout, Lora Bourque Multimedia, Eric Simmons

MARKETING & OPERATIONS Director of Marketing & Operations, Samantha Roy Marketing & Operations Coordinator, Amanda D’Amico Credit Analyst & Bookkeeper, Kristin Fennessey

SALES & BUSINESS DEVELOPMENT

PHARMACY MARKET INTELLIGENCE Marketing Manager, Alexa DiLuca Pharmacy Market Analyst, Lexi Cianfarani Pharmacy Market Analyst, Emma Cidade Pharmacy Market Analyst, Jeff Rackliff Pharmacy Market Analyst, Ellie Krouse

Miriam Cho, PharmD President & Chief Pharmacy Officer MacRx Brenda Denson, PharmD, BCPPS, FASHP, FALSHP Pharmacy Educator Children’s of Alabama Lindsey Dymowski Constantino President & Cofounder Centennial Pharmacy Services & LTC@Home Pharmacy Network

As always, you’ll find 20 WAY profiles, contributed by leading product and service providers across the pharmacy supply chain, showcasing a curated selection of forward-thinking solutions designed to support clinical excellence, operational efficiency, and enhanced patient outcomes. These profiles serve as a quick-reference guide to innovative technologies, services, and resources available to pharmacy professionals today. With all of these components combined, this issue is designed to both inform and inspire, helping your pharmacy stay on the leading edge of pharmacy innovation.

Mark Garofoli, PharmD, MBA, BCGP, CPE, CTTS Director of Experiential Learning & Clinical Assistant Professor West Virginia University of Pharmacy Steve Postal, JD Senior Director, Policy and Regulatory Affairs National Community Pharmacists Association Abby Roth Owner/Microbiologist Pure Microbiology

FOLLOW US LinkedIn @RXinsider Facebook /RXinsiderB2BSolutions X

@RXinsider

Instagram @rxinsider Vimeo /rxinsider

Greg Cianfarani, RPh Founder & CEO

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We Don’t Just Process Claims— We Show Up When It Matters.

When a claim is filed, it’s often during a stressful moment. That’s why Pharmacists Mutual focuses on more than just paperwork. We deliver clarity, speed, and compassion, so you never face uncertainty alone.

“Every claim tells a story, and we take that seriously,” says Todd Terhark, Claims Service Manager. “By tracking performance, training continuously, and leading with empathy, our team ensures every policyholder gets the support they need—when it matters most.”

96.1%

of policyholders contacted within 8 business hours

60%

contacted within just 4 hours

Real Stories That Make it Real “Pharmacists Mutual did an amazing job! They were fast, efficient, and helped me through the process. Excellent service over the last 23 years.

The claims team called me the same day. I didn’t expect it, and it meant everything to me.”

–Pharmacist, Policyholder Imagine discovering an error you were involved in may have harmed a patient—and now you must report it. When you call Pharmacists Mutual, you’ll speak with a claims team that truly understands pharmacy. They know the medications and processes, and they handle your claim with knowledge, compassion, and understanding.

–Kristen Jones, PharmD

When time matters, we don’t wait.

With over a century of commitment to pharmacy professionals, Pharmacists Mutual is built to be there for you—quickly, personally, and with purpose.

Serving pharmacists coast-to-coast through 45+ state associations

Backed by in-house experts who know the profession

Scan the QR code or call 800.247.5930. phmic.com ©️2025 Pharmacists Mutual Insurance Company and Chiron Insurance Company. All rights reserved.

Claims response data based on internal performance metrics collected by Pharmacists Mutual, 2025.

FEATURES EDITORIALS LONG-TERM CARE PHARMACY RESOURCES

Long-term care industry expert Q&A, Market’s Leaders Buyer’s Guide, and more. page 24

SPECIALTY PHARMACY 2025: NAVIGATING THE CROSSROADS OF INNOVATION AND ACCESS

Contributed by Sheila Arquette, President and CEO, National Association of Specialty Pharmacy (NASP). page 18

MEDICATION, ACCESS, & HOPE, LTC PHARMACIES EMPOWER CCBHCS IN BEHAVIORAL HEALTH Contributed by Jason Dana Costa, President and CEO, Horizon Pharmacy. page 66

CASE STUDIES

FEATURED CASE STUDY EMPOWERING LONG-TERM CARE PHARMACIES THROUGH SMARTER PROCUREMENT TECHNOLOGY A Case Study from SureCost with William Posten, Senior Manager of Purchasing and Analytics at Guardian Pharmacy Services. page 32

HOW UNITEDRX DOUBLED PACKAGING EFFICIENCY AND CUT DOWNTIME

A case study from Noritsu Pharmacy Automation. page 48

TRANSFORMING ACCESS TO CARE: STARTING A TEST-AND-TREAT PROGRAM IN YOUR PHARMACY A case study from QuidelOrtho. page 74

FURTHER EXPLORATION INTEL REPORT HIGHLIGHTS

Key insights from the 2025 Pharmacy500 Long-Term Care Pharmacy Resources Report. page 40

TRADE SHOW & MEETING EVENT CALENDAR

Detailing key industry events throughout the year. page 56-61

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20WAYS PROFILES WAY

LONG-TERM CARE PHARMACY RESOURCES

01 BD Parata’s pharmacy automation solutions BD PARATA

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06

help pharmacies streamline operations, improve accuracy, and enhance patient care. By automating tasks like vial filling, prescription sorting, and medication packaging, pharmacies can help reduce manual labor, minimize errors, and free up staff to focus on clinical services. page 13

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LONG-TERM CARE PHARMACY RESOURCES

THRIVES HERE 02 PHARMACY With ~12,000 pharmacies reaching 10 million+ patients monthly, RedSail Technologies is the leader in pharmacy software and solutions through brands PioneerRx®, BestRx®, Axys®, PowerLine®, TransactRx®, Emporos®, and QS/1®. page 15

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SRx is a comprehensive pharmacy management system developed by pharmacists and our customers to efficiently manage pharmacy operations. If you desire an all-inclusive pharmacy software solution at an affordable price without sacrificing quality, then SuiteRx is for you!

SuiteRx’s SRx is guided by innovation, powered by our customers. page 17

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JFCRx provides a full range of pharmacy automation solutions to help pharmacies streamline operations and improve ROI. These include multi-dose blister card and pouch adherence packaging, inspection and verification systems, vial filling, and tablet sorting. page 29

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®

®

MEDICAL PRODUCTS

Axial multi-dose machines promote medication adherence and simplify the process for the patient by pouch and blister card packaging medications by time and day. Axial boasts a smaller footprint than any other machine on the market. page 31

WAY DEXCOM CGM — EMPOWERING

GLUCOSE CONTROL 08 UNMATCHED Dexcom Continuous Glucose Monitoring (CGM) is proven to lower A1C and increase time in range.

Dexcom ranks #1 in patient satisfaction, adherence, and retention. page 37

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FREE RX RETURNS

COUNTMATE IS CHANGING 04 MCKESSON’S HOW PHARMACIES COUNT MEDICATION

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LONG-TERM CARE PHARMACY RESOURCES

A STRONG PHARMACY 05 BUILD INFRASTRUCTURE THAT CAN ADAPT

TO CHANGING ECONOMIC, REGULATORY, AND PATIENT REQUIREMENTS WITH THE COMPLIANCE TEAM

LONG-TERM CARE PHARMACY RESOURCES

09 RETURN SOLUTIONS OFFERS HASSLE

LONG-TERM CARE PHARMACY RESOURCES

Fast, quiet, and built for the way pharmacies work, CountMate takes care of pill counting and vial filling while pharmacy teams take care of patients. page 21

LONG-TERM CARE PHARMACY RESOURCES

AXIAL MULTI-DOSE PACKAGING 07 MACHINES

BY EUCLID

LONG-TERM CARE PHARMACY RESOURCES

FROM SUITERX – EMPOWERING 03 SRX PHARMACY INNOVATION

LONG-TERM CARE PHARMACY RESOURCES

JFCRX PHARMACY AUTOMATION EQUIPMENT AND SOFTWARE SOLUTIONS FOR EFFICIENCY AND PROFITABILITY

Reduce time spent tracking credits and get credit quickly with Return Solutions’ OneCheck Select program — the fastest pharmaceutical return credit reimbursement in the industry. page 39

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LONG-TERM CARE PHARMACY RESOURCES

10 CUSTOM MANUFACTURING THAT DELIVERS — FAST

Health Care Logistics® creates functional, made-toorder cabinets, boxes, and storage containers that improve workflow and deliver measurable results — turning ideas into reality without delays, inflated costs, or compromise. page 43

Navigating changing patient needs while maintaining high-quality care and complying with regulatory requirements is a complex challenge for pharmacies. page 23

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PURCHASING AND 11 STRATEGIC OPERATIONS IMPROVEMENT SOLUTIONS BY INNOVATIX

Innovatix offers differentiated, high-quality group purchasing and consultative services.

We help members maximize their overall financial performance by providing the resources and educational support needed to enhance the delivery of quality patient care. page 45

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LONG-TERM CARE PHARMACY RESOURCES

ROOMS, COUNTERS, 12 INNOVATIVE AND FIXTURES EXPERTLY CRAFTED BY UNIWEB, INC.

Since 1970, Uniweb has been domestically factoryproduced, providing durable products in weeks rather than months. The company specializes in manufacturing steel pharmacy and retail systems with a wide range of millwork décor and fabric panel options. It’s quick and easy to install! page 47

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LONG-TERM CARE PHARMACY RESOURCES

DRUG COMPANY IS SUPPORTING 13 VALUE LONG-TERM CARE PHARMACIES WITH CONFIDENCE AND CARE

We deliver tailored support for long-term care pharmacies, offering personalized service, accurate order fulfillment, strategic business guidance, and access to specialty medications to help optimize operations and improve resident outcomes. page 53 10

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WAY VMI INDIVION/PHARYS FOR

PERSONALIZED DAILY 14 OPTIMIZED DOSE POUCH PACKAGING

VMI’s automated solutions ensure that patients receive the right medications prescribed by their doctors, packaged so they receive the exact treatment prescribed, with no omissions and errors. page 55

WAY COLDKEEPERS — YOUR PREMIUM

SOLUTIONS PROVIDER 15 COLD-CHAIN Ensure your medication arrives safely and securely when you trust the experts at Coldkeepers with your accreditation and pharmaceutical shipping needs as mandated by pharmacy guidelines. page 63

WAY STCHEALTH — CLOSE GAPS IN CARE

DRIVE REVENUE WITH IMMSLINK 16 AND Ensure compliance with integrated immunization reporting. Increase operational bandwidth to accelerate immunization services. page 65

WAY RXPOST — BUY, SELL, AND

PHARMACY STOCK — 17 TRANSFER FAST, COMPLIANT, PROFITABLE

Buy meds up to 53% below WAC. Sell surplus in <10 days for around $24K. Move slow stock chain-wide with one click. No hardware, no contracts — just a DSCSA-compliant tool that puts money back in your pharmacy. page 71

FALL 2025

I M P R O V I N G PAT I E N T CARE & PHARMACY PROFITABILITY C O M M U N I T Y ,

S P E C I A L T Y ,

&

L T C

E D I T I O N

20 Unique Products & Services Long-Term Care Resources

Industry Expert Q&A, Market Leaders Buyer’s Guide, and More pg. 24

Specialty Pharmacy 2025 pg. 18

How LTC Pharmacies Empower CCBHCs in Behavioral Health pg. 66

Empowering Long-Term Care Pharmacies Through Smarter Procurement Technology A Case Study from SureCost pg. 32 William Posten, Senior Manager of Purchasing and Analytics, Guardian Pharmacy Services

Fall RETAIL 2025 20Ways MISSION To educate pharmacy management on products and services that serve to improve patient care or improve a pharmacy’s financial bottom line, while distilling and presenting this relevant information via 20 product profiles.

WAY WELLNESSMATS® — PREMIUM STANDING SOLUTIONS SAFETY & BOTTOM LINE 18 IMPROVING WellnessMats are the long term, premium, anti-fatigue solution

FOR ADVERTISING INFORMATION rxsales@rxinsider.com | 800.972.2083

to pharmacy industry burnout. Reduce the standing fatigue that can lead to dangerous mistakes and injury, all while improving retention, productivity, and procurement costs. page 73

VIEW 20Ways ONLINE RXinsider.com/20Ways

GENERAL SUBSCRIPTION INQUIRIES RXinsider LTD c/o 20Ways 1300 Division Road, Suite 103 West Warwick, RI 02893 General Information: 20Ways@RXinsider.com

WAY PHARMAFORTIFY™— BOESEN & SNOW’S

PROACTIVE PHARMACY SOLUTIONS 19 COMPLETE, PharmaFortify™ helps shield pharmacies from audits, compliance risks, and regulatory scrutiny — combining our vast legal background with real-world pharmacy operations experience to protect your business like no one else can. page 79

WAY

20Ways is an official publication of RXinsider.

NOTICE OF POLICY 20Ways is published quarterly by RXinsider LTD, 1300 Division Road, Suite 103, West Warwick, RI 02893. Postmaster: Send address changes to 20Ways/RXinsider, 1300 Division Road, Suite 103, West Warwick, RI 02893. Notification of address change must be made six weeks in advance, including old and new address with zip code.

LONG-TERM CARE PHARMACY RESOURCES

HEALTH™ MEDICAL BENEFIT BILLING 20 CARDINAL Bill and track your medical benefit claims in real time, giving you visibility into submissions, denials, and rejections.

This holistic view empowers you to expand your pharmacy capabilities. page 81

Editorial — views expressed in articles or profiles in the 20Ways are those of the author(s) and do not necessarily reflect the policies and opinions of RXinsider, our editorial board(s), our advisory board(s), or staff. Advertising – products, services, and educational institutions advertised in 20Ways do not imply endorsement by RXinsider.

Copyright © 2025 RXinsider LTD. All rights reserved.

Reproduction without permission is prohibited.

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2 0 WA Y S TO I M P R OV E PA T I E NT C A R E & P H A R M A C Y P R O F ITA B I L IT Y

BD Parata BD Parata’s pharmacy automation solutions help pharmacies streamline operations, improve accuracy, and enhance patient care.

By automating tasks like vial filling, prescription sorting, and medication packaging, pharmacies can help reduce manual labor, minimize errors, and free up staff to focus on clinical services.

Tom Polen Founded: 1897 Employees: >70,000 Stock Symbol: NYSE: BDX Toll-Free Phone: (888) PARATA1 | 888 (727-2821) Address: 106 Roche Drive Durham, NC 27703 Website: parata.com | bd.com President & CEO:

Company Background BD is one of the largest global medical technology companies in the world and is advancing the world of health by improving medical discovery, diagnostics, and the delivery of care.

The company supports the heroes on the frontlines of health care by developing innovative technology, services, and solutions that help advance both clinical therapy for patients and clinical process for health care providers.

Product Overview Parata expands BD’s solutions to a new area of the high-growth pharmacy automation space. Parata’s technology supports improved inventory management, workflow efficiency, and enables scalable growth. With solutions like centralized dispensing and remote prescription pickup, pharmacies can expand access and improve medication adherence. Whether serving retail chains, health systems, or independent pharmacies, Parata delivers the tools needed to optimize performance and elevate the pharmacy experience.

Contact Information For more information on BD, please visit bd.com.

n BD and its more than 70,000 employees have a passion and commitment to help: • Improve patient outcomes.

• Improve the safety and efficiency of clinicians’ care delivery process.

• Enable laboratory scientists to accurately detect disease.

• Advance researchers’ capabilities to develop the next generation of diagnostics and therapeutics.

BD has a presence in virtually every country and partners with organizations around the world to address some of the most challenging global health issues. n By working in close collaboration with customers, BD can help: • Enhance outcomes.

• Lower costs.

• Increase efficiencies.

• Improve safety.

• Expand access to health care.

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The Technology You Need to Navigate Pharmacy ~ 12,000+ Pharmacy Locations

~ 10M+ Unique Patients

Comprehensive Pharmacy Management Systems

Most installed, feature-rich and customizable software for independent pharmacy

Versatile, easy-to-learn software for independent pharmacy, with cloud-based capabilities

Powerful, next generation, cloud-based software for long-term care pharmacy

Robust Pharmacy Claims Switch

Exclusive Solutions to Drive Revenue and Care

Most technologically advanced pharmacy switch with unmatched performance and industry-leading 99.99% uptime

Unique add-on solutions to support growth, deliver top-tier care and achieve business goals

Explore everything RedSail Technologies has to offer.

redsailtechnologies.com | 833.REDSAIL

©2025, RedSail Technologies, LLC. All rights reserved.

2 0 WA Y S TO I M P R OV E PA T I E NT C A R E & P H A R M A C Y P R O F ITA B I L IT Y

Pharmacy Thrives Here With ~12,000 pharmacies reaching 10 million+ patients monthly, RedSail Technologies is the leader in pharmacy software and solutions through brands PioneerRx®, BestRx®, Axys®, PowerLine®, TransactRx®, Emporos®, and QS/1®.

Andy Mauer Employees: 700+ Toll-Free Phone: (833) 733-7245 Address: 201 W. Saint John Street Spartanburg, SC 29306 Website: redsailtechnologies.com President & CEO:

Company Background RedSail Technologies customers include community, enterprise, regional chain, long-term care, outpatient, physician clinic, HME/DME, and specialty pharmacies. Deep understanding of these pharmacies’ potential and challenges fuels our support of rapid software feature development, next-generation products, and ground-breaking clinical and financial programs teamed with industry partners. Our customers are part of the country’s most clinically advanced and financially sustainable pharmacy network, supported by the technology and programs they need to succeed and elevate their role in healthcare.

Product Overview n PioneerRx Pharmacy Software PioneerRx is designed for independent community pharmacies that want a feature-rich, highly customizable pharmacy management system with advanced clinical and business management tools.

• Friendly Support: Each PioneerRx pharmacy has a dedicated support team with software, hardware, and accounting specialists. Software specialists are certified pharmacy technicians, so they understand both the software and your business.

• Advanced Reporting: With advanced and customized reporting, PioneerRx enables you to make data-driven decisions about your pharmacy and your patients. PioneerRx ensures you are equipped with the insights needed for growth and profitability.

• Automated Workflow: PioneerRx is built to streamline the daily workflow of your entire staff. By automating routine tasks and triggering next steps, PioneerRx reduces missed opportunities and frees up your time to focus on clinical activities. n BestRx Pharmacy Software BestRx is a flexible and intuitive pharmacy management system designed for independent pharmacies seeking a reliable, cost-effective solution with comprehensive features.

• 24/7 Pharmacy Access: BestRx’s cloud-hosted software provides you with 24/7 remote access to your pharmacy, allowing you to manage sales, inventory, reports, and prescriptions anytime, anywhere.

• Maximum Efficiency: Shrink your to-do list with automated task optimization features. Plus, with multiple customizable options, you can design your workflow around the way you like to work — not based on the limitations of a rigid system.

• User-Friendly Solution: BestRx is a user-friendly platform designed to make pharmacy management effortless. With an intuitive interface and easy navigation, it provides a smooth experience for pharmacies.

Seamlessly integrated with a range of third-party services, BestRx streamlines operations by handling the heavy lifting for you. n Axys LTC Pharmacy Software (Coming Soon!)

Axys LTC is a cloud-based pharmacy management software designed to equip long-term care pharmacies with the most modern technology available. Axys LTC provides advantages that strengthen your business now and prepare your pharmacy for healthcare’s future.

• Advantages of the Cloud: Having a modern, cloud-based infrastructure is a big advantage as our industry changes. Axys LTC offers distinct benefits like fast updates, low-cost scaling, comprehensive security, and market-leading reliability.

• Easy to Learn and Train: In an environment with staff turnover, you need software that’s intuitive to today’s typical user. The design of Axys LTC was centered around user experience to reduce training time and increase usability, leading to faster user adoption and instantaneous success.

• Lower Total Cost of Ownership: With no need to purchase and continually upgrade server hardware, less time spent on training and product support, and improved workflows, Axys LTC pharmacies see an impactful return on their investment. n PowerLine Pharmacy Switch PowerLine’s world-class cloud-native architecture offers a remarkable availability rate of 99.99%, providing you with reliable, HIPAA-compliant services. The platform is architected to scale to any required transaction volume while maintaining best-in-industry speed and security. PowerLine’s direct connectivity to pharmacy benefit managers ensures pharmacy management systems and service providers can effortlessly manage claims, provide copay assistance, perform pre- and post-edits, and facilitate direct messaging. PowerLine is an independent pharmacy switch unaffiliated with distributors or PBMs and dedicated to providing best-in-class service. n Other RedSail Solutions Transform patient care and grow your pharmacy’s business with the advantages of RedSail. Our patient engagement and adherence programs create healthier patients and boost store revenue. Plus, a team of pharmacy consultants offers personal support in implementing new programs, sharing best practices, and assessing results. RedSail Pay is a transparent, costeffective merchant services solution that offers transparent pricing. RxCash+ is a data-driven cash pricing tool that uses tailored pricing algorithms to offer customized pricing, revenue uplift, and transparency.

