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Pharmacy Services

Dispensing Considerations

Pharmacist stocking bottles

Factors to consider before opening an in-office dispensary


Does your state allow physician dispensing and/or practice-owned-and-operated pharmacies? MA, MT, TX, and UT do not allow physician dispensing. What licenses does your state require: Pharmacy? Physician dispensing? Business?


Does your practice write enough prescriptions to generate a margin that ensures viability? Do payer mandates in your area require that prescriptions be sent to a specialty pharmacy? If so, is the mandate for the first prescription or refills only?


Does your practice have enough physical space for the model you’re choosing? Are you sufficiently staffed to operate an in-office pharmacy program? How many additional associates will you have to hire?


Appoint a physician champion for the program in your office and ensure that your physicians are supportive. Create educational materials and resources so that all of the physicians in your practice know how to use the in-house pharmacy.

Understand local requirements prior to implementation


Examine your pro forma and patient mix to determine whether you will stock all products or only high-volume/high-margin products. Check network requirements to determine if you are eligible to dispense limited distribution products.

State requirements

Obtain legal counsel from a healthcare attorney to understand your state's regulations around size requirements, counter requirements, and security requirements.

Multiple sites

If your practice has multiple locations, consider all factors when determining how many/which site will have a pharmacy. Verify state laws and regulations around sending prescriptions from one location to another.

Not sure where to start?

Opening a new service line in your practice can be daunting. That's why our dedicated team of pharmacy experts partners with practices to open their medically integrated dispensing programs. We can help you with promotional and implementation support, and provide technology integrations that make sense for your business. Contact our team to discuss your practice's future, today.