20Ways Winter Retail 2026

Improving Patient Care & Pharmacy Profitability

WINTER 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

Megan McCaskill, RPh,

Chief Pharmacist,

Horizon Pharmacy

20 Unique

Products

& Services

Beyond Returns:

Reverse Distributor’s Role

in Business Success

pg. 40

Pharmacies Concerned

with the MDPNP

pg. 66

Pharmacy Management

Systems, Workflow

Industry Expert Q&A, Market Leaders

Buyer’s Guide, and More pg. 22

Two Decades of

Disaster Response

Megan McCaskill’s Experience pg. 16

PHARMACY

DATA EXPERTS

is your trusted partner for smooth,

secure, and efficient data migration

MAKING A MOVE TO A NEW PHARMACY SOFTWARE

DATA CONVERSION

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executed successfully with detailed

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wide range of platforms and tailor each

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data from outdated systems in

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Conveniently search your archive,

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ASSURE RX

Risk-Reducing Provider Data Solutions

Maintain clean, accurate records to reduce

audit exposure and compliance gaps.

Detect mismatches or invalid data

before prescriptions are processed.

Up-to-date NPI, DEA, State License, and

other credential validations.

WHY CHOOSE

EXPERTISE

Decades of experience

in pharmacy information

technology.

EFFICIENCY

Automated processes

saving time and reducing

errors.

RISK REDUCTION

Secure, compliant, data solutions that

minimize risk, protect sensitive data and

manage data with confidence.

Without EzriRx we would

have been in the negative.

-Suburban Pharmacy

EzriRx unleashes prices we

never knew we could get.

-Levys Pharmacy

We were finally profitable on so

many negative reimbursements.

-SHP Pharmacy

With the DIR apocalypse,

it’s the only way to survive.

-The Medicine Chest

Now it’s time to trust the

over 6,000 pharmacies

that say...

You trusted the PBMs when they said they were on your side.

You trusted your wholesaler when they said you were getting the best deal.

You trusted your GPO when they said the power was in the GCR.

You believed your rep when they said ‘Trust the process’.

Friends help friends. At EzriRx we work with

you, not against you.

WINTER 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC

FROM OUR FOUNDER

As we welcome the first 2026 issue of 20Ways, I’m reminded

of how rapidly the pharmacy landscape continues to

evolve and how essential it is for pharmacy leaders to

stay ahead of operational, regulatory, and technological

change. At RXinsider, our commitment remains constant:

to connect pharmacy professionals with the insights,

tools, and innovations that empower better care, stronger

operations, and more resilient organizations.

This edition centers on Pharmacy Management Systems and

Workflow, a theme that could not be more timely. Pharmacies

of all types are navigating heightened demands for efficiency,

compliance, and patient-centered care. Advanced management

platforms and optimized workflows are no longer simply

strategic advantages; they have become foundational to

sustainable pharmacy operations. Our goal in this issue is to

shed light on the technologies and process improvements

that are shaping the next era of pharmacy practice.

We are also proud to feature a collection of editorials that

reflect both current industry pressures and the evolving

responsibilities of pharmacy teams across the country.

Together, these pieces explore how smarter returns

management strengthens financial and compliance

performance, outline what pharmacy leaders should

anticipate as Medicare drug pricing reforms accelerate, and

offer a compelling firsthand perspective on two decades

of pharmacist-led disaster response and resilience.

As always, you’ll also find 20 profiles contributed

by companies across the pharmacy supply chain.

These products and solutions highlight emerging

advancements in management platforms, workflow

optimization, automation, analytics, and more — all

designed to support operational excellence and improve

patient outcomes. We hope that these resources will

serve as a catalyst for new ideas and meaningful

improvements within your own pharmacies.

We look forward to supporting your success

throughout 2026 and beyond.

