Jason Dana Costa, President
and CEO, Horizon Pharmacy
20 Unique
Products
& Services
Long-Term Care
Pharmacy Resources
Industry Expert Q&A, Market Leaders
Buyer’s Guide, and More
Scratching More
Than the Surface
A Review of Topical Pain Medication
Inside Thundermist:
How This FQHC Delivers
Comprehensive,
Community-Rooted Care
How Horizon
Pharmacy Cut
Costs, Doubled
Profits, & Freed
Up Capital to
Give Back
A Case Study From SureCost
FALL 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
• Confidential pharmacy value in minutes
• Clear, unbiased valuation range
• Free consultation to review your estimate
• Licensed & insured pharmacy broker
• Proven experience with 220+ Pharmacies sold
Scan to try our free
valuation tool:
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.
© 2025 The Medicine Shoppe International, Inc. All Rights Reserved. THE
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
pharmacy brand while maintaining your
local brand presence
• Collaborate with a dedicated Franchise
Business Consultant to plan, forecast and
monitor all aspects of performance to reach
your goals
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,
drive revenue opportunities and expand patient care in your community.
• Take advantage of our flexible signage
model when updating an existing store or
expanding into a new community location
• Access a high-performing network providing
contract management, best practice sharing,
clinical programs and marketing support to
drive patient engagement
Position your
pharmacy
for growth
FALL 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC
FROM OUR FOUNDER
As pharmacy continues to evolve, providers face a
unique combination of challenges and opportunities.
From staffing pressures and regulatory changes
to technology adoption and patient-centered care
initiatives, success increasingly depends on having
access to the right resources, partners, and solutions.
That is why we are pleased to dedicate this issue of
20Ways to Long-Term Care Pharmacy Resources.
Inside the Fall issue, you’ll find insightful editorial
coverage examining important trends shaping the LTC
pharmacy market, along with a timely feature focused
on topical pain medication and its growing role in patient
care. These articles provide valuable perspectives on
the issues that matter most to pharmacy professionals
serving long-term care populations and beyond.
As with every issue of 20Ways, the heart of this
publication is our collection of 20 unique WAY
profiles. Each profile highlights innovative products
and services designed to help pharmacies improve
operational efficiency, enhance patient outcomes,
strengthen compliance efforts, and navigate an
increasingly complex healthcare landscape. Whether
you’re evaluating new technologies, exploring workflow
improvements, or searching for trusted business
partners, these featured solutions offer practical
pathways to support your pharmacy’s success.
At RXinsider, we believe informed decision-making
begins with awareness, and 20Ways is designed to
connect pharmacy professionals with the products
and services that drive meaningful improvements
across the pharmacy supply chain operations.
Thank you for taking the time to explore this issue.
We hope the insights, innovations, and resources
featured throughout these pages help you discover
new ways to strengthen your
operations and better serve the
patients who depend on you.