Contact Us Ready to see more? Talk to us about what truly modern pharmacy solutions might mean for your business, email sales@redsailtechnologies.com.

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2 0 WA Y S TO I M P R OV E PA T I E NT C A R E & P H A R M A C Y P R O F ITA B I L IT Y

SRx From SuiteRx – Empowering Pharmacy Innovation SRx is a comprehensive pharmacy management system developed by pharmacists and our customers to efficiently manage pharmacy operations. If you desire an all-inclusive pharmacy software solution at an affordable price without sacrificing quality, then SuiteRx is for you! SuiteRx’s SRx is guided by innovation, powered by our customers.

President & CEO: Nicholas Zener, Pharm.D., M.S.

2008 Employees: 50+ Phone: (916) 242-8779 Fax: (972) 905-7489 Address: 450 South 900 East, Suite 125, Salt Lake City, UT 84102 Website: www.suiterx.com Founded:

Company Background SuiteRx is an independently owned pharmacy software company catering to long-term care, retail, combination, mailorder, multi-location, specialty, and various other pharmacy environments. Pharmacies using our applications find more time for patient-focused care because their once manual tasks are now easily automated. Leverage the power of our highly configurable workflow, reap the benefits of our data extraction and analysis methods, and find value in the consultative approach our implementation team takes to align our software to your business goals. Over the years, we remained dedicated to developing our people, strengthening our capabilities, and building trusting relationships with our clients and partners. We also pride ourselves on providing superior talent to deliver high-quality pharmacy solutions aligned with the key objectives of our clients: operational efficiencies, increased staff productivity, integrated technology, and streamlined processes. We do so with flexibility and nimbleness that fit your goals — not ours. If you are looking for an all-inclusive pharmacy software solution at an affordable cost without sacrificing quality, SuiteRx Software is the right choice for you! Current SuiteRx product offerings include SRx, SRxGateway, MyRx, SRxDelivery, SRxUniversity, SRxConnect, SRxAPI, SRxGen, SRxAffinity, SRxAssist, and SRxLogistics.

Product Overview Developed by pharmacists, for pharmacists, our SRx program enables independent and small chain pharmacies to use state-of-the-art technology to better meet the needs of their customers and increase speed and accuracy in the pharmacy. With retail, long-term care, specialty, 340B, and combo versions of the software, SRx is a comprehensive solution, that integrates document management, delivery, POS, inventory management, web portal capabilities, and compounding into one seamless application.

•S RxAPI: It is organized around REST and has predictable resourceoriented URLs, accepts form-encoded request bodies, returns JSON-encoded responses, and uses standard HTTP response codes, authentication, and verbs.

• SRxConnect: Our enhanced customer service website. It offers solutions not only for support issues, but also for custom requests.

•S RxUniversity: Online computer-based training program to help train clients and employees on SRx.

• SRxDelivery: Real-time delivery information and e-signature capture.

The application is available on different mobile devices (Android, iOS, and iPadOS).

•M yRx: Allows patients to refill prescriptions, look up drug information, and communicate with your pharmacy from their mobile device.

• SRxGateway: Provides communication tools, including EMAR capabilities and refill requests, between facilities, physicians, and your pharmacy.

• SRxAffinity: Provides views of almost real-time business performance by aggregating metrics from SRx dispensing data and converting it into actionable data for single- or multi-site locations.

• SRxAssist: Dispense medications in your facility anywhere using your mobile phone.

• SRxLogistics: A mobile application that scans barcodes of drugs, enabling the user to monitor the drug supply or inventory in the pharmacy.

Features & Options • Enhanced communication for improved patient adherence.

• Reduced workflow disruption with easy edit ability.

• 365 days of client support.

• Advanced compounding workflow.

• Paperless faxing functionality.

• Document and cycle fill management.

• Adherence reporting.

• Shipping integration.

• Inventory tracking.

• Custom design.

Testimonial “ SuiteRx is the best pharmacy system on the market. The system allows us to cover all the bases in one package. Document management, online ordering, electronic and paper MARs, statements, electronic exchange of delivery information, and unlimited reporting options are available at our fingertips. In addition, the system is so easy to use, it makes training much easier than it was with our old system.

SuiteRx has become the most valuable tool in our toolbox!”

— Paul M. O’Leary, General Manager, Parkview Health Services, LLC

Key Business Partners PointClickCare; Prescribers Connection; Asembia; SureScripts; AutoMed; Parata PacMed; Medicine on Time; Dispill USA; DOSIS; Synmed; RxSafe; Cubex; Talyst; Extended Care Pro;CaraSolva; AccuFlo; ScriptPro; ParataRDS; Parata Max; Innovation; Kirby Lester; RxMedic; QuickMAR; Yardi; Eldermark; Symphony; CoverMyMeds; RxPertise; RxLinc; Therap; SalesDoor; and many more.

Ordering Information Email: sales@suiterx.com | Phone: (916) 242-8779 (916-ChatSRx) FA L L 2 0 2 5

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SPECIALTY PHARMACY 2025

Navigating the Innovation

As the healthcare landscape evolves, specialty pharmacy remains at the forefront; dynamic, demanding, and often disruptive. The rapid pace of scientific discovery and medical innovation challenges providers across the care continuum to find smarter, more effective ways to support patients with complex conditions while managing rising costs. In 2025, the industry is experiencing unprecedented growth fueled by breakthrough therapies, digital transformation, and a steadfast commitment to patient-centered care. But with progress comes complexity. Stakeholders must now navigate escalating costs, increased regulatory oversight, and shifting expectations from payers, all while maintaining quality, access, and outcomes.

The Pulse of Progress Key Trends in 2025

18

1

Market Momentum Specialty pharmaceuticals now account for more than half of total drug spending in the U.S., with global market projections nearing $965 billion by 2030. This exponential growth is fueled by the rise of biologics, targeted therapies, and treatments for chronic and rare diseases.

2

Cost Control Takes Center Stage Payers are reevaluating traditional pricing strategies, with growing interest in cost-plus models and rebatefree alternatives, part of a broader movement toward transparency and value-based care. At the same time, biosimilars are gaining momentum as cost-effective substitutes for higher-priced biologics. Yet amid these shifts, it’s critical not to lose sight of what defines specialty pharmacy: a high-touch, patient-centric model rooted in clinical excellence and care coordination. Reducing the conversation to drug price alone risks diminishing this comprehensive approach to a transactional one.

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3

Digital Transformation Artificial intelligence and advanced analytics are revolutionizing specialty pharmacy operations.

From predictive adherence tools to personalized patient engagement platforms, technology enhances outcomes while streamlining care delivery.

4

Health System Integration Health systems are increasingly bringing specialty pharmacy services in-house. By 2028, they are expected to control 25% of the specialty pharmacy market, with nearly all large systems operating their own specialty pharmacies.

The Roadblocks Challenges Ahead 1

The High Cost of Innovation While cell and gene therapies (CGTs) offer life-changing potential, their development and delivery come at a steep price. These therapies challenge traditional reimbursement models and strain payer budgets.

2

Regulatory Uncertainty The 340B Drug Pricing Program is under intense scrutiny, with new state laws and legal battles reshaping its future. At the same time, pharmacy benefit managers (PBMs) face mounting pressure to increase transparency and reduce anti-competitive practices.

3

Patient Engagement Gaps Despite technological advances, patient adherence remains a continued focus. Therapy discontinuation underscores the need for more robust support systems and behavioral interventions.

2 0 WA Y S TO I M P R OV E PA T I E NT C A R E & P H A R M A C Y P R O F ITA B I L IT Y

Crossroads of and Access

By Sheila Arquette, President & CEO, National Association of Specialty Pharmacy (NASP)

The Upside Opportunities for Growth 1

Embracing Value-Based Care Uniquely positioned, specialty pharmacies support value-based care models, aligning reimbursement with outcomes and improving clinical and financial performance.

2

Expanding Clinical Services Offering services such as medication therapy management, genetic counseling, and remote monitoring can differentiate specialty pharmacies and expand their scope in the care continuum.

3

Strategic Collaborations Partnerships between specialty pharmacies, manufacturers, payers, and providers are unlocking new innovation, access, and affordability pathways. These alliances are critical to navigating the complexities of specialty drug delivery and patient and disease management.

4

Biosimilar Innovation As more biosimilars enter the market, specialty pharmacies have an opportunity to lead in education, adoption, and cost savings, helping to reshape the economics of specialty care.

Looking Ahead Specialty pharmacy in 2025 is an industry in motion — complex, fast-growing, and full of promise.

By embracing innovation, addressing systemic challenges, and keeping patients at the center, we can shape a future where specialty therapies are not only advanced but also accessible and affordable.

ABOUT NASP

The National Association of Specialty Pharmacy (NASP) is a 501(c)(6) non-profit trade organization and is the only national association representing all stakeholders in the specialty pharmacy industry. The mission of the National Association of Specialty Pharmacy (NASP) is to empower specialty pharmacy stakeholders to advance the standard of patient care. NASP provides an online education center offering accredited continuing pharmacy education programs, hosts an annual meeting and expo that offers educational sessions and continuing education credits, and is the only organization that provides a certified specialty pharmacist credential through the Specialty Pharmacy Certification Board (SPCB). NASP members include the nation’s leading specialty pharmacies, pharmaceutical and biotechnology manufacturers, group purchasing organizations, patient advocacy groups, integrated delivery systems, law firms, health plans and PBMs, technology and data management vendors, wholesalers/ distributors, logistics providers, practicing pharmacists, pharmacy technicians, nurses, and healthcare professionals.

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2 0 WA Y S TO I M P R OV E PA T I E NT C A R E & P H A R M A C Y P R O F ITA B I L IT Y

McKesson’s CountMate is Changing How Pharmacies Count Medication Fast, quiet, and built for the way pharmacies work, CountMate takes care of pill counting and vial filling while pharmacy teams take care of patients.

Stock Symbol:

A quieter pharmacy means fewer distractions and a pleasant environment for both employees and patients. CountMate helps maintain this peaceful setting even during peak hours, while delivering consistent, uninterrupted performance.

Company Background

CountMate’s front-facing access allows it to sit neatly against a wall, preserving valuable floor space without compromising functionality.

Available in two configurations, supporting 84 or 168 medication canisters, CountMate adapts to varying prescription volumes. Built for continuous production, it fills up to three vials per minute and keeps prescriptions moving, even while canisters are being refilled.

VP & General Manager: Kevin Cloutier

1998 MCK Toll-Free Phone: (888) 606-6337 Address: 6555 State Highway 161 Irving, TX 75039 Website: www.mckesson.ca/assistline Founded:

McKesson Pharmacy Automation has long been a market leader in providing automation technology to retail and institutional pharmacies.

With a reputation for providing unparalleled service — truly second to none — they lead the way in automating how patients receive medication, enabling faster and safer treatment.

How exactly do they deliver the best possible experience to pharmacies and their patients? It’s a precise mix of people, partners, and technology.

First and foremost are the people. People who understand what it’s like to count pills or have their eyes go blurry from filling seemingly endless blister cards. People who understand the ins and outs of pharmacy.

Their collective goal is to make every process within a pharmacy’s operation safer, more accurate, and as efficient as possible.

Partners are the next ingredient in the mix: creative and enterprising engineering firms, best-in-class manufacturers, and premiere shipping and logistics companies.

Adding the two together results in leading-edge technology that automates the repetitive and manual tasks that most commonly lead to medication errors. CountMate is one such technology.

Product Overview n Game-Changing Vial Filling Technology Pharmacies are busy places — we all know it! Space is tight, time is limited, and accuracy is non-negotiable. That’s why McKesson Pharmacy Automation’s CountMate delivers real value by helping pharmacies operate smarter, faster, and calmer without adding staff or sacrificing quality.

Combine decades of automation experience with firsthand knowledge of day-to-day pharmacy life, and you’ll get to know what works well for pharmacy teams and what leaves room for improvement. CountMate — a fully automated vial filling solution unlike any other — is built to fill those gaps.

Driving CountMate’s precision and speed are its dual robotic arms, which work in tandem to fill, label, photograph, and sort prescriptions directly into 18 patient-specific lanes. This eliminates manual sorting, reduces delays, and increases confidence that every order is complete, accurate, and ready for pickup. It also means your pharmacy team stays organized, efficient, and focused on patient care.

Accuracy and safety are at the core of CountMate’s value. Each vial is photographed from the top and side for traceability, while barcodedriven verification ensures the right medication goes in the right canister in the first place. A biometric vein reader and optional locking canisters add even more peace of mind through additional layers of security.

What makes CountMate especially pharmacy-friendly is how easily it fits into existing operations. It supports various vial sizes and colors, includes pivoting sections for easy cleaning, and is powered by McKesson’s trusted automation hardware and software. CountMate is designed with workflow in mind by enhancing productivity, reducing downtime, and helping teams feel more in control.

CountMate is more than just a counting machine. It’s a dependable, around-the-clock coworker. It never calls in sick, never loses focus, and always delivers precise results. For pharmacies seeking a smarter, more efficient approach to vial filling, one that enables staff to devote more time to patient care, CountMate offers a reliable and forward-thinking solution.

Ordering Information McKesson Pharmacy Automation supports retail pharmacies with advanced vial filling and multi-dose blister packaging technology designed to streamline workflows, enhance dispensing accuracy, and improve patient care. To explore your options, visit www.mckesson. ca/assistline or email automationsales@mckesson.com.

Engineered for high-volume output, CountMate combines a compact footprint with ultra-quiet operation, making it ideal for pharmacies where space is limited and a calm, patient-friendly atmosphere is crucial.

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Jessica had a choice.

Jessica was researching accreditation organizations with a Pharmacy program to help standardize processes and procedures and improve quality across Lewis Drug’s 60 locations. “We want to find ways to streamline some of the overwhelming day-to-day details of operating a pharmacy so our pharmacists can focus more on their patients.”

She chose The Compliance Team.

“Pharmacy Accreditation by

The Compliance Team helped us standardize processes, bring consistency across our 60 locations, and put a spotlight on quality improvement. Having a partner like TCT is invaluable.”

— Jessica Strobl, PharmD VP Professional Services Lewis Drug 60 locations

You have a choice.

Choose TCT.

TheComplianceTeam.org 215-654-9110 team@TheCompliance Team.org

2 0 WA Y S TO I M P R OV E PA T I E NT C A R E & P H A R M A C Y P R O F ITA B I L IT Y

Build a Strong Pharmacy Infrastructure That Can Adapt to Changing Economic, Regulatory, and Patient Requirements With The Compliance Team Navigating changing patient needs while maintaining high-quality care and complying with regulatory requirements is a complex challenge for pharmacies.

President & CEO: Sandra Canally, RN Founded: Employees: Phone: Fax: Address: Website:

1994 50 (215) 654-9110 (215) 654-9068 P .O. Box 160, 905 Sheble Lane, Suite 102 Spring House, PA 19477 www.thecomplianceteam.org

Company Background Established in 1994, The Compliance Team (TCT) is a nationally recognized, CMS-approved accreditation organization. Nurse owned and nurse led, we provide comprehensive accreditation and certification services for pharmacies, DMEPOS and infusion therapy providers, local health departments, rural health clinics, and swing bed providers.

We deliver more than 30 accreditation and certification programs as one of the industry’s most respected and sought-after accreditation organizations. To support ongoing innovation, we continually monitor current and emerging healthcare trends. Across programs, we provide a pathway to operational efficiency and excellence — empowering providers to deliver quality services and patient care.

We attribute our longevity and success to superior programs, advisors, and staff — as well as three passionately held principles that have guided TCT from the beginning: 1. Every patient deserves exemplary care.

2. Healthcare delivery excellence should not be difficult or costly to achieve.

3. Safety-Honesty-Caring® is what matters most to patients.

Product Overview TCT’s pharmacy accreditation and certification programs, leadership and expertise in the pharmacy industry has helped our providers adapt to new opportunities and challenges and focus on continuous quality improvement and value-based patient care. n Streamline day-to-day operations so you can focus more on your patients.

As pharmacy business models continue to evolve and expand from a transactional-based model to a more clinical-based model, our accreditation programs will help you discover and drive new ways to: • Develop and standardize processes and procedures to improve management of resources.

• Identify areas for quality improvement.

• I nstill consistency of services, processes, and quality pharmacy wide.

• Focus your staff on continuous quality improvements for valuebased patient care, outcomes, and satisfaction.

• Generate patient referrals, contracts, and payer confidence.

The Compliance Team Difference • Simplified approach and streamlined process.

• Plain language, easy-to-understand and implement quality standards.

• Standards tailored to your specific business model.

• One-on-one TCT advisor support.

• Educational resources.

• Access to TCT’s proprietary patient satisfaction survey portal.

• Three-year payment schedule.

Our Suite of Pharmacy Accreditation and Certification Programs From niche to national and everything in between. n Accreditation Programs • Ambulatory Infusion Suite • Community Pharmacy (incl. DMEPOS*) • Compounding • E-Commerce Protection • Home Infusion Therapy* • Long-Term Care • Patient-Centered Pharmacy Home™ • Retail Clinic • Specialty Pharmacy • TelePharmacy n Certification Programs • Clinical Disease Management • Communicable and Emerging Infectious Disease • Immunization • Point-of-Care Testing *CMS approved

Contact Information For more information visit our website thecomplianceteam.org, call (215) 654-9110, or email team@thecomplianceteam.org.

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L I N D S A Y D Y M O W S K I C O N S TA N T I N O, P R E S I D E N T & C O F O U N D E R O F C E N T E N N I A L P H A R M A C Y S E R V I C E S

QUESTION & ANSWER 24

LONG-TERM PHARMACY Q. What exactly is “long-term care at home” and

LONG-TERM Q. What services must a pharmacy provide to be

how is it different from traditional retail or LTC pharmacy models?

considered compliant with LTC at home?

Long-term care pharmacy at home refers to the services and supports that a pharmacy provides specific patients residing in their own homes that is equal to or greater than the level of care that they would receive if they were residing in a long-term care facility. Unlike traditional retail models that focus on point-of-sale transactions, LTC at home pharmacies provide comprehensive medication management including adherence packaging, 24/7/365 availability, cyclical medication reviews, delivery coordination, and care coordination with other community providers and caregivers.

In traditional LTC pharmacy, pharmacies are providing medications to facilities; LTC at home is rooted in the community, serving patients who may never enter a facility but still require high-touch, ongoing clinical support.

meet the CMS requirements for LTC-level of pharmacy care. The CMS

Q. Who qualifies for long-term care at home pharmacy services? Is it only for patients receiving home health?

Dispensing Review (a combination of medication reconciliation

Not at all. While patients receiving home health services may qualify, the LTC at home model is designed for any individual who requires a skilled level of care, regardless of whether they are enrolled in a formal home care program. This includes patients with chronic conditions, cognitive impairment, mobility limitations, polypharmacy, or frequent hospitalizations. Eligible populations may range from medically complex children to adults living in private residences.

In fact, many patients receiving Medicaid home and communitybased services or those who are dually eligible for Medicare and Medicaid often meet the criteria, even if they are not actively receiving in-home nursing support. It’s important to note that there is a formal qualification process. Pharmacies are responsible for identifying, qualifying, and continually re-qualifying patients to ensure they meet the criteria for LTC-level pharmacy services. This must be clearly documented and maintained at the pharmacy to support compliance, payer expectations, and patient safety.

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First and foremost, any pharmacy operating under their LTC NPI must requirements include comprehensive inventory, adherence packaging requirements, pharmacist on call service, IV and compounding access, medication delivery, and emergency medication supplies.

In addition to meeting CMS requirements, pharmacies must recognize that LTC at home patients are often living independently or supported by non-clinical caregivers. This reality demands that the pharmacy elevate its role, delivering a level of care equivalent to what the patient would receive in a facility setting. That means stepping beyond dispensing and into true medication management. Pharmacies must provide comprehensive care coordination, including medication synchronization, up-to-date clinical documentation and qualification forms, and most importantly, perform a complete Medication and drug utilization review) every time medications are dispensed.

By doing so, the pharmacy ensures patients are not only receiving the right medications but are also being actively monitored and clinically managed in the home. This model moves beyond simple delivery and becomes a robust, patient-centered system of care, supporting both safety and better health outcomes.