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

Pharmacy Market Analyst, Lexi Cianfarani

Pharmacy Market Analyst, Emma Cidade

Pharmacy Market Analyst, Jeff Rackliff

Pharmacy Market Analyst, Ellie Krouse

EDITORIAL ADVISORY BOARD

Miriam Cho, PharmD

President & Chief Pharmacy Officer

MacRx

Brenda Denson, PharmD, BCPPS, FASHP, FALSHP

Pharmacy Educator

Children’s of Alabama

Lindsey Dymowski Constantino

President & Cofounder

Centennial Pharmacy Services &

LTC@Home Pharmacy Network

Mark Garofoli, PharmD, MBA, BCGP, CPE, CTTS

Director of Experiential Learning &

Clinical Assistant Professor

West Virginia University of Pharmacy

Steve Postal, JD

Senior Director, Policy and Regulatory Affairs

National Community Pharmacists Association

Abby Roth

Owner/Microbiologist

Pure Microbiology

@RXinsider

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/RXinsiderB2BSolutions

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Instagram

@rxinsider

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/rxinsider

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WINTER 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC

FEATURES

FEATURED EDITORIAL

TWO DECADES OF DISASTER

RESPONSE: A PHARMACIST’S

EXPERIENCE

Megan McCaskill’s Story page 16

EDITORIALS

PHARMACY MANAGEMENT SYSTEMS, WORKFLOW

Industry expert Q&A with Nicholas Shanos, RPh, market

leaders’ buyer’s guide, and more. page 22

BEYOND RETURNS: REVERSE DISTRIBUTOR’S

ROLE IN BUSINESS SUCCESS

Contributed by Ark Rx Returns Solutions. page 40

PHARMACIES CONCERNED WITH THE MEDICARE

DRUG PRICE NEGOTIATION PROGRAM (MDPNP)

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). page 66

CASE STUDIES

STREAMLINING PAYMENTS FOR A

BETTER CUSTOMER EXPERIENCE

How Belmar Pharma Solutions unified its pharmacy network.

A case study from Wind River Payments. page 32

FURTHER EXPLORATION

INTEL REPORT HIGHLIGHTS

Key insights from the 2025 Supply Chain Teardown:

Reverse Distribution report. page 48

TRADE SHOW & MEETING EVENT CALENDAR

Detailing key industry events throughout the year.

page 54-59

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WINTER 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC

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. page 11

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®. page 13

MCKESSON PHARMACY

AUTOMATION MAKES COMPLEX

REGIMENS FEEL SIMPLE

PACMED® DOC and PACVision® C take the

stress out of managing complex medication

schedules. With time-stamped pouches

and automated verification, pharmacies

can deliver safer care, build trust, and give

patients confidence in every dose. page 15

BD PARATA

BD Parata’s pharmacy automation solutions

help pharmacies streamline operations, improve

accuracy, and enhance patient care. By automating

tasks like vial filling, prescription sorting, and

medication packaging, pharmacies can help

reduce manual labor, minimize errors, and free

up staff to focus on clinical services. page 19

MEDICINE SHOPPE INTERNATIONAL, INC.,

A CARDINAL HEALTH COMPANY

Medicine Shoppe International, Inc. is a patient-

centered, high-performing franchise system with

two trusted national brands that deliver a proven

operating model, expert business coaching, access

to clinical services, and other resources. page 21

NORITSU PHARMACY AUTOMATION

COMPLIANCE PACKAGING AND

VERIFICATION FOR ANY SIZE PHARMACY

Beyond Equipment. Trusted Innovation.

With decades of proven experience and

a commitment to innovation, we deliver

safe, accurate, and reliable solutions.

We build trusted partnerships that advance

patient care and efficiency. page 27

RETAIL PHARMACY SOLUTIONS

FROM HCL® PROMOTE SMART

MED PREP & DISPENSING

Personalized services such as worry-free

replenishment, small package quantities,

and custom order processing give pharmacy

professionals the power to keep shelves

stocked on their terms. page 29

SURECOST — THE PREMIER ALL-IN-ONE

PHARMACY PROCUREMENT PLATFORM

Stop settling for “good enough” pharmacy

procurement. Separate systems, manual work,

and audits after the fact aren’t good enough.

