executive summary and background
1
Business Plan: RX Direct Pharmacy
Business Plan: RX Direct Pharmacy
Executive Summary
The healthcare sector’s ever-changing dynamics call for constant improvement in the quality of care and treatment services. The current changes in care delivery, application of technology, and increased healthcare demands have resulted in the revolving and growing roles of professional nurses in administering medical care services(Anderson & Amar, 2017). Trends of that sort demand the implementation of effective strategies to address such changes. Healthcare providers are in direct contact with their patients, thus, play crucial roles in enhancing the attainment of improved patient and organizational outcomes(Anderson & Amar, 2017).
Rx Direct Pharmacy is the future of pharmacy care. An online pharmacy was created in 2021 by six eager and ambitious student pharmacists from Notre Dame of Maryland School of Pharmacy. Rx Direct Pharmacy is a healthcare company designed to provide all pharmacy needs directly to the patient in the comfort, convenience, and privacy of their own homes. We have a mission of providing affordable and accessible quality health care safely and directly to our patients whenever and wherever. More than ever, with the COVID-19 pandemic unwaning, there is an increased need for virtual health care services. Rx Direct Pharmacy aims to help minimize the unnecessary visits to the nearest local pharmacy for the average individual, lower transportation costs to pharmacies, and increase the ease with which prescription medications reach patients. Rapid technological advancement is presenting both challenges and opportunities in the administration of care and treatment services. The migration from the traditional manual system to electronic health record (EHRs) management systems has led to improved medical services administration(Jetley & Zhang, 2019). Strategies of that sort aresignificant in enhancing patients’ experiences and satisfaction as far as the provision of care and treatment services are concerned (Jetley & Zhang, 2019). Various EHRs systems are now available, including the Kareo software application. As Jetley& Zhang (2019) stated, EHR is a digital version of the manual paper. The software is critical in managing the day-to-day aspects of patient care such as patient records, prescriptions, diagnosis, billing, treatment, etc.Besides, it offersvital portals for ensuring direct communications with the relevant stakeholders such as patients and professional healthcare workers. The patients may be interested in booking appointments, accessing the diagnostic outcomes, making payment, or even filling in some electronic forms. EHR systems tend to be broad-based and cover all aspects of administering patients’ logistics within the pharmacy. At the moment, various software application platforms such as theKareo software system, which is widely used in nursing practice, especially in primary care settings, are existing.
In Rx Direct Pharmacy, the functional features of the Kareowill be vital in the administration of healthcare services. Loading the patients’ data into the Kareo software will enable thehealthcare providers to track individual patients’ health records, including the management of their bills (Jetley & Zhang, 2019). The administrator of Rx Direct Pharmacy will determine each patient’s outstanding dues hence facilitating appropriate action. Other than tracking the patients’ health records and data, the softwarewill be utilized in analyzing and reporting, a feature that enables the healthcare providers to generate different kinds of reports(Jetley & Zhang, 2019). It will also be utilized in sorting outpatients with payment dues to avoid running into a liquidity crisis.
Besides, multidisciplinary collaboration and teamwork are critical components of an effective healthcare delivery system. The Kareo has a built-in feature that will enablethe healthcare providers to communicate with each other in a timely fashion(Jetley & Zhang, 2019). The approach is critical in the improvement of medical services, thus, enhanced patient and organizational outcomes. Due to the ever-increasing cost of the medical services, the installation of Kareo software will allow the pharmacyto avoid non-payments arising from the health insurance companies’ rejection (Jetley & Zhang, 2019). The software tool can enable the administrator to communicate with the health insurance companies to ascertain patients’ eligibility for insurance cover before administering medical services(Jetley & Zhang, 2019). Performance is a vital indicator in assessing the quality of care and treatment services. Kareo has a customizable dashboard that aids the healthcare providers in displaying, tracking, and analyzing the patients’ data. It also facilitates the creation of performance and productivity regulations within the primary care settings(Jetley & Zhang, 2019).
Background Information
Our virtual pharmacy’s target population can be global potentially, but to start, we would like to focus on various parts of Baltimore, Maryland. Baltimore city is one of the cities with a high population of underprivileged communities. Baltimore city is at position 87 out of the 100 major cities in terms of median household incomes. Approximately two out of every ten residents live below the poverty line. The low-income earners whose residence is in rural areas are factors associated with various adverse health outcomes. Finding time and means to focus on healthcare can be a luxury that some residents can not afford. For the elderly or impaired, traveling back and forth between healthcare facilities can be an overwhelming task. Rx Direct Pharmacy can make pharmacy services more accessible, which will positively affect the city’s residents’ overall health. Rx Direct Pharmacy will be providing services where vital will be performed, such as pulse, blood pressure, and blood glucose. Besides, we will provide vaccinations, education on medication usage, and medication adherence by providing pillboxes to patients in need.
