SPRING 2026
IMPROVING PATIENT
C A R E & P H A R M A C Y
P R O F I T A B I L I T Y
C O M M U N I T Y , S P E C I A L T Y , & L T C E D I T I O N
Jason Sutton, RPh FASCP
Chief Operating Officer
Infinity Pharmacy Solutions
20 Unique
Products
& Services
Specialty Pharmacy
Resources
Industry Expert Q&A, Market Leaders
Buyer’s Guide, and More pg. 26
Compliance Packaging
Systems, Software &
Verification for Any
Size Pharmacy
A 20Ways Profile by Noritsu Pharmacy Automation pg. 15
PBM Reform
Signed Into Law:
What Pharmacies
Need to Know
pg. 18
Specialty Pharmacy
Outlook 2026
pg. 68
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SPRING 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC
FROM OUR FOUNDER
In this edition of 20Ways, it’s clear that pharmacy professionals
across community, long-term care, and specialty pharmacy
continue to navigate an increasingly complex and demanding
healthcare environment. Each of these pharmacy settings
plays a critical role in patient care — whether supporting day-to-
day medication access in community pharmacies, managing
complex medication regimens in long-term care facilities, or
coordinating specialized therapies through specialty pharmacy
services. As patient needs evolve and therapies become more
sophisticated, pharmacies across these practice settings
rely on innovative resources and trusted partners to maintain
operational strength while delivering high-quality care.
This spring issue focuses on Specialty Pharmacy
Resources, highlighting the technologies, services, and
operational solutions designed to help pharmacies
navigate the unique demands of specialty care. From
patient engagement tools and data-driven platforms to
reimbursement support and clinical management solutions,
the organizations featured in this issue are helping specialty
pharmacies enhance care coordination, streamline
workflows, and maintain compliance in an increasingly
complex regulatory and reimbursement environment.
In addition, we feature two insightful editorials addressing key
developments shaping the industry. One editorial explores
the ongoing discussion around PBM reform, examining how
policy proposals and regulatory scrutiny may impact pharmacy
operations, reimbursement models, and patient access to
medications. The second editorial takes a broader view, offering
a perspective on emerging trends, evolving care models, and
the opportunities ahead for specialty pharmacy providers.
A hallmark of every issue of 20Ways is the inclusion of our
20 Way profiles from companies throughout the pharmacy
supply chain. Each profile highlights a solution designed
to support pharmacies as they navigate operational
challenges, enhance patient care, and adapt to the evolving
demands of modern pharmacy practice. Together, these
resources reflect the ongoing innovation taking place
across the pharmacy industry.
At RXinsider, we remain dedicated
to helping pharmacy leaders stay
informed about the products,
services, and ideas shaping
the future of pharmacy.
Greg Cianfarani, RPh
Founder & CEO
FOUNDER & CEO
Gregory Cianfarani, RPh
DESIGN & PRODUCTION
Design & Layout, Lora Bourque
Multimedia, Eric Simmons
MARKETING & OPERATIONS
Director of Marketing & Operations, Samantha Roy
Marketing & Operations Coordinator, Amanda D’Amico
SALES & BUSINESS DEVELOPMENT
EVP, Sales & Marketing, Mike Rahme
VP of Strategic Accounts, Chris Kolkhorst
Executive Sales Director, Shaun Russell
Sales Manager, Savannah DaSilva
Account Executive, Jake Studley
Account Executive, Madelyn Almeida
PHARMACY MARKET INTELLIGENCE
Marketing Manager, Alexa DiLuca
Senior Pharmacy Market Analyst, Jeff Rackliff
Pharmacy Market Analyst, Lexi Cianfarani
Pharmacy Market Analyst, Emma Cidade
Pharmacy Market Analyst, Ellie Krouse
EDITORIAL ADVISORY BOARD
Sheila M. Arquette
President & CEO
National Association of Specialty Pharmacy (NASP)
Miriam Cho, PharmD
President/CPO
MACRX/MEDSCRIPT
Samantha Denson, PharmD, RPh
Global Medical Affairs Fellow
Abbott Diabetes Care
Lindsey Dymowski Constantino
President & Cofounder
Centennial Pharmacy Services & LTC@Home
Pharmacy Network
Mark Garofoli, PharmD, MBA, BCGP, CPE, CTTS
Clinical Associate Professor, Director of Experiential
Learning, & Clinical Pain/Addiction Pharmacist
WVU School of Pharmacy
Joseph D. Honig
Clinical Pharmacist Specialist - Pediatric Pulmonology;
Volunteer Clinical Pharmacist
Brown University Health Specialty Pharmacy/Hasbro
Children’s Hospital
Steve Postal, JD
Senior Director, Policy and Regulatory Affairs
National Community Pharmacists Association
Abby Roth, CMQ/OE
Founder/Microbiologist, Executive Director
Pure Microbiology, Premier
FOLLOW US
@RXinsider
/RXinsiderB2BSolutions
@RXinsider
@rxinsider
Vimeo
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When you partner with First Financial Bank, we’ll get
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SPRING 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC
FEATURES
FEATURED CASE STUDY
COUCH PHARMACY FINDS
A BETTER WAY TO FILL
PRESCRIPTIONS WITH FLEXIBLE,
RELIABLE AUTOMATION
A case study from McKesson. pg. 38
EDITORIALS
SPECIALTY PHARMACY RESOURCES
Industry expert Q&A, market leaders buyer’s guide,
and more. pg. 26
PBM REFORM SIGNED INTO LAW:
WHAT PHARMACIES NEED TO KNOW
Contributed by Steve Postal, Senior Director, Policy and
Regulatory Affairs at National Community Pharmacists
Association (NCPA), and Editorial Director of American
Society for Pharmacy Law (ASPL). pg. 18
PHARMACY COMPLIANCE,
AUDITS, & REGULATION
Guidance for Healthcare Providers pg. 60
SPECIALTY PHARMACY OUTLOOK 2026
Contributed by Sheila M. Arquette, RPH, President & CEO
of NASP pg. 68
FURTHER EXPLORATION
INTEL REPORT HIGHLIGHTS
Key insights from the 2026 Supply Chain Teardown:
Point-of-Sale (POS) Systems report. pg. 74
TRADE SHOW & MEETING EVENT CALENDAR
Detailing key industry events throughout the year.