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 Director, Savannah DaSilva
Account Executive, Jake Studley
Account Executive, Madelyn Almeida
PHARMACY MARKET INTELLIGENCE
Director of Market Intelligence, Joshua Murdock
Senior 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
MAC Rx/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
LinkedIn: @RXinsider
Facebook: /RXinsiderB2BSolutions
X: @RXinsider
Instagram: @rxinsider
Vimeo: /rxinsider
FALL 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC
FEATURES
FEATURED CASE STUDY
HOW HORIZON PHARMACY CUT
COSTS, DOUBLED PROFITS, AND
FREED UP CAPITAL TO GIVE BACK
A Case Study From SureCost pg. 26
EDITORIALS
LONG-TERM CARE PHARMACY RESOURCES
Industry Expert Q&A, Market Leaders Buyer’s Guide, and More pg. 34
INSIDE THUNDERMIST: HOW THIS FQHC DELIVERS
COMPREHENSIVE, COMMUNITY-ROOTED CARE
Contributed by Joshua Murdock, PharmD, BCBBS, Director of
Market Intelligence, RXinsider pg.18
NAVIGATING THE UNKNOWN: HOW LONG-
TERM CARE PHARMACIES ADAPTED TO THE
INFLATION REDUCTION ACT IN 2026
Contributed by Miriam Cho, PharmD, President/CPO,
MAC Rx/MedScript pg. 52
SCRATCHING MORE THAN THE SURFACE,
A REVIEW OF TOPICAL PAIN MEDICATION
Contributed by Mark Garofoli, PharmD, MBA, BCGP, CPE, CTTS,
Director of Experiential Learning and Clinical Assistant Professor,
West Virginia University of Pharmacy pg. 76
FURTHER EXPLORATION
INTEL REPORT HIGHLIGHTS
Key insights from the Long-Term Care Pharmacy
Resources Report pg. 90
TRADE SHOW & MEETING EVENT CALENDAR
Detailing Key Industry Events Throughout the Year pg. 70-75
Compound with Confi dence
FALL 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC
REDSAIL TECHNOLOGIES —
PHARMACY THRIVES HERE
With ~16,000 pharmacies reaching 50 million+
active patients, RedSail Technologies is the leader
in pharmacy software and solutions through brands
PioneerRx®, PrimeRx®, BestRx®, Axys®, PowerLine®,
TransactRx®, and QS/1®. pg. 15
SCRIPTPRO PHARMACY AUTOMATION
— BUILT FOR GREATER IMPACT
ScriptPro automation helps retail pharmacies
increase efficiency, support accuracy,
free staff for patient care, and create the
capacity to serve more patients. pg. 17
CENCORA EMPOWERS FEDERALLY
QUALIFIED HEALTH CENTERS (FQHCS)
TO DELIVER QUALITY PATIENT CARE
Cencora’s LTC and Alternate Care pharmacy
distribution solution recognizes the importance
of your patient care, supports your strategic
business priorities, and partners with you
to achieve growth, operational efficiencies,
and improved outcomes. pg. 23
BAKER ADVANCED — A TRUSTED NAME
RETURNS TO PHARMACY AUTOMATION
Automation simplified. Baker Advanced helps
pharmacies automate repetitive work, improve
accuracy, and keep prescriptions moving
through proven vial filling, pouch packaging,
and blister packaging solutions. pg. 25
AXIAL® MULTI-DOSE ADHERENCE
PACKAGING MACHINES BY
EUCLID® MEDICAL PRODUCTS
The Axial multi-dose machines improve medication
adherence and simplify the process for patients
by packaging medications into pouches organized
by time and day. The Axial boasts the smallest
footprint of any machine on the market. pg. 31
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, powered by our customers. pg. 33
HCL® BY DESIGN DELIVERS
CUSTOM SOLUTIONS FROM
CONCEPT TO COMPLETION
Solve problems and improve performance with
designs built to exact specifications. pg. 41
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. 43
GOODRX RETAIL PHARMACY SOLUTIONS
GoodRx helps retail pharmacies streamline
prescription fulfillment, prevent prescription
walkaways, and deliver patient savings
through integrated solutions, manufacturer-
sponsored brand-name drug discounts, and
favorable pharmacy economics. pg. 49
CENCORA EMPOWERS LONG-TERM
CARE PHARMACIES TO DELIVER
QUALITY PATIENT CARE
Cencora’s LTC and Alternate Care pharmacy
distribution solution recognizes the importance
of your patient care, supports your strategic
business priorities, and partners with you
to achieve growth, operational efficiencies,
and improved outcomes. pg. 51
01
WAY
02
WAY
03
WAY
04
WAY
05
WAY
06
WAY
07
WAY
08
WAY
09
WAY
L O N G - T E R M C A R E P H A R M A C Y R E S O U R C E S
L O N G - T E R M C A R E P H A R M A C Y R E S O U R C E S
20WAYS PROFILES
10
WAY
L O N G - T E R M C A R E P H A R M A C Y R E S O U R C E S
L O N G - T E R M C A R E P H A R M A C Y R E S O U R C E S
L O N G - T E R M C A R E P H A R M A C Y R E S O U R C E S
L O N G - T E R M C A R E P H A R M A C Y R E S O U R C E S
L O N G - T E R M C A R E P H A R M A C Y R E S O U R C E S
L O N G - T E R M C A R E P H A R M A C Y R E S O U R C E S
L O N G - T E R M C A R E P H A R M A C Y R E S O U R C E S
Your patients shouldn’t have to choose
between medication or food.
