The optimistic answer is anyone with a strong work ethic and desire to succeed. While not entirely false, there are certainly some characteristics of a successful pharmacy owner.
Keep in mind that pharmacy owners wear many hats and act as more of a business operator than just a pharmacist. Ownership is extremely rewarding, but you don’t want to regret your role shift down the road. One characteristic that all new owners must possess is the ability to overcome the anxiety of the first year of ownership, according to Mark BonDurant of Independent Rx Consulting. “Most people can handle running a pharmacy,” he observes. “But the hard part of opening a store is getting through that first year. Business may be slow, and each month you’re watching thousands of dollars leave your bank account. Not everyone can handle the anxiety of the risk that comes with ownership.”
Action-oriented tasks can be accomplished in as little as six months; however, a proper planning period commands extensive time and energy. Expect the entire process – from gathering data to grand opening – to take about 1-2 years.
As you can imagine, there are so many factors that affect this estimate – region, store location, store type, etc. Costs can fluctuate from as little as $250,000 to as much as $1,800,000. To give an average, expect start-up costs to range from about $400,000 – $600,000.
Prescriptions: This is the most common way that independent pharmacies make money. They fill prescriptions for patients who have insurance or who pay cash.
Over-the-counter (OTC) medications: Independent pharmacies also sell OTC medications, such as pain relievers, cold and flu remedies, and allergy medications. These products can be a good source of revenue, especially for pharmacies that are located in areas with a high number of tourists.
Vaccines: Independent pharmacies can also offer vaccinations, such as the flu shot and the shingles vaccine. These services can be a good way to attract new patients and to generate additional revenue.
Compounding: Compounding is the process of creating a medication that is tailored to the specific needs of a patient. This can be a valuable service for patients who have allergies or who have difficulty taking certain medications.
Other services: Independent pharmacies may also offer other services, such as blood pressure checks, cholesterol screenings, and diabetes education. These services can be a good way to improve patient health and to generate additional revenue.In addition to these five examples, independent pharmacies may also make money through a variety of other channels, such as:
Mail order: Independent pharmacies can fill prescriptions for patients who live in remote areas or who prefer to have their medications delivered to their home.
Contract pharmacy: Independent pharmacies can contract with insurance companies to provide prescription drug coverage to their members.
Managed care: Independent pharmacies can contract with managed care organizations to provide prescription drug coverage to their members.
The specific ways that independent pharmacies make money will vary depending on the size and location of the pharmacy, the services that it offers, and the needs of its patients.
Starting your own pharmacy is an exciting venture, but remember, you're not in this alone. Connecting with industry professionals and seeking advice from those who've been in your shoes isn't just a good idea, it's essential. Their wisdom and experience are invaluable, and reaching out to them early can make a world of difference in your journey to success.
Initiating and nurturing these professional relationships early in your process of opening a pharmacy is crucial. This proactive approach provides you with a supportive network, comprehensive guidance, and practical solutions. Additionally, engaging with industry mentors and thought leaders extends your reach into the pharmacy community, offering diverse perspectives and experiences. These connections can be fostered by participating in industry events, joining professional organizations, and networking with fellow pharmacy entrepreneurs. By combining professional consultation with industry mentorship, you significantly enhance your prospects for success in the competitive world of pharmacy business.
Adequate research and a detailed plan are necessary to start your own pharmacy business. Unfortunately, there is no crystal ball to tell you whether your investment will pay off. It is your responsibility to ensure that your pharmacy will be profitable and beneficial to your community.
In order to serve your customers, you have to know who they are and where to find them. Conducting market research uncovers several consumer insights including demographics, psychographics, traffic patterns, and more. When looking at potential neighborhoods, consider the healthcare needs of the residents. Are you servicing an older community?
Or perhaps one with an abundance of new families and children? Differentiate your store by specializing in your community’s needs, whether it be geriatrics, pediatrics, pregnancy, sports health, active lifestyle, etc. Remember, big chains already sell to everyone. How can you serve your community?