pg. 48-55
SPRING 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC
LIBERTY SOFTWARE — PHARMACY
IS COMPLICATED, YOUR
SOFTWARE SHOULDN’T BE
An innovative pharmacy management solution that
streamlines operations, increases profitability, and
ensures compliance — so community pharmacies
can focus on patient care with confidence. pg. 13
NORITSU PHARMACY AUTOMATION
COMPLIANCE PACKAGING SYSTEMS,
SOFTWARE, AND VERIFICATION
FOR ANY SIZE PHARMACY
Noritsu partners with pharmacies to deliver
innovative automation solutions that increase
accuracy, streamline workflow, drive profitability,
and support better patient outcomes. pg. 15
REDSAIL TECHNOLOGIES
PHARMACY THRIVES HERE
With ~12,000 pharmacies reaching 10 million+
patients monthly, RedSail Technologies is the
leader in pharmacy software and solutions
through brands PioneerRx®, BestRx®, Axys®,
PowerLine®, TransactRx®, and QS/1®. pg. 17
MEDI-DOSE, INC./EPS, INC.
YOUR COMMUNITY PHARMACY
SUPPLY EXPERTS
For over 50 years, Medi-Dose/EPS has been
working with pharmacists to design and
support cost-effective products, solving the
specific needs of their pharmacies. pg. 21
RETURN SOLUTIONS OFFERS
HASSLE FREE RX RETURNS
Reduce time spent tracking credits and get credit
quickly with Return Solutions’ OneCheck Select
program — the fastest pharmaceutical return
credit reimbursement in the industry. pg. 23
JFCRX PHARMACY AUTOMATION
EQUIPMENT AND SOFTWARE SOLUTIONS
FOR EFFICIENCY AND PROFITABILITY
JFCRx provides a full range of pharmacy automation
solutions to help pharmacies streamline operations
and improve ROI. Our solutions include multi-dose
blister card and pouch adherence packaging,
inspection and verification systems, vial filling,
and tablet sorting. pg. 25
EMBECTA — LEARN HOW UPDATED
PEN NEEDLE TECHNOLOGY
RECOMMENDATIONS CAN
BENEFIT YOUR PATIENTS
Nano™ 2nd Gen Pen Needles are the only pen
needles aligned to expert recommendations. pg. 33
STAT TEMP® FROM HEALTH
CARE LOGISTICS® TRANSFORMS
TEMPERATURE MONITORING
Ensure temperature accuracy throughout the
healthcare setting with this fully customizable
web-based system that installs without
equipment and without a subscription. pg. 35
YARAL PHARMA — HIGH-QUALITY
AUTHORIZED & COMPLEX GENERICS
YARAL Pharma delivers high-quality authorized
and complex generics across multiple therapeutic
areas with reliable supply and exceptional
service — reimagining generics by “doing things
differently” for patients and pharmacies. pg. 37
UNIWEB DELIVERS INNOVATIVE
ROOMS, COUNTERS, LOCKING
UNITS, AND ACCESSORIES
Manufactured domestically since 1970, Uniweb
provides sturdy products in weeks, not months.
We create steel pharmacy and retail systems
with endless configuration options, décor,
and accessories. Our installations are quick
and hassle-free! pg. 43
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S P E C I A L T Y P H A R M A C Y R E S O U R C E S
S P E C I A L T Y P H A R M A C Y R E S O U R C E S
S P E C I A L T Y P H A R M A C Y R E S O U R C E S
S P E C I A L T Y P H A R M A C Y R E S O U R C E S
S P E C I A L T Y P H A R M A C Y R E S O U R C E S
S P E C I A L T Y P H A R M A C Y R E S O U R C E S
S P E C I A L T Y P H A R M A C Y R E S O U R C E S
20WAYS PROFILES
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SPRING 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC
10
BUILD A STRONG PHARMACY
INFRASTRUCTURE THAT CAN ADAPT TO
CHANGING ECONOMIC, REGULATORY,
AND PATIENT REQUIREMENTS
WITH THE COMPLIANCE TEAM
Navigating changing patient needs while
maintaining high-quality care and complying
with regulatory requirements is a complex
challenge for pharmacies. pg. 45
PALADIN DATA CORPORATION —
PALADINPOS — RETAIL TECHNOLOGY
SOLUTION BUILT FOR PHARMACY
Paladin Point of Sale helps pharmacies run better
by automating time-consuming processes. pg. 47
STRATEGIC PURCHASING AND
OPERATIONS IMPROVEMENT
SOLUTIONS BY INNOVATIX
Innovatix offers differentiated, high-quality
group purchasing and consultative services.