HealthWell Foundation may be able to help.
When health insurance is not enough, HealthWell fills the gap.
Learn more at www.HealthWellFoundation.org or call (844) 729-4437.
AI-Powered Order Entry
in LTC Pharmacies
AI-Powered Order Entry
in LTC Pharmacies
www.frameworkltc.com | 412.492.9841 x3 | sales@softwriters.com
Our clinically-trained AI reads incoming prescriptions and automatically
populates order fields, reducing manual work, improving accuracy, and enabling
pharmacies to focus on patient care rather than data entry.
Clinical‑Grade AI That Handles New Orders for You
Solving the Industry’s Biggest
Workflow Bottleneck
Solving the Industry’s Biggest
Workflow Bottleneck
FALL 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC
10
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. 57
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. 59
UNIWEB HELPS PHARMACIES CREATE
FLEXIBLE SPACES BUILT TO LAST
For over 50 years, we’ve helped industry leaders,
regional retailers, and independent pharmacies
achieve lasting success with tailored solutions
and expert guidance. Contact us today for a
free, no-obligation consultation. pg. 65
WIND RIVER PAYMENTS —
PAYMENT SOLUTIONS DESIGNED
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. 67
AT VAXSERVE, WE KNOW VACCINES
VaxServe, a subsidiary of Sanofi, and
leading specialty distributor of vaccines,
provides immunization expertise and
solutions to help healthcare partners across
multiple industry segments. pg. 79
INSTOCKRX — THE PHARMACY-TO-
PHARMACY MARKETPLACE WITH
A DIFFERENCE
More than a marketplace — InStockRx lets
pharmacies communicate directly and collaborate
with partners they trust to turn surplus into cash
and source hard-to-find brand drugs, with the same
T3 information a wholesaler provides. pg. 81
11
WAY
12
WAY
13
WAY
14
WAY
15
WAY
16
WAY
L O N G - T E R M C A R E P H A R M A C Y R E S O U R C E S
L O N G - T E R M C A R E P H A R M A C Y R E S O U R C E S
L O N G - T E R M C A R E P H A R M A C Y R E S O U R C E S
L O N G - T E R M C A R E P H A R M A C Y R E S O U R C E S
11
FALL 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. 87
COLDKEEPERS — YOUR PREMIUM COLD-CHAIN
SOLUTIONS PROVIDER
Ensure your medication arrives safely and securely
when you trust the experts at Coldkeepers with your
accreditation and pharmaceutical shipping needs
as mandated by pharmacy guidelines. pg. 89
RXMART — NOW INTRODUCING RXMART DDA
RxMart connects independent licensed pharmacies across
the United States to buy and sell non-controlled, non-expired
overstock medications — safer and more affordable. pg. 93
VMI INDIVION/PHARYS FOR OPTIMIZED
PERSONALIZED DAILY DOSE POUCH PACKAGING
VMI’s automated solutions ensure that patients
receive the right medications prescribed by their
doctors, packaged so they receive the exact treatment
prescribed, with no omissions and errors. pg. 95
17
WAY
18
WAY
19
WAY
20
WAY
Fall 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.
Jason Dana Costa, President
and CEO, Horizon Pharmacy
20 Unique
Products
& Services
Long-Term Care
Pharmacy Resources
Industry Expert Q&A, Market Leaders
Buyer’s Guide, and More
Scratching More
Than the Surface
A Review of Topical Pain Medication
Inside Thundermist:
How This FQHC Delivers
Comprehensive,
Community-Rooted Care
How Horizon
Pharmacy Cut
Costs, Doubled
Profits, & Freed
Up Capital to
Give Back
A Case Study From SureCost
FALL 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
FOR ADVERTISING INFORMATION
rxsales@rxinsider.com | 800.972.2083
L O N G - T E R M C A R E P H A R M A C Y R E S O U R C E S
• Ensures USP <797> compliance by maintaining the
integrity of CSPs.
