Dump your reliance on PBMs by diversifying your revenue to include more service-based and clinical revenue.
To rely less on PBMs, you have to create new revenue streams outside of their influence. Clinical services have long been sought as a way to achieve this goal. How is clinical revenue or service-based revenue defined? My personal definition of clinical revenue has 2 components:
- It is revenue that does not flow through a PBM.
- It leverages your pharmacist’s intellectual knowledge and skills.
I know that it is relatively broad. Some examples can include MTMs, annual wellness visits, LTC consulting, food sensitivity testing, travel vaccines, and many others. Many pharmacists that I speak with don’t know if they are ready to be more clinical. As a pharmacy owner, you may be wondering less about your clinical skills and more about how you can fit it all in with your current workflow. That’s why I put this list together of easy-to-implement and low-barrier solutions to get you started on your clinical journey and diversify your revenue.
1. Pharmacogenetic Testing
I can hear you from my house saying, “I thought you said EASY!”. Yes, pharmacogenetic testing can be easy with the right partner and training. What’s in it for you? Getting paid to use your brain and interpret how a patient’s genetic disposition can impact his best therapy options. Now, the tricky part. How and who?
First, you have to make sure you are using a reputable company with compliant billing practices. Fraud, waste, and abuse have been abundant in this field in recent years. Now that payers are opening the opportunity back up, we have to be judicious with it. While there are many PGx companies out there, we recommend you start your research with OneOme. I really like their report interface, and they are easy to work with.
2. Weight Loss Coaching
More than two-thirds of the US population is overweight, and half of that population is obese. There is no doubt that you have a significant pool of potential patients who need to lose weight. There are a variety of strategies you could implement to help your patients and monetize your services. A few options include marketing weight-loss prescriptions or specific supplements or even formulating unique compounds. To truly differentiate yourself from other product resellers, you can add a coaching component.
Many pharmacists and owners have created their own systems, but that would be hard and unproven. I want to make it easy for you. Dr. Mark Nelson has helped numerous pharmacists and pharmacy owners start a coaching practice. He uses a proven system that gives you everything you need. Full education and resources are available to you and each of your patients, along with fantastic support. You can earn approximately $2,300 a month with just 20 patients. Many pharmacists can easily manage 50 patients a month, spending only a few hours a week. Click Mark’s name above and schedule a call to chat with him.
When you are ready to start marketing your program, make sure to learn how to get High-End Pharmacy Marketing Graphics On A Low-End Budget.
3. Point of Care Testing
This is a rapidly expanding field that is perfect for independent pharmacies. Patients are looking for solutions to their problems, and they want those solutions now. We are living in an Amazon Prime culture. Your community doesn’t want to wait for an appointment or mess with the chaos of urgent care. They want a service that is easily accessible and affordable while still getting great care. Point of care testing (POCT) makes this possible, and you can now help patients with strep, flu, UTI, or many others.
Offering POCT in a pharmacy really creates a one-stop shop. One of the downfalls of waiting at urgent care is the patient will be sent away with a script only to come to the pharmacy and wait again. By adding POCT in your pharmacy, a patient can get a precise diagnosis, pick up their Rx, and get any supportive OTC items.
We have a full course and resources inside Pharmacy Badass University for our members.
Follow the rules
You want to make sure you follow your state guidelines and apply for a CLIA waiver. This is typically a simple form in most states. You can go to Google and use the search term ‘CLIA waiver and your state name.’ The search results will typically lead you to the CDC and CMS websites. Here are some links for you to make it even easier:
Whether you choose one of these 3 easy options, Remote Patient Monitoring or another strategy to increase your service-based or clinical revenue, know that you are taking an essential step in reducing the PBM’s influence on your pharmacy. You don’t need to be a clinical genius to take the first steps in growing your clinical practice.