Market research will help you determine your best location options.
Revenues, expenses, and free cash flow projections are the first glimpse into your pharmacy’s financial health. If you do not have a solid background in accounting, we highly recommend consulting an accountant for these projections.
Keep in mind that it may take several months after opening your doors to begin generating profit. Liquidity is key in your first year of business to ensure you do not run into any cash flow problems.
Your business plan should include enough detail for readers to capture the entire scope of your business, but concise enough to read in one sitting. Refer to the U.S. Small Business Administration for more guidance in writing your business plan.
The first page to be seen but the last page to be written, the Executive Summary serves as a one-page highlight of all major points detailed in the business plan. A good rule to follow is that if a potential partner or investor was reading your business plan, they should be able to read all information necessary to make a decision in the Executive Summary.
This section takes a high-level look at your future pharmacy. In this section, describe factors such as number of fills per day, clinical services offered, and front end products. This is also the section to discuss your target market.
This is your chance to honestly assess your competition. Who are they? Why are they a threat? How do you plan to carve out your own share of the market? Results from a SWOT Analysis and Perceptual Map are great to include in a complete, robust Competitive Analysis.
Sales and marketing strategies describe the methods you will use to get messaging, products, and services delivered to your target market. Marketing strategy consists of components like penetration, distribution, and communication. Sales strategies consist of activities for prescriptions, clinical services, and front end products. Remember that as an independent pharmacist, you are often providing much more than just medications to your patients.
Your Operation and Management plans will detail how your business will run, both in terms of systematic processes and managerial structure. Include how your business will be structured as a legal entity and your plan for obtaining all necessary licenses.
This is the most important section of your business plan, and will require review by a financial advisor to ensure that it is GAAP compliant. In this section, include financial projections such as forecasted income and expenses, cash flow budget, and startup requirements. Identify trends when possible and provide an analysis of your findings.
Last, but not least, the Appendix is the appropriate place for supplemental or explanatory materials that support the content in the body of the business plan, but would interrupt the flow if placed in the body. In addition to financial calculations, charts, and graphs, the appendix is a great place to show how you reached certain conclusions. This can be interviews, case studies, or letters from others in the industry. If it is relevant and supports your main points, it belongs in the appendix.
Choosing the type of business structure you want for your pharmacy depends on the amount of legal liability you desire, tax liability, and how much you are willing to spend on ongoing costs of formation and administration, according to Entrepreneur. There are four common types of companies you can classify your pharmacy as:
A sole proprietorship is a business owned and operated by one person. It is the simplest and most common form of business ownership. Sole proprietorships are easy to form and do not require any special licenses or permits. However, sole proprietors are personally liable for all debts and liabilities of the business. This means that if the business is sued, the owner's personal assets, such as their home or car, can be taken to satisfy the debt.
Sole proprietors also report their business income on their personal tax return. This means that they must pay self-employment taxes, which are a combination of Social Security and Medicare taxes.
When opening a pharmacy, it is important to consider the legal and tax implications of sole proprietorship. Sole proprietorships offer the simplicity and flexibility of being your own boss, but they also come with the risk of personal liability. If you are considering opening a pharmacy as a sole proprietorship, you should carefully weigh the pros and cons before making a decision.
Here are some of the pros and cons of sole proprietorships when opening a pharmacy:
Pros:
Simple to form and operate
No special licenses or permits required
Owner has complete control over the business
Profits are taxed at the owner's personal income tax rate
Cons:
Owner is personally liable for all debts and liabilities of the business
Owner must pay self-employment taxes
Owner may have difficulty raising capital
If you are comfortable with the risk of personal liability and the need to pay self-employment taxes, then a sole proprietorship may be a good option for you. However, if you are looking for a business structure that offers more protection from liability and tax benefits, then you may want to consider a different type of business structure, such as a corporation or limited liability company.
If you decide to open a pharmacy as a sole proprietorship, there are a few things you need to do to get started:
Register your business with the state.