• Increased durability and improved handling. Adapted for
easy batching.
• Flexible & Compatible — IV seals designed to fit more IV port types.
• Clear Warning — “OPENED” warning won’t smudge or fade,
ensuring clear evidence of access with every use.
• Safe & Sterile — Zero paper. Gamma sterilized. All sterile seals
provide a 100% sterile barrier.
• Look for the “NEXT GEN” mark on every roll.
• Also available: Non-sterile syringe seals for syringes and
containers in the pharmacy.
Order Now — No New
Item Codes Needed!
Syringe Seals
Made in the USA
NEXT GEN Vial Seals
28mm
20mm
13mm
Same Trusted Tamper-Evidence —
Now Stronger, More Flexible, and Built
for Today’s Packaging Demands
steri-tamp.com
Visit Our Website to Request Samples
NEXT GEN IV Bag
Port Seals
Belly Button
Bag Seal
Introducing
NEXT GEN Steri-Tamp®
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.
©2026, RedSail Technologies, LLC. All rights reserved.
redsailtechnologies.com | 833.REDSAIL
Explore everything RedSail Technologies has to offer
Clinically-advanced, extensive
features, and most installed
among independents
Highly configurable,
operationally complex, and
scalable for growing pharmacies
Cost-effective, easy to use
and learn, with cloud
hosted capabilities
16K+ pharmacies | 50M+ active patients
12+ pharmacy-enhancing connected solutions
One Comprehensive
Pharmacy Software Suite
Meet the Pharmacy Management Systems
Most technologically advanced pharmacy
switch with unmatched performance and
industry-leading 99.99% uptime
Robust Pharmacy
Claims Switch
Unique connected solutions to support
growth, deliver top-tier care and
achieve business goals
Solutions That Drive Revenue
and Boost Patient Experience
PrimeRx
15
20WAYS TO IMPROVE PATIENT CARE & PHARMACY PROFITABILITY
FALL 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC
President & CEO:
Andy Mauer
Employees:
1,000+
Toll-Free Phone:
(833) 733-7245
Address:
201 W. Saint John Street
Spartanburg, SC 29306
Website:
redsailtechnologies.com
Company Background
With ~16,000 pharmacies reaching 50 million+ active patients, RedSail
Technologies serves community, enterprise, regional chain, long-term
care, outpatient, physician clinic, HME/DME, and specialty pharmacies.
Our deep understanding of pharmacy opportunities and challenges drives
continuous innovation across pharmacy software, connected solutions, and
industry partnerships. Through technology, services, and programs designed
to improve clinical and business outcomes, we help pharmacies strengthen
patient care, improve profitability, and expand their role in healthcare.
Product Overview
n PioneerRx Pharmacy Software: PioneerRx is the industry-leading
solution for clinically advanced pharmacies that require sophisticated
workflow management, robust reporting, and deep operational visibility.
Designed to help pharmacies elevate patient care while strengthening
business performance, PioneerRx empowers users with advanced clinical
tools, customizable workflows, data-driven decision making, and ongoing
innovation through continuous software enhancements. Many of the
industry’s most progressive and clinically focused pharmacies rely on
PioneerRx to support their evolving business models.
n PrimeRx Pharmacy Software: PrimeRx is built for growing pharmacies
that require flexibility, automation, and scalability. Highly configurable
workflows, advanced automation tools, and multi-location capabilities
help pharmacies adapt operations to their unique business model while
maintaining control and efficiency. As pharmacies expand services, add
locations, or increase prescription volume, PrimeRx provides the operational
foundation needed to support sustainable growth.
n BestRx Pharmacy Software: Designed for independent pharmacies
seeking simplicity, affordability, and fast onboarding, BestRx delivers
an intuitive experience that helps pharmacies operate efficiently from
day one. With cloud-hosted access, streamlined workflows, and flexible
pricing options, BestRx provides the tools pharmacies need to manage
daily operations without unnecessary complexity. BestRx is ideal for
startup pharmacies, single-location operators, and businesses focused on
maximizing efficiency while maintaining exceptional patient service.