SureCost centralizes your entire pharmacy

procurement process to prevent overspend

at the point of purchase, with real-time

visibility, automated compliance, and multi-

vendor optimization all in one. page 31

TENSION PACKAGING & AUTOMATION

IS AT THE FOREFRONT OF

PHARMACY AUTOMATION

Driving efficiency and scalability in fulfillment

with innovative automation solutions. page 37

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. page 39

WAY

PHARMACY MANAGEMENT SYSTEMS, WORKFLOW

20WAYS PROFILES

WAY

WINTER 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC

SRX FROM SUITERX – EMPOWERING

PHARMACY INNOVATION

SRx is a comprehensive pharmacy management

system developed by pharmacists and our

customers to efficiently manage pharmacy

operations. If you desire an all-inclusive

pharmacy software solution at an affordable

price without sacrificing quality, then SuiteRx is

for you! SuiteRx’s SRx is guided by innovation,

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. page 45

FRAMEWORKLTC FROM SOFTWRITERS

Streamline your entire pharmacy operation

with our complete suite of LTC pharmacy

solutions. From order intake through delivery,

the FrameworkLTC® platform of fully integrated

and scalable solutions automates manual tasks

so LTC pharmacies can focus on what matters

most — improving patient lives. page 47

PRIMERX PHARMACY

MANAGEMENT SOFTWARE

We understand the importance of independent

pharmacies and the journey they are on every

day to build healthier communities and provide

them with the best possible care. Every day,

PrimeRx walks alongside our pharmacies,

ensuring they have the best tools to navigate

their journey successfully. page 51

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. page 53

SOFIA™ 2 ANALYZER & TESTS FROM

QUIDELORTHO CORPORATION

QuidelOrtho provides solutions that expand

clinical pharmacy services into test-to-treat

options that allow for more convenience,

accessibility, and added value to the patients

and communities you serve. page 61

WAY

PHARMACY MANAGEMENT SYSTEMS, WORKFLOW

WINTER 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC

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. page 63

LIFEFILE, LLC — AN ADVANCED CLOUD

PHARMACY SYSTEM

LifeFile is an advanced pharmacy system that integrates the

pharmacy, providers, patients, and sales teams. page 65

WHY PHARMACIES ARE SHIFTING

MORE VOLUME TO RXPOST

As the pharmacy-to-pharmacy marketplace built for

independent pharmacies, our mission is simple: help

you save money, streamline operations, and unlock new

revenue opportunities. page 69

ECOPHARM SIMPLE & TRANSPARENT

RX RETURNS

Ecopharm brings true simplicity to the Rx returns process,

delivering efficiency, clarity, and reliability at every step. Our

technology streamlines returns, reporting, and payments for

pharmacies and hospitals, with unified 90-day payments and a

single check that set the industry standard. page 71

WAY

Winter 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.

Reproduction without permission is prohibited.

WINTER 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

Megan McCaskill, RPh,

Chief Pharmacist,

Horizon Pharmacy

20 Unique

Products

& Services

Beyond Returns:

Reverse Distributor’s Role

in Business Success

pg. 40

Pharmacies Concerned

with the MDPNP

pg. 66

Pharmacy Management

Systems, Workflow

Industry Expert Q&A, Market Leaders

Buyer’s Guide, and More pg. 22

Two Decades of

Disaster Response

Megan McCaskill’s Experience pg. 16

FOR ADVERTISING INFORMATION

rxsales@rxinsider.com | 800.972.2083

PHARMACY MANAGEMENT SYSTEMS, WORKFLOW

One Partner. One Platform.

Inﬁ nite Pharmacy Growth.

Empower Your Pharmacy to Do More with Pharmacy Automation Solutions from JFCRx™

The future of retail pharmacy is connected — and JFCRx can help you turn those connections into proﬁ ts. Our

integrated automation ecosystem empowers pharmacies to do more with every ﬁ ll — driving new revenue streams,

improving operational eﬃ ciency, and scaling services that grow both patient loyalty and the bottom line.

(262) 729-9200 | info@jfcrx.com | JFCRx.com

Grow Beyond Scripts with JFCRx

See how our connected automation ecosystem can turn

eﬃ ciency into new revenue opportunities for your retail

pharmacy. Contact info@jfcrx.com to learn more.

The connective hub uniﬁ es your automation into one cloud-based platform. Gain enterprise-wide

analytics, live dashboards, and real-time control of your entire operation.

Data-Driven Management System

Automate up to 35% of

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and free staﬀ to focus

on patient care.