Obtain a business license from the city or county.
Get the necessary permits and licenses from the state board of pharmacy.
Open a business bank account and credit card.Set up your accounting and bookkeeping system.
Market your pharmacy to attract customers.
Opening a pharmacy is a complex and challenging process, but it can be a rewarding experience. By carefully planning and executing, you can increase your chances of success.
When opening an independent pharmacy, it is important to consider the legal and tax implications of partnerships. Partnerships offer the flexibility of having multiple owners, but they also come with the risk of shared liability. If you are considering opening an independent pharmacy as a partnership, you should carefully weigh the pros and cons before making a decision.
Here are some of the pros and cons of partnerships when opening an independent pharmacy:
Pros:
Multiple owners can contribute to the business
More resources and expertise available
Easier to raise capital
Cons:
Partners are personally liable for the debts and liabilities of the business
Profits are taxed at each partner's personal income tax rate
Disputes between partners can be difficult to resolve
If you are comfortable with the risk of shared liability and the need to pay self-employment taxes, then a partnership may be a good option for you. However, if you are looking for a business structure that offers more protection from liability and tax benefits, then you may want to consider a different type of business structure, such as a corporation or limited liability company.
Corporations offer the most protection from liability and tax benefits for new pharmacies. S and C corporations differ from one another in the way earnings are recorded and taxed. Corporations are required to hold annual meetings and record minutes.
When opening a new pharmacy, it is important to consider the legal and tax implications of corporations. Corporations offer the most protection from liability, as the owners are not personally liable for the debts and liabilities of the business. Corporations also offer tax benefits, as profits can be taxed at a lower rate than personal income.
There are two main types of corporations: S corporations and C corporations. S corporations are taxed like partnerships, meaning that profits are passed through to the owners and taxed at their personal income tax rate. C corporations are taxed like individuals, meaning that profits are taxed at the corporate tax rate and then taxed again when they are distributed to the owners as dividends.
Corporations are required to hold annual meetings and record minutes. These meetings are important for making decisions about the business and for ensuring that the owners are informed about the business's operations.Here are some of the pros and cons of corporations when opening a new pharmacy:
A hybrid of the above entities, LLCs separate legal liability from the owner(s), but record taxes similar to Sole Proprietorships or Partnerships
Legal requirements will vary by state and by business structure, but the following are general guidelines to ensure smooth operations. For more information, visit Harbor Compliance Pharmacy Licensing or search requirements from your state’s Board of Pharmacy. Researching legal requirements is an important step in learning how to open a pharmacy, and you want to ensure that you have everything properly set-up before opening your business.
Before you begin operations, contact your federal, state, and local taxing authorities to set up the following accounts:
Insurance protects your pharmacy from liability in the event of a lawsuit. It is also necessary in order to engage in most contracts and practice agreements. Contact your local insurance broker to create a policy that is best for your pharmacy.
Developing both public and private health plan agreements ensure that your pharmacy is competitive and accessible to the community. Consider joining a Professional Services Administration Organization to better negotiate the terms of these contracts.
Mark BonDurant of Independent Rx Consulting has coached dozens of independent pharmacies through this process, and he notes a few realities of the financial aspect of pharmacy ownership:
Great amounts of research will go into selecting the perfect store location, whether you choose to rent, buy, or build. Visibility and accessibility of the store will be critical to ensure you get the most amount of traffic possible. You may consider setting up shop near a large chain pharmacy- take advantage of the extensive research they have done to identify the optimal locations. Also, you may have the opportunity to attract some of their customers and show what unique services you have to offer.
Once you have made your decision, it is now time to make the financial transaction and officially call the store your own. Make sure that you have all of the proper licenses and insurance required for owning or leasing property.
Hear honest advice from Pharmacy Matchmaker and Multi-Location Owner, Jeff Harrell
Designing the inside of your store is almost as important as selecting the physical location. Depending on the location you choose, you may have a lot of input or you may have no freedom to make design changes.
