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Sustainable Reimbursement Is Essential for Community Pharmacies to Deliver Social-Needs Services

Anna Patel
Published on 2025-08-19 18:02:00
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Sustainable Reimbursement Is Essential for Community Pharmacies to Deliver Social-Needs Services

Expanding Community Pharmacies Beyond Dispensing

Community pharmacies are uniquely positioned to expand beyond dispensing and address patients' clinical and social needs, but long-term success depends on stable funding.

The Public Health Role of Pharmacies

The pandemic highlighted pharmacies' public health value—many administered the majority of COVID-19 vaccinations nationwide—demonstrating their accessibility and efficiency. That same capacity could be harnessed to provide broader health and social-care services.

Key Factors for Transformation

Two factors are critical for this transformation: adapting pharmacy workflows and establishing dependable reimbursement. Pharmacies can redesign processes and train staff to offer new services, yet without a reliable payment mechanism these efforts are difficult to sustain.

Financial Challenges and Opportunities

Many community pharmacies operate on thin margins for medication dispensing. Offering clinical or health-related social needs (HRSN) services without compensation is often financially untenable. Sustainable funding could come from grants, Medicaid program redesigns, or new billing...

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