Community pharmacy brings innovation to patient care

Community pharmacy brings innovation to patient care

Community pharmacy
brings innovation to patient care
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NATIONAL ASSOCIATION OF
CHAIN DRUG STORES
ː˃˅ˆ˕ʎˑ˔ˉ
Pharmacies. The face of neighborhood healthcare.
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Leading the way on reform
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INSIDE
NACDS Impact Report
Pharmacists are face of
health care in community ........... Page 4
Pharmacy Profiles
Bartell Drugs ................................ Page 10
Costco .......................................... Page 10
CVS Caremark ............................ Page 11
Delhaize America ........................ Page 11
H-E-B ......................................... Page 12
HomeTown Pharmacies .............. Page 12
Kerr Drug .................................... Page 13
Kinney Drugs .............................. Page 13
Lovelace .................................... Page 14
Professional Specialized
Pharmacies ............................. Page 14
Boosting MTM, adherence ............. Page 6
Pharmacies aid economy .............. Page 8
Rite Aid .......................................
Ritzman Pharmacies ...................
Sam’s Club .................................
Supervalu ...................................
Target .........................................
Thrifty White ...............................
Walgreens ..................................
USA Drug ....................................
Walmart ......................................
Thriftway Pharmacies .................
Page 15
Page 15
Page 16
Page 16
Page 17
Page 17
Page 18
Page 18
Page 19
Page 19
MARCH 2012 • 3
Pharmacists are face of
health care in community
Average distance to nearest pharmacy*
BY ALARIC DEARMENT
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The average American lives
within 5 miles or less of the
nearest community pharmacy.
And that puts community
pharmacy in a unique position
to help America close the gap on
patient access, and bring greater
affordability to healthcare costs.
4 • MARCH 2012
AVERAGE DISTANCE
IN MILES
LOCATION
Within CBSAs
1.16
Outside CBSAs
4.51
WIthin CBSAs, distance > 5 miles
9.21
Outside CBSAs, distance > 5 miles
12.88
OVERALL
1.37
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Urban/rural breakdown of retail community pharmacies, 2010
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DRUGSTORENEWS.COM
Honesty and ethical ratings of different professions
% VERY HIGH/
HIGH
% AVERAGE
% LOW/
VERY LOW
81
16
1
Military officers
73
23
3
Druggists or pharmacists
71
25
4
Grade school teachers
67
24
6
Medical doctors
66
28
5
Police officers
57
33
10
Clergy
53
35
8
Day care providers
47
41
7
Judges
47
37
14
Auto mechanics
28
55
16
Nursing home operators
26
48
24
Bankers
23
48
28
TV reporters
23
47
29
Newspaper reporters
22
49
27
Local officeholders
20
55
24
Lawyers
17
47
35
Business executives
15
52
State officeholders
12
49
Advertising practitioners
11
48
37
Members of Congress
9
32
Car salespeople
7
Lobbyists
7
PROFESSION
Nurses
CBSA
NON-CBSA
TOTAL
Independent
16,865
3,970
20,835
Mass merchant
7,499
774
8,273
Supermarket
8,990
343
9,333
Traditional chain
21,499
1,096
22,595
Independents as % of total store
30.7%
64.2%
34.1%
% of independents in CBSAs
80.9%
% of chains in CBSAs
94.5%
OVERALL
89.9%
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Prescriptions
TYPE OF PRESCRIPTION
AMOUNT
Estimated total prescriptions written
4.60 billion
Estimated unfilled prescriptions
919 million
Prescriptions dispensed
3.68 billion
32
New and renewal prescriptions
1.93 billion
37
New prescriptions
960 million
57
Renewal prescriptions
973 million
42
49
Refill prescriptions
1.74 billion
29
61
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TYPE OF PHARMACY
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MARCH 2012 • 5
Boosting MTM, adherence could mean big savings
BY ALARIC DEARMENT
Average annual prescription drug spending by patients with given diagnosis
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Prescription utilization by age and gender
AGE GROUP
TOTAL Rx SPENDING
BY INDIVIDUALS
WITH DIAGNOSIS*
ANNUAL PRESCRIPTION
DOLLARS PER PERSON
ANNUAL PRESCRIPTIONS
PER PERSON
DOLLARS PER
PRESCRIPTION
$2,289
33.0
$69.39
$131,564
Diseases of lipid metabolism
2,545
32.9
77.26
124,750
Diabetes mellitus
3,304
42.9
76.99
69,985
Depressive disorders
2,930
34.5
84.87
56,638
General symptoms
3,634
44.1
82.46
56,100
Diseases of esophagus
3,151
35.8
87.99
52,095
Joint disorder
2,012
26.6
75.57
45,948
Chronic ischemic heart disease
3,532
50.1
70.46
41,581
Neurotic disorders
2,703
34.9
77.47
40,496
Arthropathies
2,679
36.5
73.42
40,018
DIAGNOSIS
Essential hypertension
MALE*
FEMALE*
OVERALL*
< 5 years
2.37
2.93
2.63
Asthma
2,165
25.8
83.99
38,612
5 to 14 years
2.71
1.88
2.30
Back disorders
2,050
26.6
76.95
27,798
15 to 24 years
2.04
3.97
2.96
Intestinal infection
1,019
13.2
77.34
27,078
25 to 34 years
2.31
6.08
4.22
Other soft tissue disorder
3,109
37.5
82.86
26,039
35 to 44 years
5.61
8.76
7.22
Acute nasopharyngitis
881
11.3
77.96
24,121
45 to 54 years
11.45
14.50
13.02
Acute myocardial infarction
3,565
51.1
69.75
20,121
55 to 64 years
18.19
21.96
20.12
Fluid/electrolyte disorder
4,325
60.7
71.30
19,507