Hiring the right employees is an investment in the success of your business. It is important to establish a well-thought-out hiring process from the beginning and be consistent in your search. By picking and training the best team from the start, you can prevent a high turnover rate and retain your employees.
Write an employee manual that outlines both job descriptions and your pharmacy’s values, policies, and procedures. Because you are starting from scratch, you have the exciting privilege of creating your own company culture. You want to find people who will thrive in that culture. Beyond initial qualifications, look for candidates who share your values and passion for independent pharmacy. These individuals are responsible for your store’s success by engaging the community and turning them into loyal customers.
The size of your pharmacy will determine the number of individuals you hire. At the very minimum, you need to have a Licensed Pharmacist and Technician at your store. You may decide to hire more than one of each initially or in the future.
Once you have selected your team, lead them through a detailed training process that outlines a clear task hierarchy. Make sure to touch on ongoing tasks that can be done when the main work is finished- this will increase efficiency by making sure your staff is always keeping busy. Keep in mind that training is not a “one-time” event. You should be continuously educating your staff and refreshing their skills to stay up-to-date.
Taking time for open, two-way communication about each individual’s performance will make your staff feel appreciated and also give them pointers on how to improve. Establishing trust and creating an environment where your staff is comfortable asking questions will go a long way towards empowering your team. A good tactic to consider is continuous performance management intead of the typical annual review which leaves gaps in feedback.
Motivate your employees even further by challenging and rewarding them. If they have been chosen as a part of your team, they will have the passion to actually make a difference in the community. Keeping an encouraging work environment that promotes growth will instill the right values and set your team up for success.
Starting your own pharmacy is just like buying your first home – once you purchase it, you need to get everything that goes inside. This can seem overwhelming, but connecting with the right partners and resources will make your life easier and provide you with the best options for your pharmacy.
Your partnership with your wholesaler will directly affect your profitability. Building a strong relationship will go a long way in ensuring a stable, reliable inventory. When choosing a wholesaler, think about their proximity to your store, delivery schedules, and billing cycles. Other factors to consider are cost, customer service, products available for sale, and any discounts/incentives they may offer. If you join a PSAO, they typically provide guidance and contracting services to help you select a wholesaler that best fits your pharmacy’s needs.
Sometimes it may be necessary for a pharmacy to rely on multiple wholesalers. This could be due to price changes or availability of items. With PioneerRx, the software is equipped to automatically compare providers and manage inventory orders based on the current information available.
When Tabraiz Khan first opened Pharma1 Pharmacy and Wellness Center about 3 years ago, he chose PioneerRx as his pharmacy software from day one. He had heard good things from his professional peers and ended up deciding that PioneerRx was the right fit. “PioneerRx Pharmacy Software is honestly the most asked-about, number-one rated system out there,” begins Khan. “I knew I would eventually be getting into compounding, so I needed a standalone software that could do a little bit of everything, and that [led me] to PioneerRx. And it was just really simple to use, so I love the convenience of it.” His newly-hired PIC Matthew Kamphaus also notes how easy the software has been to learn and use on a daily basis.
Having the right tools and technology in your pharmacy allows you to innovate your workflow, gain loyal customers, and allocate time and resources efficiently. When opening a new independent pharmacy and selecting your pharmacy management system, it is vital to find a system that will grow with you. Think about where you see your business 5, 10, 15 years down the road. Will your pharmacy system be able to keep up? Make sure to also consider what features are included vs. what are add-ons. Are you going to spend even more money buying all the necessities for your system?
PioneerRx pharmacy software is the #1 software chosen by independent pharmacists to open their new stores with. Let us show you our passion for saving and revitalizing independent pharmacy and explore our full list of pharmacy features.