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 RedSail Pay Merchant Services: RedSail Pay simplifies payment
processing with transparent pricing, pharmacy-focused service, and a
straightforward cost structure. Built specifically for pharmacy operations,
RedSail Pay helps pharmacies streamline transactions, enhance the
payment experience, and simplify one of the most important aspects of
running their business.
n RxCash+ Pricing Tool: RxCash+ uses data-driven pricing strategies to
help pharmacies compete more effectively in the cash-pay market. With
customized pricing algorithms designed to balance competitiveness,
transparency, and profitability, RxCash+ helps pharmacies capture
more cash-pay opportunities while delivering greater value to patients.
n RxMile Delivery Platform: RxMile, an all-in-one delivery management
platform built for independent pharmacies, is now part of the RedSail
Technologies ecosystem. RxMile simplifies the way pharmacies manage,
track, and optimize prescription deliveries by providing a seamless
experience for both pharmacy teams and patients. With features like real-
time delivery tracking, smart routing, route optimization, and on-demand
scheduling, RxMile helps pharmacies improve delivery operations while
providing an efficient, and compliant delivery experience.
n The Complete RedSail Technologies Ecosystem: Together, RedSail
Technologies’ pharmacy management systems and connected solutions help
pharmacies simplify operations, strengthen patient engagement, improve
clinical outcomes, increase profitability, and support long-term business
growth. From dispensing and workflow management to connectivity,
payments, pricing, and delivery, RedSail provides the integrated technology
ecosystem pharmacies need to thrive. 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.
Testimonial
“I wanted to let the whole RedSail team know how happy I am with the RxCash+
program and the benefits I’m seeing from participating. I’m looking forward to
RedSail rolling out more programs like this for my pharmacy and customers.”
— Willie L., Lee’s Inlet Apothecary
Ready to see more?
Contact us at sales@redsailtechnologies.com to talk to us about what
truly modern pharmacy solutions might mean for your business.
With ~16,000 pharmacies reaching 50 million+ active patients,
RedSail Technologies is the leader in pharmacy software and solutions
through brands PioneerRx®, PrimeRx®, BestRx®, Axys®, PowerLine®,
TransactRx®, and QS/1®.
Pharmacy Thrives Here
Where can
automation make the
biggest impact?
SEE WHERE AUTOMATION PAYS OFF
800.606.7628 | ScriptPro.com
Five ways a vial-filling robot pays off fast.
SPEED
ACCURACY
STAFF TIME
PATIENT
LOYALTY
ROOM
TO GROW
3+ hours back
every 200 scripts
Catch errors before they
leave the pharmacy
Free your team for patient
care and clinical services
Shorter waits foster a
better patient experience
Absorb more patients
and prescriptions
17
20WAYS TO IMPROVE PATIENT CARE & PHARMACY PROFITABILITY
FALL 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC
Chairman, CEO, & Founder: Mike Coughlin
President:
Tracy Thomas
Founded:
1994
Toll-Free Phone:
(800) 606-7628
Fax:
(913) 432-4735
Address:
5828 Reeds Road, Mission, KS 66202
Website:
ScriptPro.com
Company Background
ScriptPro delivers operational, financial, and clinical solutions
backed by 30+ years of pharmacy management expertise.
Trusted by thousands of retail pharmacies nationwide, we
streamline operations, reduce wait times, and lighten staff
workload with advanced robotics and integrated software. Our
technology automates vial filling, inventory, payments, eligibility,
reimbursement, and more, freeing teams to focus on patient care.
Whether you’re a chain or an independent pharmacy, ScriptPro
helps pharmacies thrive today and in the future.