We chose the Baltimore, Maryland area as our fulfillment center location because of Maryland’s patient demographic. Maryland’s population is predominantly adults ages 33-54, children ages 0-18, and elderly patients ages 65 and up. Since the population is very diverse, there will be a need for pharmacy services regularly. With the current healthcare issues Americans are facing; this population will benefit significantly from the pharmacy expertise that Rx Direct Pharmacy can provide. Rx Direct pharmacy will offer many unique services to its patients. For instance, it will provide a wide drug formulary with medications that cater to patients of all ages, especially the elderly patients with hypertension, hypercholesterolemia, diabetes, and other common chronic medical conditions in the population. Rx Direct Pharmacy will provide traditional prescription filling services. Our patients will have access to licensed pharmacists that will assist patients on how to best use their medications, provide counseling, perform medication reviews, give vaccinations and perform blood pressure checks. Rx Direct Pharmacy will also establish a working relationship with our patients, other healthcare providers and recommend any possible medication changes directly to the patient’s primary provider. Rx Direct Pharmacy will offer a mobile app for patients to track their prescription information, prescription delivery updates, medical information. Also, they will be able to request virtual consultations other services that our on-call pharmacist can provide to the patient in the comfort of their home. The ever-increasing technological reality makes it possible for families to utilize the mobile app to request prescription refills or other pharmacy services for their not-so-tech-savvy elders, which will help minimize medication adherence issuesthat arise if this population were to use the local neighborhood pharmacy.
References
Anderson, C. M., & Amar, A. F. (2017). Overview of the Robert Wood Johnson Foundation Nurse Faculty Scholars program: A Commentary. Nursing outlook, 65(3), 265-266.
Jetley, G., & Zhang, H. (2019). Electronic health records in IS research: Quality issues, essential thresholds and remedial actions. Decision Support Systems, 126, 113137.
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Table of contents
Executive summary………………………………………………………………..……………………………………………………………….2
Background………………………………………………………………………………………………………………………..………………..
3
-4
SWOT Analysis………………………………………………………………………………………………………………………………………4-5
Strengths
Weaknesses
Opportunities
Threats
Marketing, Strategies, and Operations……………………………………………………………………………….…………………………………………….………….6-8
Location and Demographic
Information
Operation Structure
Target Population
Advertising Strategy
Partnerships and Distributor
Critical Risks and Opportunities…………………………………………………………………….……………………………….………9
Potential Risks
Mitigating Risks
Opportunities
Budget Analysis and Supplement……………………………………………………………………………………..…….……………11
Income and Expenses
Equipment
Formulary……………………………………………………………………………………………………………………………………………..17
Executive Summary
Rx Direct Pharmacy can be compared to Amazon but we do not hold Amazon pharmacy to our bar. Our brand is patient care not cheap drugs. We have an online application that allows our business to provide ….. We are able to assist diabetic patients and guide them with theiris the future of pharmacy care. It is an online pharmacy created in 2021 by six eager and ambitious student pharmacists from Notre Dame of Maryland School of Pharmacy. Rx Direct Pharmacy is a healthcare company designed to provide all pharmacy needs directly to the patient in the comfort, convenience, and privacy of their own homes. Our mission is to provide affordable, and accessible quality health care safely and directly to our patients whenever, and wherever. Now more than ever with the COVID-19 pandemic unwaning, there is increased need for virtual health care services. Rx Direct Pharmacy aims to help minimize the unnecessary visits to the nearest local pharmacy for the average individual, lower transportation costs to pharmacies, and increase the ease with which prescription medications reach patients. As long as our patients have access to internet connection, they will be able to review their patient medication history, help keep track of their medication refills, and that all their immunizations are up to date.
We chose the Baltimore, Maryland area as our fulfillment center location because of Maryland’s patient demographic. Maryland’s population is predominantly adults ages 33-54, children ages 0-18, and elderly patients ages 65 and up respectively. This is a very diverse population that will need pharmacy services regularly, and with the current health-care issues Americans are facing, this population will benefit greatly from the pharmacy expertise that Rx Direct Pharmacy can provide.
Rx Direct pharmacy offers many unique services to our patients such as a wide drug formulary with medications that cater to patients of all ages, but particularly elderly patients with hypertension, hypercholesterolemia, diabetes and other common chronic medical conditions in the population. Rx Direct Pharmacy will provide traditional prescription filling services, our patients will have access to licensed pharmacists that will assist patients on how to best use their medications, provide counseling, perform medication reviews, give vaccinations and perform blood pressure checks. Rx Direct Pharmacy will also establish a working relationship with our patients, other healthcare providers and recommend any possible medication changes directly to the patient’s primary provider. Rx Direct Pharmacy will offer a mobile app for patients to keep track of their prescription information, prescription delivery updates, medical information, to request virtual consultations with pharmacists, and to request for any other services that our on-call pharmacist can provide to the patient in the comfort of their home. And with our increasingly technological reality, families can utilize the mobile app to request prescription refills or other pharmacy services for their not so tech-savvy elders which will help minimize medication adherence issues that could otherwise arise if this population were to use the local neighborhood pharmacy.