Do more with built-in veriﬁ cation

that reduces pharmacist

check time by up to 75%.

ore with built-in veriﬁ catio

at reduces pha

eck tim

Multi-Dose

Blister Card Packaging

Automated

Vial Filling

Expand into multi-dose

packaging without a major

footprint or investment.

Spark

Growth-Ready Adherence

Pouch Packaging

20WAYS TO IMPROVE PATIENT CARE & PHARMACY PROFITABILITY

WINTER 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC

Chairman:

Duane Chudy

Founded:

2020

Phone:

(262) 729-9200

Address:

8531 198th Avenue

Bristol, WI 53104

Website:

JFCRx.com

Company Background

JFCRx™ is a pharmacy automation partner offering a complete suite

of solutions to streamline pharmacy operations, boost efficiency, and

maximize profitability. Our portfolio includes multi-dose pouch and blister

card packaging with built-in verification, adherence pouch verification

systems, automated vial filling, and image-verified pill sortation — all

connected through EnLite™, our cloud-based ecosystem that delivers

enterprise-level efficiency, reporting, and control. JFCRx leverages real-

world data and analytics-driven automation to help pharmacies reduce

costs, increase productivity, expand revenue, and improve patient care.

Product Overview

n Adherence Packaging

Adherence packaging enables you to expand services and open new

revenue streams — whether your goal is to begin serving meds-at-home

patients, skilled nursing facilities, or the LTC at home market or beyond,

JFCRx has your solution.

n TruCard™ — Multi-Dose Blister Card Packaging

The TruCard multi-dose blister card packager reduces pharmacist

verification time by up to 75%. Integrated image-verification technology

minimizes time-consuming manual checks and ensures product quality,

accuracy, and traceability.

• Medication algorithm verifies medication based on quantity, pill

size, shape, and color.

• Guided prefill station with fill-to-light technology reduces filling

time and errors for all non-canister medications.

• Can produce up to 35 fully filled and verified multi-dose blister

cards per hour.

n TruPak™ — Adherence Pouch Packaging

The TruPak adherence pouch packager offers the most efficient product

environment available. Designed to minimize lost production time and

pouch rework, TruPak can help you save up to $100K annually on your

production process.

• Improves tray rates with hot swap technology, smart canisters, and

lighted exception trays.

• Less time refilling canisters due to greater capacity.

• Avoid pouch rework, as NDC swaps and equivalency changes can

be made during production, before labeling.

n NEW! TruPak™ Spark — Growth-Ready Adherence Pouch Packaging

TruPak Spark is the compact, scalable adherence pouch packaging

solution designed to help your pharmacy launch or expand multi-dose

adherence services with minimal investment.

• Start pouch packaging quickly with a compact, affordable workstation.

• Serve LTC and at-home patients to grow your business.

• Manage PRNs, stat doses, and mid-cycle changes with ease.

n TruCheck™ — Pouch Verification

TruCheck streamlines automated pouch packaging verification with

remote access, electronic recordkeeping, and up to a 97% auto-pass rate

— saving time, boosting efficiency, and improving patient safety.

n TruScript™ — Vial Filling

The TruScript automated vial filler can automate 30-35% of your daily

script volume, freeing up staff to focus on value-added patient activities.

• Count multiple prescriptions simultaneously.

• Accommodates any size and type of vial to address

customer preference.

• Medications dispensed from a locked canister into a secured chute.

n TruSort™ — Tablet Sorting

The TruSort tablet sorter automates pill sortation with image verification,

allowing staff to quickly recover and return unused adherence packaged

medications to stock (pouch packaging and blister cards). TruSort reduces

waste and drives revenue recovery.

n The Groundbreaking EnLite™ Management System

EnLite brings all your automation together within a single, cloud-based

ecosystem — delivering unified oversight, real-time analytics, and

actionable dashboards that put you in control of your entire operation.

Markets Served

JFCRx is a solutions provider for all pharmacy segments, including

long-term care, central fill, retail, and hospital pharmacies.

Ordering Information

To learn how analytics-driven pharmacy automation can drive efficiency

and profitability, contact us at (262) 729-9200, info@jfcrx.com, or

visit JFCRx.com.

