Featured
Pharmacy Wholesaler Agreements: Pricing Caveats
As a pharmacy owner/manager, there are a plethora of agreements that you will review, negotiate, and sign on a regular basis. The most important agreement may be with your primary wholesaler specifying drug pricing. Although a diligent review should...
Yes, You Need a Pharmacy Customer Loyalty Program
Do you have a customer loyalty program in your store? According to the Gartner Loyalty 2018 research, only 44% of retailers offer loyalty programs. I’m frequently asked about customer loyalty, so it seems like a good time to discuss...
How Provider Validation and Patient Data Powers Pharmacy Success
Clean data is a key driver of pharmacy success. What role can big data play in providing your pharmacy with the cleanest data and the most precise data possible? Whether for ensuring prescription claims details such as provider data...
The World of Pharmacy Edits: Helping The Bottom Line
Smart pharmacies have been working hard to manage their submitted claims and track reimbursements for some time now, with a wide variety of claims edits available within pharmacy management systems and from specialist providers. But what we’ll see is...
Focus on Medicare and Medicaid Claims
The National Community Pharmacists Association’s (NCPA) Vice President of Pharmacy Policy and Regulatory Affairs Ronna Hauser, Pharm.D., offers insight into challenges that pharmacies are facing right now, including retroactive fees and challenging Medicaid managed care reimbursements.
Ending retroactive fees is...
Reducing Claim Rejects with Electronic Prior Authorization
According to CoverMyMeds Analytics, approximately 10% of prescription claims are rejected at the pharmacy. On average, 66% of those prescriptions require prior authorization (PA), and 36% of those prescriptions will be abandoned due to the complex paper- and phone-based...
3 Steps to Buying Smart with Your Prime Vendor Agreement
Pharmacies focus a lot of attention on what they get paid for dispensing a medication, but it can be very important to the bottom line to spend some time addressing your costs. PharmSaver President Michael Sosnowik suggests taking a...
CMS Part D Rules for Opioid Dispensing Safety Edits
New CMS Part D rules for opioid dispensing safety edits went into effect Jan. 1, which now require hard safety edits for seven-day initial fill limits for opioid prescriptions for the treatment of acute pain and an opioid care...
New Dynamics in Drug Management
In the late 1970s, a drug interaction feature was added to pharmacy management systems. These interactions were based on manufacturers’ package inserts and the drug literature available. However, they were and still are one-dimensional interactions. They do not capture...
Excited About Independent Pharmacy: Health Mart’s Nimesh Jhaveri
Nimesh Jhaveri, M.B.A., R.Ph., is the newly named president at Health Mart and senior vice president at McKesson. He brings a wealth of experience from a wide-ranging career in pharmacy to his new role, and a real passion for...