Product Overview
n Vial Filling
ScriptPro’s full-size and compact robots are pharmacy workhorses,
delivering reliable, direct-to-vial dispensing that eliminates cross-
contamination. With six robot sizes available, pharmacies can select
a system that fits their prescription volume, workflow, and available
space. ScriptPro robots can automate up to 75% of prescriptions
and operate quietly without air-pressurized dispensing. By reducing
repetitive filling work, they help pharmacies improve speed,
support accuracy, ease staff workload, and shorten patient wait
times. Every system is backed by 24/7/365 support and ScriptPro’s
commitment to reliability, longevity, and ROI.
n Adherence Packaging
ScriptPro’s pouch packaging system creates a personalized 30-day
medication regimen in under 2 minutes with 99.8% accuracy.
Available in 100- and 400-cassette configurations, it enhances
adherence by simplifying medication management, reducing
hospital readmissions, and improving patient outcomes. Beyond
patient benefits, this solution drives new revenue opportunities
for retail pharmacies. Safety remains paramount, with full bar
code medication administration (BCMA) support ensuring
precise tracking.
The complete workflow solution includes high-accuracy packaging
and detection machines, RFID-enabled tray management,
imaging stations for medication libraries, audit and review
software, pouch repair cameras, and an advanced line of winders
to streamline processing.
Meet Us at Future Trade Shows
• NCPA Annual Convention, Kansas City, MO,
October 3-6, 2026
• NACDS Regional Chain, Bonita Springs, FL,
January 17-19, 2027
• NCPA Multiple Locations, Clearwater Beach, FL,
February 17-20, 2027
Where Automation Pays Off Fastest
n What could your pharmacy do with three extra hours each day?
One minute saved per prescription may seem small, but across
200 daily fills, it can create more than 3 hours of
potential additional capacity. That extra time
can help reduce backlogs, improve patient
care, support value-added services, and
give pharmacy teams more flexibility to
manage growth.
Scan the QR code to read ScriptPro’s
latest article and discover where vial-
filling automation can deliver the greatest
operational and financial impact.
Ordering Information
Ready to improve efficiency, support your
staff, and expand capacity? Talk with a ScriptPro
automation specialist today.
(800) 606-7628 | ScriptPro.com
ScriptPro automation helps retail pharmacies increase efficiency,
support accuracy, free staff for patient care, and create the capacity
to serve more patients.
ScriptPro Pharmacy Automation
— Built for Greater Impact
Thundermist Health Center doesn’t look like a typical
health clinic. It feels like a small health system. In
addition to its primary care services, this federally
qualified health center (FQHC) offers substance use
disorder treatment, HIV care through the Ryan White
HIV/AIDS Program, a dental practice, mobile medical
units, and clinics embedded directly inside local high
schools, among other services. The organization has
been a Rhode Island institution for more than 50 years.
Its primary locations in the state are in Woonsocket,
West Warwick, and Wakefield.
RXinsider spoke with Jeffrey Gaines, MD, MHCM,
FACEP, chief medical officer, and Christopher Durigan,
PharmD, director of clinical pharmacy services, about
what it takes to run a sustainable healthcare organization
built around removing barriers to care. The conversation
covered how Thundermist’s FQHC status shapes its
work with underserved patients, why the 340B Drug
Pricing Program is central to keeping care affordable,
how pharmacy is integrated into clinical decision-
making, and the funding pressures Gaines and Durigan
expect to define the next several years for community
health centers nationwide.
Q. To set the stage, tell us about some
notable patient care services that
Thundermist offers across its locations.
Gaines: When I first started here, I thought I knew a lot
about Thundermist. But the core of what I knew was
based primarily on primary care (family practice, some
internal medicine and pediatrics, and a lot of obstetrics
and gynecology). Then I learned we actually have a
really robust dental practice, which, coming from my
perspective as an emergency room physician, is huge. We
also have convenient care with walk-in access, and that’s
not just for Thundermist patients. We offer it 7 days a
week to anyone in the community. We do a lot of HIV
care, too. We also work closely with the Women, Infants,
and Children (WIC) program and other government
agencies to help connect patients with resources. It’s a
big organization, yet it’s small enough that there isn’t
much red tape or bureaucracy. We can be really nimble.
