2019 was a challenging year with the increased pressure of higher DIR fees, GER, NER, BER and all the other acronyms that the PBMs use as clawbacks. Right now, not five years from now, you can improve your cash flow and reduce the control PBMs have on your business finances. To do that you need to change the game and tilt it in your favor.
Typical pharmacies have somewhere between 93-97% of revenue coming from the prescription part of their business. What if 97% became 87%? What impact would that extra 10% of alternative revenue have on your business?
Moving to a service-based pharmacy model allows you to continue to provide excellent service and consulting to your patients and get paid for it, outside of the PBMs influence. You can bill for the services you already provide directly to the insurance plans as a credentialed provider. This will allow you to add to your top line and bottom line outside of the influence of the PBMs.