We help members maximize their overall financial
performance by providing the resources and
educational support needed to enhance the
delivery of quality patient care. pg. 57
D2’S COMPLYSUITE® —
EXPERIENCE-BACKED COMPLIANCE
MANAGEMENT TECHNOLOGY
Streamline your workflow, reduce operational
burden, and grow your business with accreditation,
licensing, regulatory alert, and legislation tracking
support designed by pharmacists for pharmacy
and compliance teams. pg. 59
WIND RIVER PAYMENTS —
INTEGRATED PAYMENTS BUILT FOR
THE PHARMACY INDUSTRY
Wind River enables pharmacies to operate more
efficiently by delivering a payment solution
that seamlessly integrates with their existing
workflows. Unlike generic options, Wind River
is built specifically for the complex needs of
pharmacies. pg. 65
RXPOST: THE PREMIER PHARMACY-
TO-PHARMACY MARKETPLACE
Built for independent pharmacies, RxPost
is the premier marketplace to liquidate
overstock, access discounted inventory,
streamline transfers, and unlock revenue
with zero hidden fees or penalties. pg. 67
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S P E C I A L T Y P H A R M A C Y R E S O U R C E S
S P E C I A L T Y P H A R M A C Y R E S O U R C E S
11
SPRING 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC
11
ANDA, INC. — LEADING PHARMACEUTICAL DISTRIBUTOR
At Anda, we believe that being a supplier isn’t enough — we’re here
to be your partner in care. From ensuring fast, reliable deliveries to
providing dedicated support, we help pharmacies like yours focus
on what truly matters — your customers. pg. 71
SHAMROCK LABELS — PHARMACY LABELS, BAGS,
PILLCARDS, & PRINTERS
Shamrock Labels helps pharmacies improve accuracy, streamline
workflows, and strengthen patient engagement through high-
quality labels, prescription bags, pillcards, and Zebra printing and
scanning solutions — all supported by dependable service. pg. 73
ACCREDITATION COMMISSION FOR
HEALTH CARE (ACHC)
As the nation’s top accreditor for specialty, infusion, and
compounding pharmacy services, ACHC delivers a smart, modern
accreditation experience tailored to today’s pharmacy landscape —
making ACHC THE Accreditation Choice for Pharmacy. pg. 77
PHARMACY SHELVING, CARTS, FIXTURES, AND
DESIGN DELIVERED NATIONWIDE BY RXSHELVING
RxShelving.com provides an easy-to-use, one-stop shop for all
your healthcare related equipment needs. pg. 79
17
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Spring RETAIL 2026
20Ways MISSION
To educate pharmacy management on products
and services that serve to improve patient care or
improve a pharmacy’s financial bottom line, while
distilling and presenting this relevant information
via 20 product profiles.
VIEW 20Ways ONLINE
RXinsider.com/20Ways
GENERAL SUBSCRIPTION INQUIRIES
RXinsider LTD
c/o 20Ways
1300 Division Road, Suite 103
West Warwick, RI 02893
General Information: 20Ways@RXinsider.com
20Ways is an official publication of RXinsider.
NOTICE OF POLICY
20Ways is published quarterly by RXinsider LTD,
1300 Division Road, Suite 103, West Warwick, RI
02893. Postmaster: Send address changes to
20Ways/RXinsider, 1300 Division Road, Suite 103,
West Warwick, RI 02893. Notification of address
change must be made six weeks in advance,
including old and new address with zip code.
Editorial — views expressed in articles or profiles
in the 20Ways are those of the author(s) and do
not necessarily reflect the policies and opinions
of RXinsider, our editorial board(s), our advisory
board(s), or staff. Advertising – products, services,
and educational institutions advertised in 20Ways
do not imply endorsement by RXinsider.
Copyright © 2026 RXinsider LTD. All rights reserved.
Reproduction without permission is prohibited.
SPRING 2026
IMPROVING PATIENT
C A R E & P H A R M A C Y
P R O F I T A B I L I T Y
C O M M U N I T Y , S P E C I A L T Y , & L T C E D I T I O N
Jason Sutton, RPh FASCP
Chief Operating Officer
Infinity Pharmacy Solutions
20 Unique
Products
& Services
Specialty Pharmacy
Resources
Industry Expert Q&A, Market Leaders
Buyer’s Guide, and More pg. 26
Compliance Packaging
Systems, Software &
Verification for Any
Size Pharmacy
A 20Ways Profile by Noritsu Pharmacy Automation pg. 15
PBM Reform
Signed Into Law:
What Pharmacies
Need to Know
pg. 18
Specialty Pharmacy
Outlook 2026
pg. 68
FOR ADVERTISING INFORMATION
rxsales@rxinsider.com | 800.972.2083
S P E C I A L T Y P H A R M A C Y R E S O U R C E S
S P E C I A L T Y P H A R M A C Y R E S O U R C E S
S P E C I A L T Y P H A R M A C Y R E S O U R C E S
Introducing Liberty Software's new pharmacy platform
PharmacyOne: a unified solution for community pharmacies.
This all-in-one platform provides features tailored for
pharmacists, ensuring efficient pharmacy management.
13
20WAYS TO IMPROVE PATIENT CARE & PHARMACY PROFITABILITY
SPRING 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC
Founded:
1987
Toll-Free Phone: (800) 480-9603
Fax:
(817) 488-2861
Address:
3205 E. Southlake Boulevard, Southlake, TX 76092
Website:
www.libertysoftware.com
An innovative pharmacy management solution that streamlines operations,
increases profitability, and ensures compliance — so community pharmacies
can focus on patient care with confidence.
Liberty Software —
Pharmacy is Complicated,
Your Software Shouldn’t Be
Company Background
For over two decades, Liberty Software has been the cornerstone of
support for community pharmacies across the U.S., helping them
confidently navigate an ever-evolving industry. Our unwavering
commitment to pharmacies has remained steadfast because we understand
the unique challenges pharmacists face. That’s why we’ve developed
solutions to help them thrive.
At Liberty Software, our customer relationships are at the core of
everything we do. Our team — deeply experienced in both pharmacy
and technology — is not only knowledgeable but also approachable
and dedicated to ensuring our customers’ success. We don’t just offer
software; we offer support, innovation, and a steadfast commitment to
making pharmacies stronger.
Product Overview
PharmacyOne, our pharmacy management platform that proves what
you expect from management software. No more outdated, clunky, or
difficult-to-use systems. PharmacyOne helps retail pharmacies improve
profitability, enhance patient care, and boost patient safety. Designed
to streamline operations, ensure compliance, and simplify workflows,
PharmacyOne enables pharmacists to focus on what truly matters —
serving their communities.
n What sets PharmacyOne apart? It’s not just our modern, intuitive
platform or comprehensive features — it’s our unwavering commitment
to seamless usability, an open, connected platform, and an unparalleled
user experience.
