Pharmacy Solutions

Pharmacy is one of the most consequential cost and revenue drivers in your health system. We help you manage it as the strategic asset it is.
Explore the information below for a deeper look at our full capabilities and approach

Acuvance Coker’s Pharmacy Solutions Areas of Expertise

Acuvance Coker’s Pharmacy Solutions provide embedded, data-grounded advisory support for healthcare organizations managing the operational, financial, and compliance considerations shaping pharmacy today. Our advisors are pharmacists and operators with experience leading pharmacy departments, combining practical knowledge with analytics and benchmarking across critical areas, from operations and purchasing to 340B and formulary strategies. We work alongside executive and pharmacy leaders to implement strategies that improve performance across the pharmacy enterprise.

Outpatient & Retail Pharmacy Services

We provide market and demand modeling, retail pro forma analysis, and own-use reviews to assess pharmacy opportunities and evaluate operating models across centralized and decentralized fill, mail order, meds-to-beds, and transitions of care.

Ambulatory Care

We analyze ambulatory pharmacy operations across revenue cycle, prior authorization and denial management, site-of-care strategy, patient assistance programs, and payer and PBM strategy to improve financial performance across infusion, home health, and other care settings.

Operations & Workflow

We assess pharmacy workflows, labor models, and capital equipment and IT needs to find opportunities across waste control, diversion prevention, medication safety, central distribution, and sterile and non-sterile compounding.

Purchasing

We assess pharmacy purchasing practices across contract management, rebates, purchasing surveillance, price verification, failure-to-supply, and inventory management to strengthen purchasing performance.

340B Optimization

We evaluate 340B eligibility, contract pharmacy arrangements, TPA configuration, and program controls to strengthen savings capture, support WAC reduction, improve program performance, and reduce HRSA audit risk.

Formulary Optimization

We evaluate formulary strategies through cost-effective formulary standardization and optimization, pharmacist intervention dashboards, decentralized clinical service evaluations, and patient drug utilization benchmarking across internal providers and external peers.

Challenges We Solve

What we assess across the pharmacy enterprise:

Drug Spend & Cost Variance

We analyze NDC-level drug spend, pricing variation, and cost drivers to find opportunities to improve pharmacy financial performance.

Formulary & Utilization Management

We assess formulary variation and clinical utilization gaps to support cost-effective medication management and more consistent prescribing practices.

340B Program Performance & Risk

We evaluate 340B eligibility, TPA configuration, and contract pharmacy arrangements to identify savings opportunities and reduce program risk.

Medication Revenue Capture

We examine medication charge capture and revenue cycle processes to spot leakage and improve reimbursement performance.

Pharmacy Workforce & Staffing

We analyze staffing models, labor utilization, and workflow demands to improve workforce efficiency and support sustainable pharmacy operations.

Ambulatory Pharmacy Infrastructure

As care shifts to outpatient settings, most health systems have not built the clinical pharmacy infrastructure to support it. MTM programs, adherence initiatives, and specialty capture strategies remain underdeveloped relative to where ambulatory volume is going.

Services

Explore the services that support margin improvement and stronger performance across the pharmacy enterprise.
340B Optimization

The 340B program is one of the most valuable financial tools available to eligible health systems. It is also one of the most scrutinized.

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Pharmacy Purchasing

What you pay for drugs is only part of the equation. What you're losing without the right controls is the other part.

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Formulary Optimization

Drug costs are rising. Unmanaged formularies make it worse.

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Pharmacy Operations & Workflow

A pharmacy that runs well costs less to operate and delivers better care. Most have room to do both.

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Ambulatory Care Pharmacy

Care is shifting to outpatient settings. Most health systems haven't built the pharmacy infrastructure to support it.

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Outpatient Pharmacy Services

Outpatient pharmacy is one of the fastest-growing revenue opportunities in your health system, and most organizations aren't capturing it.

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Ready to Strengthen Your Pharmacy Enterprise?

Connect with Acuvance Coker’s pharmacy advisors to turn pharmacy challenges into performance gains.

FAQs

Do you only work with health system pharmacies, or also retail and ambulatory?

Both. Inpatient pharmacy, outpatient and retail, specialty, infusion, and ambulatory settings all fall within our scope, and many engagements cross more than one of them.

How does an engagement typically work?

We customize the engagement to the customer need. Typically, we start with an assessment to establish a baseline for pharmacy performance, including spend, utilization, staffing, and compliance exposure. We then develop a prioritized roadmap with recommended actions and implementation considerations. Our advisors can support execution alongside your team or provide guidance as your pharmacy leaders move recommendations forward.

How do you use technology or analytics in this work?

We use data and analytics to benchmark pharmacy performance, quantify opportunities, and inform our advisory approach. Our advisors combine these insights with real-world pharmacy experience, working alongside your team to develop practical recommendations aligned with your goals.

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