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A Bitter Pill:


        National Pharmacy Closings Hinder Access, Increase Risk

        Healthcare Network’s Collier County pharmacies offer flexible alternative


        by By Martine Woolley, PharmD, MS, MBA, Vice President of Pharmacy

                  ajor pharmacy chains have closed hundreds of        If a prescription is too costly or not covered by insurance, the
                  locations in the past year, making pharmacy services   provider can prescribe an alternative immediately, and refills can be
        M harder to find in some areas and, where such services    expedited with providers nearby.
        are no longer available, creating “pharmacy deserts.” Without a   For those with complicated medical regimens or multiple
        nearby pharmacy, patients may have to travel further and navigate   medications, pharmacists can organize pills in blister packs to
        transportation challenges to obtain critical medications.   help a patient track what to take and when. Healthcare Network’s
           Access to a convenient pharmacy is vital because adults are   pharmacies provide mail-order and prescription delivery services,
        taking more prescription medications every year; up to 60% of   with support available for patients who speak languages other
        U.S. adults reported they took at least one prescription drug in   than English. Our multilingual pharmacy staff and language
        2023. Without access to a convenient pharmacy, patients may   interpretation services ensure clear communication, allowing us to
        struggle to obtain life-saving medications, resulting in more cases   stay closely connected with patients, offering guidance, education,
        of unmanaged chronic conditions, extended illness, and sometimes   and encouragement as part of their care team.
        severe health complications. Even delayed access to medications   Rising medication costs are another significant issue. According
        can have serious health consequences, including higher medical   to the American Hospital Association, drug prices for nearly
        costs and health complications.                            2,000 medications rose between 2022 and 2023 at a rate exceeding
           Often, when a service is no longer available, that is when we   inflation, with an average increase of 15.2%. These high costs
        recognize how truly important they are. National Pharmacist   are particularly burdensome for low-income, uninsured, and
        Day in January is dedicated to honoring and recognizing the   underinsured individuals, with estimates indicating that as many
        important contributions that pharmacists and pharmacy teams   as 44% of patients forgo filling prescriptions due to financial
        make to community health. Pharmacists do more than just    constraints.
        dispense medications. They help patients find affordable therapies   As an FQHC, Healthcare Network can offer some medications
        and provide preventive care services including vaccines and health   at a reduced price through the 340B Drug Pricing Program, which
        screenings. Pharmacies also often offer medical supplies and over-  requires pharmaceutical manufacturers to sell medications at a lower
        the-counter drugs. As people take more medications, pharmacists   price to FQHCs. In addition, our pharmacies accept most major
        are at the forefront of medication reconciliation, which includes   insurance plans, including Medicare and Medicaid, and can help
        reviewing all the medications a patient is taking to avoid errors   patients apply for available discounts from pharmacy assistance
        such as omissions, duplications, dosing errors or drug interactions.  programs.
           Medication therapy management is also a vital service, offering   Providing pharmacy services in areas of Collier County that
        patients education and consultation on their prescriptions, over-  already lack primary care doctors is one of the many ways that
        the-counter medications, vitamins, and supplements. This helps   Healthcare Network is increasing access to essential medical care
        patients better understand and manage their health.        for the community.
           Federally Qualified Health Centers (FQHCs) like Healthcare   About the Author
        Network in Collier County provide additional benefits through   Dr. Martine Woolley leads pharmacy operations at Healthcare
        their integrated pharmacy services. Healthcare Network has two   Network, including the Federal 340B discount program, to ensure
        on-site pharmacies: Nichols Community Health Center in Golden   accessible, high-quality care for patients and families. For more
        Gate and Marion E. Fether in Immokalee. These locations allow   information about Healthcare Network’s pharmacy services, visit
        patients to see a provider and fill their prescriptions at the
                                                                   HealthcareSWFL.org
        same site.



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