PharmacyOne offers an easy-to-navigate interface for effortless use,
protecting sensitive data with top-notch security measures, and delivering
a smooth and enjoyable user experience.
n Now, consider this: How long does it take to train a new employee on your
current system? With PharmacyOne, pharmacies report that new hires can
start filling prescriptions immediately with minimal to no training. Our
streamlined interface eliminates complexity, allowing teams to be productive
from day one. And when it’s time to transition, our dedicated support team
ensures a smooth onboarding process, so you can hit the ground running.
A well-crafted pharmacy management platform should enhance efficiency,
improve employee satisfaction, and simplify workflows. With PharmacyOne,
help is always just a call or click away.
Product Specifications
n PharmacyOne: A complete software solution for community pharmacies.
• Connected pharmacy software.
• Integrates with all PharmacyOne components and third-party
systems. API available.
• Patient engagement.
• Connect with your patients via text, email, voice calls, or the Rx365
patient app and have two-way conversations all directly from within
the PharmacyOne platform.
• Easy-to-use features designed by pharmacists.
• Support from a knowledgeable team lead by pharmacists who
understand pharmacy.
n PharmacyOne CheckOut: A point-of-sale solution to manage the
front-end of the pharmacy.
• Inventory Management: Finally get a handle on your front-end
inventory. Manage inventory, place electronic orders with
wholesalers, print shelf barcodes, extensive and flexible reporting.
• Capture Signatures: Electronically capture signatures for
third-party audits, pharmacist counseling, credit cards, and
even custom restrictions.
• Real-Time Pseudoephedrine Monitoring: Monitoring and tracking for over-
the-counter pseudoephedrine and restrictions for monthly limits.
• Secure: PCI compliant and IIAS certified for Flex and Health
Savings payment processing.
n Chain Management: A web-based solution for chain-store management.
• Individual Pharmacy Dashboards: View each pharmacy’s key
performance metrics today and over time.
• Store-to-Store Management: Transfer prescriptions and drug inventory
quickly within your pharmacies. Manage employees across all stores.
• Centralized Accounts Receivable and Third-Party Payments: Easily track
and manage your financials across all stores.
• Centralized Reporting: Run reports and DataViews for any individual
store or all stores in real time.
n PharmacyOne + Apps: Extend the power of the PharmacyOne platform
with convenient apps included to help you manage your pharmacy.
• Rx365 Mobile: A patient engagement app connecting your patients
to your pharmacy 24/7. Ensure your pharmacy’s personality shines
through in every interaction while creating a seamless experience
for your patients.
• QuickStats: Business analytics on the fly. Review your key pharmacy
metrics for all pharmacy locations from anywhere.
• Count: Take control of your pharmacy’s inventory. Keeping your
inventory organized and accurate has never been easier.
• Deliver: Optimize deliveries, perform secure remote video
pharmacist consultations, and collect signatures on the go.
Smarter Compliance Packaging Starts Here
Blister Card
Packagers
Strip Pouch
Packagers
Workflow
Analytics
nexus
Rx
Pharmacy Workflow Suite
Medication
Verifiers
Safety-First
Intelligence
Identify Issues Before
Production Begins
Optimized
Order Routing
Real-Time Order Control
for Immediate Results
Secure Data
Management
Production data managed
where work happens.
Compliance packaging solutions for any volume, space, or modality
noritsu-rx.com ◦ sales@noritsu.com ◦ 8005213686
Beyond Equipment. Trusted Innovation.
Retail & Community
Accessories
LTC
Quick and clean pill
splitting, roll winders,
and more
The NX Series -
Accurate and efficient pouch
packaging and verification
The LittleBots - Compact
and affordable automation
for smaller pharmacies
LTC
TC
15
20WAYS TO IMPROVE PATIENT CARE & PHARMACY PROFITABILITY
SPRING 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC
President & CEO: Toshitake Takahashi
Founded:
1978
Toll-Free Phone: (800) 521-3686
Phone:
(714) 521-9040
Address:
6900 Noritsu Avenue, Buena Park, CA 90620
Website:
www.noritsu-rx.com
Noritsu partners with pharmacies to deliver innovative automation
solutions that increase accuracy, streamline workflow, drive
profitability, and support better patient outcomes.
Noritsu Pharmacy Automation
Compliance Packaging Systems, Software,
& Verification for Any Size Pharmacy
Company Background
For more than 40 years, businesses across North America have trusted
Noritsu for reliable technology and long-term partnership. Built on precision
engineering and close customer collaboration, our solutions help pharmacies
increase accuracy, streamline workflow, and improve operations.
Every pharmacy operates differently, with unique workflows, staffing models,
and patient populations. That’s why Noritsu focuses on understanding each
operation and implementing automation solutions tailored to real-world needs.
Beyond equipment, we work with pharmacies to build scalable automation
strategies that increase efficiency, support sustainable growth, and enhance
patient care. From independent pharmacies to large-scale LTC operations,
Noritsu automation powers thousands of prescriptions every day.
Product Overview
n NexusRx Pharmacy Control Suite
NexusRx is the software platform that differentiates Noritsu from the
competition. Unify order intake, compliance packaging, verification,
and reporting into one connected ecosystem. Designed to work across
any Noritsu model, modality, or location, NexusRx simplifies training,
standardizes workflow, and safeguards every order from input to verification.
By centralizing visibility and oversight, NexusRx enables pharmacies to
scale while maintaining accuracy, compliance, and efficiency.
n NexusCheck
NexusCheck enhances quality control by automatically verifying
orders directly from your Pharmacy Management System (PMS). With
configurable safeguards and real-time monitoring, it identifies duplicate RX
numbers, mismatched NDCs, quantity discrepancies, dosage variations,
and missing orders before they impact workflow. By continuously analyzing
prescription data at the order level, NexusCheck adds an intelligent layer
of reliability to pharmacy operations. Leading pharmacies like Infinity
Pharmacy rely on NexusCheck to reduce errors, strengthen compliance,
and maintain confidence in every order they process.
n Nexus Insights
Nexus Insights transforms automation data into measurable performance.
Through real-time analytics and operational reporting, pharmacies gain
visibility into productivity, throughput, and system trends — empowering
leadership to make informed decisions that drive efficiency and profitability.