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.

JFCRx Pharmacy Automation

Equipment and Software Solutions

for Efficiency and Profitability

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20WAYS TO IMPROVE PATIENT CARE & PHARMACY PROFITABILITY

WINTER 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC

President & CEO:

Andy Mauer

Employees:

700+

Toll-Free Phone:

(833) 733-7245

Address:

201 W. Saint John Street

Spartanburg, SC 29306

Website:

redsailtechnologies.com

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 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 certified 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 architected 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 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 that offers transparent pricing.

RxCash+ is a data-driven cash pricing tool that uses tailored pricing

algorithms to offer customized pricing, revenue uplift, and transparency.

Ready to see more? Talk to us about what truly modern pharmacy solutions

might mean for your business, email sales@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®.

Pharmacy Thrives Here

1.888.606.6337 extension 4

automationsales@mckesson.com

McKesson Pharmacy Automation

Scan for

details!

PACMED allowed us to take a process that

used to require two people and turn it into one

person managing a high volume of packs a day.

It was a complete game changer.

PHARMACIST & OWNER, SUPERCARE PHARMACY

LESS STRESS.

ESS.

SMARTER SOLTIONS

FOR COMPLEX REGIMENS.

LESS STRESS.

MORE SUCCESS.

SMARTER SOLUTIONS

FOR COMPLEX REGIMENS.

20WAYS TO IMPROVE PATIENT CARE & PHARMACY PROFITABILITY

WINTER 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC

VP & General

Manager:

Kevin Cloutier

Founded:

1998

Stock Symbol:

MCK

Toll-Free Phone: (888) 606-6337

Address:

6555 State Highway 161, Irving, TX 75039

Website:

www.mckesson.com/automation

Company Background

McKesson Pharmacy Automation has long been a market leader in providing

automation technology to retail and institutional pharmacies. With a

reputation for providing unparalleled service, they lead the way in automating

how patients receive medication, enabling faster and safer treatment.

How exactly do they deliver the best possible experience to pharmacies

and their patients? It’s a precise mix of people, partners, and technology.

First and foremost are the people. People who understand what it’s like

to count pills or have their eyes go blurry from filling seemingly endless

blister cards. People who understand the ins and outs of pharmacy. Their

collective goal is to make every process within a pharmacy’s operation

safer, more accurate, and as efficient as possible.

Partners are the next ingredient in the mix: creative and enterprising

engineering firms, best-in-class manufacturers, and premiere shipping

and logistics companies.

Adding the two together results in leading-edge technology that automates

the repetitive and manual tasks that most commonly lead to medication

errors. PACMED® DOC and PACVision® C are two such technologies.

Product Overview

n Complex Regimens. Better Adherence.

For pharmacies juggling complex patient needs, manual packaging and

inspection isn’t just inefficient, it’s risky. McKesson Pharmacy Automation’s

PACMED® DOC and PACVision® C offer a smarter, integrated solution

that transforms how pharmacies manage adherence packaging, helping

teams reclaim time, reduce errors, and deliver safer care.

Every pharmacist knows medication adherence is critical. They also

know that for many patients, especially those with complex regimens,

it’s a daily challenge. That’s where PACMED® pouches come into play –

designed to simplify the process and improve outcomes.

Each pouch is clearly labeled with the administration date and time,

helping patients stay on schedule and avoid missed doses. For medications

that aren’t taken orally, reminder pouches ensure nothing is forgotten.

This personalized, time-stamped packaging reduces confusion and

supports consistent, safe medication use.

By making medication routines easier to follow, PACMED® pouches

empower patients to take control of their health, while giving pharmacies

a powerful tool to improve care and build trust.

And how does a pharmacy gain access to this powerful tool? PACMED®

DOC produces the pouches, while PACVision® C inspects them.

n Designed to Fit. Built to Grow.

PACMED® DOC is purpose-built for pharmacies that need high-volume

output without expanding their footprint. With a slim, single-door design

and up to 168 medication canisters, it fits into tight spaces and produces

up to 60 unit-dose or 50 multi-dose pouches per minute.