Q. Why is LTC at home becoming more important in today’s healthcare landscape?

A shift towards aging in place, combined with rising facility costs and a sever shortage of LTC beds, has created a growing demand for LTClevel services delivered at home. By 2030 — five short years — nearly one in five Americans will be 65 or older. Meanwhile, more than 70% of individuals who need long-term care reside in the community, not in institutions. The LTC pharmacy at home model fills a critical gap by offering continuity or care, improving medication adherence, and reducing hospitalizations … all while also supporting caregivers, community providers, and reducing health care costs.

CARE RESOURCES CARE AT HOME Q. How are payers and PBMs responding to LTC at home?

Are they recognizing it as a distinct service model?

Yes, but it’s a work in progress. Forward-thinking industry leaders are beginning to recognize that LTC pharmacy at home is not just retail or LTC pharmacy, it’s a hybrid model that requires its own compliance structure, reimbursement model, and credentialing process. This year we are seeing some payers and plans have already begun carving out service sets and are requiring proof of service standards. Although this can be frustrating for pharmacy owners and operators, it’s exciting! This evolution opens the door for contracting opportunities for pharmacies that can help them better support their at home patient populations, and even provides space for value-based opportunities for pharmacies that can demonstrate outcomes.

Q. What does the future of LTC at home look like and how can independent pharmacies position themselves to lead?

The future of LTC pharmacy at home is both urgent and promising.

As health plans, ACOs, and regulatory bodies continue to prioritize aging-inplace initiatives, the demand for qualified LTC pharmacy at home partners will grow. Independent pharmacies are uniquely positioned to lead because of their community relationships, agility, and ability to provide personalized care. To lead in this space, pharmacies must ensure compliance with CMS standards for long-term care, implement dedicated LTC at home workflows, and actively engage with local providers, MCOs, and community partners to build trust and demonstrate that independent pharmacies are capable of delivering high-touch, clinical care, not just filling prescriptions.

Q. What are some of the biggest misconceptions about LTC at home pharmacy services?

The biggest misconception is that LTC pharmacy at home is just “retail with delivery.” Many assume it’s simply a matter of putting prescriptions in a bag and dropping them off at a patient’s home. In reality, the LTC at home model is a clinical, outcomes-driven model that mirrors the level of pharmacy services traditionally provided in a skilled nursing facility.

In a retail model, the interaction often ends at the point of sale. In contrast, LTC at home pharmacy care involves ongoing clinical oversight, robust

documentation, proactive medication management, and close coordination with healthcare providers, caregivers, and home-based services. Pharmacies are responsible not only for dispensing but also for ensuring that the medications are administered correctly, safely, and consistently, often to medically complex or cognitively impaired patients.

Other common misconceptions include: • “It’s only for hospice or home health patients.” — LTC at home services are not limited to patients in those programs. Patients do need to qualify for this level of service, but any individual who requires a skilled level of medication management, typically due to chronic illness, polypharmacy, or functional impairment, may qualify, even if they’re not receiving formal in home care.

• “Only big LTC pharmacies can do this.” — In fact, independent, community-based pharmacies are leading the charge in LTC at home.

With the right infrastructure and training, smaller pharmacies can provide these services with greater flexibility and personalization than many larger operations.

• “There’s no formal framework or regulation.” — This model must meet CMS’s long-term care pharmacy requirements, including medication regimen reviews, 24/7 pharmacist access, adherence packaging, and timely delivery. It also requires pharmacies to meet minimum care standards, including qualifying patients, providing care coordination, clinical documentation, and cycle medication reviews. It is not a gray area; it’s a regulated level of care that is being audited for service support and even now has accreditation pathways.

Ultimately, LTC pharmacy at home is about bringing the institutional pharmacy model into the community … with all the clinical rigor, patient safety measures, and outcome tracking required to support highrisk populations aging in place. My favorite aspect of the model is that pharmacy is no longer just a dispenser … it becomes a central player in the care team, exactly what it should be.

Lindsay Dymowski Constantino, President & CoFounder of Centennial Pharmacy Services Lindsay Dymowski Constantino is the president and cofounder of Centennial Pharmacy Services, one of the first pharmacies in the country exclusively focused on long-term care at home. She also serves as the cofounder and president of the Long Term Care at Home Pharmacy Quality Commission, which partners with payers, health plans, and other industry leaders to develop compliance frameworks and operational standards that allow pharmacies and other healthcare providers to confidently and compliantly deliver long-term care pharmacy services in the home setting. A nationally recognized leader in community-based pharmacy innovation, Lindsay is passionate about building scalable, sustainable models that support aging and medically complex patients where they want to be — at home.

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MARKET LEADERS

LTC RESOURCES BUYERS GUIDE

Accu-Chart Plus Health Care Systems accuchart.com (847) 252-7300 AdvanceNet Health Solutions anshealth.com (215) 942-0764 Allied Pharmacy Products www.steri-tamp.com (516) 374-8862 Altium Healthcare altiumpkg.com/marketswe-serve/healthcare (800) 392-9824 American BioTech Supply americanbiotechsupply.com (800) 648-4041 American HealthCare Capital americanhealthcarecapital.com (310) 437-4422 American Society of Consultant Pharmacists (ASCP) www.ascp.com (703) 739-1300 Americorp Financial, LLC americorpusa.com (800) 233-1574 Amneal Pharmaceuticals LLC amneal.com (908) 947-3120 Anda Inc. www.andanet.com (800) 331-2632 ARxIUM www.arxium.com (888) 537-3102 Board of Certification/ Accreditation, (BOC) bocusa.org (877) 776-2200 Cardinal Health www.cardinalhealth.com (614) 757-5000 Cencora www.cencora.com (610) 727-7000 Cleanroom Connection www.cleanroomsupplies.com (800) 616-5319 COSHATT www.coshattcorx.com (800) 553-2730 Crocus Medical Inc. crocusmed.com (888) 927-6287 Dr. Reddy’s Laboratories Ltd www.drreddys.com (518) 827-7702 Euclid Medical Products www.euclidmedicalproducts.com (800) 727-2543

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EzriRx www.ezrirx.com (718) 502-6610

Parata Systems (BD) parata.com (888) 727-2821

ScriptPro LLC www.scriptpro.com (800) 851-2364

Flexible Pharmacy Services, PLLC flexiblerx.com (323) 539-3032

PCCA www.pccarx.com (800) 331-2498

SDS Rx www.sds-rx.com (877) 686-4343

Health Care Logistics, Inc. gohcl.com (800) 848-1633

PDM Healthcare www.pdmhealthcare.com (440) 871-1721

HelioMetrics heliometrics.net (612) 444-3242

Pharma Logistics, LLC www.pharmalogistics.com (888) 729-7427

Shepard Medical Products | CareMates www.shepard-medical.com (630) 539-7790

Helmer Scientific | Trane Technologies www.tranetechnologies.com (704) 655-4000

Pharmacists Mutual Insurance Company phmic.com (800) 247-5930

Innovatix, LLC www.innovatix.com (877) 777-1552

PharmaComplete www.pharmacomplete.com (984) 249-3692

South Pointe Wholesale, Inc www.southpointe.us (270) 678-9400

ISO-MED, Inc. iso-med.com (800) 797-1405

Pharmacy Automation Supplies pharmacyautomationsupplies.com (800) 798-1401

SpecializedRx Products, LLC specializedrx.com (888) 512-1209

Jays Company jayscompany.com (763) 557-0056

PK Telehealth (TCE Group) www.pk-plus.com (888) 331-3317

Speed Script www.speedscript.com (800) 569-1175

JFCRx jfcrx.com (262) 729-9200

PPOk www.ppok.com (877) 557-5707

SuiteRx, LLC suiterx.com (916) 242-8779

Jones Healthcare Group joneshealthcaregroup.com (519) 451-2100

Precision Dose, Inc. www.precisiondose.com (800) 397-9228

SureCost, LLC www.surecost.com (888) 363-7596

Liberty Software libertysoftware.com (800) 480-9603

PrimeRx www.primerx.io (866) 495-3999

Swisslog Healthcare www.swisslog.com/healthcare (800) 523-3409

Manchac Technologies www.manchac.com (877) 626-2422

Q.I. Medical Inc www.qimedical.com (530) 272-8700

The Compliance Team thecomplianceteam.org (215) 440-6424

McKesson Corporation www.mckesson.com (972) 446-4800

QRx Solutions qrxsolutions.com (833) 258-2028

Touchpoint Medical www.touchpointmed.com (800) 947-3901

Medi-Dose, Inc./EPS, Inc. www.medidose.com (800) 523-8966

Real Value Rx www.realvalueproducts.com (855) 681-7201

Migali Scientific www.migaliscientific.com (855) 464-4254

Redsail Technologies, LLC www.redsailtechnologies.com (833) 733-7245

Tranzonic Companies I Acute Care Pharmaceuticals www.Pharma-Choice.com (888) 909-7700

National Pharmaceutical Returns, Inc. www.npreturns.com (800) 470-7725

Rees Scientific www.reesscientific.com (609) 530-1055

Net-Rx (an MHA Solution) net-rx.com (866) 336-3879 Noritsu Pharmacy Automation noritsu-rx.com (800) 521-3686 NuAire | Kewaunee www.nuaire.com (763) 553-1270 Paladin Data Corporation paladinrx.com (800) 725-2346

R E TA I L / C O M M U N IT Y • S P E C I A LT Y • LTC

Return Solutions, Inc. www.drugreturns.com (800) 579-4804 Rx Systems, Inc. rxsystems.com (800) 922-9142 RxRise www.rxrise.com (833) 479-7473 RXshelving.com www.rxshelving.com (800) 934-6798

SmartCells (SATECH, Inc.) www.smartcellsusa.com (360) 748-8711 SoftWriters, Inc www.softwriters.com (412) 231-9310

TRC Healthcare trchealthcare.com (800) 995-8712 Unidoses www.unidoses.com (318) 955-1338 UNIWEB, Inc. www.uniwebinc.com (800) 486-4932 Value Drug Company www.valuedrugco.com (800) 252-3786 Wolters Kluwer www.wolterskluwer.com (800) 234-1660 Zebra Technologies Corp. www.zebra.com (877) 208-7756

Akro-Mils www.myersindustries.com (800) 253-2467 American Associated Pharmacies (AAP) www.rxaap.com (877) 797-9227 Apothecary Products, LLC www.apothecaryproducts.com (800) 328-2742 APS - Advanced Pharmacy Solutions www.apsremoterx.com (866) InfoAPS Avel eCare www.avelecare.com (605) 606-0100 AvKARE, LLC www.rsnortheast.com (800) 626-0208 BluPax Pharma www.blupaxpharma.com (732) 902-6760 Capital Inventory, Inc www.capitalinventory.com (800) 345-0849 Capital Wholesale Drug Company www.capital-drug.com (800) 282-2754 Capsa Healthcare www.capsahealthcare.com (855) 734-4142 Care Services, LLC careservicesllc.com (888) 896-1283 CarePoint www.carepoint.com (843) 853-6999 Clean Harbors, Inc. www.cleanharbors.com (800) 645-8265 CoverMyMeds (McKesson Corporation) www.covermymeds.com (866) 452-5017 Cypress Software, Inc. www.rxblu.com (800) 205-1831 DisposeRx, Inc. disposerx.com (844) 456-1600 DosePacker, Inc. www.dosepacker.com (800) MyDoses (693-6737) Ecolab www.ecolab.com (800) 352-5326

Medicine-On-Time medicineontime.com (800) 722-8824

Rx relief www.rxrelief.com (800) 797-3543

Emporos www.emporos.net (704) 567-9426

Morris & Dickson www.morrisdickson.com (800) 388-3833

Rx2Go rx2go.ai (212) 501-7777

EnlivenHealth enlivenhealth.co (866) 388-5629

National Association of Boards of Pharmacy (NABP) Nabp.pharmacy (847) 391-4406

RxConnexion www.rxconnexion.com (888) 442-8348

EPIC Rx www.epicrx.com (800) 876-3742 Eyecon | RxSafe www.averyweigh-tronix.com (507) 238-4461 FFF Enterprises, Inc. www.fffenterprises.com (800) 843-7477 Flash Returns, LLC wp.flashreturns.com (833) 553-5274 Fresenius Kabi Group www.fresenius-kabi.com/us (847) 550-2300 Fullscript www.fullscript.com (866) 807-3828 Genetco, Inc. www.genetcoinc.com (800) 969-8007 GeriMed, Inc. www.gerimedgso.com (800) 456-4374 H+H System, Inc. www.hhsystem.com/en-US (800) 477-2123 Hardy Diagnostics hardydiagnostics.com (800) 266-2222 IND Consulting www.indconsulting.com (954) 756-6883 Integrity Pharmacy Consultants www.integrity-rx.com (833) 735-5797 Jackson PharmacyPros www.jacksonpharmacy.com (877) 500-6508 KeySource www.keysource.com (800) 842-5991 KNAPP www.knapp.com (678) 388-2880 Managed Health Care Associates, Inc. (MHA) mhainc.com (973) 966-9200 Masters Pharmaceutical www.mastersrx.com (800) 982-7922 Medical Packaging Inc., LLC medpak.com (800) 257-5282

Safecor Health safecorhealth.com (800) 447-1006

OrderInsite, LLC getorderinsite.com (866) 230-3938

Shamrock Labels shamrocklabels.com (800) 323-0249

Paragon Ventures www.paragonventures.com (800) 719-1555

Sharps Medical Waste Services www.sharpsinc.com (800) 772-5657

PDR by ConnectiveRx www.pdr.net (888) 227-6469

SmartSense (Digi International) www.smartsense.co (866) 806-2653

Pharmacy Quality Solutions (PQS) | Innovaccer www.innovaccer.com (510) 327-8900

Smith Drug Company www.smithdrug.com (864) 582-1216

Pharmacy Technician Certification Board (PTCB) www.ptcb.org (202) 448-8730

Soliant Health www.soliant.com (800) 849-5502

Pharmacy-Lite Packaging www.pharmacylite.com (800) 935-5483

Spectrum Pharmacy Products www.spectrumrx.com (800) 370-6231

Pharmapod pharmapodhq.com (209) 426-9420

SRS Pharmacy Systems www.srspharmacy.com (800) 673-6226

Pharmathek www.pharmathek.com +39 045 950301

Stericycle, Inc. www.stericycle.com (855) 473-5776

PharmCon www.pharmcon.com (844) 566-3559 Pharmsource, LLC www.pharmsourcewholesale.com (877) 336-3895 PharmWaste Technologies, Inc. www.pwaste.com (515) 276-5302

SureScripts surescripts.com (866) 797-3239 TopRx, LLC www.toprx.com (800) 542-8677 Total Pharmacy Supply, Inc. totalpharmacysupply.com (800) 878-2822

Phox Health, Inc phoxhealth.com (844) 688-7469

Veridikal www.veridikal.com (480) 636-1830

PointClickCare www.pointclickcare.com (800) 277-5889

Virtue Technologies www.virtuescript.com (800) 345-5308

R.J. Hedges & Associates www.rjhedges.com (724) 357-8380

Yardi Systems, Inc. www.yardi.com (800) 866-1144

RD Plastics Company, Inc. www.rdplastics.com (800) 795-7007

Yuyama USA, Inc. www.yuyamarx.com (847) 593-1005

RPh on the Go www.rphonthego.com (800) 553-7359

PHARMACY500

Advasur www.advasur.com (800) 971-6571

Elsevier www.elsevier.com (888) 615-4500

LTC RESOURCES BUYERS GUIDE

Accreditation Commission for Health Care www.achc.org (855) 937-2242

RX Destroyer www.rxdestroyer.com (888) 608-5160

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Customer-Centric Pharmacy Automation that Drives Efficiency and Profitability JFCRx™ offers a suite of pharmacy automation solutions with workflow enhancements to maximize production and ROI. Through our unique cloud-based ecosystem, Enlite™, you can manage, connect, and analyze disparate automation systems for a higher level of efficiency than available before in the industry.

Automated multi-dose blister card packager

Easy, safe, and accurate automated vial filling

Built-in verification reducing pharmacist check time by

Automate up to 35% of your daily script volume

up to 70%

Labor-saving automated tablet pouch packaging

Efficient and accurate pouch verification and review

Reduce machine downtime and pouch rework by

Remote pharmacist verification with up to 97% auto-pass rate

up to 80%

NEW! Automated, image-verified pill sortation

Tablet Sorting

Recapture and repackage medication for inventory return

Discover how much you can save with multi-dose blister card automation, adherence pouch packaging solutions, pouch verification systems, tablet sorting, and vial filling for all pharmacy market segments.

Scan to request your personalized ROI calculation.

(262) 729-9200 | info@jfcrx.com | JFCRx.com

2 0 WA Y S TO I M P R OV E PA T I E NT C A R E & P H A R M A C Y P R O F ITA B I L IT Y

JFCRx Pharmacy Automation Equipment and Software Solutions for Efficiency and Profitability JFCRx provides a full range of pharmacy automation solutions to help pharmacies streamline operations and improve ROI. These include multi-dose blister card and pouch adherence packaging, inspection and verification systems, vial filling, and tablet sorting.

Duane Chudy Founded: 2020 Phone: (262) 729-9200 Address: 8531 198th Avenue, Bristol, WI 53104 Website: jfcrx.com Chairman:

Company Background JFCRx™ is a pharmacy automation partner that offers a full suite of complementary pharmacy automation solutions: leading-edge equipment and software, business process improvement intelligence, comprehensive analytics, and superior customer service. Led by an experienced team of pharmacy industry veterans, JFCRx leverages real-world data to help pharmacy operations become more efficient, increase productivity, and reduce operational costs through “analytics-driven automation.”

More than a vendor of pouch and blister adherence packagers, inspection systems, and vial-filling automation solutions, JFCRx is a technology solutions partner that provides the tools pharmacies need to be successful.

Product Overview n The Groundbreaking Enlite™ Management System Only JFCRx offers a complete suite of pharmacy automation solutions managed through one cloud-based ecosystem, Enlite. This transformative software turns any number of disparate systems into a single solution — and delivers enterprise-level efficiency, analytics, and reporting not previously available in the industry. Enlite addresses inefficiencies and communication barriers within the pharmacy industry’s existing hardware ecosystem. Schedule a demo to learn more. n Adherence Packaging Using adherence packaging to expand your service offerings opens doors to new revenue opportunities. Whether you’d like to introduce medication synchronization services for meds at home, service assisted living or skilled nursing facilities, or if you’d like to enter the long-term care at home market, JFCRx solutions make pharmacy workflows more efficient so pharmacies can do more, grow their business, and increase revenue. n TruCard™ — Multi-Dose Blister Card Packaging The TruCard™ multi-dose blister card packager can reduce pharmacist verification time by up to 70%. Integrated image-verification technology minimizes time-consuming manual checks and ensures product quality, accuracy, and traceability.

• Ensures accuracy through a medication algorithm that verifies medication based on quantity, pill size, shape, and color.

• Guided prefill station with fill-to-light technology reduces filling time and errors for all non-canister medications and canister refills.

• Can produce up to 35 fully filled and verified multi-dose blister cards per hour.

n TruPak™ — Adherence Pouch Packaging The TruPak™ adherence pouch packager offers the most efficient product environment available. Designed to minimize lost production time and pouch rework, TruPak can help you save up to $100K annually on your production process. With TruPak, you can: • Improve tray rates with hot swap technology, smart canisters, and lighted exception trays.

• Make faster paper and ribbon changes with easy-to-access, frontfacing paper path and more pouches per roll.

• Spend less time refilling canisters due to greater capacity.

• Avoid pouch rework because NDC swaps and equivalency changes can be made during production, before labeling. n TruCheck™ — Pouch Verification TruCheck™ provides efficient and accurate review, verification, and electronic record of filled adherence pouches. Convenient intranet access for remote pharmacist verification with an up to 97% auto-pass rate minimizes timely manual checks, streamlines production, and promotes patient safety. n TruScript™ — Vial Filling The TruScript™ automated vial filler can automate 30-35% of your daily script volume, freeing up staff to focus on value-added patient activities.

Benefits include: • Ability to count multiple prescriptions simultaneously.

• Accommodates any size and type of vial to address customer preference.

• Allows you to move patients up in the priority chain. n TruSort™ — Tablet Sorting The TruSort™ tablet sorter relieves pharmacy staff of the burden of manual pill sortation and delivers a simple, hands-free workflow to automate pill sortation with the assurance of image verification. This enables pharmacists and technicians to easily sort critical unused medications from unused adherence packaging and return the pills to stock. By spending less time on pill sortation, pharmacy staff can spend more time on patient care.

Markets Served JFCRx is a solutions provider for all pharmacy segments, including long-term care, central fill, retail, and hospital pharmacies.

Ordering Information To learn how analytics-driven pharmacy automation can help you increase revenue, efficiency, and productivity, please contact us at (262) 729-9200, info@jfcrx.com, or visit jfcrx.com.