Together, NexusRx, NexusCheck, and Nexus Insights create a fully
integrated ecosystem — delivering transparency, accuracy, and performance
at every stage of production.
n NX Series — Strip Pouch Packaging Systems
The NX Series delivers field-proven strip pouch packaging engineered for
durability, precision, and sustained performance in any care setting.
• NX400: High-capacity packaging for demanding pharmacies,
delivering maximum throughput and consistent accuracy at scale.
• NX200: A versatile mid-size solution for growing LTC and
community pharmacies seeking high efficiency in a smaller footprint.
• NX100: A compact, reliable entry into strip pouch automation,
offering precise and efficient packaging for pharmacies beginning
their automation journey.
Each NX model integrates seamlessly with NexusRx and NexusCheck,
ensuring standardized workflow and scalable growth.
n NV Series — Automated Pouch Verification
The NV Series confirms every pouch using a pharmacy-specific formulary
image library. Available configurations:
• NVPro: Full-Size Verification, Roll and Sort System
• NV2: Mid-Size Verification Solution
• NV Core: Desktop Verification Option
Every pouch is imaged, checked, and archived with high-speed cameras,
enabling local or remote pharmacist review while supporting compliance
documentation.
n Littlebots Series — Flexible Blister Card Automation
The Littlebots Series delivers compact, scalable blister card automation for
pharmacies seeking flexibility and affordability.
• Celia: Automated blister card packaging that maximizes efficiency
in minimal space and reduces manual touchpoints.
• Julia: An intuitive, cost-effective assisted packaging solution ideal for
pharmacies entering automation.
• LARS (Light Assisted Rack System): A flexible platform that adapts to
formulary changes and enhances workflow productivity.
Together, the Littlebots Series supports workflow efficiency, medication
accuracy, and improved patient outcomes.
n Accessories
Blade Automated Pill Splitter: Precise, consistent tablet splitting that supports
accurate dosing, faster verification, and reduced manual labor.
Testimonial
“We’ve reduced labor by 15% and cut production time for multidose cycles by 66%.”
— Emily Powers, PharmD, President, Medicine Express
Visit noritsu-rx.com/pharmacy-automation-success-stories-noritsu-rx-
case-studies to read more customer success stories.
©2026, RedSail Technologies, LLC. All rights reserved.
redsailtechnologies.com | 833.REDSAIL
Most technologically advanced pharmacy
switch with unmatched performance
and industry-leading 99.99% uptime
Credit card processing, cash pricing tools,
medication adherence, and other programs to
support pharmacy growth and patient engagement
Robust Pharmacy
Claims Switch
Exclusive Solutions to
Drive Revenue and Care
Most installed, feature-rich,
and customizable software
for independent pharmacy
Powerful, next generation,
cloud-based software for
long-term care pharmacy
Versatile, easy-to-learn
software for independent pharmacy,
with cloud-based capabilities
Pharmacy Management Systems
Explore everything
RedSail Technologies
has to offer.
Pharmacy Locations
Unique Patients
~ 12,000+
~ 35M+
Your Comprehensive
Pharmacy Software Suite
17
20WAYS TO IMPROVE PATIENT CARE & PHARMACY PROFITABILITY
SPRING 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC
President & CEO:
Andy Maurer
Employees:
800+
Toll-Free Phone:
(833) 733-7245
Address:
201 W. Saint John St.
Spartanburg, SC 29306
Website:
redsailtechnologies.com
With ~12,000 pharmacies reaching 10 million+ patients monthly, RedSail
Technologies is the leader in pharmacy software and solutions through
brands PioneerRx®, BestRx®, Axys®, PowerLine®, TransactRx®, and QS/1®.
RedSail Technologies
Pharmacy Thrives Here
Company Background
RedSail Technologies customers include community, enterprise, regional
chain, long-term care, outpatient, physician clinic, HME/DME, and specialty
pharmacies. Deep understanding of these pharmacies’ opportunities
and challenges fuels our support of rapid pharmacy software feature
development, next-generation products, and ground-breaking clinical
and financial programs teamed with industry partners. Our customers are
part of the country’s most clinically advanced and financially sustainable
pharmacy network, supported by the technology and programs they
need to succeed and elevate their role in healthcare.
Product Overview
n PioneerRx Pharmacy Software: PioneerRx is designed for independent
community pharmacies that want a feature-rich, highly customizable
pharmacy management system with advanced clinical and business
management tools.
• Friendly Support: Each PioneerRx pharmacy has a dedicated support
team with software, hardware, and accounting specialists. Software
specialists are previous pharmacy technicians, so they understand
both the software and your business.
• Advanced Reporting: With advanced and customized reporting,
PioneerRx enables you to make data-driven decisions about your
pharmacy and your patients. PioneerRx ensures you are equipped
with the insights needed for growth and profitability.
• Automated Workflow: PioneerRx is built to streamline the daily
workflow of your entire staff. By automating routine tasks and
triggering next steps, PioneerRx reduces missed opportunities and
frees up your time to focus on clinical activities.
n BestRx Pharmacy Software: BestRx is a flexible and intuitive pharmacy
management system designed for independent pharmacies seeking a
reliable, cost-effective solution with comprehensive features.
• 24/7 Pharmacy Access: BestRx’s cloud-hosted software provides you
with 24/7 remote access to your pharmacy, allowing you to manage
sales, inventory, reports, and prescriptions anytime, anywhere.
• Maximum Efficiency: Shrink your to-do list with automated task
optimization features. Plus, with multiple customizable options, you
can design your workflow around the way you like to work — not
based on the limitations of a rigid system.
• User-Friendly Solution: BestRx is a user-friendly platform designed to
make pharmacy management effortless. With an intuitive interface
and easy navigation, it provides a smooth experience for pharmacies.
Seamlessly integrated with a range of third-party services, BestRx
streamlines operations by handling the heavy lifting for you.
n Axys LTC Pharmacy Software: Axys LTC is a cloud-based pharmacy
management software designed to equip long-term care pharmacies with
the most modern technology available. Axys LTC provides advantages
that strengthen your business now and prepare your pharmacy for
healthcare’s future.