Its customizable configuration handles partial tablets and non-canister

medications. Features like easy refill canisters and a slide-out shelf

simplify replenishment, while barcode-driven verification ensures the

right medication goes into the right canister. An optional locking door

secures high-cost and controlled medications.

PACMED® DOC helps pharmacies grow beyond long-term care, serving

independent and active seniors with personalized, time-stamped pouches.

n Confidence in Every Pouch

PACVision® C eliminates the most tedious, error-prone step in adherence

packaging: manual inspection. In under a second, it verifies pill quantity,

color, size, and shape with advanced recognition technology that adapts

to your pharmacy’s lighting and layout.

Compact and fatigue-proof, PACVision® C fits seamlessly into small

and mid-sized pharmacies and integrates directly with PACMED® for a

smooth, uninterrupted workflow. It captures and stores images of every

verified pouch, creating a tamper-proof audit trail for compliance and

peace of mind.

PACMED® DOC and PACVision® C aren’t just machines. They’re a

strategic upgrade for pharmacies ready to grow smarter. By automating

the most repetitive and high-risk tasks, your team can focus on what

matters most: delivering safe, personalized care.

What Pharmacies Gain

• Time Back: Automation frees up hours each week for clinical services.

• Error Reduction: PACVision® C removes the risk of

fatigue-related mistakes.

• Scalable Efficiency: Enterprise-grade automation in a footprint

that fits your space and budget.

• Audit-Ready Traceability: Every pouch is documented, every dose

accounted for.

• Stronger Patient Relationships: Personalized, time-stamped

pouches support adherence and help build trust and loyalty

through safer, more consistent care.

PACMED® DOC and PACVision® C take the stress out of managing

complex medication schedules. With time-stamped pouches and

automated verification, pharmacies can deliver safer care, build trust,

and give patients confidence in every dose.

McKesson Pharmacy Automation

Makes Complex Regimens Feel Simple

When disaster descends — from a hurricane, an earthquake,

public health emergency, or other natural disasters — the world turns

to its frontline heroes. During these major emergencies, the role of

pharmacists is essential yet frequently under-recognized. Providing

more than medication, pharmacists deliver stability, clinical expertise,

and compassionate care amidst the most challenging circumstances.

Their responsibilities include coordinating and dispensing emergency

medication and supplies, advising on appropriate treatment protocols,

and offering support to the affected communities. Drawing on my own

experience with the U.S. Department of Health and Human Services’

National Disaster Medical System (NDMS), the following explores the

profound impact we as pharmacists can make during emergencies.

Answering the Call to Serve

About a year after 9/11, I received a flyer in the mail that would shape the

course of my professional life. The flyer was a recruitment call for NDMS

medical personnel of all disciplines, including pharmacists. It highlighted

a group called, Rhode Island-1 Disaster Medical Assistance Team

(DMAT), and their response efforts during 9/11 and previous hurricanes.

After attending an informational meeting, I introduced myself as a

pharmacist. The immediate response from the group was overwhelming

enthusiasm. The team lacked a pharmacist — an essential role for a federal

team’s deployment posture. I was compelled to serve and within six months

I deployed.

20 Years and Over 10 Deployments

I have served since then with the RI-1 DMAT, which is one of 40

federal medical teams of intermittent first responders located across the

United States. DMATs are comprised of physicians, physician assistants

(PA), nurses, paramedics, pharmacists, and other medical and support

professionals. We are deployed to provide rapid response medical

care, hospital support, and emergency services during disasters, major

incidents, and national events.

Over the course of my time, I have deployed more than 10 times, most

often in the wake of hurricanes. Each assignment has presented its own

challenges and I’m proud of my team’s incredible achievements, however

a few deployments remain unforgettable.

Responding to Hurricanes

In 2005, following Hurricane Katrina, our team deployed to the

Superdome in New Orleans shortly after the levees failed. The situation

was critical, and our mission was to provide medical care to every patient

sheltered there before they could be transferred to hospitals, alternative

facilities, or other shelters. Over the course of two months, I spent five

weeks in Louisiana supporting multiple operations. During that time,

our team established a mass vaccination clinic where we administered

Hepatitis A, Hepatitis B, and tetanus-diphtheria vaccines. Additionally,

we operated a special needs shelter for residents displaced from nursing

homes that had been destroyed, ensuring they received continuous care

in the aftermath of the disaster.