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EUCLID

®

Axial® from Euclid: A Complete Adherence Pouch Packaging Solution Prescription filling and dispensing has never been faster, easier, or more adaptable to a wide variety of workflows.

Increase revenue, improve patient care, and differentiate your pharmacy with smart and economical automation.

There's an Axial® machine to fit every pharmacy workflow The Axial® RMD-130U, RMD-144 and RMD-352 are designed to meet the needs of pharmacies of all types. Whether a small, standalone operation or a massive hospital or nursing home, there's an Axial® product right for you.

Faster and more efficient pill packaging is here

+ Euclid's next generation Axial® machines leverage a new rotary design, include an integrated dehumidifier, and are among the smallest, quietest, and most durable productivity-enhancing machines on the market.

+ Numerous canister options, including standard, universal, manual fill trays

on some models, so you'll always have multiple options - without sacrificing speed or reliability. Unit or multi-dose at up to 65 packages per minute.

+ This smart design also allows for easy access to the RFID canisters, and

you can run and fill canisters at the same time providing best in class daily packaging output.

+ MyMeds+® is a marketing tool kit available to help you promote your new packaging service once you get a machine. Most pharmacies can show a positive ROI in the first year.

All of our machines are built to last and are backed by our industry-leading customer service team. Invest in the future of your business and in the health of your community today! Contact us for a free demo or ROI Analysis.

For more information, please contact: Euclid® Medical Products 800-727-2543 info@euclidmedicalproducts.com Reference RXinsider to receive your special discount!

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Axial® Multi-Dose Packaging Machines by Euclid® Medical Products Axial multi-dose machines promote medication adherence and simplify the process for the patient by pouch and blister card packaging medications by time and day.

Axial boasts a smaller footprint than any other machine on the market.

Chief Commercial Officer: Tim Shaw

1955 11-50 Toll-Free Phone: (800) 727-2543 Fax: (330) 698-1254 Address: 339 Mill Creek, Apple Creek, OH 44606 Website: www.euclidmedicalproducts.com Founded:

Employees:

Company Background For more than 50 years, Euclid Medical Products has been a trusted partner for hospital/retail pharmacies, long-term care facilities, and third-party re-packagers seeking high-quality, efficient multi/unit-dose packaging and barcoding systems. With Vantage™ customizable software offering linear and 2D barcoding capabilities, fade-resistant thermal transfer printing, and multiple accessories to improve your packaging process, we are committed to helping you reduce costs and improve your overall operational efficiency.

Product Overview These next generation adherence pouch and blister card packaging machines with unit- and multi-dose capabilities are built on a revolutionary rotary design which allows for a very small footprint. At packaging speeds of up to 65 packages per minute and with storage for up to 20 canisters of one medication for high-volume runners, the machines can continue to package as canisters are being refilled. The new rotary design allows for easy access to the canisters as well as simple cleaning and maintenance. These machines also feature RFID smart canisters and a built-in dehumidifier, and they are very quiet in operation.

Features & Options • Three models (130U/144/352 canisters).

• Packaging speeds up to 65 packages per minute.

• Package and replenish canisters at the same time.

• Easy to access RFID “smart canisters.”

• Built-in dehumidifier.

• Easy to clean.

• Packaging materials (class A) contain technology that provides fast, easy opening.

• 300 DPI thermal transfer printing with linear and 2D barcodes.

• Quiet operation.

Product Specifications n All Units • Display: Touch Panel • Printing Method: Thermal Transfer Printing n Axial RMD-130U • Dimensions: 23.6" (W) x 23.6" (D) x 78.6" (H) • Packaging Size: 70x60 mm, 70x70 mm, 70x80 mm (standard), and 70x90 mm.

• Packaging Speed: Up to 65 pouches per minute.

• Gross Weight: 837.8 lbs. (Approximate) n Axial RMD-144 • Dimensions: 23.62" (W) x 23.62" (D) x 79.39" (H) • Universal Tray: 48-cell trays accommodate multiple meds in each cell.

• Gross Weight: 683 lbs. (Approximate) n Axial RMD-352 • Dimensions: 47.2" (W) x 23.6" (D) x 87.8" (H) • Universal Tray: 66-cell trays accommodate multiple meds in each cell.

• Gross Weight: 1,311.8 lbs. (Approximate)

Testimonial “ Euclid was perfect for me. Its small footprint, lower cost, and high-packaging capabilities were just what my pharmacy needed.

Independent pharmacists need to know that you don’t need to spend an obscene amount of money to implement pouch packaging. Euclid has a phenomenal product here for a great price and size that makes it the best investment.”

— Denise Conway, Conway’s Pharmacy, Mt. Vernon and Danville, OH

Markets Served We serve retail, combo, close-door, and hospital pharmacies.

Trade Shows/Meetings Attended We attend ASHP, NCPA, MHA, Gerimed, Pioneer, Framework, AmerisourceBergen, Cardinal RBC, and Mckesson ideaShare.

Ordering Information Email us at info@euclidmedicalproducts.com or call (800) 727-2543.

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CAS E S TU DY Empowering Long-Term Care Pharmacies Through Smarter Procurement Technology Delivering Long-Term Care Pharmacy Services to Support Better Care INTRODUCTION AND INTENDED OUTCOME

Guardian Pharmacy Services, a leader in long-term care (LTC), provides personalized support and technology solutions to over 50 locally-managed pharmacies across the United States. Spanning from Maine to California, Guardian’s pharmacies serve over 7,000 facilities and 189,000 residents in assisted living, behavioral health, post-acute care, hospice, and other complex care settings.

William Posten Senior Manager of Purchasing and Analytics ~ Guardian Pharmacy Services

“We work with pharmacies by bringing them into our network and integrating them under the Guardian umbrella,” explains William Posten, senior manager, purchasing operations and analytics for the company’s support center. Each pharmacy is empowered to make local leadership decisions, and purchasers continue to manage the onsite, daily operations. “Our job is to set pharmacies up for success with behind-the-scenes support that simplifies medication management and lowers overall costs,” says Posten.

THE CHALLENGE: COMPLEX PURCHASING AND INVENTORY MANAGEMENT

Posten explains that researching drug availability and costs is one of the biggest challenges pharmacies face, regardless of their size. “When I was a pharmacy owner myself, I could lose three or four hours a day just looking up National Drug Code (NDC) numbers on various providers’ websites to access catalogs and compare prices.” This tedious process required jumping between multiple websites simply to gather information. That was before even comparing products and then deciding what to purchase. “It was just incredibly time-consuming.”

Finding the best drug prices every day is only part of the story. To maintain discounts on popular drugs, Guardian must also meet contractual agreements with vendors. “That’s a very tough ‘ask’ to manage across all of our locations,” says Posten. “But it’s a key factor for purchasers to consider when placing orders.”

Maintaining accurate inventory with manual processes is another long, slow process that can consume several hours a day. “Having a handle on inventory is more important than ever as the industry potentially faces a new round of drug shortages,” Posten says.

www.surecost.com 32

C ASE S TU DY

“

SureCost’s flexibility and customization help me manage pharmacies from afar a lot more efficiently.”

William Posten Senior Manager of Purchasing and Analytics ~ Guardian Pharmacy Services

“

Their customer service is just phenomenal …

I know SureCost is there for us, every step of the way.”

William Posten Senior Manager of Purchasing and Analytics ~ Guardian Pharmacy Services

Those are some of the reasons Guardian implemented SureCost, a leading pharmacy procurement and inventory management software.

THE SOLUTION: SURECOST’S PROCUREMENT AND INVENTORY MANAGEMENT SOFTWARE n SureCost Purchase Manager™ Purchase Manager is designed to give pharmacies unified access to all primary and secondary vendors as well as manufacturer catalogs through a centralized platform.

Users can quickly and easily compare drug prices and availability in real time on a single screen.

The system also provides visibility into rebate structures. “As our purchasers research cost and availability, they can also see where we stand in terms of compliance on rebate thresholds before an order is submitted,” explains Posten. That means Guardian can proactively shift volumes as needed to fulfill commitments. “It’s not just about finding the cheapest drug,” says Posten. “It’s about maximizing savings by making the smartest decision — something that would be nearly impossible for me to manage across all of our locations.”

This automated process, on its own, can cut the time spent on research and submitting purchases by as much as 50% for most pharmacies. Posten also says that SureCost’s Purchase Manager supports Guardian from procurement to payment, adding even more efficiency to daily processes. That’s because Purchase Manager enables purchasers to research drug prices and view vendor and rebate tier requirements while generating a single purchase order for all vendors each day. “We’ve also built modules for our pharmacies to confirm receipt of an order and approve invoices, so our accounts payable team can process payments with confidence,” Posten explains. n Inventory Manager™ About half of Guardian’s pharmacies also use SureCost’s Inventory Manager, which systematically monitors both physical and perpetual inventory, transfers, and returns in real time. “The software gives our pharmacists the information they need to forecast more accurately,” says Posten. “It automatically tells them what to order and when based on dispensing data, not just purchasing history.” These capabilities reduce waste and excess inventory while minimizing the risk of out-of-stocks. Inventory Manager also improves operational efficiency by significantly cutting the time spent on manual cycle counts. n Data Integration and Reporting “The beauty of both Purchase Manager and Inventory Manager is that the data integrates seamlessly with our data warehouse,” says Posten. “Having all our pharmacies in one solution allows us to aggregate data across our network and make decisions based on the best, most current information.”

Posten also appreciates the depth and efficiency of SureCost’s reporting tools. “Purchase Manager gives us access to something like 300 different reports,” he explains. “I can run reports and display them on dashboards across our network, so purchasers at each

www.surecost.com 33

CAS E S TU DY

“

It’s not just about finding the cheapest drug … It’s about maximizing savings by making the smartest decision.”

William Posten Senior Manager of Purchasing and Analytics ~ Guardian Pharmacy Services

location are all seeing the same thing. That means I don’t have multiple locations running the same report. Everything about SureCost just saves time.”

THE BENEFIT: TAILORED IMPLEMENTATION AND SUPPORT

In addition to the efficiency and value that SureCost adds to Guardian’s bottom line, Posten says the ability to tailor Purchase Manager to each location is indispensable. “Not every pharmacy is the same, so trying to implement a one-size-fits-all solution would be disruptive,” he says. From NDC change thresholds to days-on-hand targets to spending caps and more, SureCost enables Guardian to customize the solution for each pharmacy.

As one example, Posten looks at pharmacies that primarily support residents at behavioral health facilities. These locations often need to dispense specific brands, leading to a below-average generic spend compared to others in the network. “SureCost allows us to set thresholds around that,” he explains. “I think of them as guardrails for individual purchasers that ensure Guardian maintains consistency and control over purchases.” Individual pharmacies can also reconfigure both Purchase Manager and Inventory Manager to meet their changing needs, including adjusting guardrails as their location develops within the network. “SureCost’s flexibility and customization help me manage pharmacies from afar a lot more efficiently.”

Beyond the benefits that the solutions deliver, Posten says that the company’s service truly sets them apart. “Purchase Manager is easy to use,” he says. “It’s a web-based application, so anyone making a purchase online can learn to use it.” As a result, when new pharmacies or purchasers join the network, Posten and his team handle most of the training themselves. However, if they need additional support, Posten can arrange a dedicated training session with the SureCost team to guide new pharmacy staff through the system step by step. SureCost also has a dedicated team for pharmacies implementing Inventory Manager.

“SureCost even works with our vendor partners to ensure the data we’re receiving is accurate and properly integrated into our data warehouse,” adds Posten. “Their customer service is just phenomenal. There’s always someone available to answer my questions and questions from our individual pharmacies. I know SureCost is there for us every step of the way.”

THE IMPACT: AN ONGOING PARTNERSHIP

If there’s one thing Posten would tell other pharmacies, it’s that SureCost is much more than a software provider. “We have formed a true partnership, and it’s been like that from the start.”

That’s because SureCost is always asking questions about how they can make their solutions more useful. “And they hear what we say,” says Posten. “They’ve come up with some pretty unique solutions for us over the years. They’re now designing a separate module to help us stay ahead of drug shortages.”

The end result is that SureCost’s software has empowered Guardian to build efficiency and consistency into their network and to leverage actionable insights that streamline purchasing and inventory management. “SureCost gives our pharmacists back valuable time to more effectively meet the needs of the individuals they serve,” says Posten. “I would recommend SureCost’s software solutions to any pharmacy, not just those in the LTC space.” www.surecost.com 34

The Premier All-in-One Pharmacy Procurement Software

One Procurement Platform.

More Savings in Half the Time.

SAVE MORE

Save 2% on average on COGS annual

WORK SMARTER

Reduce time spent on purchasing by 50%

STAY COMPLIANT

Ensure 100% compliance through PVA

Tired of "good enough" pharmacy procurement tools?

Discover the best full-cycle pharmacy procurement software on the market.

Power savings, compliance and efficiency—on autopilot.

With SureCost, unify your pharmacy’s entire procurement process while unlocking smarter savings across every site.

See every vendor’s unit price side-by-side for smarter selection Auto-generate purchase orders and cut buying time in half Track orders from send to receive to eliminate invoice surprises Monitor contract compliance and get alerts before savings slip away

BOOK A DEMO Built with powerful analytics, guided buying views and AI-driven insights, SureCost turns reactive purchasing into a proactive strategy.

Schedule a Free Consultation today and see how SureCost can help your pharmacy simplify procurement, boost compliance and save more in less time.

More patients than ever have access to Dexcom G7 at the pharmacy,*,†,1 now including those covered by Optum Rx‡ Over 7 million commercially insured patients with diabetes nationwide have coverage for Dexcom G7 at the pharmacy, regardless of treatment regimen†,§,2 • No insulin required • No manual PA The majority of patients pay $20 or less per month for Dexcom CGM*,3

To learn more, visit: provider.dexcom.com/pharmacists CGM = continuous glucose monitoring; FIA = Formulary Impact Analyzer; PA = prior authorization. *Individual pricing may vary depending on insurance coverage. IQVIA FIA retail data, paid sensor claims. †Patients must be enrolled in a commercial insurance plan. Coverage may vary. ‡UnitedHealthcare has separate coverage criteria. §Individual pricing may vary depending on insurance coverage.

1 Dexcom, data on file, 2025. 2 Dexcom, data on file, 2024. 3 Dexcom, data on file, 2023.

Dexcom and any related logos and design marks are either registered trademarks or trademarks of Dexcom, Inc. in the United States and/or other countries. ©2025 Dexcom, Inc. All rights reserved. MAT-6915

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Dexcom CGM — Empowering Unmatched Glucose Control1-5,* Dexcom Continuous Glucose Monitoring (CGM) is proven to lower A1C and increase time in range.1-3,5,6 Dexcom ranks #1 in patient satisfaction,† adherence, and retention.7-9,‡

CEO & Chairman of the Board: President & COO: Founded: Employees: Stock Symbol: Toll-Free Phone: Website:

Kevin R. Sayer Jake Leach 1999 >8,000 globally DXCM (888) 738-3646 Dexcom.com

Company Background Dexcom, Inc. empowers people to take control of health through innovative CGM systems. Headquartered in San Diego, California, Dexcom has emerged as a leader of diabetes care technology. By listening to the needs of users, caregivers, and providers, Dexcom simplifies and improves diabetes management around the world.

• Only CGM with app features that help protect from severe hypoglycemia and diabetic ketoacidosis.12 • 1.7 million customer years and growing of powering AID systems.7 • Dexcom G7 is the most connected CGM,7 connecting to Tandem, Lily Tempo, Insulet Omnipod, and Beta Bionics devices.

Testimonials n Dexcom is the most affordable CGM brand at the pharmacy11,§§: • Dexcom is the #1 recommended CGM system by patients.13,† • 96% of patients say Dexcom G7 is easy to use.14 • Dexcom ranks #1 in patient satisfaction,† adherence, and retention.7-9,‡ • Dexcom is a preferred CGM of national payors on the pharmacy benefit.7,¶

• 98% of people have coverage for Dexcom G7.7,§§ ,|||| • 75% of Medicare Advantage lives have coverage for Dexcom G7 at

the pharmacy.11 Savings programs are available for patients without CGM coverage.

Product Overview Dexcom G7 is the simple CGM for effortless diabetes management.

Users will receive real-time glucose readings automatically on their compatible smart device§ or Dexcom receiver, no fingersticks|| required.

Dexcom G7 also offers a suite of customizable alerts that can warn of high or low glucose levels with a predictive low alert that can recognize potentially dangerous hypoglycemic incidents before they occur.

Dexcom CGM has demonstrated a >1% A1C reduction after 12 weeks.1,2,5 Dexcom G7 can help patients reach their glycemic goals and improve their quality of life.1-5,10 Dexcom G7 is a preferred CGM of national payors on the pharmacy benefit.7,¶ As the most covered CGM brand,7,# Dexcom requires only one prescription for Dexcom G7 to be sent directly to the pharmacy for a quick, simple start and low outof-pocket costs. Most covered patients pay $20 or less per month for Dexcom CGM.11,** Dexcom G7 is an integrated CGM (iCGM) indicated for the widest age range and across diabetes types (type 1, type 2, and gestational diabetes) and treatment types (basal insulin, noninsulin, glucagon-like peptide-1).

No other CGM system is more affordable than Dexcom G7 for Medicare patients.†† For more information on affordability programs, please visit dexcom.com/savings.

Features & Options n Dexcom G7 is the most connected CGM system7: • The first and only iCGM brand that allows for Share and Follow while also using an automated insulin delivery (AID)-connected system.‡‡ • The first and only CGM with no fingersticks from day 1.||

Ordering Information To order, please contact your pharmacy wholesale partner. Dexcom G7 is available to order from all major wholesalers.

Compared to self-monitoring of blood glucose.

Based on a comparison in net promoter scores across major CGM brands. ‡ IQVIA paid sensor claims at 12 months. § Smart devices sold separately. For a list of compatible devices, visit dexcom.com/compatibility. || Fingersticks required for diabetes treatment decisions if symptoms or expectations do not match readings. ¶ Individual coverage may vary depending on commercial pharmacy coverage benefits. # Individual coverage may vary depending on insurance plan. ** Individual pricing may vary depending on insurance coverage. IQVIA FIA retail data, paid sensor claims. †† Under Medicare’s durable medical equipment (DME) fee schedule, reimbursement and coinsurance for CGM using Current Procedural Terminology (CPT) codes A4239 and E2103 are the same, regardless of CGM brand. ‡‡ Internet connection and separate Follow app required. To view compatibility, visit dexcom.com/compatibility. §§ Individual pricing may vary depending on insurance coverage. |||| Includes both pharmacy and medical benefit. *

†

1 Beck RW, et al. JAMA. 2017;317(4):371-378. 2 Beck RW, et al. Ann Intern Med. 2017;167(6):365-374.

3 Martens T, et al. JAMA. 2021;325(22):2262-2272. 4 Laffel LM, et al. JAMA. 2020;323(23):23882396. 5 Welsh JB, et al. J Diabetes Sci Technol. 2024;18(1):143-147. 6 Garg SK, et al. Diabetes Technol Ther.

2025. doi:10.1089/dia.2025.0139 Epub ahead of print. 7 Dexcom, data on file, 2024. 8 dQ&A Q1 2023 Patient Perspectives. 9 Seagrove Patient Perspectives 2024. 10 Gilbert TR, et al. Diabetes Technol Ther. 2021;23(S1):S35-S39. 11 Dexcom, data on file, 2025. 12 Graham R, et al. Diabetes Technol Ther.

2024;26(1):24-32. 13 Seagrove Patient Survey 2024. 14 Dexcom G7 CGM System User Guide.

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2 0 WA Y S TO I M P R OV E PA T I E NT C A R E & P H A R M A C Y P R O F ITA B I L IT Y

Return Solutions Offers Hassle Free Rx Returns Reduce time spent tracking credits and get credit quickly with Return Solutions’ OneCheck Select program — the fastest pharmaceutical return credit reimbursement in the industry.

President & CEO: Founded: Toll-Free Phone: Phone: Fax: Address: Website:

Michael Ayres 1992 (800) 579-4804 (865) 675-1355 (865) 675-2474 1 0635 Dutchtown Road, Knoxville, TN 37932 drugreturns.com

Company Background Founded in 1992, Return Solutions is one of the most experienced and trusted reverse distributors in the industry. Over the last 32 years, we have built relationships with group purchasing organizations across the country and are currently recommended by over 25 buying groups representing 20,000+ pharmacies. In 1998, we became the first returns company to issue checks to our customers for credit, and since then have paid customers over $1 billion.

• All items are scanned into our proprietary valuation software.

• Items are packaged and prepared for FedEx pickup.

•R eceive a credit estimate and detailed reporting before the rep leaves your store. n Mail-In Service • Inventory Rx and controlled products online on your own time.