• Advantages of the Cloud: Having a modern, cloud-based infrastructure
is a big advantage as our industry changes. Axys LTC offers distinct
benefits like fast updates, low-cost scaling, comprehensive security,
and market-leading reliability.
• Easy to Learn and Train: In an environment with staff turnover, you
need software that’s intuitive to today’s typical user. Axys LTC’s user-
centered design reduces training time and minimizes the learning
curve, leading to faster user adoption and instantaneous success.
• Lower Total Cost of Ownership: Axys LTC eliminates the need for
costly server purchases and upgrades — cutting overhead and
delivering an impactful return on investment for your pharmacy.
n PowerLine Pharmacy Switch: PowerLine’s world-class cloud-native
architecture offers a remarkable availability rate of 99.99%, maintaining
connectivity during data events with widespread impact. The platform is
designed to scale to any required transaction volume while maintaining
best-in-industry speed and security. PowerLine’s direct industry
connectivity ensures pharmacy management systems and service
providers can effortlessly manage claims, provide copay assistance,
perform pre- and post-edits, and facilitate direct messaging. PowerLine is
an independent pharmacy switch unaffiliated with distributors or PBMs
and has higher customer satisfaction scores than the competitor.
n RxMile: RxMile, an all-in-one delivery management platform built
for independent pharmacies, is now a part of the RedSail Technologies
ecosystem! RxMile simplifies the way pharmacies manage, track, and
optimize prescription deliveries — providing a seamless experience
for both the pharmacy and patients. With RxMile, pharmacies gain
professional, compliant, and efficient delivery operations, including real-
time delivery tracking, smart routing and route optimization, and on-
demand scheduling.
n Other RedSail Solutions: Transform patient care and grow your
pharmacy’s business with the advantages of RedSail. Our patient
engagement and adherence programs create healthier patients and boost
store revenue. Plus, a team of pharmacy consultants offers personal
support in implementing new programs, sharing best practices, and
assessing results. RedSail Pay is a transparent, cost-effective credit card
processing solution with straightforward, easy-to-understand pricing.
RxCash+ is a data-driven cash pricing tool that uses tailored pricing
algorithms to offer customized pricing, revenue uplift, and transparency.
On February 3, President Trump signed into law that reform
pharmacy benefit manager (PBM) practices in Medicare Part D.
The law requires, among other things, the Department of Health
and Human Services (HHS) to define and enforce “reasonable
and relevant” Medicare Part D contract terms; allows HHS to
track payment trends to pharmacies and pharmacy inclusion in
PBM networks, including a new designation of essential retail
pharmacies; establishes certain contract guidelines between PBMs
and plans; and sets forth PBM reporting requirements.
The following is a summary of key components of the laws passed
that govern PBMs that most impact pharmacies.
Reforms to Medicare Part D
Plans “Reasonable and Relevant”
Contract Terms for Pharmacies
Overview
Beginning in plan year 2029, Part D plan sponsors — both
standalone prescription drug plans (PDPs) and Medicare Advantage
prescription drug plans (MA-PDPs) (collectively known as PDP
sponsors) — must offer network pharmacies contract terms that
are “reasonable and relevant.” Additionally, PDP sponsors will be
required to let any pharmacy participate in their networks so long as
they meet the “reasonable and relevant” contract terms.
Specific Terms & RFI
According to the law, the Secretary of Health and Human Services
will formulate the specific “reasonable and relevant” contract
terms that PDP sponsors will be required to offer pharmacies.
The secretary will also issue a request for information (RFI)
from the public seeking input on what constitutes reasonable and
relevant terms, and the secretary must issue this request by April
1, 2027. This RFI will seek public input on: trends in prescription
drug plan and network pharmacy contract terms and conditions;
current prescription drug plan and network pharmacy contracting
practices; whether pharmacy reimbursement and dispensing fees
paid by PDP sponsors to network pharmacies sufficiently cover
the ingredient and operational costs of such pharmacies; the use
and application of pharmacy quality measures by PDP sponsors
for network pharmacies; PDP sponsor restrictions or limitations
on the dispensing of covered part D drugs by network pharmacies
(or any subsets of such pharmacies); PDP sponsor auditing
practices for network pharmacies; areas in current regulations or
program guidance related to contracting between prescription
drug plans and network pharmacies requiring clarification or
additional specificity; factors for consideration in determining the
reasonableness and relevance of contract terms and conditions
between prescription drug plans and network pharmacies; and
other issues as determined appropriate by the secretary.
The secretary must establish “reasonable and relevant” terms
by April 3, 2028, so they can be included in the PDP sponsor
contracts offered to network pharmacies in spring 2028 for the
2029 Part D plan year.
Violations
By January 2029, the secretary must develop the process for
allowing pharmacies to report violations by PDP sponsors for
violating reasonable and relevant contract terms. The secretary
is also tasked with developing a standardized template for
pharmacies to submit these violations by PDP sponsors.
Frivolous Allegations
If the secretary determines that a pharmacy has submitted
frivolous allegations on a routine basis that PDPs are violating
reasonable and relevant contract terms, the secretary may
temporarily prohibit such pharmacy from using the allegation
submission process.
Anti-Retaliation
PDPs cannot retaliate against pharmacies that submit violations to
the secretary, nor can they otherwise coerce, intimidate, threaten,
or interfere with the ability of a pharmacy to submit any such
allegations.
18
By Steve Postal, Senior Director, Policy and Regulatory Affairs at National Community Pharmacists
Association (NCPA), and Editorial Director of American Society for Pharmacy Law (ASPL)
SPRING 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC
PBM Reform
Signed Into Law
What Pharmacies Need to Know
SPRING 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC
19
Enforcement
The secretary may impose Civil Monetary Penalties or other
intermediate sanctions on PDP sponsors regarding violations of
reasonable and relevant contract terms.