In 2017, after Hurricane Maria hit Puerto Rico, we set up a pharmacy

tent next to our temporary field hospital on a pier in San Juan. We treated

a wide range of acute and chronic conditions, but one of the most pressing

issues was patients simply needing refills for their daily medications.

With the island’s power grid down and internet access unreliable, all

prescription labels were handwritten. Another distinctive aspect of this

mission was living onboard the USNS Comfort, one of two Navy hospital

ships. It was deployed to Puerto Rico to provide care for patients our team

triaged. The ship also was our temporary home, as much of the island

remained without power and few hotels were operational.

TWO DECADES

OF DISASTER

RESPONSE

WINTER 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC

Contributed by Megan McCaskill, Vice President of Compliance and Strategy

at Horizon Pharmacy and Chief Pharmacist for RI-1 DMAT

A PHARMACIST’S EXPERIENCE

WINTER 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC

Most recently in 2024, we deployed to the

mountains of North Carolina to support a

local hospital following Hurricane Helene.

We established our medical facility in the parking

lot of a damaged hospital and supported their

emergency operations. Helene’s unexpected

path left unprepared communities without

access to key medications. For two weeks, we

filled countless maintenance prescriptions to

ensure continuity of care until local pharmacies

could resume operations.

What Deployment Life

is Really Like

DMATs deploy to disaster sites with sufficient

equipment and supplies to sustain themselves

for 72 hours while providing medical care to a

fixed or temporary medical care site. The team

deploys for up to two weeks per mission. As the

pharmacist, my role is to establish a working

pharmacy in whatever space is available. While

we don’t carry every medication, we provide

safe substitutions until local pharmacies reopen.

People often ask where I sleep, what I eat, and

how I pack for disaster deployment. My team

likes to joke that disaster deployment is just

“extreme camping.” We work around the clock

in all climates, sleeping in shifts, usually on cots in

tents or wherever space allows. I have curled up in

the pharmacy more than once. Packing requires

multiple uniforms, comfortable clothes, and

essentials like sunscreen, bug spray, solar gear,

and a bathing suit for outdoor showers. Meals are

mainly Meals Ready to Eat (MREs), but I bring

peanut butter, fluff, and a loaf of bread. Overall

adaptability is crucial, and port-o-johns quickly

become indispensable.

Harmonizing Service, Work,

and Family

Balancing the immediate tasks of disaster

deployment with family and work responsibilities

is challenging, especially when communication is

limited in remote areas. Fortunately, emergency

systems provide crucial peace of mind to

communicate with home. My team is on call

three months a year, with two-week deployments

that impact both home and work life. Support

from family and friends is essential to manage

daily responsibilities during these absences.

Supportive relationships, both personal and

professional, are what make this work possible.

While Uniformed Services Employment and

Reemployment Rights Act (USERRA) offers

legal protection for deployed federal responders,

true support comes from an understanding and

encouraging workplace and family. At Horizon

Pharmacy, my deployments are met with pride,

not hesitation. This motivates colleagues, inspires

service, and underscores pharmacists’ crucial role

in emergencies. Sustainability comes from the

everyday gestures — covering a shift, checking

in on my family, or simply saying, “We’ve got

you. Go do what you do best.” Those small

actions make a lasting impact.

How to Get Involved

Begin by creating a profile on USAJobs.gov and

setting up job alerts, as positions may open and

close at various times. Search for pharmacist

roles within the U.S. Department of Health

and Human Services, specifically under the

Administration for Strategic Preparedness and

Response (ASPR) and the National Disaster

Medical System (NDMS). You can also follow

ASPR on Facebook for the latest updates and

recruitment announcements. NDMS pharmacists

can practice nationwide during deployments

without the need for reciprocity and are covered

by federal liability protection and workers’

compensation. Employment rights are maintained

under USERRA, which ensures job security and

benefits following deployment.

