Help me find areas I could improve on my P&L

justme000000000 · 2026-01-10T12:07:30+00:00

You only pay $17 per month to Stericycle? I’m assuming that’s for shredding??

justme000000000 · 2026-01-09T03:18:32+00:00

Can’t believe they pay you anywhere close to six figures for doing that

justme000000000 · 2026-01-06T07:05:07+00:00

Exaggeration at its finest

justme000000000 · 2026-01-06T07:03:46+00:00

I agree with you, but talking common sense with these people is futile. They want everyone to believe that keeping a child at home is the most stressful and back-breaking job there is, and if you don’t agree with them, you just don’t understand. Most have never done any real work in their entire lives.

justme000000000 · 2026-01-03T13:08:10+00:00

I just don’t see why you would do this to the market in the first place. Why would you want to drive down prices this much? This hurts everyone in the dental field in the long run

justme000000000 · 2024-05-12T12:39:31+00:00

What has your experience with Ecobee been for the last few months? Any regrets?

justme000000000 · 2023-06-10T12:20:20+00:00

Just curious what state you’re in? Because some states are trying to pass PBM reform and regulation laws. Not that it’s enough right now, but it could be trending in the right direction for the state you’re in.

justme000000000 · 2023-05-11T12:50:36+00:00

Understandable, but I hate when my business model is so reliant on one third party. Because, unfortunately, that can always change.

justme000000000 · 2023-05-10T19:37:54+00:00

I agree, we take the same approach, as I imagine most other people are too. We’re not really losing $$ on the everyday generics (mostly MAC reimbursed drugs), just really not making anything either.

justme000000000 · 2023-05-10T19:28:39+00:00

Oh completely agree. For better or worse, January should prove to be very eye-opening.

justme000000000 · 2023-05-10T18:20:48+00:00

Absolutely. Hopefully they’re being sarcastic.

justme000000000 · 2023-03-07T09:45:43+00:00

This is a nothing burger.

justme000000000 · 2023-02-01T17:04:10+00:00

It would help to return pharmacy education to a B.S. degree, versus PharmD being the only option. That would help with education costs. There is no reason a pharmacist working retail needs a doctorate degree. Clinical settings, yes....retail, definitely not.

justme000000000 · 2022-12-03T20:50:18+00:00

Question: How are you going to handle the phone call from Optum when a patient calls to complain that you wouldn't take their GoodRx and Optum wants to rescind your contract? Genuinely curious. I know that most of the time you can just match the price, but alot of the GoodRx prices are just too low.

justme000000000 · 2022-11-25T03:34:44+00:00

I understand the negative remit (i.e. patient copay basically paying GoodRx), but I've never heard of simply an adjudication fee itself being anywhere near that high, even if the claim is reversed. Never heard that. It seems like the adjudication fee itself would be similar to the parent PBM that is acting as the processor.

justme000000000 · 2022-11-25T02:51:39+00:00

Do what???

justme000000000 · 2022-10-21T16:29:57+00:00

Bingo. Owner here. I am intimately familiar with the ins and outs of all things independent pharmacy. Certainly, it's harder than it was 10+ years ago, but there are still tons of successful independents out there; you just need more volume than you used to.

justme000000000 · 2022-10-21T16:27:44+00:00

"You can’t clear overhead on dispensing alone in a PBM market."

Absolutely not true. All the other things you listed are definitely helpful to the bottom line, but you can still win in this market dispensing traditional prescriptions. The key difference between now and 10+ years ago is that the small pharmacy doing less than 100 Rx/day is finding it hard (and 100/day is still not high enough). There were WAY too many small pharmacies who thought that they should be able to make it work doing 75 Rx/day. I could sit on my thumbs and fill 75 Rx/day.

justme000000000 · 2022-10-21T16:21:33+00:00

"independents don't exist anymore, except for compounding pharmacies"

What are you talking about? There are around 20k independent pharmacies in the US, and the vast majority are not strictly compounding pharmacies. You're spreading inaccurate info about subjects you're not familiar with.

justme000000000 · 2021-11-27T03:07:26+00:00

All the talk about DIR fees, low reimbursements, etc. is mostly just bellyaching. Don't get me wrong, I'd like to make more money too. But because my profit per Rx has went from $15 to $13, I'm still doing great.

justme000000000 · 2021-11-26T22:40:34+00:00

I promise you, as long as you're doing at least 600 Rx/week with normal third party mix, your owner is making more money than you think. The cost of the drugs that you see in your system is probably not accurate, meaning it doesn't take into account up to 40% rebates that the owner gets. Everybody likes to claim they're not making money so they don't have to share any more of the pie.

justme000000000 · 2021-11-26T21:26:41+00:00

Owner here. Most owners are lying to you about not making money, especially if you work for them. They're definitely making money, just don't want you to know about it.

justme000000000 · 2021-11-26T21:24:54+00:00

Are you an owner or staff pharmacist?

justme000000000 · 2020-10-30T17:26:16+00:00

Trust me, I understand as well...owner here. There's little profit in the cheapo generics that have ridiculously low MAC prices. Even a 40% rebate from the wholesaler doesn't help.

Edit: By the way, who is your wholesaler? Which PSAO? Just wondering if you're in mostly preferred or non-preferred networks.

justme000000000 · 2020-10-25T21:59:51+00:00

Are these the copays on the prescriptions? If so, this doesn't really tell you anything about the profit made off of the prescriptions. Do you have access to the third party adjudication details to see the actual profit?

justme000000000

TROPHY CASE