“Essential Retail Pharmacies”
Designation in Medicare Part D
The law establishes that certain retail pharmacies be designated
as “essential retail pharmacies” in Medicare Part D. An essential
retail pharmacy is a pharmacy that is not an affiliated pharmacy,
i.e., a pharmacy owned or controlled by a PBM that is either
located in 1) a rural area in which there is no other retail pharmacy
within 10 miles; 2) a suburban area in which there is no other
retail pharmacy within 2 miles; or 3) an urban area in which there
is no other retail pharmacy within one mile.
Reports
With respect to plan years beginning on or after January 1,
2028, the secretary shall publish reports, at least once every two
years until 2034, and periodically thereafter, on factors affecting
participation of essential retail pharmacies compared to non-
essential retail pharmacies in the Part D program, such as: trends
in ingredient cost reimbursement, dispensing fees, incentive
payments, and other fees paid by PDP sponsors; trends in
amounts paid to PDP sponsors; trends in essential retail pharmacy
participation in pharmacy networks and preferred pharmacy
networks; a comparison of cost-sharing for covered part D drugs
dispensed; and a comparison of the volume of covered part D
drugs dispensed. The secretary must also publish a list of the
essential retail pharmacies for each plan year on a CMS website.
Part D plans or their PBMs must also identify for the secretary the
pharmacies that are affiliates of the Part D plan or PBM, so these
pharmacies are not designated as essential retail pharmacies.
Contract Requirements Between PBMs
& PDP Sponsors in Medicare Part D
The law mandates certain requirements for contracts between PBMs
and PDP sponsors in Medicare Part D. Beginning in January 2028:
• Bona fide service fees. The PBMs and its affiliates cannot
get paid in connection with the utilization of covered part D
drugs in any way other than “bona fide service fees” which
are meant to reflect the fair market value of the services that
the PBM is providing to the PDP sponsor to administer the
pharmacy benefit.
• Pass-through of manufacturer rebates and discounts.
The PBMs must fully pass through rebates, discounts and
other price concessions they receive from the manufacturer
to the PDP sponsor.
• PBM performance against price guarantees. The PBMs shall
also define, interpret, and apply, in a fully transparent and
consistent manner for purposes of calculating or otherwise
evaluating PBM performance against pricing guarantees or
similar cost performance measurements related to rebates,
discounts, price concessions or net costs, terms such as:
“generic drug,” “brand name drug,” “specialty drug,”
“rebate” and “discount.” The PBMs shall also identify
any drugs, claims, or price concessions excluded from any
pricing guarantee or other cost performance measure,
and, where a pricing guarantee or other cost performance
measure is based on a pricing benchmark other than the
wholesale acquisition cost (as defined in section 1847A(c)(6)
(B)) of a drug, calculate and provide a wholesale acquisition
cost-based equivalent to the pricing guarantee or other cost
performance measure.
Reporting Requirements for PBMs
Beginning in July 2028, the PBM must submit to the PDP
sponsor and the secretary each year, starting in July 2028, a
comprehensive annual report that includes information such as:
the number of prescription dispensed by each type of pharmacy,
the average wholesale acquisition cost for each drug paid for by
the PDP sponsor, direct and indirect remuneration reported by
the PDP sponsor to CMS on each drug, the average NADAC and
overall reimbursement for each drug, information on dispensing
and payment by the PDP sponsor to its affiliate pharmacies, and
benefit design parameters that encourage plan enrollees to fill
prescriptions at the PBM’s affiliate pharmacies, among others.
19
20WAYS TO IMPROVE PATIENT CARE & PHARMACY PROFITABILITY
800.523.8966
MediDose.com
EPS
®
Exceptional Products and Service
A Member of The Medi-Dose
® Group
Unit Dose,
Bar Coding,
Pharmacy &
Nursing Supply
Experts!
®
®
Medi-Dose
EPS
EPS
®...thE right
PrEScriPtion
for PharmaciStS
Priced low
and ready to go!
• Medi-Dose
® Solid Oral Unit Dose Packaging
• TampAlerT
® Liquid Unit Dose Packaging
• MILT ® Software for Medication Identification
and Bar Coding
• LiquiDose
® Labels
• IV Additive Disposable Accessories
• Steri-Dropper
® Sterile Ophthalmic
Dropper Bottles
• Compounding Products
• Cleanroom Supplies
• Ophthalmic Practice Accessories
• Resealable and Ultraviolet Inhibitant Bags
• Tamper-Evident Products
• Bottles, Vials and Containers
• Operating and Procedure Room Accessories
• ShrinkSafe
® Bands and Safety Products
• Tapes and Labels
• Maternity and Laboratory Products
• Record Keeping and Identification Products
• Storage and Transport Products
Visit our website for
our EZ order system!
High quality, safe and effective products for medication administration,
preparation and dispensing...in stock for fast shipment worldwide.
21
20WAYS TO IMPROVE PATIENT CARE & PHARMACY PROFITABILITY
SPRING 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC
President:
Robert Braverman
Founded:
1971
Employees:
Private
Toll-Free Phone: (800) 523-8966
Phone:
(215) 396-8600
Toll-Free Fax:
(800) 323-8966
Address:
70 Industrial Drive
Ivyland, PA 18974
Website:
www.medidose.com
Email:
info@medidose.com
Medi-Dose, Inc./EPS, Inc.
Your Community Pharmacy
Supply Experts
For over 50 years, Medi-Dose/EPS has been working with pharmacists to design and
support cost-effective products, solving the specific needs of their pharmacies.
Company Background
Medi-Dose/EPS was founded in 1971 when Milton Braverman,
a former pharmaceutical company territory manager, saw
the need for inexpensive, manual unit-dose packaging.
He developed the Medi-Dose System to package, handle, and
dispense predetermined amounts of medication so they would be
accessible for one regular dose.
Because of the continued success of the Medi-Dose System,
Medi-Dose/EPS expanded its product line to include a full-line
of compounding supplies, disposable products, liquid packaging,
labeling, and oral syringes designed specifically for the pharmacy
professional. We pride ourselves on being the “old friend of the
family” and have long-standing products designed to meet the
needs of your retail, community, and compounding pharmacy.