• Print return authorization forms and prepaid UPS shipping labels.

• Give boxes to any UPS driver.

•R eceive a credit estimate and detailed reporting online within three to five business days. n Destruction Service • Safe, simple, and compliant destruction of unsaleable pharmaceuticals.

•N on-hazardous products destroyed by EPA-approved waste-toenergy incinerator.

• Controlled substance destruction witnessed by at least two employees.

• Proof of destruction and DEA forms included in pricing.

Product Overview

Product Specifications

The OneCheck Select program is tailored to independent and regional chain pharmacies and health systems. Over the past 30 years, we’ve perfected our pricing and reimbursement processes to ensure you receive maximum compensation for your outdated products. We optimize the reimbursement process, consolidating credit into one check and ensuring that you receive credit quickly — within as few as 10 days if you choose our 10-Day Pay program, or within no longer than 90 days with our most economical option. Credit values are listed on the check stub, so you know exactly how much you have received from each manufacturer.

Our all-inclusive fee, including shipping, CII-CV processing, destruction of non-returnable items, and extensive reporting available on our website, is a fixed percentage of your returnable product value and is deducted from the check we issue to you, so there are no hidden fees or surprise charges. Choose from our comprehensive On-Site Service and let our experienced representatives handle every aspect of your return or use our easy and economical web-based Mail-In Service if you prefer to complete your returns on your own time.

Return Solution’s 24/7 online portal allows you to access your entire return history down to NDC level along with all credit information. We provide business analytics and trends so you can adapt purchasing habits to ensure maximum future ROI. You can print controlled substance reports and proof of destruction to ensure you are always in compliance in case of an audit. We are accredited as an NABP Drug Distributor and maintain licensing with the DEA, EPA, and all states where it is required.

Features & Options n OneCheck Select • Credit consolidated into one check.

• Choose your reimbursement time frame.

• Check issued within 30 days for your first return.

• All-inclusive fee with no hidden charges. n On-Site Service • Experienced representatives scan all prescription shelves for shortdated and outdated items.

Testimonial “ I have been dealing with Return Solutions for 15 years. We have been in business for over 50 years, and we have been through our fair share of returns companies.

Return Solutions is prompt and professional. So happy we switched to them!”

— John Demetriades, Farmacon Pharmacy

GPO Affiliations Our GPO affiliations are AAP, AIP, AlliantRx, American Pharmacies, APCI, APNI, All-Win Rx, CPA, EPIC Pharmacies, Gerimed, IPA, IPC, Keystone, LWD, Mutual Drug, NPSC, PBA Health, POA, Pharmacy Plus, PPSC, PPOk, QualityCare Pharmacies, RxPlus, Sav-Mor, The Pharmacists’ Choice, UPNI, We Care Pharmacy, and WSPC.

Ordering Information To learn more about how Return Solutions can help decrease time spent on returns and maximize your expired product credit, please call (800) 579-4804 or email support@drugreturns.com. You can also visit our website at drugreturns.com for additional information or to create an account.

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INTEL REPORT HIGHLIGHTS LONG-TERM CARE PHARMACY RESOURCES

Report highlights are extracted from the Pharmacy500 Long-Term Care Pharmacy Resources 2025 Report.

160

Pharmacy500 companies serve LTC Pharmacies.

Source: RXinsider

1,282

U.S. Pharmacies are classified as LTC pharmacies which provide services to LTC facilities.

Source: IBISWorld

14,827 Nursing facilities are certified in the U.S. Source: KFF

A long-term care (LTC) pharmacy is a specialized pharmacy service designed to meet the unique medication and pharmaceutical needs of residents in long-term care settings, such as nursing homes, assisted living facilities, group homes, correctional facilities, and rehabilitation centers. These pharmacies focus on the management, preparation, and delivery of medications tailored to the complex and chronic health conditions common among individuals in these facilities. Long-term care pharmacies play a critical role in ensuring the quality of care for vulnerable populations requiring ongoing medical and pharmaceutical support. Typically, long-term care pharmacies are closed to the public (closed-door pharmacies).

Medication Packaging Use of specialized packaging (e.g., blister packs, unit-dose packaging) to ensure accuracy, compliance, and ease of administration.

Regulatory Compliance Adherence to state and federal regulations, including those outlined by the Centers for Medicare & Medicaid Services (CMS) and the Omnibus Budget Reconciliation Act (OBRA) of 1987.

Clinical Support Provision of clinical services, typically performed by the consultant pharmacist, such as medication therapy management (MTM), drug regimen reviews, and consultation to optimize therapeutic outcomes.

24/7 Accessibility Availability of pharmacists and delivery services to address urgent medication needs at any time.

Technology Integration Utilization of electronic health records (EHRs), pharmacy management systems, and automated dispensing systems to improve accuracy and efficiency.

Collaborative Care Close collaboration with healthcare providers, including nurses and physicians, to ensure safe and effective medication use.

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TOP 5 PHARMACY500 COMPANIES SERVING LTC BY TOTAL ACTIVE JOBS

SUPPLY CHAIN CROSSOVER The following chart represents the market presence of Pharmacy500 companies serving long-term care pharmacies across 88 supply chain categories.

The Pharmacy500 companies serving long-term care pharmacies have a total combined count of 1,645 active jobs.

15

148 Jobs

Software: Medication Inventory Management & Procurement

19

Distribution: Wholesalers & Distributors

123 Jobs

15

Distribution: Pharmacy Supplies

113 Jobs 75 Jobs 71 Jobs

23

25

Unit Dose: Single-Dose Packaging Resources & Supplies

Unit Dose: Multi-Dose Packaging Resources & Supplies

ASCP TOTAL SESSION BREAKDOWN The following trends were analyzed from the 60+ educational and training sessions at the 2024 American Society of Consultant Pharmacists (ASCP) Annual Meeting and Exposition.

4

5

8

Policy, Payment & Regulation

Patient Safety & Quality

Professional Development & Innovation

9

11

Geriatrics & Long-Term Care

Technology & Product Theaters

26 Clinical & Drug Therapy

RXinsider

MARKET INTELLIGENCE RXinsider’s Market Intelligence (INTEL) Group performs market research on the pharmacy operations supply chain and the Pharmacy500 companies. Through our weekly reports, digital awareness, and online training, the INTEL Group educates Pharmacy500 professionals and pharmacy management on the products and services impacting pharmacy operations.

Learn more about INTEL Market Reports at RXinsider.com/pharmacy_market_intelligence

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Stock & Specialty Cabinets Health Care Logistics® offers stock and custom-built cabinets to fit any space, standard or unique.

FREE 3D Design Service Visualize your layout before you buy, with our FREE 3D Design Service

Made in the USA Health Care Logistics® is a veteran-owned small business based in Central Ohio.

All cabinetry is built in-house by our expert team and available exclusively from HCL®.

Ships in 5 Business Days Manufactured and shipped fast, just 5 business days from design approval.

Don’t forget that our design service is FREE!

Lifetime Warranty No questions asked!

Get Started Today!

2 0 WA Y S TO I M P R OV E PA T I E NT C A R E & P H A R M A C Y P R O F ITA B I L IT Y

Custom Manufacturing That Delivers — Fast Health Care Logistics® creates functional, made-to-order cabinets, boxes, and storage containers that improve workflow and deliver measurable results — turning ideas into reality without delays, inflated costs, or compromise.

President & CEO: Gary Sharpe Founded: Toll-Free Phone: Phone: Address: Website:

1978 (800) 848-1633 (740) 477-3755 P.O. Box 25 Circleville, OH 43113 GoHCL.com

Company Background What began in 1978 as a garage-based business at the home of Health Care Logistics (HCL®) Owner Gary Sharpe now encompasses five well-equipped facilities in central Ohio and reaches customers around the globe. Employment has grown too, with more than 300 employees now dedicated to the company’s mission of providing unmatched customer service.

Sharpe discovered early in his career the need for healthcare products in sizes, quantities, and materials not readily available and was determined to deliver. And has he ever. Today, HCL’s inventory includes more than 9,000 different products all designed to provide “Special Answers to Special Problems.”

Most of these items are maintained locally in more than 320,000 square feet of warehouse space and meet the supply needs of hospitals, pharmacies, chain drug stores, pharmaceuticals, and many other facets of healthcare.

Product Overview HCL is redefining what’s possible in custom manufacturing with made-to-order solutions designed to transform healthcare, longterm care and retail pharmacy spaces — in days, not weeks.

Through its Ohio-based divisions — Cabinets By Design, Metals

By Design, and Plastics By Design — HCL gives customers the power to solve real-world challenges with precision-crafted products built to their exact specifications. Whether it’s improving storage, optimizing workflow, or modernizing interiors, HCL delivers results that are practical, professional, and built to last.

shelving, and accessories in as little as five working days from proof approval. Customers can choose from seven cabinet finishes, four handle types, and a range of stock components to bring their vision to life.

Thanks to the company’s free 3D design service, customers can visualize their space before placing an order, ensuring a perfect fit the first time. And when needs evolve, additional pieces can be ordered and integrated seamlessly with the original design.

All manufacturing is completed in the USA, and all pieces are shipped ready to assemble and install — no delays, no guesswork, and no hassle.

Markets Served Additional products are available for validation of hazardous drug handling, automated compounder manipulation validation, filter integrity testing, and vial adaptors.

• Long-Term Care • Retail Pharmacy • Central Supply/Purchasing/MM • Emergency Department • Facilities/Engineering/Maintenance • Infection Control/Sterile Processing • Labs/Clinical • Nursing • Oncology/Hematology/Infusion • O.R. • Pharmacy • Surgery Center

Ordering Information HCL offers small package quantities, no order minimums, free samples, and ships most orders the same day. The company’s hasslefree return policy allows customers to return any product (excluding sterile items), at any time, for any reason. Live chat is available from 8 a.m. to 8 p.m. EST Monday - Friday.

With virtually unlimited production capabilities, HCL’s in-house manufacturing team manages every step of the process — from concept to completion — offering fully customized cabinets,

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Take Your Purchasing & Operational Strategy to New Heights with Innovatix INNOVATIX MEMBER BENEFITS EXTEND BEYOND THE SIGNIFICANT SAVINGS WE PROVIDE. While group purchasing is at the core of what we do, Innovatix is committed to developing programs that help our members thrive.

Leveraging the resources of our parent company, Premier, Inc., our suite of pharmacy operations improvement programs are designed to address your operations needs without distracting from your main mission — providing high-quality patient care.

Our suite of pharmacy operations improvement programs provides solutions in the following areas

Rx claims adjudication

Medicare Part D reimbursement

Continuing education

Clinical surveillance technology

Regulatory & legislative advocacy

To join our GPO or to learn more

about our suite of pharmacy operations improvement programs, visit us at innovatix.com,

email info@innovatix.com, or call

(888) 258-3273.

2 0 WA Y S TO I M P R OV E PA T I E NT C A R E & P H A R M A C Y P R O F ITA B I L IT Y

Strategic Purchasing and Operations Improvement Solutions by Innovatix Innovatix offers differentiated, high-quality group purchasing and consultative services. We help members maximize their overall financial performance by providing the resources and educational support needed to enhance the delivery of quality patient care.

1993 Stock Symbol: PINC Toll-Free Phone: (888) 258-3273 Address: 13034 Ballantyne Corporate Place Charlotte, NC 28277 Website: www.innovatix.com Founded:

Company Background Innovatix is a national group purchasing organization that provides strategic purchasing solutions and operational support to help pharmacies and other providers across the continuum of care thrive. We supplement our industry-leading purchasing program with a consultative approach, in-depth analytics, vast healthcare expertise, and value-added and feebased services specific to our members’ needs. Innovatix works tirelessly to deliver savings and value to members.

Product Overview Innovatix offers one of the most extensive, competitive purchasing portfolios available today. We provide members access to an $83 billion purchasing portfolio comprising 3,000+ contracts through over 1,400 suppliers.

Value-Added Services Innovatix member benefits extend beyond the significant savings we provide through our group purchasing services. While group purchasing is at the core of what we do, Innovatix is committed to offering additional value to help our members grow and excel.

• Innovatix Educational Institute: Each month, Innovatix offers free accredited Continuing Education (CE) opportunities. Members can take advantage of these learning sessions from the convenience of their own computers.

•G overnment Affairs: Based in Washington, D.C., Premier’s Government Affairs office acts as an advocate for members of the Premier alliance — including Innovatix members — and the communities they serve. Every day, we’re working to shape federal laws and regulations so they align with our members’ efforts to drive innovation and lead the transformation to high-quality, cost-effective healthcare.

• Clinical Experts: Innovatix staff includes clinical pharmacists and physician consultants who provide members with best practice studies, disease state management information, formulary management, and medication error reduction strategies.

Pharmacy Operations Improvement Programs Our suite of pharmacy operations improvement programs are designed to address your operations needs without distracting from your main mission — providing high-quality patient care.

•P remier PSAO: Successfully navigating Medicare Part D to maximize reimbursement on Medicare prescription drug benefit claims is a major challenge for many pharmacies today. Premier PSAO provides pharmacies access to Medicare Part D contracts with the nation’s largest prescription drug plans and pharmacy benefit managers.

• Scriptmax®: Offers the most complete pharmacy claim support in the industry. Through a comprehensive suite of pre-edit, post-edit, and reconciliation services, Scriptmax empowers pharmacies with actionable claims review data during every step of adjudication.

•P INC AI™ Clinical Surveillance for LTC Pharmacies: Our clinical surveillance capabilities provide a comprehensive, real-time workflow solution for infection preventionists and clinical pharmacists.

The technology can help detect, manage, control, and alert to improper treatment of infection-related conditions during COVID-19 and beyond by enabling: 1) automated alerts, including COVID-specific alerts, for patients suspected or confirmed for infections; 2) automated flags on patient records to allow for robust tracking of patients in an outbreak group; 3) comprehensive documentation forms, including a custom set specific to COVID and routine infections such as Methicillinresistant Staphylococcus aureus (MRSA), Clostridium difficile (C. diff), and urinary tract infections (UTIs); 4) electronic submission of infections to the Centers for Disease Control and Prevention’s (CDC’s) National Healthcare Safety Network (NHSN) system.

Key Business Partners Innovatix is a wholly-owned subsidiary of Premier, a healthcare improvement company uniting an alliance of over 4,400 U.S. hospitals and more than 300,000 other provider organizations.

Ordering Information Innovatix GPO membership is free. To learn more about our group purchasing services and suite of pharmacy operations improvement programs, visit www.innovatix.com, email info@innovatix.com, or call (888) 258-3273.

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From Walls to Counters to Rooms

We Do It All!

Modular and High Density For nearly 55 years, Uniweb, Inc. has manufactured locally, delivering durable product in weeks—not months.

Uniweb can increase inventory capacity by up to 30% and cut project costs by 15-20% compared to traditional fixtures.

Designed with fewer parts, Uniweb steel products are highdensity, fire and tear-resistant, and surpass UL standards.

PreWired Rooms & Counters: UL listed and factory built.

All connecting cables provided.

Electrical outlets per your specification; regular, ISO, utility, clean, dedicated.

Future Ready Need more space or a change in operations layout? You are not locked into your original design.

Room sizes, counter run configurations, and accessories are unlimited!

For More Info

Made in the USA

Since 1970

uniwebinc.com 800.486.4932

2 0 WA Y S TO I M P R OV E PA T I E NT C A R E & P H A R M A C Y P R O F ITA B I L IT Y

Innovative Rooms, Counters, and Fixtures Expertly Crafted by Uniweb, Inc. Since 1970, Uniweb has been domestically factory-produced, providing durable products in weeks rather than months. The company specializes in manufacturing steel pharmacy and retail systems with a wide range of millwork décor and fabric panel options. It’s quick and easy to install!

1970 Employees: 100+ Toll-Free Phone: (800) 486-4932 Address: 222 So Promenade Avenue, Corona, CA 92879 Website: www.uniwebinc.com LinkedIn: www.linkedin.com/company/uniweb-incYouTube: www.youtube.com/@uniwebinc7179 Founded:

Company Background n Uniweb is the Multi-Tool of the Fixturing Industry!

Uniweb offers retail, pharmacy, and millwork products for retailers seeking to expand their departments without requiring significant space increases. Uniweb systems store more products in the same footprint compared to conventional systems, increasing profits!

Product Overview n What Uniweb delivers: • Extra space or increased capacity — your choice.

• Shelving, workstations, or total room build-out — your choice.

• Front-end merchandising; checkouts, queuing, retail displays — your choice.

• Extensive variety of colors and textures to match your décor — your choice.

• Planning your pharmacy to manage “growing pains” — your choice.

• Free design and consulting to help you achieve your goals — Uniweb’s support.

Choose Uniweb for future-ready shelving and accessories made in the USA. Our expert sales team will help you find the best options.

The 54-year-old corporation is a solution-oriented company dedicated to understanding clients’ needs and creating custom, cost-effective products tailored to those requirements. Uniweb partners with designers and store staff to design visually attractive and functional pharmacy spaces, retail displays, and consultation areas.

Features & Options Uniweb established a dependable reputation for expanding retail space, especially around the pharmacy and throughout the store. “We Create NEW Space,” says Cindy Davidson, president, and 42-year veteran at Uniweb. “A lack of space can significantly hinder a retailer’s ability to maximize sales and profits. We can increase the amount of inventory by an average of 25% compared to traditional fixtures.”

At the core of Uniweb systems are single- and double-sided gondolas, made from 24-gauge cold-rolled powder-coated steel, featuring continuous horizontal channels spaced one inch apart vertically. These quick-setup units include everything your team needs to become operational within hours.

Each panel is reinforced with steel stiffeners welded to the back, ensuring they will never rip or tear!

Thanks to the unique shape of the panels, customers enjoy a wide range of storage and organization options. You can place merchandise almost anywhere on the panel. These gondolas allow you to shelve and peg items side by side, offering more display flexibility than traditional pegboard or slotwall systems. Increase product facings by at least 17 to 25%!

Regarding RX script storage, one advantage is that Uniweb bays have no gaps between them, enabling continuous inventory placement.

Moreover, the adjustable 16-inch RX trays are simple to reposition, allowing staff to arrange them on the panel to fit even the tallest bottles, resulting in no wasted space.

Uniweb also manufactures complete pre-engineered modular rooms and pharmacies, including locking cabinets, under-counter vials, shelves, doors, and sinks. These spaces can be assembled in two to three days and come pre-wired with a UL-listed modular wiring system that connects to the instore power and plumbing. They also offer customizable surface options, materials, colors, and finishes that coordinate with the store interiors.

Product Specifications “We are a one-stop source for retailers,” Davidson notes. Uniweb has been producing American-made fixtures for over fifty years, focusing on enhancing flexibility, durability, and aesthetics.

Uniweb offers diverse, versatile, and modular solutions that maximize every inch of space, featuring flexible room layouts, RX storage bays, and a variety of accessories. Designed with fewer components and tight tolerances, Uniweb’s American-made products exceed UL standards, providing high-density storage. The walls, counters, cabinets, shelving, and accessories offer endless versatility, allowing you to design and equip your space for expandability and aesthetic appeal at an affordable price.

Whether it’s new construction or renovations, Uniweb offers a comprehensive line of fixture solutions: • Complete Modular Rooms • Clean-Line Wall Storage Panels and End Caps • Consultation and Health Clinic Spaces • Will Call, Check-Out, and Queuing Systems • Workstations, Countertops, and Under-Counter Accessories • Locking Cabinets and Gondolas • OTC Systems, General Merchandising, and POP Displays • And so much more …

Ordering Information Contact us at (800) 486-4932 or visit uniwebinc.com to learn more.

We’re here to help with any challenges you may have.

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CAS E S TU DY How UnitedRx Doubled Packaging Efficiency and Cut Downtime A MISSION ROOTED IN INNOVATION AND CUSTOMER CARE

Founded in 2008, UnitedRx LLC is a long-term care pharmacy serving nearly 30,000 patients across more than 300 skilled nursing facilities, primarily located throughout the Midwest. Their mission from the start has been to provide state-of-the-art pharmaceutical services combined with the personal touch of a local pharmacy.

Chuck Benain, RPh CEO ~ UnitedRx LLC

According to Chuck Benain, RPh, UnitedRx’s CEO, the company has remained true to that mission over the years. “We focus on putting our customers first — and everything we do is with the intention of supporting them as best we can. That’s really how we’ve built our business.”

That’s why UnitedRx has consistently invested in the latest technologies to add automation and efficiency in its processes. “We were one of the first to put automated dispensing cabinets in facilities so nurses had instant access to medications,” says Benain. They were also an early adopter in offering unit-dose strip pouch packaging over punch cards in a skilled setting.

