Pharmacy (Rx) Division
The medication is clinical. The business behind it is financial, operational, and strategic.
Independent and specialty pharmacies are filling prescriptions at a loss and often cannot say which ones. Reimbursement below acquisition cost, effective rates that bear no resemblance to the contracted rate, inventory tying up cash that should be working, and rejections nobody worked before the window closed. It rarely presents as a crisis. It presents as a business that is busy, growing, and quietly not making money.
I examine how payer contracts, acquisition costs, billing, inventory, staffing, technology, and management decisions affect one another then quantify what each is costing and build the path forward.
Trust & Coverage
Start with an Rx Financial & Margin Assessment
A written finding: which prescriptions lose money, what your effective reimbursement actually is by payer, where inventory cash is trapped, and what each fix is worth annually.
Start with an assessmentRx services
Six services for the financial, operational, and strategic side of a pharmacy.
Rx Financial & Margin Assessment
Financial review, cash flow, gross margin by category, reimbursement risk, prescription volume analysis, location and department profitability, break-even, and a priority roadmap. Fixed fee, two to three weeks.
Learn morePBM & Payer Reimbursement Analysis
Reimbursement versus acquisition cost by NDC, effective rate reconciliation, below-cost identification ranked by annual dollar impact, and profitability by payer and medication category.
Learn morePharmacy Billing & Recovery
Claim workflow assessment, rejection research, denial management, A/R follow-up, remittance reconciliation, underpayment identification, legacy A/R cleanup. Contingency-priced.
Learn moreInventory & Supply Chain
Turnover, slow-moving and dead stock, expiration risk, wholesaler contract analysis, generic purchasing, reorder points, shrink control, cold chain, GPO and rebate tracking, DSCSA documentation.
Learn moreRx Strategic CFO & Accounting
Monthly reporting with commentary, budgeting and forecasting, working capital, location and service-line profitability, COGS analysis, gross margin monitoring, executive and board dashboards.
Learn moreAccreditation, Licensing & 340B
Requirement matrices, policy inventories, evidence files, renewal calendars, mock administrative reviews for NABP programs, state licensing, and 340B financial and operational review.
Learn moreBoundaries, stated plainly
This is business, financial, and operational work. I do not dispense, verify prescriptions, counsel patients, perform drug utilization review requiring pharmacist judgment, make clinical or formulary decisions, authorize refills, compound, administer immunizations, or act as pharmacist-in-charge. Any workflow touching medication verification, dispensing, counseling, or clinical judgment is approved by the pharmacist-in-charge. I do not issue accreditation, guarantee approval, or provide legal determinations of compliance.
State pharmacy licensing, ownership, and pharmacist-in-charge requirements are determined by the applicable board of pharmacy and counsel never by this firm.
Start with an Rx Financial & Margin Assessment
A written finding: which prescriptions lose money, what your effective reimbursement actually is by payer, where inventory cash is trapped, and what each fix is worth annually.
Start with an assessment