Product Overview
n Products for the Compounding Pharmacist
With Steri-Dropper Bottles, liquid packaging, oral syringes,
labeling, safety products, and software, Medi-Dose/EPS is your
pharmacy’s source for compounding supplies!
The science of pharmaceutical compounding poses unique
challenges to pharmacists in the community setting. Whether
caring for people or animals, pharmacists have to meet the
stringent requirements of USP 797, 800, and other pertinent
guidelines, address the unique concerns and conditions of their
patients, and do it economically and efficiently. Medi-Dose/
EPS compounding products are integral solutions helping you
manage this vital but complex process while providing the care
and protection your patients need.
Product Specifications
n Sterile IV Accessories
• Safety Products
• Labeling Products
• Filtering Products
• Dispensing Products
n Steri-Dropper
• Sterile Packs of Either Two or 10 Bottles, Tips, and Caps
• Special Zinc Stearate-Free Resin
• Four Sizes: 3, 7, 10, and 15 mL
n Labeling
• Pharmacy Auxiliary Labels
• Liquid Packaging Labels
• Tamper-Evident Labels
n Safety Products
• Care Giver Protection
• Identification
• Disposal
Additional Products
We are the source for all
your pharmacy’s ancillary
products! Bags, bottles, trays,
and totes are among a few of
the many other supplies we carry.
Anything that’s necessary for proper
handling in a retail pharmacy setting — you
can count on Medi-Dose/EPS!
Ordering Information
For additional information, please call us at (800) 523-8966, visit
our website at medidose.com, or email us at info@medidose.com.
23
20WAYS TO IMPROVE PATIENT CARE & PHARMACY PROFITABILITY
SPRING 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC
President & CEO:
Michael Ayres
Founded:
1992
Toll-Free Phone:
(800) 579-4804
Phone:
(865) 675-1355
Fax:
(865) 675-2474
Address:
10635 Dutchtown Road, Knoxville, TN 37932
Website:
drugreturns.com
Reduce time spent tracking credits and get credit quickly with
Return Solutions’ OneCheck Select program — the fastest
pharmaceutical return credit reimbursement in the industry.
Return Solutions Offers
Hassle Free Rx Returns
Company Background
Founded in 1992, Return Solutions is one of the most experienced and
trusted reverse distributors in the industry. Over the last 32 years, we
have built relationships with group purchasing organizations across
the country and are currently recommended by over 25 buying groups
representing 20,000+ pharmacies. In 1998, we became the first returns
company to issue checks to our customers for credit, and since then have
paid customers over $1 billion.
Product Overview
The OneCheck Select program is tailored to independent and regional
chain pharmacies and health systems. Over the past 30 years, we’ve
perfected our pricing and reimbursement processes to ensure you receive
maximum compensation for your outdated products. We optimize the
reimbursement process, consolidating credit into one check and ensuring
that you receive credit quickly — within as few as 10 days if you choose
our 10-Day Pay program, or within no longer than 90 days with our
most economical option. Credit values are listed on the check stub, so
you know exactly how much you have received from each manufacturer.
Our all-inclusive fee, including shipping, CII-CV processing, destruction
of non-returnable items, and extensive reporting available on our
website, is a fixed percentage of your returnable product value and is
deducted from the check we issue to you, so there are no hidden fees or
surprise charges. Choose from our comprehensive On-Site Service and
let our experienced representatives handle every aspect of your return or
use our easy and economical web-based Mail-In Service if you prefer to
complete your returns on your own time.
Features & Options
n OneCheck Select
• Credit consolidated into one check.
• Choose your reimbursement time frame.
• Check issued within 30 days for your first return.
• All-inclusive fee with no hidden charges.
n On-Site Service
• Experienced representatives scan all prescription shelves for short-
dated and outdated items.
• All items are scanned into our proprietary valuation software.
• Items are packaged and prepared for FedEx pickup.
• Receive a credit estimate and detailed reporting before the rep
leaves your store.
n Mail-In Service
• Inventory Rx and controlled products online on your own time.
• Print return authorization forms and prepaid UPS shipping labels.
• Give boxes to any UPS driver.
• Receive a credit estimate and detailed reporting online within three
to five business days.
n Destruction Service
• Safe, simple, and compliant destruction of unsaleable pharmaceuticals.
• Non-hazardous products destroyed by EPA-approved waste-to-
energy incinerator.
• Controlled substance destruction witnessed by at least two employees.
• Proof of destruction and DEA forms included in pricing.
Product Specifications
Return Solution’s 24/7 online portal allows you to access your entire return
history down to NDC level along with all credit information. We provide
business analytics and trends so you can adapt purchasing habits to ensure
maximum future ROI. You can print controlled substance reports and
proof of destruction to ensure you are always in compliance in case of
an audit. We are accredited as an NABP Drug Distributor and maintain
licensing with the DEA, EPA, and all states where it is required.
Testimonial
“I have been dealing with Return Solutions for 15 years. We have been in business
for over 50 years, and we have been through our fair share of returns companies.
Return Solutions is prompt and professional. So happy we switched to them!”
— John Demetriades, Farmacon Pharmacy
GPO Affiliations
Our GPO affiliations are AAP, AIP, AlliantRx, American Pharmacies,
APCI, APNI, All-Win Rx, CPA, EPIC Pharmacies, Gerimed, IPA,
IPC, Keystone, LWD, Mutual Drug, NPSC, PBA Health, POA,
Pharmacy Plus, PPSC, PPOk, QualityCare Pharmacies, RxPlus, Sav-Mor,
The Pharmacists’ Choice, UPNI, We Care Pharmacy, and WSPC.
Ordering Information
To learn more about how Return Solutions can help decrease time
spent on returns and maximize your expired product credit, please call
(800) 579-4804 or email support@drugreturns.com. You can also visit
our website at drugreturns.com for additional information or to create
an account.