Pharmacy Needs Evaluation

Pharmacy Needs Evaluation
Thank you for taking the time to complete the Needs Evaluation Questionnaire.

Please remember to submit the questionnaire before your complimentary consult meeting or scheduled initial meeting. We appreciate your participation and look forward to discussing how we can best serve you.
Name*

First NameLast Name
Email*
example@example.com
Mobile Phone Number*
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Pharmacy Name
Pharmacy Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Tell Us About Your Business!

Please complete and submit all 17 questions before your first appointment. Your responses will guide the course of our meeting and facilitate conversation to better serve your needs.
Monetizing Medicare

5-Questions
How would you describe the demographic makeup of your pharmacy's patient base?

My patient base consists mainly of individuals with higher incomes and minimal Medicare eligibility.There's a mix of income levels among our patient base, with minimal Medicare eligibility.A significant portion of our patient base has moderate incomes and is Medicare-eligible.The majority of our patient base consists of individuals with lower incomes and significant Medicare eligibility.
What strategies does your pharmacy currently employ to foster and maintain strong relationships with your patients, including communication methods?

Our patient interactionsare primarily transactional, with minimal emphasis on relationship-building.We engage with patients during face-to-face interactions at the pharmacy, but there's limited follow-up.We utilize a mix of face-to-face interactions, phone calls, and emails to communicate with patients and follow up on their needs.In addition to face-to-face interactions, we have a comprehensive approach that includes phone calls, emails, newsletters, and other communication channels to maintain strong relationships with our patients.
How would you assess the availability of personnel and their ability to engage with patients effectively regarding insurance services?

We have some personnel available, but they may lack the necessary skills or comfort level to engage with patients about their insurance needs.While we have sufficient personnel, their skills in discussing insurance matters with patients may vary, and additional training may be needed.We have personnel who are proficient in engaging with patients about insurance services, but there may be limitations in terms of availability.Our personnel are not only readily available but also possess strong interpersonal skills and expertise in discussing insurance options with patients, enhancing their understanding and decision-making process.
To what extent does your pharmacy currently engage in insurance consultations with patients, including advising on Medicare plans, utilizing paid software for Medicare insurance reviews?

We do not offerinsurance consultations to patients.We provide basic information on insurance plans but do not offer comprehensive consultations, nor do we use paid software for Medicare insurance reviews.We offer insurance consultations on a limited basis but could expand this service; however, we do not currently utilize paid software for Medicare insurance reviews.Insurance consultations, including Medicare plan advising, are integral to our pharmacy's services, and we actively engage in them, utilizing paid software for Medicare insurance reviews to enhance our services.
How do you envision the integration of Medicare insurance services benefiting your pharmacy and its patients, particularly in terms of reimbursement levels, revenue streams, and compliance concerns?

I don't foresee significant benefits for our pharmacy or patients, and I'm concerned about potential compliance issues associated with offering insurance services.While there may be some benefits, I'm uncertain about the impact on our pharmacy's profitability given the current challenges with low reimbursement levels from insurance plans.I anticipate moderate benefits in terms of ensuring patients are on more profitable insurance plans, although I'm cautious about the potential compliance risks associated with offering insurance services.I foresee substantial benefits for our pharmacy and patients. By addressing low reimbursement levels and creating new revenue streams through insurance enrollments, we can not only improve profitability but also ensure compliance with regulatory standards.
PSAO Lite

7-Questions
Are you happy with your PSAO? What level of comfort do you have evaluating the PSAO landscape / knowing which one would best support your business?

I've not had the opportunity to have an in-depth conversation with more than one PSAOI am unhappy with my PSAOs support / engagement and am not confident knowing if it would be better elsewhereI am not familiar with the PSAO landscape and how to fully evaluate them, but am relatively happy with my PSAOI am confident in being able to assign a $ amount to why my PSAO is the best for my store(s)
How confident are you navigating your PSAO / PBM contract offers and knowing what options are available to you?

I am not confident with PSAO / PBM contracting. I don't know what options are available to me.I use my PSAO contracts whenever possible. I usually sign any direct contracts I receive from the PBM.I use to have a great handle on things. Now it feels like contracting and reimbursements have gone off the rails in the past 5 - 10 years.I have a great handle on PBM contracting. I feel confident when navigating PBMs and know what contracting options are available to me.
Do you know how your pharmacy buy-side (wholesaler contracts) aligns with your sell-side (PSAO / PBM contracts) for both brand and generics?