Jeffrey Medrano Director of Operations ~ UnitedRx LLC

“One of the challenges in skilled nursing facilities is that medications can change frequently,” he explains. Strip packaging is ideal in this situation because it allows pharmacies to run shorter cycles — bi-weekly or even weekly. Additionally, since packages are unit dose, when there is a change, only one pouch needs to be swapped out, not the entire strip. The result is less medication waste overall.

“When we began offering strip packaging, probably only about 10% of our skilled nursing facilities were using the service,” says Benain. Today, Jeffrey Medrano, director of operations for UnitedRx, says that number is closer to 60%.

THE CHALLENGE: AGING TECHNOLOGY AND LIMITED ACCESS TO DISPENSING DATA

As their original strip packaging machines were nearing the end of life, Benain says they began exploring alternatives. “Machines were breaking down all the time, and I was constantly on the phone working on a resolution or waiting for someone to come onsite to do repairs.” His pharmacy technicians were frustrated and many times brought to tears, he says. “What we do every day is almost like an orchestra of how we get medications to our customers. When a machine is down, there’s always a risk that noritsu-rx.com 48

CAS E S TU DY

“

A large medication roll of 1,000 might have taken us a couple of hours to process before. Now that same 1,000 takes less than 10 minutes.”

Jeffrey Medrano Director of Operations ~ UnitedRx LLC

“

we won’t meet our commitments.” This often meant added stress for pharmacy techs and extra overtime expenses to ensure medications are delivered on time.

Accessing dispensing data was also a challenge, says Medrano. “With our legacy system, if I wanted a count of a particular medication across the four machines we were running, I’d have to go to each machine and pull the data individually.” That’s because each machine ran on its own server. The process of compiling data could take up to 30 minutes — or longer if a machine was in use and he had to return. After running reports, he’d have to export them into Excel and manually reformat the data. “There was no way for the system to put all that data in one place for us. Getting the information I needed for inventory was just cumbersome.”

Aside from the four legacy systems, one of UnitedRx’s pharmacy locations was using a Noritsu strip packager. “When we started exploring other options, it occurred to us that the Noritsu machine rarely needed a service call,” Medrano says. Benain, familiar with Noritsu from other companies, decided to learn more about their solutions. “I went to St. Louis and visited a pharmacy that was running one of their machines, and they really liked the product,” he says. “I also met with the engineers who designed the system, and it was just a great experience, so I decided to try them out in one of our pharmacies.”

If there’s a broken tablet or if it’s not the right shape or color of the medication that’s supposed to be in the package — the system tells us to check the pouch.”

THE SOLUTION: A SYSTEM PURPOSE-BUILT FOR PERFORMANCE AND INTELLIGENCE

Chuck Benain, RPh CEO ~ UnitedRx LLC

“An implementation like this is a fine balance,” explains Benain. “You can’t just stop everything and switch over to a new system. On the other hand, I was eager to get producing because I knew what a difference it would make for us.” Medrano agrees, saying that once they realized how much better the Noritsu system was, they ramped up quickly. “I’d say we went from zero facilities onboarded to 100 in about a month.”

UnitedRx implemented Noritsu’s NX4000 strip packaging system, the NexusRx software, and the automated visual verification solution. “We noticed a difference right away,” says Benain. “These machines are built like tanks. We weren’t having daily breakdowns or any weekly problems.”

As a result of that initial experience, the company has since installed a total of six NX4000 machines. “What we found from the outset is that Noritsu was very responsive to our needs,” Medrano says. “I didn’t want to move too quickly. It was important that all our employees felt comfortable with the new system before we moved facilities over.”

They began with weekly phone calls for about six months leading up to implementation to go over each step and identify potential challenges. Then they transitioned one or two facilities to the new machines.

THE RESULT: OPERATIONAL EFFICIENCY, LOWER ERROR RATES, AND EASIER ACCESS TO DATA

Medrano says the Noritsu system operates similarly to their previous technology, but its speed and efficiency are unmatched.

“A large medication roll of 1,000 might have taken us a couple of hours to process before.

Now that same 1,000 takes less than 10 minutes.” He also notes that it’s easy to deploy a facility onto the system when switching from bingo cards to strip packaging. All they need to do is set the facility up in the system, noritsu-rx.com 49

CAS E S TU DY

“

For me, what’s made my job easier is Noritsu’s openness to giving us access to data.”

Jeffrey Medrano Director of Operations ~ UnitedRx LLC

“

Noritsu was really there for us — and I don’t believe I would buy from another provider at this point.”

Chuck Benain, RPh CEO ~ UnitedRx LLC

which is much more straightforward with Noritsu’s software. “Then we put facilities on a 30-day countdown to ensure all medications are billable on the same day. When the 30 days are up, we’re ready to go. There’s no extra transition.” He also says that the process is so easy, he could start filling strip package prescriptions for a brand-new facility almost immediately.

UnitedRx has found that the Noritsu machines and software are very intuitive. “I can train a new employee on running the machines and filling trays in less than a day and have techs working independently within the first three or four days,” says Medrano. That’s partly because the company set up all six of its machines in the same way, as Noritsu had recommended for enhanced efficiency and consistency. “All the medications are in the same canisters across all six machines, so the learning curve is pretty short.” Even simple tasks, like changing the roll of paper in a machine, are easier, he explains. “So even though the technology is similar, it’s these kinds of things where I can see we are saving time.”

The automated visual verification is also another time saver, says Benain. The system takes a picture of every package and compares the image to the pharmacy’s custom medication library. The result is a highly detailed view of each medication package.

“If there’s a broken tablet or it’s not the right shape or color of the medication that’s supposed to be in the package — the system tells us to check the pouch.” Pharmacists can review images and confirm or replace medications as needed. The system is typically flagging less than 3% of the pouches, leaving 97% with no need for additional review. Images are also stored in the system, allowing pharmacists to review any pouch if nurses have questions.

“For me, what’s made my job easier is Noritsu’s openness to giving us access to data,” says Medrano. Where data is concerned, the biggest difference from the legacy system is that all machines now run on the same server. “That means I can pull reports that reflect data across all six of our machines.” Any new machines they add will also be run from the same single server.

A SHARED COMMITMENT TO CUSTOMER CARE

Over a typical week, UnitedRx is now running about 280 batches of different cycles.

This is more than double the volume we were running on our legacy systems. Even with this volume, Medrano says they only see Noritsu about once a month for regularly scheduled preventative maintenance. “If we were running the same volume through our legacy machines, I’d estimate we’d have a service call about every four days.” When they did have an issue with one of Noritsu’s machines during implementation, Benain says the company’s service was exemplary. “They tried to fix it a couple of times, but understood what we’d been through before — so just decided to replace it.” Medrano agrees, saying the company is very responsive to their needs. “If a pharmacy is having an issue, they’ll send out a technician to identify the problem and they’ve resolved our issues quickly.

The bottom line, Benain says, is that Noritsu understands UnitedRx’s business and understands their customers. “They are empathetic to our cause, and just made the whole process so easy for us. They listened to what we needed and gave us valuable input on how to make our processes more efficient. Noritsu was really there for us — and I don’t believe I would buy from another provider at this point.”

noritsu-rx.com 50

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SOLUTIONS FOR ANY SIZE PHARMACY

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Why Partner with Value Drug Company?

The Long-Term Care Pharmacy Partner You Can Count On

Dedicated Customer Service Specialty Access Via Value Specialty Pharmacy

ONG TERM C L A UR

M TEA RE

Strategic LTC Pharmacy Support

MEET YO

Exceptionally Accurate Order Fulfillment

Advocacy for Your Pharmacy

FOR MORE INFORMATION PLEASE CALL 1-866-226-1772

2 0 WA Y S TO I M P R OV E PA T I E NT C A R E & P H A R M A C Y P R O F ITA B I L IT Y

Value Drug Company is Supporting Long-Term Care Pharmacies With Confidence and Care We deliver tailored support for long-term care pharmacies, offering personalized service, accurate order fulfillment, strategic business guidance, and access to specialty medications to help optimize operations and improve resident outcomes.

Rick Seipp Founded: 1934 Toll-Free Phone: (866) 226-1772 Phone: (814) 944-9316 Fax: (814) 944-9553 Address: 195 Theater Drive Duncansville, PA 16635 Website: www.valuedrugco.com President & CEO:

Company Background For more than 90 years, Value Drug Company has been a trusted partner to independent pharmacies — providing more than just products, but real solutions that drive success. Now, as the longterm care (LTC) industry evolves and demand for specialized pharmacy services grows, Value Drug Company is meeting the moment with a comprehensive LTC support program that empowers pharmacies to thrive.

Value Drug’s LTC program is tailored to the specific needs of pharmacies serving skilled nursing facilities, assisted living communities, and other care-based settings. From the start, pharmacies are partnered with dedicated LTC strategists — experienced professionals who understand the regulatory landscape, operational complexities, and patient care priorities of long-term care. Among them is Margie Lydon, a licensed pharmacist with years of direct experience in LTC pharmacy.

Lydon works closely with clients to streamline operations, improve compliance, and identify cost-saving opportunities, delivering the kind of support that can only come from someone who’s been in their shoes.

What Sets Value Drug Apart n Advocacy for Your Pharmacy We actively support independent providers through our membership in all state pharmacy associations we serve, as well as national organizations like NCPA LTC division and ASCP. As the healthcare landscape continues to shift with major developments like PBM reform and the Inflation Reduction Act (IRA) you can count on us to have your back. We’re closely monitoring these changes, advocating for your interests, and keeping you informed every step of the way.

n Personalized, Hands-On Support Our team of strategists has hands on LTC experience and will join your pharmacy to …

• Provide solutions that reduce costs.

• Deliver personalized marketing services.

• Optimize workflow and operations.

• Assist with proposals and contracts.

• Join facility presentations.

• Increase positive resident care outcomes. n Exceptionally Accurate Order Fulfillment Value Drug maintains one of the lowest error rates in the industry, ensuring you receive exactly what you need, when you need it. n Dedicated Customer Service Our in-house support team understands the urgency and complexity of long-term care operations. You will receive fast, personalized service from real people who know your account. n Specialty Access Via Value Specialty Pharmacy Through our subsidiary, Value Specialty Pharmacy (VSP), you gain access to a wide range of specialty medications for chronic and complex patients. n Additional Services • DEA regulated medication guidance and allocation override support.

• Flexible financing options such as extended pay terms.

• Preferred vendor partnerships: • Delivery Services • Med Carts • Cold Storage • Remote pharmacy support, and more!

Ready to take the next step? Join the network of independent pharmacies that trust Value Drug for tools, support, and advocacy to succeed in long-term care. Let’s build something stronger — together.

Let’s Advance Care Together Learn more at www.ValueDrugCo.com or call (866) 226-1772.

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Become a Member!

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VMI INDIVION/PHARYS for Optimized Personalized Daily Dose Pouch Packaging VMI’s automated solutions ensure that patients receive the right medications prescribed by their doctors, packaged so they receive the exact treatment prescribed, with no omissions and errors.

President & CEO: Harm Voortman

1945 1,800 Phone: (330) 929-6800 Address: VMI Americas 4670 Allen Road Stow, OH 44224 Website: www.vmi-group.com | www.vmi-care.com Founded:

Employees:

Company Overview VMI Group in Epe, the Netherlands, encompasses several specialized business lines for tire, rubber, can, and care products, each of them having earned a solid reputation in their respective markets.

The VMI machines are produced in state-of-the-art manufacturing and services facilities in the Netherlands, Germany, Brazil, Poland, and China. Combined with service centers in the USA, Malaysia, and Thailand, we are always close at hand for whatever support may be needed. Our 1,800 people across the globe continuously strive to bring our industries to the next level by providing state-of-the-art, innovative technology to make our customers more successful.

Product Overview VMI’s smart machine technology gives you world-leading solutions for managing the pharmaceutical value chain. From high-performing automated machines to the most advanced management software — VMI has the tools to bring you greater speed, accuracy, and flexibility as you develop a new kind of pharmaceutical strategy.

Delivering the right medicines to the right people at the right time is a top priority. VMI designs and supplies automated smart machines to ensure the best outcomes for everyone.

As pharmacists, you understand exactly why automation in dispensing is so important — for patient safety, regulatory compliance, and competitive advantage. Yet we believe you are not satisfied with the options on the market. If you are a high-volume pouch packaging pharmacy and find that operational efficiency is not as high as you expected, or you need too many human interventions to fix problems or make changes, our INDIVION/ PHARYS solution could be what you’ve been waiting for. Our machine has been designed from the ground up to eliminate the common causes of errors (we meet 99.97% accuracy rates and can prove it), all while providing production speed that is not only exceptionally high but also requires a very low level of human touch points as well.

The INDIVION/PHARYS solution provides all of the above, resulting in significantly lower cost per pouch, leading to strong ROI and lower total cost of ownership.

VMI PHARYS Automated solutions of every kind require the most advanced management software, not just to control an individual production system, but to ensure fast, smooth interaction with other production assets. VMI’s PHARYS software is a next generation management tool, designed from the ground up for rapid integration without new code, APIs or other specialized programming. It’s an extensible, secure platform for managing complex groups of operational technology assets.

• Error-free deliveries.

• Ability to accept ‘last minute’ orders.

•R eliable deliveries and traceability.

•O ptimal use of installed equipment.

VMI INDIVION VMI has brought its 30 years of experience in designing highly automated machines to develop what we believe is probably the most advanced and high-performing pouch-based medicine packing system in the world. INDIVION produces up to 10,000 pouches per hour, with an average dispensing accuracy better than 99.97%.

The number of pouches that need rework is extremely low when compared with most other machines, with very little risk of cross contamination.

• Exceptionally high capacity of up to 10,000 pouches per hour.

• More than 1,000 smart canisters with RFID technology.

•E quipped with a reliable and durable industrial robot.

• Maximum dropping height of medicines is 21 cm (8 inch).

Ordering Information For additional information, contact us at (330) 929-6800, visit our website www.vmi-care.com or email us at sales@vmi-group.com.

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November 17-19, 2025 | Bonita Springs, FL ecrm.marketgate.com/Sessions/2025/11 PharmacyTechnologyServicesandAutomationEPPS

ASHP Midyear Clinical Meeting and Exhibition December 7-11, 2025 | Las Vegas, NV midyear.ashp.org

340B Coalition Winter Conference February 9-11, 2026 | San Diego, CA 340bwinterconference.org

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www.coldkeepers.com Extreme Thermal Mailers • • • • •

Padded mailers cushion and insulate up to 36 hours Thick foam with metallized polyester exterior Multiple closures with tape and zipper Custom sizes available upon request Designed and manufactured in the USA

Penguin Mailer • • • • •

Expands to a form-fitting insulated enclosure Doesn’t require an outer box Save on freight and space in your warehouse Increase efficiency Multiple closures with tape and zipper

Curbside Recyclable One-Piece Insulated Liner Pouches • • • • • • • •

Certified Curbside Recyclable & Repulpable Patented one piece design stores and ships flat Cold chain protection for life science applications FDA compliant/suitable for 24-48-hour shipments Use with gel packs or dry ice for extended transit times Designed and made in the USA Testing data available upon request ISTA 7E validated

One-Piece Extreme Liner • • • • • • • • •

Cold chain protection for medical supplies FDA compliant/suitable for 24-48-hour shipments Use with gel packs or dry ice for extended transit times Patented one piece design, stores, and ships flat Premium insulation allows for more payload space by reducing wall thickness Available flat or compressed for additional freight/space savings Testing data available upon request Designed and made in the USA ISTA 7E validated

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Coldkeepers — Your Premium Cold-Chain Solutions Provider Ensure your medication arrives safely and securely when you trust the experts at Coldkeepers with your accreditation and pharmaceutical shipping needs as mandated by pharmacy guidelines.

Director of Business Development & Sales: Founded: Employees: Toll-Free Phone: Phone: Fax: Address: Website:

n Curbside Recyclable One-Piece Insulated Liner Jeffrey Griffin 1998 150+ (888) 216-1700 (229) 551-9200 (229) 551-9201 1 100 Smith Avenue, Thomasville, GA 31792 www.coldkeepers.com

Company Background & History Coldkeepers is a pioneer and leader in providing innovative thermal shipping solutions tailored to address the most demanding cold-chain challenges. Our proprietary shipping products, combined with our adaptable, logistics-based service, maintain and preserve the cold-chain process for the unique needs of clients in the pharmaceutical, health, and life science industries.

Co-founded in 1998 by Lang Flowers, III (CEO) and Lionel de Bazelaire (COO), and headquartered in picturesque Thomasville, Georgia, Coldkeepers remains equally committed to environmentally responsible packaging design, domestic production, and continuing innovation.

Product Overview Coldkeepers’ patented shipping supplies provide state-of-the-art protection for your temperature-sensitive products from warehouse to doorstep. Ranging from curbside recyclable one-piece insulated box liners to thermally insulated mailers, pouches, and gel packs, our product line is designed to address the industry’s toughest cold-chain standards.

Coldkeepers products come with leading cold supply chain expertise and experience. Our trained specialists will work closely with your team to develop a tailored thermal packaging solution so your products can reach their destination safely.

Features & Options n Introducing the Penguin Mailer: Superior Cold-Chain Protection At Coldkeepers, we’re proud to present our cutting-edge solution to cold-chain shipping — the Penguin Mailer. Engineered with superior craftsmanship and robust materials, the Penguin Mailer offers unparalleled protection for products in transit, setting a new industry standard.

The Penguin Mailer ships flat at 15% of its normal size. This efficient packaging solution dramatically reduces storage space requirements and freight costs, making it ideal for small specialty pharmacy locations.

Available in sizes: 9"x12", 12"x16", 15"x20", and all with 1.375" foam.

The Penguin Mailer covers 95% of pharmacy shipments.

Our newest liners are suitable for shipments of controlled room temperature, refrigerated, or frozen pharmaceuticals between 2-8°C for 24 to 48+ hours (use with gel packs or dry ice to extend transit times). They boast a flexible design that allows them to ship flat and save on inbound freight and warehousing expense. Manufactured from postindustrial paper products, our liners are not only certified curbside recyclable by Western Michigan University but also third-party ISTA lab tested and certified by world renown WuXi AppTec testing lab.

n One-Piece Extreme Liner Third-party tested and certified by WuXi AppTec, these liners will keep your temperature-sensitive products at the right temperature for one to two day shipments. Our team of dedicated specialists can also help you design a custom pack-out to ensure your products arrive without breaking the cold chain. Our one-piece extreme liners can be used in conjunction with gel packs or dry ice for products that must be kept at a preset temperature for extended periods of time.

n Extreme Thermal Mailers Our Extreme Mailers are great for small parcels of temperature-sensitive medications when you need to ensure your prescription drug shipments stay at the right temperature during transit. Designed to fit inside UPS and FedEx Express boxes, the Extreme Insulated Mailers feature an open cell foam inner liner providing your products with unsurpassed levels of thermal and shock absorbing protection.

n Insulated Pouches Our line of Insulated Pouches features an easy-to-use double track pressure closure to ensure a tight and leakproof seal. They keep items cold for several hours or longer when paired with a frozen gel pack, ice or dry ice. Our exclusive line of durable pouches with built-in gel packs makes achieving those longer cooling times easy and encourages reuse.

Simply freeze the pouch to charge the built-in gel pack, then you (or your customer) can reuse it over and over.

Experience the Coldkeepers Difference • Patented technology backed by cold-chain expertise.

• Made in the USA. • Shorter shipping times.

• Sustainable (recycled and recyclable) options.

• Third-party tested performance.

• Adaptable to client specifications.

• Award winning customer service.

More Information To request a sample or connect with our experts, please visit our website www.coldkeepers.com or contact us at rx@coldkeepers.com.

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STC | ImmsLink STC ImmsLink

STChealth | Immunization IntelligenceTM

Simple.

Automated. & Impactful.

For Pharmacies

Seamless Integration to the Largest Immunization Data Network

Ensure compliance with integrated immunization reporting Identify gaps in care with clinical support tools Increase operational bandwidth Drive revenue and reputation through improved patient care

www.STChealth.com | ImmsLinksales@stchome.com

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STChealth — Close Gaps in Care and Drive Revenue With ImmsLink Ensure compliance with integrated immunization reporting. Increase operational bandwidth to accelerate immunization services.

Michael Popovich Founded: 1988 Employees: 150+ Phone: (480) 745-8500 Address: 411 South 1st Street Phoenix, AZ 85004 Website: www.stchealth.com President & CEO:

Company Background STChealth’s history in developing the first immunization information system (IIS) in 1988 and continuing with over 37 years of work in both the public and private immunization ecosystem gives STChealth the experience to support more than a third of all vaccinations reported nationwide. Through a national network of over 80,000 providers and pharmacy partners, STChealth executes the mission to eradicate preventable disease and empower individuals through innovative technology and service solutions.