65 to 74 years
24.71
29.62
27.33
Acquired hypothyroidism
2,281
32.8
69.60
17,652
75 years and older
27.25
34.48
31.62
Chronic sinusitis
1,281
17.1
75.09
17,555
OVERALL RETAIL PRESCRIPTIONS
8.51
12.12
10.35
Chronic bronchitis
3,074
41.3
74.39
17,512
1,270,736,523
1,879,178,440
3,149,914,963
Other inflammatory polyarthropathy
3,004
39.9
75.35
16,969
40.34%
59.66%
Stomach function disorder
2,417
29.2
82.77
15,673
Angina pectoris
3,812
53.3
71.56
15,602
TOTAL PRESCRIPTIONS
PERCENT
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,QPLOOLRQV Percent of population and prescriptions accounted for by people taking chronic medications
NUMBER OF CHRONIC MEDICATIONS*
POPULATION
SHARE
PRESCRIPTIONS
PER YEAR
PRESCRIPTIONS
PER MONTH
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Reasons for using a specific pharmacy
PRESCRIPTION
SHARE
POPULATION
PRESCRIPTIONS
6-plus
21,060,061
1,230,317,090
6.9%
58.4
4.9
40.8%
5-plus
28,130,767
1,447,243,120
9.4
51.4
4.3
48.0
4-plus
37,812,274
1,680,863,279
12.5
44.5
3.7
55.8
3-plus
51,521,609
1,928,147,483
17.1
37.4
3.1
64.0
2-plus
73,003,437
2,173,807,398
23.8
29.8
2.5
72.1
1-plus
108,249,786
2,375,285,092
35.7
21.9
1.8
78.8
Chronic medications only
All medications filled by population
6-plus
22,512,032
1,421,410,424
6.9
63.1
5.3
47.2
5-plus
29,852,529
1,668,676,820
9.4
55.9
4.7
55.4
4-plus
39,704,056
1,937,427,113
12.5
48.8
4.1
64.3
3-plus
53,629,656
2,227,676,486
17.1
41.5
3.5
73.9
2-plus
75,165,444
2,527,904,920
23.8
33.6
2.8
83.9
1-plus
110,092,497
2,807,914,098
35.7
25.5
2.1
93.1
TOTAL
304,375,942
3,014,547,281
9.9
0.8
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6 • MARCH 2012
ISSUES
VERY IMPORTANT
IMPORTANT
NOT VERY IMPORTANT
NOT IMPORTANT AT ALL
Service issues
Pharmacists’ ability to address questions and concerns
73%
23%
3%
1%
Pharmacists and pharmacy staff
65
36
4
1
Pharmacists coordinate care with doctor/others
60
31
7
2
Items for purchase other than medications
34
33
20
13
Ability to call ahead to have Rx ready for me
76
20
4
1
Overall convenience
75
24
1
0
Pharmacy is conveniently located/accessible
73
24
2
1
Pharmacy hours are convenient for me
70
27
2
1
Wait times to pick up prescriptions
68
29
3
1
Pharmacy provides reminders to refill prescriptions
39
28
22
10
Convenience issues
Cost issues
Pharmacy accepts my insurance card
91
7
1
1
Cost at primary pharmacy
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Pharmacies
aid economy
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NUMBER OF
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NUMBER
EMPLOYED
DURING YEAR
ESTIMATED
PAYROLL*
ESTIMATED
PAYROLL
PER STORE*
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TAXES PAID*
ESTIMATED
TAXES PAID
PER STORE*
Traditional chain drug stores
22,424
425,827
$15,030,205
$670
$5,283,756
$236
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20,160
130,872
4,654,153
231
1,627,750
81
Supermarkets with pharmacies
9,333
1,136,931
25,185,210
2,699
7,850,201
841
Mass merchants with pharmacies
8,217
1,945,725
40,824,377
4,968
26,433,801
3,217
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8 • MARCH 2012
Pharmacies in Profile
One of America’s most intractable challenges is the staggering cost of health care. Policymakers agree that Medicare and Medicaid — not to mention the nation’s frayed health
system overall — can’t continue to sustain the costs of care. One vital but underutilized
resource that could help break the cost cycle is the nation’s 56,000 community pharmacies
— and the pharmacists who staff them. Pharmacists are equipped to provide a wealth of
patient care services beyond prescription dispensing and basic counseling. They prevent
health conditions from spiraling out of control for millions of Americans, catch dangerous
diseases in their early stages, and help patients manage chronic diseases and complex
medication regimens. What’s more, they’re a community’s most accessible and costeffective health professional. “It’s not just about reducing the costs of drugs,” said Debbie
Garza of Walgreens. “It’s the role we can play in ... helping reduce the total medical spend.”
This special report offers a close-up look at the health contributions provided by pharmacy
companies across the United States — and the additional solutions they could provide if
pharmacists are made full members of an integrated, outcomes-driven health team.
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MARCH 2012 • 9
Old-time service, new initiatives thrive at Bartell Drugs
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Bartell Drugs pharmacist Steve Anderson counsels a patient.
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10 • MARCH 2012
CVS Caremark successfully merges healthcare spheres
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Pharmacists front and center at Delhaize America
Costco operates some 530 in-store pharmacies within its roughly 600 club stores.
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H-E-B pharmacists working to fill gap in health care
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12 • MARCH 2012
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Hospital network affiliation supports Lovelace patients
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Walgreens leads with wellness initiatives
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