They did not teach us AWP or WAC in pharmacy school. I'm not confident in what my pharmacy gross margin is anymore.I know my pharmacy margin well. I struggle to pinpoint whether the issues are from my buy-side or sell-side.I feel confident managing wholesaler contracts. I am not as comfortable with PBM contracting and connecting the two together.I'm well-versed when it comes to PBMs. Wholesalers are not my strong suit.I know my wholesaler, PSAO, and PBMs contracts and levers / options that are available like the back of my hand.
What level of comfort do you have with brand, generic, and dispensing fee effective rates?

This is the first time I've heard of effective rates.I have heard of them. I am not sure exactly how they impact my business.I know how my business is being affected by effective rates. I could use help best exploiting them for my business.I know by PBM exactly how effective rates are impacting my business. I am confident that I am maximizing them across brands, generics, and dispensing fees.My state laws regulate effective rates in a way that makes them not applicable to my business.
Do you know which plans / PBMs are best or worst for your pharmacy?

I hate them all and just assume they're equally bad.I have a general idea of which are good/bad, but do not track them in detail. I don't know how to best leverage that information.I reliably track my best/worst performing PBMs/plans. I could use help making the data actionable.I can confidently rank my PBMs/plans from top to bottom by line of business. I know how to leverage that information in meaningful ways.
If you are a 340b contract pharmacy, are your 340b claims seeing effective rate claw backs or refunds on the backend?

I am not sure how to track that.I pass effective rate collections or refunds through to the covered entity.I know how to have my 340b claims disputed out of the effective rate process when possible.I am confident I am minimizing/maximizing effective rates that fall back on my pharmacy for 340b claims.I am not a 340b pharmacy.
If you are a rural pharmacy, how confident are you all rural contracts have been fully established with every eligible plan sponsor / PBM?

I am not sure if I am rural or not.I think I have rural contracts set up through my PSAO but am uncertain.I have some rural contracts through my PSAO and some direct, but am not sure if I have them all.I am sure I have every rural plan sponsor/PBM contract set up and in effect.
Patient Care Services

5-Questions
What is your average Gross Rx Profit/Month

$0 - $5$6-$10$11 - $20>$21
Which of the following best describes your current availability bandwidth?

Does not have 3-5 hours per week to dedicate to the programHas time to meet virtually but no time to implementOwner or delegated pharmacist has time to meet for an hour and be able to dedicate 3-4 hours to implementation weeklyCompletely off the bench and looking to focus on growing the business
Which of the following best describes your "Cash Services"?

Poor OTC sales; not compounding; Fear of charging patients for any cash servicesDabbling in compounding (NS only); some cash sales; not charging for compliance packaging or delivery services; RX flavoring; Few patients syncedProviding substantial compounding options (Sterile/NS); Charging for compliance packaging, clinical services, delivery/mail out; Doing well with OTC/supplement sales; some non-COVID/Flu POCT; Health or average med syncAlready has patients subscribed or engaged in consultative or clinical services; running an appointment-based or consultative model for COVID testing and treatment; already offering package with DPC doctor(s)
Which of the following best describes your accreditation status for Continuous Glucose Monitoring (different than test strips or DSME)?

I did not know you have to get accredited to bill Part B for CGM; I am not or am unsure if I am accredited to bill for CGMAlready at least DME accredited for things like test strips or other medical supplies like wheelchairs; We bill CGM commercially onlyDME and DSME Accredited; Already has an account with an accrediting body and a preliminary Policies and Procedures customizedAccredited, inspected, and approved for CGM (and DSME ideally)
Which of the following best describes your collaborative relationships?

No collaborative initiatives or local practitioner relationshipsReceiving some referrals for Immunizations or prescriptionsFree Clinic, Great Referrals for pharmacy-based initiatives such as compliance packaging, or Consulting for LTCEstablished Physician Relationships, Medical Director contracted or owns a clinic; Deep Outpatient Clinic Relationships
Thank you for taking time to tell us about your business. We look forward to speaking with you.
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Pharmacy Needs Evaluation

Tell Us About Your Business!

Monetizing Medicare

PSAO Lite

Patient Care Services

Thank you for taking time to tell us about your business. We look forward to speaking with you.