Durigan: That’s been a theme for me, too. Thundermist
is a sizable organization, but it’s not like some places
where the CEO is a distant figure you never see. During
COVID-19, for example, we thought, “What if we
just set up our own testing site?” So we set it up in the
parking lot, and people came from across the state. We
also set up an infusion clinic to treat COVID, which we’d
never done before. Our ideas end up becoming reality
because, like [Gaines] said, there’s no red tape in the
way. If we have enough people to staff a project, we’ll
just do it. You’ll see this theme come up again and again.
Inside Thundermist
How This
FQHC Delivers
Comprehensive,
Community-
Rooted Care
Written by Joshua Murdock, PharmD, BCBBS
If you walk around Rhode Island and run
into 17 people, one of them is going to be a
Thundermist patient. It’s a big swath of the
population in this state.”
— Jeffrey Gaines, MD, MHCM, FACEP
This transcript has been condensed and edited for clarity. A copy of the full
transcript is available upon request; contact RXinsider for more information.
“
20WAYS TO IMPROVE PATIENT CARE & PHARMACY PROFITABILITY
FALL 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC
19
Identifying what’s getting in the way of personal, community, and
population health, then finding creative ways to solve it.
Q. How does being an FQHC allow Thundermist
to deliver care differently from other healthcare
organizations?
Gaines: The whole premise of FQHCs is to focus on the patients
with the greatest need who also face the greatest barriers. Think
language barriers, geographic barriers, and other social and
structural determinants of health. It’s easy for us to say, “Go
for a walk after lunch; it’s good for your digestion and your
health.” But if you live in a town without sidewalks, or where it’s
dangerous to walk because kids have to walk along
the curb, that advice doesn’t hold up. There are real
structural challenges our communities face where
the idea sounds great, and you may be motivated to
do it, but it’s hard to pull off in real life. We say to
eat more vegetables, but if you walked in concentric
circles around [Woonsocket], I’d be curious how far
you’d get before finding a store with fresh produce.
It’s essentially a food desert; you’d wear out a pair
of shoes before finding a fresh head of broccoli.
These are still real challenges in 2026, which is hard
to believe. The point is that, in my opinion, FQHCs
were designed specifically to focus on that set of
problems and the patients and communities who face
them most. When someone walks into a Thundermist
office, they find a genuinely beautiful space, well-
funded through government grants, and they’re
welcomed here in a way that’s almost heartbreaking
because it’s one of the only places where they’re
treated the way a human being ought to be treated.
It creates an amazing dynamic. No matter who you
are or where you come from, the staff greet people by
name and know their whole story.
Durigan: Similarly, let’s say I was a patient who lost insurance
and didn’t know how to navigate that situation. We have social
services here to help people navigate that. We’re not constantly
sending people out hoping they’ll go to another resource. We have
them here, which removes the uncertainty about whether they’ll
actually be able to access care. For me, the most helpful thing
about working in this environment is the team approach. We have
so many different team members who are all contributing to help
the patient.
Q. How does participation in the 340B Drug Pricing
Program help Thundermist offer comprehensive,
affordable care? What does that look like day-to-day
for physicians, pharmacists, and other healthcare
professionals at Thundermist?
Durigan: From a staff or provider perspective, I think the program
is a clear way to allow patients to access medications more
affordably. Its intent is to help us stretch scarce resources, but for
providers, it’s largely a drug discount program. Medications are
becoming more expensive every year, and the pharmacy team
helps providers and staff identify which options across different
drug classes are available at discounted prices. Not only do we pass
along the discount, but sometimes we’ll pay for the medication
outright because even a dollar can be too much for some of our
patients. It’s a really good tool for keeping patients on therapy and
out of the hospital.
Gaines: I have a couple of different perspectives on the same point.
As a provider, and to [Durigan’s] point, it’s helpful for me to know
when I have clinical equipoise between medications in a similar
category, and whether some of those options are more affordable
for patients. Compliance is just as important as choosing the
right drug. Then there’s the other perspective, now sitting in a
physician executive role. I see, exactly as [Durigan] said, what
a lifeline 340B is for an FQHC’s financial sustainability. We’re
trying to do so much with so little, even with grants, government
support, and patient revenue. That 340B revenue line on the
budget is an absolute lifeline. That’s why we’re strong advocates
for 340B legislation and anything that supports it.