Product Overview ImmsLink’s bi-directional immunization interface empowers pharmacies to increase vaccination rates by delivering simple and guaranteed reporting compliance and real-time access to patient immunization histories. ImmsLink utilizes STChealth’s proprietary clinical decision support algorithm so pharmacists can see a patient-specific guide to due or past-due vaccination opportunities and make recommendations to close gaps in care. Following administration, providers can record and report immunizations in real-time to state immunization information systems using our simple user interface or leveraging one of our many integration partners. STChealth takes all the complexity of managing IIS connections and requirements out of the operator’s hands.

Testimonial “ ImmsLink from STChealth has been such a time saver for our pharmacy. We always highlight the importance of focusing on the patient with our team, and automating the immunization reporting process allows us to do that. We’re able to scale up our immunization program and offerings, because we’re not having to manually data enter information into the vaccine registry. We utilize the automatic reporting that allows us to continue great patient care.”

— Rannon Ching, PharmD, President/Chief Pharmacy Officer, TarryTown Pharmacy, Austin, TX

Key Business Partners • PioneerRx Integration • McKesson CPS Integration • Change Healthcare ConvergeRx Integration • DRX Pharmacy Software Integration Ordering Information To start service or get more information please visit us at STChealth.com or contact us at immslinksales@stchome.com.

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Medication, Access, & Hope

LTC Pharmacies Empower CCBHCs in Behavioral Health Contributed by Jason Dana Costa, President and CEO, Horizon Pharmacy Would you believe that Rhode Island, a state nestled among world-renowned hospital systems and a high density of biotech and medical research, has among the highest rate of adult mental illness in the United States at 24%1 of the state’s population?

That’s nearly one in four of the state’s adults living with a mental health challenge. Additionally, Rhode Island surpasses both the national average as well as all other New England states for adult inpatient admissions due to mental illness. And there’s more. Adults in Rhode Island report unmet needs for behavioral health services more frequently than adults in other New England states.

Furthermore, 34%2 of Rhode Island children who required mental health treatment or counseling in the past year did not receive it. This issue is particularly pronounced for young adults experiencing first psychotic episodes who require intensive services.

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What is the solution? Certified Community Behavioral Health Clinics (CCBHC) In 2015, the Substance Abuse and Mental Health Services Administration (SAMHSA) published a set of criteria to improve community mental health centers and to establish CCBHC. In October 2024, Rhode Island joined the group of 183 states in the national demonstration program of this initiative.

CCBHCs are specialized clinics that provide a wide range of behavioral health services, including mental health and substance use support. These clinics provide services to individuals of all ages — regardless of their insurance status or ability to pay. CCBHCs are certified by the state and offer a comprehensive range of services, including 24/7 crisis support.

These specialized clinics are designed to serve as a critical part of the behavioral health safety net. They increase access to care and provide care for very challenging populations — individuals with serious mental illnesses and substance use disorders. As part of their mandate, CCBHCs are required to collaborate with other healthcare providers, community organizations, and social service agencies to provide more comprehensive support to clients trying to navigate complexities of their

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healthcare. This includes streamlining the referral process, improving care coordination, and ensuring holistic care. One important collaboration is with the pharmacy partners.

Pharmacy collaboration is important because CCBHC’s specifically support patients using programs such as Medication Assisted Treatment (MAT) also known as Medications for Opioid Use Disorder (MOUD), Intensive Outpatient Programs (IOP), Opioid Treatment Program (OTP), and alcohol use disorders.

An important aspect to the success of these evidence-based programs is good medication adherence — another area where patients need strong support. Pharmacies work to provide this support. One such example is providing clients with multi-dose packaging.

How does multi-dose packaging support CCBHC and its clients?

In behavioral health, individuals require clear instructions to adhere to complicated medication regimens. Multi-dose packaging is an important tool to help. It utilizes coldsealed or heat-sealed blister packs, organizing medications by specific times and dates into a 28-blister card. Each blister contains medication for a particular time of day and is color-coded to correspond with the time (e.g., yellow for

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morning, white for noon, orange for evening, blue for bedtime). This approach ensures that individuals receive the correct dose at the appropriate time. It is also designed to increase medication adherence.

Multi-dose packaging is one way to support medication adherence. Another way that long-term care (LTC) pharmacies can help CCBHC’s and the patients they serve is through a combination of prompt drug reviews and efficient medication adjustments (such as repacks), which increases adherence and reduces hospitalizations. CCBHC’s also benefit from collaborations with LTC pharmacies that incorporate Quality Improvement (QI) programs, hold quarterly coordination meetings with medical and nursing teams, and provide consultations for specific challenging cases.

Who is Horizon Pharmacy and how are we unique?

It’s been established that Rhode Island has a significant need when it comes to mental health services. Horizon Pharmacy seeks to be part of a solution to serve our constituents.

Horizon Pharmacy’s motto is, Your Pharmacy, Our Community.

We live it every day.

Founded in 2014, we are a statewide closed-door long-term care pharmacy providing packaged medication for complex care patients. Owned by Community Care Alliance, Thrive Behavioral Health, and Newport Mental Health, Horizon Pharmacy aims to enhance medication services and treatments, and generate revenue for its non-profit owners so they can continue to support their combined mission of quality behavioral healthcare in Rhode Island.

Horizon offers customized training, including mental health first aid to all staff, board certification for pharmacists, and advanced pharmacy technician training,

at no cost. This ensures best-inclass medication management for patients while enabling access to behavioral and substance use healthcare at free or reduced costs for over 1,000 individuals annually (via our nonprofit partners).

Does the program really make a difference?

Since its founding in 2014, Horizon Pharmacy has enhanced therapeutic outcomes in longterm care through the delivery of customized pharmaceutical services. Our initiatives have also advanced the quality of behavioral health services throughout Rhode Island. This is evidenced through our proven results.

Recently, Horizon Pharmacy commissioned a comprehensive review of claims data with Integrated Healthcare Partners, an Accountable Care Organization.

Our goal was two-fold: assess our work in supporting the CCBHC programs’ goal of increasing behavioral health utilization across the state; and establish specific pharmacology benchmarks for CCBHCs. The findings were compelling.

For the calendar years 20222024, Horizon Pharmacy and the patients served demonstrated the results below. Of patients engaged with Horizon Pharmacy vs. other retail and LTC pharmacies: • 14.3-28.5% were more likely to achieve compliance with the CCBHC depression medication measure.

• 9.1-10.7% would achieve compliance with the CCBHC Schizophrenia medication measure.

• 22-36% less likely to use the emergency department (ED).

• 38-45% less likely to use inpatient services for diabetes or hypertension.

• 5-7% better compliance with blood pressure medication.

These impressive benchmarks quantitatively show that close collaboration between Horizon

Pharmacy and CCBHC’s results in significant reductions in the Total Cost of Care (TCC) for both individuals as well as insurance providers.

while others are not. These states cite patient safety, compliance, and general lack of oversight as the main reasons for not allowing the machine to be used.

Where do you see future opportunities?

We hope this will change.

Among the required services of CCBHC are evidence-based practices such as Medication Assisted Treatment (MAT) and care coordination for Opioid Treatment Program (OTP) that are intended to engage individuals outside of an inpatient or emergency service setting.

These treatment modalities often include short term medications provided to patients to stabilize and provide comfort. For example, a patient experiencing withdrawal who is stable and comfortable will more likely agree to enter a 30-day detox treatment program.

At Horizon Pharmacy, we believe we can help patients get access to these short-term medications in a safe and efficient way by implementing Automated Storage and Distribution Devices (ASDD).

These devices can be in licensed facilities operated by licensed healthcare professionals.

The benefits of using automated dispensing onsite at these facilities, where the ASDD machine is controlled by the pharmacy servicing that facility, is that it provides security, increased accountability, and overall cost savings on medications.

In addition, the ASDD machine facilitates immediate access to life-saving addiction treatment, truly meeting patients where they are now. This model has facilitated the growth of new medications for opioid use disorder treatment that often starts in addiction treatment clinical settings.4 However, despite these benefits, there are obstacles in implementing automated dispensing broadly.

Automated dispensing is regulated by each state’s board of pharmacy and that means 51 different policies nationwide. Some states are very permissive in the use of technology FA L L 2 0 2 5

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What can your LTC pharmacy do?

Train pharmacy staff in empathy and compassion to better engage with individuals in the mental health community. At Horizon Pharmacy, all employees undergo mental health first aid training for adults and children, enhancing their sensitivity and confidence in these interactions. Our customer service training is designed for technicians to engage nursing, residential, and prescribing staff in long-term care settings.

Engage with your state behavioral health and substance use authority, as well as the community mental health providers in your area.

Ask them if they are aware of CCBHC and if so, ask if they have a roadmap for its adoption.

Integrating CCBHC with LTC pharmacy assets can reduce costs for patients and community health systems. This will be critical as federal government continues to review Medicaid, SAMSHA, and other programs for continuation and funding.

Regardless of the CCBHC status in your community, LTC pharmacies have tools available for these communities of care.

It is advisable to establish these connections and relationships.

Be curious and active.

References: Mental Health America from 2024 ranks Rhode Island as 31st in the percentage of adults with any mental illness, with a percentage of 24.67%.

1

HHS TAGGS - https://taggs.hhs.gov/Detail/ AwardDetail?arg_AwardNum=H79SM081870&arg_ ProgOfficeCode=80

2

Alabama, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, New Hampshire, New Mexico, Michigan, Missouri, Nevada, New Jersey, New York, Oklahoma, Oregon, Rhode Island, and Vermont.

3

Taylor JL, Laks J, Christine PJ, et al. Bridge clinic implementation of “72-hour rule” methadone for opioid withdrawal management: Impact on opioid treatment program linkage and retention in care. Drug Alcohol Depend. 2022;236:109497. doi:10.1016/j.drugalcdep.2022.109497

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RxPost — Buy, Sell, and Transfer Pharmacy Stock — Fast, Compliant, Profitable Buy meds up to 53% below WAC. Sell surplus in <10 days for around $24K. Move slow stock chain-wide with one click. No hardware, no contracts — just a DSCSA-compliant tool that puts money back in your pharmacy.

President & CEO: Amantha Bagdon

11-50 Founded: 2021 Toll-Free Phone: (833) 279-7678 SMS/WhatsApp: (833) 279-7678 Address: 578 Washington Blvd. #777, Marina Del Rey, CA 90292 Website: www.rx-post.com Email: info@rx-post.com Employees:

Company Background RxPost was born out of lived experience and deep-rooted advocacy.

Founder and CEO, Amantha Bagdon, is a pharmacy technician who spent nearly 20 years working behind the counter in community pharmacies, witnessing the frustration of wasteful drug disposal policies and the impact of razor-thin margins on patient care. What started as a personal mission — to stop throwing away life-saving medications — has grown into a national platform to reimagine pharmacy inventory management and sustainability.

Amantha serves on multiple pharmacy boards, contributes to CPhA policy, and represents techs at APhA’s House of Delegates — ensuring RxPost drives real change across the pharmacy ecosystem. Outside the platform she champions pharmacy-technician legislation and mentors the next generation of techs, proving that stronger teams lead to stronger patient care.

At RxPost, customer service isn’t an afterthought — it’s in our DNA. Our team, many of whom are pharmacy technicians themselves, understands what it takes to support frontline pharmacy staff. Every tool we build is designed with those professionals in mind, empowering them with smarter inventory decisions, smoother operations, and better access to care for the communities they serve. n The Core Values Behind Our Mission Efficiency: Profit in every click. We engineer every workflow — from automated NDC pricing to photo-based listing — so independent pharmacies squeeze more margin out of every minute and every pill on the shelf.

Advocacy: Your champion against razor-thin margins. Industry giants negotiate in bulk; we negotiate ‘for you’, unlocking savings and deal terms normally reserved for chains. When you win, we win.

Integrity: Trust that’s regulatory-grade. Transparent fees, verified sellers, and audit-ready records mean no surprises — just clean, compliant transactions you can stake your license on.

Customer-Centric: Built around the everyday pharmacist, we co-design with real store owners and PICs so the product feels as intuitive as counting by fives.

Innovation: Tomorrow’s tools, shipping today. AI-driven demand forecasts, instant state license checks, and multi-store inventory optimization help you move closer to zero waste — without new hardware or headaches.

Expertise: Built by pharmacy pros who’ve lived the chaos behind the counter.

Our team has filled scripts and scaled healthcare SaaS. That cross-discipline know-how translates into pragmatic solutions — not ivory-tower ideas.

Product Overview n Three Profit Paths, One Login Buy: Search 600+ verified pharmacies and fill back‑orders at an average 53% under WAC. Sell: Post an NDC in 90 seconds or by snapping a photo; no app download needed. Move surplus in less than 20 days, returning an average $24,048 in the first two months.

Transfer™: Built for multi-stores, our engine flags aging lots and auto‑routes them to sister stores, slashing emergency purchases by 35% and freeing $12K+ per site.

Markets served include: independent pharmacies, regional and multistore pharmacy chains, health systems and hospitals, specialty wholesalers, and manufacturers.

Need help? Certified pharmacy technicians answer chat or phone calls in under 10 minutes during business hours, guiding you through listings, transfers, and compliance audits.

Features & Options • Success‑based pricing: we earn only when you do.

• Live exchange: 600+ pharmacies, real‑time search.

• Analytics dashboard: margin heatmaps and on‑demand reports.

• Plug‑and‑play PMS integrations — no new hardware.

• AI price advisor (optional): suggests optimal ask vs. WAC. • Transfer™ automation (multi-store): surplus routed in one click.

• Chain‑wide dashboard: margin leaks, movement alerts, audit trail.

• White‑glove onboarding: personalized setup, 1:1 support.

• Rapid‑response support: reach experienced pharm techs in <10 min.

Testimonials “ We sold more than $5,312 worth of medications in first month that would’ve gone to waste — and bought others we needed at a discount. RxPost pays for itself.”

— Rachel D., Independent Pharmacy Owner, Southern CA

“This platform is the future. It’s intuitive, compliant, and it works.”

— James L., Multi-Store Operator, TX

Key Business Partners • Liberty PMS • DigitalRX • UGO Rx (Pricing and Reimbursement Engine) • Lighthouse AI (Licensure and Compliance) FA L L 2 0 2 5

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2 0 WA Y S TO I M P R OV E PA T I E NT C A R E & P H A R M A C Y P R O F ITA B I L IT Y

WellnessMats® Premium Standing Solutions Improving Safety & Bottom Line WellnessMats are the long term, premium, anti-fatigue solution to pharmacy industry burnout. Reduce the standing fatigue that can lead to dangerous mistakes and injury, all while improving retention, productivity, and procurement costs.

President & CEO: Daniel Bouzide Founded: Employees: Toll-Free Phone: Phone: Fax: Address: Website:

1996 100 (800) 981-4979 (248) 740-0713 (248) 740-0875 1301 W Long Lake Road, Suite 275, Troy, MI 48098 www.WellnessMatsRX.com

Company Background n We are a Premium Standing Solutions Company In recent years, the growing demand for premium ergonomic solutions has exploded. At WellnessMats, we are proud to be a significant part of this campaign, and to manufacture Premium Anti-Fatigue Mats that truly make a difference for the pharmacy industry.

Since 1996, we have been successfully addressing the standing concerns of many commercial industries, including pharmacy. At WellnessMats, we specialize in producing premium standing solutions designed specifically for your work environment. With our precision CNC cuts, we provide Standing Solutions that ensure all pharmacists, technicians, and others are always standing on a Premium Anti-Fatigue Mat surface. The designed density and formulations of pure polyurethane suspend the body weight while standing and effectively take strenuous impact off the back, hips, legs, knees, and feet. n State of the Market While the labor shortage lingers, the pharmacy industry has been among the worst affected. This is in part due to the long, grueling hours that the pharmacists and technicians endure while standing during an average workday. Short-term and long-term nagging ailments caused by static standing often have a negative impact on the team, which can promote costly errors and erode team spirit. Providing Premium Standing Solutions that make a substantial difference can dramatically improve team performance, productivity, and morale. In a time of employee thirst for appreciation, a premium standing solution can be the most economical way to show management cares. n Proudly Made in America We will never compromise our products, values, or integrity by looking for shortcuts. There is no doubt that many companies are enticed by the cheaper raw materials, unskilled labor, and the lack of stringent regulations when importing from overseas. We at WellnessMats strongly believe in producing the highest-quality Premium Standing Solutions, abiding by stringent U.S. government installed guidelines.

Product Overview n Attributes of WellnessMats That Make Them the Industry Leader in the Premium Anti-Fatigue Mat Category

• Ultimate comfort, support, and durability creates an instant impact for the employees.

•T he gradual beveled edges will never curl, reducing potential trip hazards.

• With the one-piece polyurethane technology, mats will never separate, bubble, or delaminate.

• WellnessMats will never compress, squish down, or lose their shape.

• The smooth, sealed surface is sanitizable and easy to clean.

• WellnessMats suspend body weight, creating instant comfort by absorbing stressful impact while standing.

• Exclusive to WellnessMats, the dual gripper system keeps the mats in place, minimizing dangerous mat travel.

• All WellnessMats have been formulated and produced at our own factory in St. Louis, Missouri, since 1996.

• WellnessMats are produced from ¾" 100% pure polyurethane and are free from plasticizers, BPAs, latex, and other toxic fillers.

• Every aspect of production is done in-house, allowing us to offer a comprehensive 10-year warranty, significantly reducing mat replacement costs. n Smart Step Supreme The smooth, sealed surface is aesthetically pleasing and ideal for all standing applications. Available in black and gray, with additional onyx and steel granite patterns available. Optional yellow safety borders and dual gripper system (Velcro carpet circles plus tacky polymer strips on bottom) are available to enhance visibility and prevent dangerous mat travel. With fully customizable CNC puzzle capabilities, supreme puzzle mats can enhance every work setting.

Standard Sizes: 3'x2' | 5'x2' | 5'x3' | 6'x2' | 6'x3' | 5'x4' Supreme Puzzle Sizes: 2', 3', 4' widths — endless length and configurations. n TRAXTION™ Performance Mats The innovative Traxtion X-Pattern was ingeniously crafted to accommodate a wide range of extension possibilities. The perfect combination of traction and mobility — with ultimate comfort, grip, and extended coverage. Available in gray and black, with optional yellow safety edges and dual traxtion tacky polymer strips on bottom.

Standard Sizes: 32"x42" station mat, 32" wide endless length extensions.

WellnessMats Ordering Information • Pharmacy, Professional, and Smart Step Mats: WellnessMatsRX.com • Fitness: WellnessMatsFitness.com • For the Home: WellnessMats.com FA L L 2 0 2 5

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Case Study

Sponsored by an educational grant from QuidelOrtho

Transforming Access to Care: Starting a Test-and-Treat Program in Your Pharmacy • On average, patients see pharmacists in their pharmacy 33 times a year, but visit their primary care physicians only three times a year.1 • Pharmacy test-and-treat programs provide access to care and follow protocols to ensure antibiotic stewardship which helps reduce the risk of antibiotic resistance.

• Establishing the right workflow allows pharmacists to test and treat and improve outcomes.

Duane Jones, BS Pharm, PD Regional Pharmacy Supervisor Clinical Program Director ~ Harps Food Stores, Inc. Residency Site Coordinator ~ UAMS College of Pharmacy

Jennifer Griffin, PharmD, MS Clinical Pharmacist ~ Pharmacy Division of Harps Food Stores, Inc.

1. How Community Pharmacies Enable Health Plans to Measurably Improve Adherence and Quality Measures. EnlivenHealth. Published October 29, 2020. Accessed May 27, 2025. https:// enlivenhealth.co/blog/power-ofcommunitypharmacies-to-improve-adherence-and-qualitymeasures/

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2. New Analysis Suggests Adverse Drug Events Are the 3rd Leading Cause of Death in the USA. Practicalneurology.com. Published March 26, 2025. Accessed June 9, 2025. https:// practicalneurology.com/news/new-analysissuggest-adverse-drug-events-are-the-3rd-leadingcause-of-deathin-the-usa/2473820/

The journey toward pharmacy test-and-treat Duane Jones has devoted his career to improving patient access to care. A pharmacist since 1977, Duane has owned his own independent pharmacy and understands the challenges faced by small community businesses. He now serves as the Regional Pharmacy Supervisor, Community Pharmacy Residency Director and Clinical Programs Director for Harps Food Stores, a chain of 151 supermarkets across Arkansas, Kansas, Louisiana, Mississippi, Missouri and Oklahoma.

