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And if community pharmacies could develop clinical services or other functions that improve outcomes and save money for the system plan providers will actually send patients our way instead of directing them elsewhere. And insurance providers will recognize value if you show it to them.So yes, mandatory mail order prescription service is a threat to community pharmacies of all sizes.Patients sometimes must also go to their local pharmacy to pick up an emergency supply of medications that were promised but not yet delivered. There are advantages to mail order pharmacy services. For maintenance medications, the convenience of a mail order service delivering medications right to one’s mailbox may be preferable for some patients.So how do we fight this mail order pharmacy trend if you are a traditional retail pharmacy?And look at the real costs involved in filling prescriptions through a mail order pharmacy compared to a local drugstore. I am guessing a true cost comparison would bust the myth that mail order pharmacies are cheaper for plan providers.Any cost savings you might gain from filling mail order prescriptions is offset by other costs involved in using those kinds of services over tradition retail pharmacies.Is the answer legislation like the attempts in New York with the Anti-Mail Order Bill?At the end of the day, I don’t see legislation as the answer.

The issue was decided by the large insurance industry leaving patient choice out of the equation.One of the biggest topics for community pharmacies in recent memory is this trend towards mandatory mail order service. The pharmacy benefit managers (PBM) industry came up with this concept of mandatory mail order service.The idea is that patients who are covered under health insurance plans that have a mail order option must use that service for maintenance medication needs. The idea is to get people to use lower cost mail order pharmacy services instead of having prescriptions filled at their local drugstores.And what about all the extra costs involved with mail order prescription services?There are prescriptions that are filled and delivered to patients that aren’t needed.For maintenance medications, the convenience of a mail order service delivering medications right to one’s mailbox may be preferable for some patients.