Pharmacist checking inventory in the stock room.

Payer Solutions for Health Systems

Outpatient pharmacy services just got a little easier.

Why retail pharmacy?

Health system retail pharmacies have the opportunity to interact with more patients at discharge and between visits, including for follow-up and long-term monitoring of their care, medication adherence and progress. This interaction is especially critical in high-risk transplant, cancer, HIV, cardiac or diabetes patients — and it matters to hospitals’ documentation efforts, providing continuity of care and helping reduce readmissions.

Despite their small physical footprint, health system retail pharmacies can be pockets of opportunity —whether located in hospitals or ambulatory care centers, near treatment clinics, or around the communities they serve. They have the potential to capture a share of the many thousands of prescriptions issued to patients and employees annually that are typically filled elsewhere.

Already have a health system retail pharmacy, or looking to open one?

We help you:

  • Find options for market entry
  • Expand existing pharmacy operations
  • Access a PSAO solution that meets your unique managed care needs, by providing access to Prime Therapeutic’s IntegratedRx. IntegratedRx allows health systems to dispense through their in-house specialty pharmacy instead of through PBM-owned specialty pharmacies.

Do retail pharmacies make sense for your hospital or health system?

Retail pharmacies can be productive, strategic assets for the following reasons:

  • Retail pharmacies located within hospitals support patient care and improve the financial situation of health systems. Retail pharmacies can reduce readmissions, improve patient adherence, increase patient satisfaction and quality scores, and positively impact population health management.
  • Hospitals with robust, fully integrated retail pharmacy services are better able to take on more labor-intensive clinical functions, and these can also contribute to improved patient outcomes and higher patient satisfaction scores.
  • Optimizing the eligibility of Disproportionate Share Hospital (DSH) and 340B-eligible prescriptions maximizes opportunities for patients and hospitals.