To further optimize your pharmacy system, you may decide to incorporate additional technology. Our mobile apps give you the flexibility to bring your workstation with you anywhere in the pharmacy – or outside of the pharmacy! Choose from valuable additions like HIPAA-Compliant 2-Way Messaging, Mobile Refills, Patient Counseling, Mobile Delivery, Drive-Thru, and Mobile Inventory. PioneerRx also partners with around 70 technology vendors to provide products that integrate seamlessly with our software. From automation to inventory to IVR and more, we connect you with the tools you need to take your pharmacy to the next level.
Every small business budget, no matter how limited, needs a line for marketing. Loyal customers are formed through trust, and how can customers trust you if they don’t know you exist? Your marketing effort will slowly build over time, but there are a few key areas to start thinking about from the start:
When you are trying to find out more about a business, where do you usually start? Most people immediately look online to find a website with more information. In today’s market, having a website is crucial for becoming a key contender in the competition. Again, this can start off very simple and progressively expand alongside your growing business. You may also consider utilizing social media platforms such as Facebook, Twitter, and Instagram. Getting the word out there and creating a brand image will establish your pharmacy’s credibility and outreach potential. Make sure that your branding is easily recognizable and cohesive across all platforms.
As an independent pharmacy, you already have the potential for a niche value that can set you apart from the typical chain pharmacies. However, this value is worthless if people do not know about it. Many patients are simply unaware of the unique services that a community pharmacy can offer them. From the start, you need to assess your local competition and differentiate your pharmacy’s services from the others in your area. Then make those services known- don’t be afraid to be proud of your work! Make it a point to also strengthen your personal touch. Build meaningful relationships with your customers that will foster loyalty and allow you to better serve them.
Paid advertising is important, but community engagement is key to starting an independent pharmacy. Talk to other independent businesses in your area and build relationships with healthcare providers and professionals. Forming a strong network will tie you into what is going on in your community and give insights on how to best operate your business. Find opportunities to participate in local events and get to know potential customers. You should also consider getting involved in local government boards or joining pharmacy organizations.
Once you have proved your value to potential customers, incentives are a good way to transform them into long-term customers. Offering discounts, having a referral rewards program, and providing free routine health screenings are all ways your pharmacy can show customers you care while still growing your business. Referrals will expand your customer reach and boost credibility, and free screenings can guide participants to fill any resulting prescriptions at your store. This is your chance to impress them! Every store’s marketing strategy will be unique – so use these tips as a guideline to creating the best plan for your pharmacy.
After countless hours of planning and preparation – you are ready to open your doors!
Well, sort of.
About a month before your open date, conduct a soft opening for only a few customers. Inevitably, there will be hiccups when opening your pharmacy. Soft openings act as a grace period for staff to master their routines and to ensure that all processes are working smoothly. Soft openings allow you to tackle road bumps immediately with only a few patients, rather than delaying a lengthening line of customers. This period of time allows you to focus on details and last minute tasks so that your grand opening is polished and successful. In preparation for the big day, make sure you spread the word so people are aware of when the grand opening will be. Also, work on building relationships with other local businesses and potential customers so you have a network before opening your doors.
Opening your pharmacy’s doors for business is an exciting day for you and your staff. Make it an exciting day for your new customers, as well!Host fun events for your entire community to see what your new business is all about.
Do anything that you can to attract your target market and show your community that you have arrived.
A first impression is a lasting impression, and this is your pharmacy’s first chance to spark lasting relationships within your community.
Fuel your passion for pharmacy by learning from a variety of enthusiastic, trailblazing leaders in the independent pharmacy industry. These pharmacy professionals and business owners have found their niche and succeeded in bringing their visions to life. Now it’s your turn.
Technology allows us to be digitally connected, and this is especially important in the world of healthcare. Pharmacists collect valuable data that needs to be recorded in a way that makes it easily accessible and shareable amongst other healthcare professionals. Shelly Spiro, CEO of Spiro Consulting, Inc. and Former Executive Director of the Pharmacy HIT Collaborative, joins us to explain the power of leveraging technology to share clinical data - and the importance of creating standards for interoperability.