Q. Tell us more about how pharmacy is integrated
into the care team at Thundermist. For instance, are
pharmacists embedded in primary care visits, doing
medication therapy management (MTM), and so on?
How do you measure success?
Durigan: Pharmacy touches on many different aspects of care here,
which makes it interesting. Helping patients navigate medication
affordability is one factor, whether through 340B, insurance,
patient assistance programs, or options like GoodRx. We also
navigate insurance formularies, figuring out alternatives when a
drug isn’t covered. We don’t do MTM because few insurers cover
it outside a retail pharmacy setting, but we basically do the same
thing during clinic visits. Through our electronic health record
(EHR), a provider will send us a case and say, for example, “This
patient has diabetes or COPD and keeps ending up in the hospital.
Can you look at them and see if there’s anything we can do
to optimize what they’re taking?” We also field much simpler
questions, like whether there are any drug interactions on a
patient’s medication list. We’re also part of an administrative
committee. Over the last few years, we have established a pharmacy
and therapeutics (P&T) committee to coordinate all medication-
related aspects of the clinic, including medication administration
by nurses, medication policies, and related matters.
Gaines: Pharmacy is so interwoven into the fabric of the
organization that it’s hard to pick out individual examples. Take
patient safety, for example. Whenever we’re looking at medication
errors or running a patient safety initiative, we bring pharmacy
in to make sure we’re not missing anything. The same goes for
infusions, vaccines, and other public health initiatives, where we
want our pharmacy colleagues involved from the start. Even at
a high strategic level, [Durigan] has presented to our board of
directors on topics that repeatedly arise related to pharmacy or
340B. There’s attention from the board level all the way through
the organization, recognizing that pharmacy and medication
management are interwoven and need to be handled carefully.
Q. Staying on the topic of delivering patient
care, but shifting to a more operational
lens. How has technology changed the
clinical side of care at Thundermist?
Gaines: Our EHR is eClinicalWorks (ECW), one of the more
common ambulatory EHRs. Within ECW, there are a decent
number of tools and capabilities, and we have several teams
working to optimize it for clinicians and staff for real-time
management, ordering, and documentation. Layered on top of
that, we’ve been exploring innovative tools, including some AI
tools, to see what’s possible. For example, we have ambient scribes
for appointments. It’s nice because a provider can opt to use that,
and with patient consent, have a chart essentially constructed by
the end of the visit. This type of technology helps our providers
focus on patient care without worrying as much about capturing
all the data. ECW also has modules for billing and coding, so we
don’t have to become billing and coding experts.
Durigan: Other random technologies come to mind for me. We have
interpreter services and a sign language iPad. We’re still doing
telehealth visits. We have portals for continuous glucose monitors
(CGMs), so we can see patients’ glucose at home if they’re using
their phone for monitoring. ECW also has limited, but some,
external prescription history, so we can see what patients are filling
regardless of who’s prescribing it. Insurance formulary connections
can also be helpful.
Q. Going off that, given Thundermist’s target
population, how often do you recommend advanced
therapies such as smart inhalers, CGM devices, or
injection pens?
Durigan: A lot of that’s insurance-driven. For instance, I have a
smart pen for demonstration purposes, but I don’t think I’ve ever
had a patient on one. The same goes for smart inhalers. CGMs,
though, are much more accessible than they used to be, so we have
many patients on them, which makes management 10 times easier.
Gaines: CGMs are a great example of something that started out
as new and costly and, over time, became more commonplace as
costs came down. Given our investment in the community and the
patient population we serve, some of these new, innovative devices
are sometimes out of reach when they’re expensive. But as they
become more commonplace, we want to make sure that, whenever
possible, our patients have access to the best available care.
FALL 2026 I RETAIL/COMMUNITY • SPECIALTY • LTC
20
20WAYS TO IMPROVE PATIENT CARE & PHARMACY PROFITABILITY