Pharmacies

  • 67,000 Pharmacies in US 3
  • ­Almost half (33,000) are located within drug stores, grocery stores, hospitals, department stores, medical clinics, surgery clinics, universities, nursing homes, prisons, and other facilities.
  • Currently, more than 10,000 pharmacies nationwide are registered as CLIA-waived laboratories.4
  • Shifting the many tests and treatments for minor acute illness to the community pharmacy would relieve the burden on primary care providers.
  • “The results could be groundbreaking: increased patient and provider satisfaction. Patients get fast, affordable, on-demand diagnostics that traditional care models don’t offer. Physicians enjoy reduced burden, while pharmacists enjoy an expanded role.5
  • Walgreens, CVS, Walmart, and Rite Aid account for nearly 23,000 Pharmacies
  • CVS-Aetna merger: “Part of CVS’ advantage is the frequency at which patients use its services…Today, CVS engages 1 in every 3 Americans.”6
  • CVS’ 1,100 MinuteClinic® concept is underutilized… but CVS will be “increasing their use and expanding their scope of practice by adding new services for the treatment of chronic disease.”7
  • CVS’ MinuteClinic® will become community healthcare hubs where pharmacists would manage patients’ care and counsel them between primary care visits. 8
  • These walk-in clinics will serve as development labs for a much higher degree of automation in primary care than is currently available.9
  • CVS’ HealthHUBs are part of the company’s vision for stores to become an expanded health clinic, with a lab for blood testing and health screenings.
  • Rite Aid merger with Albertsons now has a total of more than 4,300 pharmacies.10
  • Southeastern Grocers Partner with eTrueNorth to Launch CLIA-waived Laboratory Testing in 253 Local Pharmacies.11
  • The future looks bright for widespread adoption of infectious disease (remote testing) in pharmacies and other alternative testing sites in the future.12
 

REFERENCES
1. Kosack, CS, Page, A-L, and Klatser, PA. A guide to aid the selection of diagnostic tests. Bulletin of the World Health Organization (2017)95:639-645. doi: http://dx.doi.org/10.2471/BLT.16.187468.
2. Reducing the Cost of Care; Provide Home Care for Sicker Patients with Remote Monitoring. Lab Soft News. FeedBlitz (1/4/19) www.feedblitz.com.
3. Qato, DM, Zenk, S, Wilder, J, Harrington, R, Gaskin, D, Alexander, GC. The availability of pharmacies in the United States: 2007-2015. (2017) PLoS One12(8):c0183172 /doi.org/10.1371/ journal.pone.0183172.
4. The promise of point-of-care testing: Hy-Vee’s Kingston shows how it works. Pharmacy Today. February 2016. Pg. 34-37.
5. Ibid. pg 37.
6.  Larry Merlo CVS Health CEO. JP Morgan Chase Healthcare Conference Jan 7, 2019. Modern Healthcare.
7. ibid
8. CVS Health and Aetna close $69 billion merger. Shelby Livingston. Modern Healthcare. November 28, 2018.
9. A Visit with a MinuteClinic Nurse Practitioner; My Observations and Conclusions. Lab Soft News. FeedBlitz (12/18/18) www.feedblitz.com.
10. 2018 Economic Report on U.S. Pharmacies and Pharmacy Benefit Managers. Drug Channels Institute.
11. Supermarket News (1-10-19).
12. Schuetz, A. Bringing the Laboratory Test to the Patient With Point-of-Contact Tests. Clin. Microbiol: Bugs & Drugs. Clin & Public Health Microbiology Newsletter. (October 8, 2018).