To fill the healthcare gaps of Harps’ customers, Duane implemented a test-and-treat program, providing selected evidence-based testing and treatment protocols to patients, and partnering with local physicians when patients need referrals. Dr. Jennifer Griffin works closely with Duane as a clinical pharmacist for Harps food stores where she specializes in medical billing, treatment workflow and marketing clinical services. Together they have found that the Harps test-andtreat program not only improves multiple patient outcomes but can increase the survival and sustainability of community and independent pharmacies. Now Duane and his Harps team work with other organizations to teach pharmacists, technicians and administrators how the Harps test-and-treat pharmacy workflow can also work at other locations where state laws allow pharmacists to be considered providers.

The challenge: improving patient care Duane describes gaps in patient care as twofold. “First of all, [we must collaborate] across professional lines to provide continuity of care. One of the challenges we have in this country is that over 270,000 people die every year from non-optimized drug therapy.2 That’s not a disease state. That is incorrect medication, drug-drug interactions, adverse effects, and non-adherence.”

The second challenge is access to care. “There are many, many healthcare deserts in this country— not just rural, but also in inner cities, simply because there are not enough practitioners for our aging population.”

Duane is also program director for the MTM The Future Today, an organization which provides team-based training programs for pharmacists and pharmacy technicians. Duane believes that pharmacies can help close the gaps to improve patient care. He cited several different surveys that indicated that once pharmacists are engaged with patients, their outcomes improve. “Statistics show that we [pharmacists] see patients 33 times a year on average and the primary care physician only sees them three.”1 Patient obligation does not end at the point of diagnosis. Duane believes that pharmacists should be available to teach patients about their medications and therapies, and test-and-treat in specific sets of circumstances.

Case Study

Sponsored by an educational grant from QuidelOrtho

The solution: test-and-treat outside of primary care

We have to get beyond thinking about selfpreservation and have to think about putting the patient back at the center of care.”

Duane Jones, BS Pharm, PD

New technologies are providing user-friendly options which facilitate testing outside of the laboratory or clinic. Many patients have limited access to care due to provider shortages, transportation issues, lack of health insurance, or expense. If they can’t find primary care, they may wind up in the emergency department—which burdens our already strained healthcare system.

Conversely, patients can walk into their local pharmacy and test for COVID-19, strep or flu and receive treatment. According to a 2022 study published in the Journal of American Pharmacists Association, approximately 89% of Americans live within five miles of a community pharmacy.3 This situates pharmacies as local resources to help eliminate health disparities and accelerate public health initiatives.

Not everyone agrees. The American Medical Association released a statement in June of last year coming out against expanding test-and-treat policies beyond medical doctors.

“While pharmacists and physicians each play important roles in healthcare delivery, the length, breadth, and focus of their education and training are vastly different and prepare them for separate and distinct roles in patient care. Pharmacists are medication experts, but their clinical training does not prepare them to perform physical or mental examinations, diagnose patients, interpret test results, or provide primary care services; the independent practice of medicine by pharmacists puts patient health and safety at risk.” 4 Rather than getting involved in polarizing conversations, Duane prefers to focus on how pharmacists can collaborate with healthcare professionals nationwide. “We have to get beyond thinking about self-preservation and have to think about putting the patient back at the center of care.” While not all states permit pharmacists to test and treat patients, in states where that is permitted, Duane recommends that these programs be protocol driven and used in conjunction with a referral system for local physicians. At Harps, a dichotomous decision tree is used: If they test negative, they don’t treat. If they test positive, the patient receives the proper care that they need. “We practice at the top of our license on behalf of the patient,” insists Duane. “We actually become a great referral source for physicians because if the patient tests negative, but they still have some severe symptoms, we’ll refer them on to their physician for care.”

Because the test-and-treat protocols are evidence-based, they have documented both improved outcomes and antibiotic stewardship. Duane elaborates that when seen at a physician’s office...

“Statistics show that about 52% of the patients that are treated for flu actually weren’t tested.

They were empirically treated with antiviral medication. In fact, data indicate that only 25% of those patients tested positive.5 So we’re overprescribing antibiotics and antimicrobials. And what that leads to is resistant strains that can potentially become life-threatening.”

A little help from our friends

3. Berenbrok LA, Tang S, Gabriel N, et al. Access to community pharmacies: A nationwide geographic information systems cross-sectional analysis.

J Am Pharm Assoc. 2022;62(6):1816-1822.e2.

4. Leadership. American Medical Association.

Published June 18, 2025. Accessed May 27, 2025. https://www.amaassn.org/about/leadership.

5. Klepser DG, Corn CE, Schmidt M, Dering-Anderson AM, Klepser ME. Health Care Resource Utilization and Costs for Influenza-like Illness Among Midwestern Health Plan Members.

J Manag Care Spec Pharm. 2015;21(7):568-73.

There are several barriers that exist for pharmacists to be able to implement test-and-treat programs to improve patient care, namely test availability, time and reimbursement. Harps systematically addressed all three during the creation of their pilot program. First, the task was to select the right assay for their pharmacies. There are lots of point-of-care platforms to use for test-and-treat.

Duane chose QuidelOrtho assays. He explained why: “We started our test-and-treat program back years ago when state laws were silent on whether or not pharmacists could do point-of-care testing.

We wanted to make sure that we had the best system and did some research to find out what the clinics were using. We went with Quidel.” QuidelOrtho is one of the largest manufacturers of clinical testing equipment in the United States and their specialists trained Duane’s pharmacy staff, using the same protocols with the same hardware as found in point-of-care assays in primary care, urgent care or a hospital settings. They also created marketing materials to promote test-and-treat at pharmacy sites.

Next, Harps pharmacists had to tackle time constraints. Pharmacists are always busy, and many don’t have the time to provide enhanced clinical services to patients. The Harps solution was to institute a workflow that put pharmacy technicians in charge of all non-clinical operations, including

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Case Study

Sponsored by an educational grant from QuidelOrtho

...it can be time consuming on the front end when you’re developing your process.

But once your system is in place and your team is trained, it becomes a smooth and sustainable workflow.”

Jennifer Griffin, PharmD, MS

data entry, product dispensing, and managing the adjudication queue. Another key part of the workflow is medication synchronization that allowed Harps to transition a majority of their prescription workload from acute to scheduled, so pharmacists have more flexibility to step away from the verification queue when they need to see a patient.

Test-and-treat

- Roles Pharmacy Technician: Non-clinical responsibilities • Data entry

Pharmacist: Clinical responsibilities • Medication verification queue

• Product dispensing

• Patient counseling and education

• Manage adjudication queue

• Point-of-care testing and resulting prescriptions

• Input medication synchronization for new prescriptions

Workflow • Verifies insurance eligibility and benefits

• Determines what point-of-care test is needed

• Ensures insurance is active

• Performs test and obtains results

• Handles payment

• Writes prescription or refers patient to local physician if symptoms are severe

• Bills appropriate CPT code in pharmacy management system

• Returns information to pharmacy technician for appropriate CPT code billing

Promoting pharmacy sustainability through reimbursement For many pharmacies, billing and obtaining insurance reimbursement for patient testing, treatment and counseling can be very time consuming and frankly onerous. To address the reimbursement barrier at Harps, Jennifer has streamlined reimbursement and explained their process: “To be honest, it can be time consuming on the front end when you’re developing your process. But once your system is in place and your team is trained, it becomes a smooth and sustainable workflow.” At Harps pharmacies, they discovered a way to bill medical claims through their pharmacy management system to help streamline the claim creation and submission process. In a nutshell: When a patient enters the pharmacy for a test-and-treat service, a technician takes their insurance card and verifies eligibility and benefits. They make sure the patient’s insurance is active on the date of service and they verify what kind of copay deductible or co-insurance the patient may have. Then they collect that amount, the patient receives the service, and the patient is on their way to feeling better. The technician completes the interaction when they bill the appropriate CPT code in the pharmacy management system.

6. NCPA - National Community Pharmacists Association. Accessed May 27, 2025. https://ncpa.org 7. Community Pharmacy Enhanced Services Network CPESN. Cpesn.com.

Accessed May 27, 2025. https://cpesn.com

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Duane and Jennifer want to share this workflow with other pharmacies to help them build their process, empower their staff, and make reimbursements totally manageable. But will this make community and independent pharmacies more sustainable? “Yes!” according to Jennifer. “It really comes down to getting more payers on board. The more payers that we have that recognize and reimburse us for the value of these services offered in the pharmacy setting, the more successful and sustainable we will be.” This workflow is described as win-win. The patients receive fast, convenient access to care, and pharmacy viability and sustainability are supported. Duane recommends the National Community Pharmacists Association (NCPA)6 and the Community Pharmacy Enhanced Services Network (CPESN)7 for resources on implementing test-and-treat programs and to find out about individual state laws governing pharmacists and reimbursement. Pharmacies will have to contact their Department of Health to inquire about reporting requirements and CLIA waiver, and then will have to ensure both the pharmacist and pharmacy are credentialed by the various payers.

Case Study

Sponsored by an educational grant from QuidelOrtho

Steps for test-and-treat implementation

That’s why I get out of bed every morning and that’s why I’m so passionate about what we’re doing.”

Duane Jones, BS Pharm, PD

Hear the interview at On Medical Grounds podcast, your source for engaging, relevant, evidence-based medical information.

1 2 3 4 5

Evaluate resources for implementation in your state • NCPA

• CPESN

Contact the Department of Health in your state • CLIA waiver

• Reporting requirements

Credential pharmacists AND pharmacy with payers • Different payers have different requirements

Establish clinical protocols for testing, treatment and physician referral Implement workflow to provide pharmacists flexibility to see patients • Train pharmacy technicians on all non-clinical tasks and medical billing • Utilize medication synchronization

Will patients adopt?

The best way to encourage patients to use pharmacy test-and-treat is to market directly to the patient. Jennifer agrees that this is a new concept for many people. Marketing is a process that they are still learning and evolving. She explains, “Since starting our test-and-treat program, we’ve created bag stuffers and added eye-catching signage inside each pharmacy. We actively promote our services on Facebook and Instagram where our audience continues to grow. But honestly, our most effective marketing is word of mouth. Once patients experience how convenient and simple the process is, they tend to tell other people.”

The final result

8. Healthcare Innovation Caucus Role of CP in VBPM 2018. www.nacds.org.

Accessed 27 May 2025.

Duane has, over many years, collected test-and-treat data from the Harps working pharmacies.

He has partnered with Elevance Health Inc., an American for-profit health insurance provider, and CPESN, who together have collaborated to publish studies reporting that pharmacy intervention in medication therapy saved 35% in hospital visits and 15% in emergency visits.8 He is presently working with other organizations to provide more health economic data. He and his team feel certain that the data will show more cost savings. He explains it this way, “The [insurance] plans will get on board with compensating for these [pharmacy test-and-treat] services because they see how much money they’re going to save. For us, our win is a healthy patient. That’s why I get out of bed every morning and that’s why I’m so passionate about what we’re doing.”

Test smart, breathe easy The Sofia™ 2 Analyzer makes elevating customer service to patient care with test-to-treat solutions easy For more information scan the QR code

*Available under Emergency Use Authorization †Sofia 2 SARS Antigen+ FIA received De Novo FDA clearance on March 8, 2023 and CLIA waiver from the FDA on September 20, 2023 New QuidelOrtho branding may not be available in all markets, subject to country specific regulatory approval. Please confirm with your local commercial team. © 2025 QuidelOrtho Corporation. All rights reserved. PR-108737-NA-EN-US-v1

Be prepared for all your patient testing needs with advanced diagnostic solutions from QuidelOrtho. Including Sofia 2 SARS Antigen+ FIA, the first FDA-cleared, 10-minute rapid antigen test for COVID-19.† • RSV • Flu + SARS Antigen* • SARS Antigen*

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*In the USA, this product has not been FDA cleared or approved, but has been authorized by FDA under an Emergency Use Authorization. This product has been authorized only for the detection of proteins from SARS-CoV-2, infl uenza A, and infl uenza B, not for any other viruses or pathogens. The emergency use of this product is only authorized for the duration of the declaration that circumstances exist justifying the authorization of emergency use of in vitro diagnostics for detection and/or diagnosis of COVID-19 under Section 564(b)(1) of the Federal Food, Drug, and Cosmetic Act, 21 U.S.C. §360bbb-3(b)(1), unless the declaration is terminated or authorization is revoked sooner.

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PharmaFortify™- Boesen & Snow’s Complete, Proactive Pharmacy Solutions PharmaFortify™ helps shield pharmacies from audits, compliance risks, and regulatory scrutiny — combining our vast legal background with real-world pharmacy operations experience to protect your business like no one else can.

Founders: Mark Boesen, Pharm.D., J.D.

Allyson Snow, J.D. Founded: 2014 Toll-Free Phone: (844) 661-9025 Phone: (602) 900-8562 Address: 8501 E. Princess Drive, Suite 220 Scottsdale, AZ 85255 (Executive Office) Website: boesensnowlaw.com

Company Background After 15 years as a compounding pharmacist, Mark Boesen decided to pursue a law degree. In law school, he met Allyson Snow, who had a background in medical device sales. Later, Mark became CEO of a large mail-order pharmacy. Allyson served as general counsel and chief compliance officer. Their roles gave them firsthand insight into the regulatory and operational challenges pharmacies face.

To support independent pharmacies, they founded Boesen & Snow Law, blending their legal training with industry experience to help clients navigate complex legal and compliance issues.

After years of helping pharmacies respond to audits and inspections, they saw a greater need for proactive support. They brought on a former PBM auditor and launched PharmaFortify™, a service through Boesen & Snow that helps pharmacies strengthen compliance and prepare before problems arise.

Product Overview PharmaFortify™ is a suite of services designed to meet the unique needs and goals of your pharmacy. A single PBM audit or failed regulatory inspection can cost tens of thousands of dollars — or even discipline to your permit.

PharmaFortify™ draws on the real-world experience of the many pharmacies we’ve supported, as well as the insight of our skilled team, which includes former board of pharmacy inspectors, compounding specialists, and PBM auditors.

You choose the services that fit your priorities — whether it’s achieving USP compliance, licensing a new pharmacy, or preparing for a PBM audit. We provide clear, step-by-step guidance to help protect and strengthen your pharmacy before issues arise.

Our Solutions n PBM Audit Gap Analysis Mark Ziegler, Pharm.D., M.B.A., joined Boesen & Snow as director of pharmacy services after leading audit teams at a major PBM, where he oversaw thousands of independent pharmacy audits. His mission: help pharmacies prepare for audits, not just react. This led to the PBM Audit

Gap Analysis, a mock audit service modeled on real PBM methods.

Available in four different tiers, each package includes a customized risk analysis, hands-on training, and practical guidance, supported by Mark’s insider knowledge and our legal and clinical team. n Regulatory Compliance Review PharmaFortify™ Regulatory Compliance Review is a proactive legal service for independent pharmacies preparing for FDA, DEA, or BOP inspections. Our team evaluates your policies, operations, and documentation to identify risks, offer actionable recommendations, and ensure inspection readiness — reducing penalties, permit risk, and business disruptions. n USP Readiness Assessment PharmaFortify™ USP Readiness Assessment provides compounding pharmacies with a proactive review of compliance with USP 795, 797, and 800 standards for non-sterile, sterile, and hazardous drug handling.

We assess policies, procedures, facilities, and staff training, offering specific guidance on risk management, environmental controls, labeling, and ongoing education. n Licensing and Reporting Management PharmaFortify™ Licensing and Reporting Management service handles licensing, renewals, change of ownership and location applications, business licenses, controlled substance registrations, and more. Our firm reduces your administrative burden by tracking deadlines, submitting filings, and managing board communications, with minimal pharmacy involvement. We also manage reporting to the DEA, boards of pharmacy, FDA, EPA, including PDMP and hazardous waste submissions to keep you compliant and penalty-free. n Accreditation Process Support PharmaFortify™ Accreditation Process Support guides your pharmacy through every step of accreditation — whether URAC, ACHC, or others.

We manage applications, ensure documentation is complete, and assist in developing policies and quality programs aligned with accreditation standards, supporting and simplifying compliance.

Markets Served Boesen & Snow is uniquely positioned to serve independent pharmacies across the U.S., including 503A/503B, specialty pharmacies, and retail pharmacies. In addition to PharmaFortify ™, we also provide legal services to manufacturers and distributors, telehealth companies, and all other healthcare businesses and providers.

Contact Information To set up a complimentary consult, contact Boesen & Snow at (844) 661-9025 or visit boesensnowlaw.com/pharmafortify.

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Cardinal Health™ Medical Benefit Billing

Track your claims in real time Cardinal Health™ Medical Benefit Billing enables you to bill and track your medical benefit claims in real time, giving you visibility into submissions, denials and rejections. This holistic view empowers you to expand your pharmacy capabilities.

Gain visibility, save time, gain additional billing flexibility and real-time claim verification.

Gain visibility into all applicable medical claims, including missing secondary claims and pre-submission edits

Flexibility to bill through your pharmacy management system or directly through the online portal

• Existing daily dashboard features including OrderExpress single sign-on and queues to assist with claim submission

Real-time claim verification with the Centers for Medicare and Medicaid Services, which includes:

Save time from manual medical billing processes with:

• Patient deductible balance

• Automated rental and secondary claim billing • Dedicated billing support team • Queues and quick actions

To learn more, visit cardinalhealth.com/medbilling

© 2024 Cardinal Health. All Rights Reserved. CARDINAL HEALTH and the Cardinal Health LOGO are trademarks of Cardinal Health and may be registered in the US and/or in other countries. All other trademarks are the property of their respective owners. Patent cardinalhealth.com/patents. Lit. No.1PD24-2811658 (02/2024)

• Patient coverage

2 0 WA Y S TO I M P R OV E PA T I E NT C A R E & P H A R M A C Y P R O F ITA B I L IT Y

Cardinal Health™ Medical Benefit Billing Bill and track your medical benefit claims in real time, giving you visibility into submissions, denials, and rejections. This holistic view empowers you to expand your pharmacy capabilities.

Jason Hollar Founded: 1971 Employees: 46,500 Stock Symbol: CAH Toll-Free Phone: (800) 926-3161 Phone: (614) 757-5000 Address: 7000 Cardinal Place Dublin, OH 43017 Website: Cardinalhealth.com CEO:

Company Background Cardinal Health is a distributor of pharmaceuticals, a global manufacturer and distributor of medical and laboratory products, and a provider of performance and data solutions for healthcare facilities. With more than 50 years in business, operations in more than 30 countries and approximately 46,500 employees globally, Cardinal Health is essential to care.

Product Overview Cardinal Health Medical Benefit Billing enables pharmacies to bill and track their medical benefit claims in real time. With multiple tiers to fit every pharmacy’s need, save time and improve patient care with this innovative solution to diversify revenue streams.

Features & Options •G ain visibility into all applicable medical claims, including missing secondary claims and pre-submission edits.

• Save time from manual medical billing processes with: • Automated rental and secondary claim billing.

• A dedicated billing support team.

• Queues with quick actions (e.g. incomplete, rejected, secondary, refill, and hold).

•F lexibility to bill through your pharmacy management system or directly through the online portal.

• Real-time eligibility verification which includes: • Patient coverage.

• Patient deductible balance.

Product Specifications Cardinal Health Pharmaceutical Distribution customers; For Medicare Part B, PTAN is required. Pharmacist NPI is required for clinical service billing.

Testimonials “ Rechelle has been an integral part of helping us manage our medical Part B billing. She made things easier to understand and helped us fix our rejected claims. She makes the system work seamlessly and is very knowledgeable in all things billing. Everyone needs a Rechelle.”

— Josie Phillips-Ross, PharmD, Owner, Phillips Family Pharmacy

“ Cardinal Health Medical Benefit Billing has saved a tremendous amount of time, the platform is very user-friendly and ultimately increased our percent of claims paid.”

— Chris L., Coborns

Key Business Partners Cardinal Health™ Medical Benefit Billing is powered by Enliven Health.

Ordering Information Please contact your Cardinal Health sales representative to learn more.

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Generate more revenue for your retail pharmacy by filling animal prescriptions with Animal Med Express. animalmedexpress.com | 615-538-1424

It’s Time To Stand Out. Custom Cavities & More.

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Join the thousands of pharmacies across care communities that trust MHA and Net-Rx. Scan the code to learn more and schedule a demo u www.mhainc.com

1. Based on a 2023 independent third-party analysis of Medicare Part D claims.

2. Per MHA analysis of 1Q23 data as of July 2023.

3. January-December 2023 analysis of Net-Rx EditRx customers.

(800) 642-3020

info@mhainc.com

© 2025 Managed Health Care Associates, Inc. All rights reserved. 0825

Introducing Liberty Software's new pharmacy platform PharmacyOne: a unified solution for community pharmacies.

This all-in-one platform provides features tailored for pharmacists, ensuring efficient pharmacy management.