Why I Continue to Serve

I do this work because I love it. Disaster response

brings an authentic, human side to pharmacy

work that goes beyond just medications — it’s

about meaningful connections. Collaborating

with a close-knit team and helping people in

crisis gives me a sense of purpose. Meeting

diverse individuals and sharing a common

mission is rewarding and, while the gratitude is

humbling, it is the lasting impact that matters

most to me.

As Mother Teresa said, “We can’t help everyone,

but everyone can help someone.” In disaster

response, that is exactly what we do — one act

of kindness, one patient, one moment at a time.

Disclaimer: Megan McCaskill is an intermittent health

care provider with the NDMS Disaster Medical

Response Team (DMAT). She developed this content in

her personal view and experiences. The views expressed

are her own and do not necessarily represent the opinions

of HHS or the U.S. Government.

Megan McCaskill, RPh (left) and Jennifer Sawicky, PharmD (right) at their field hospital pharmacy in North Carolina after Hurricane Helene.

20WAYS TO IMPROVE PATIENT CARE & PHARMACY PROFITABILITY

WINTER 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC

President & CEO: Tom Polen

Founded:

1897

Employees:

>70,000

Stock Symbol:

NYSE: BDX

Toll-Free Phone:

(888) PARATA1 | (888) 727-2821

Address:

106 Roche Drive

Durham, NC 27703

Website:

parata.com | bd.com

Company Background

BD is one of the largest global medical technology companies

in the world and is advancing the world of health by improving

medical discovery, diagnostics, and the delivery of care.

The company supports the heroes on the frontlines of health care

by developing innovative technology, services, and solutions that

help advance both clinical therapy for patients and clinical process

for health care providers.

n BD and its more than 70,000 employees have a passion and

commitment to help:

• Improve patient outcomes.

• Improve the safety and efficiency of clinicians’ care

delivery process.

• Enable laboratory scientists to accurately detect disease.

• Advance researchers’ capabilities to develop the next

generation of diagnostics and therapeutics.

BD has a presence in virtually every country and partners with

organizations around the world to address some of the most

challenging global health issues.

n By working in close collaboration with customers, BD can help:

• Enhance outcomes.

• Lower costs.

• Increase efficiencies.

• Improve safety.

• Expand access to health care.

Product Overview

Parata expands BD’s solutions to a new area of the high-growth

pharmacy automation space. Parata’s technology supports improved

inventory management, workflow efficiency, and enables scalable

growth. With solutions like centralized dispensing and remote

prescription pickup, pharmacies can expand access and improve

medication adherence. Whether serving retail chains, health systems,

or independent pharmacies, Parata delivers the tools needed to

optimize performance and elevate the pharmacy experience.

Contact Information

For more information on BD, please visit bd.com.

BD Parata’s pharmacy automation solutions help pharmacies

streamline operations, improve accuracy, and enhance patient care.

By automating tasks like vial filling, prescription sorting, and

medication packaging, pharmacies can help reduce manual labor,

minimize errors, and free up staff to focus on clinical services.

BD Parata

Consider pairing your trusted pharmacy name with

The Medicine Shoppe® Pharmacy or Medicap Pharmacy® to:

Scan QR code to contact us today and learn how

franchising can help achieve your business goals

The information provided is not intended as an offer to sell or the solicitation

of an offer to buy a franchise. The offer of a franchise can only be made

through the delivery of our franchise disclosure document. Medicine

Shoppe International, Inc. (MN Franchise Reg. #F-145) Medicap Pharmacies

Incorporated (MN Franchise Reg. #F-884) 7000 Cardinal Place, Dublin, OH

43017. New York: This advertisement is not an offering. An offering can only be

made by a prospectus filed first with the Department of Law of the State of

New York. Such filing does not constitute approval by the Department of Law.

MEDICINE SHOPPE, MEDICAP, The Medicine Shoppe LOGO, the Pill Capsule

design and the Mortar & Pestle design are trademarks of Cardinal Health and

may be registered in the US and/or in other countries. All other trademarks are

the property of their respective owners. Lit. No. 1PD25-3867058-02 (11/2025)

• Leverage the strength of a national

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The co-branded pharmacy franchise models from Medicine Shoppe International, Inc. can help you grow your

business, without sacrificing your independence. Access the advantages of scale, maximize operational efficiencies,

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