Tech experience and clinical knowledge
Wearables implementing
Fees and hours of operations
Extra ways to get revenue
Marketing schemes to attract customers
Money and market share outline
Percentage of customers and how to get them involved based on financial stats(APHA website NCPA)
What makes us special/different try to get them excited
Avg cost of prescriptions
Background
The target population for our virtual pharmacy can be global potentially, but to start we would like to focus in various parts of Baltimore, Maryland. Baltimore is a city with a large amount of underprivileged communities. They rank 87th out of 100 major cities in terms of median household incomes. Approximately 2 out of every 10 residents live below the poverty line. Poverty or low-income status, residence in rural areas are factors associated with a variety of adverse health outcomes. Finding time and means to focus on healthcare can be a luxury that some residents can not afford. For the elderly or impaired traveling back and forth between health care facilities it can be an overwhelming task. Rx Direct Pharmacy can make pharmacy services more accessible which will have a positive effect on the overall health of the city’s residents. Rx Direct Pharmacy will be providing services where vitals will be performed such as pulse, blood pressure, and blood glucose. In addition we will provide vaccinations, education on medication usage and medication adherence by providing pill boxes to patients that are in need.
Our staff will consist of a full-time pharmacist that will verify all patient prescription info and insurance prior to filling and handling all virtual services with patients, one full time pharmacy technician assisting our full-time technician throughout the week and the two part time technicians working together on the weekends to handle all prescription filling and packaging. We will also have an on-call pharmacist handling all our in-person services. Our two delivery drivers will work on rotating shifts throughout the week and weekends to deliver patient prescriptions to their homes. We chose to start with a small roster of employees till our business grows and hits the break-even amount and begins to bring in a good amount of profit. We will obtain our supplies and inventory from retailers and manufacturers like Amazon, Mckesson, AmerisourceBergen to keep our initial supply costs low but receive quality products. Rx Direct pharmacy will use as many avenues to advertise the business as possible such as all social media (Twitter, Facebook, Instagram), Google ads, business cards and encourage our employees to use old fashioned word of mouth to advertise. And finally, our mobile app will also be advertised on Apple store as well as Google Play store so that potential customers can download it, understand the services we offer, get the opportunity to enroll in our membership savings account and start enjoying the benefits of using Rx Direct pharmacy for their prescription service.
SWOT Analysis
· Ease of access directly to customer/patient base fingertips using mobile technology especially for those who struggle to travel to their pharmacy
· Safe and secure environment to maintain individuals healthcare plans with private access to your health and medication records
· Cost-effective option to standard pharmacies, savings from cutting out the middleman will go directly to our competitive prices
· Time saving, patients will no longer have to wait in lines and can update their care in the comfort of their homes, at work, or wherever they are
· Provides competitive prices and services for patients
· Versatility and integration of healthcare services directly to patients by linking you and your pharmacist through a virtual setting.
· Improved medication adherence, medication delivered to patients home will reduce amount of medications not being picked up
· A team of insurance experts accepting all forms of insurance
· Fast and reliable delivery service with app tracking
· Large quantity of medications that other delivery service do not provide, ie. dieabetic testing and administration supplies, suspensions, vaccines etc.
Weakness
· It can be difficult for elderly or the more traditional consumer to adjust to a new type of service in a business where established trust is valued
· Production, initially will be difficult to establish compared to conventional pharmacies
· Technologically challenged patients will have difficulty adapting to the virtual setting` initially
· Hesitation from potential customers to leave their already somewhat functioning pharmacy setting
· Medicaid and Medicare authorization may take between two to three months for authorization
· Maryland population is 16% while Washington DC & Virginia population is 32.3% elderly 65 years and older
· Hours of operation on the weekend is less compared to weak days, therefore it will reduce the amount of prescription deliveries on the weekend
Opportunities
· Partnership with local providers and pharmacies to provide pharmaceutical services including but not limited to prescription fulfillment, healthcare information
· Amazon partnership?
· Networking with all pharmacies in maryland to use our services
· Tech tracking with wearables
· Opportunities for expansion outside the Baltimore area due to expected increase in demand for various pharmaceutical services and the fact that most services are arranged/managed online virtually
· Integration of different services healthcare providers can offer through the use of our virtual application ie. virtual video calls counseling, refills, etc
· Establish a membership program with increased savings which can encourage customers without insurance to join by offering incentives for loyalty and also reduce waiting time in regards to health insurance coverage
· Increase demand for patients with limited mobility or chronic illnesses due to growth in senior demographic population
Threats
· Increase in market competition, from other pharmacy delivery providers (pricing pressure)
· Many patients are uninsured which could negatively affect profits if medications can not be afforded
· Additional government regulations, changing of legislations, and tax policies for pharmacies and delivery services
· Fire or any kind of natural disaster can stop production indefinitely
· Hacking of our application system can halt our production and risk loss of patients personal information
· Equipment malfunction can slow production down
· Internet outage will cause our business operation to shutdown
· Theft can be a deterrent for customers and delivery drivers
· Medication shortages can decrease profits and supplies for customers causing a lack of trust in the service
· Inclement weather can make delivery times delayed for uncontrolled amount of time
Benefits of Rx Direct Pharmacy
· A cost-effective option to 24- hour pharmacy
· Resolve issues and answer questions from the patients
· Fewer medication errors and rapid order verification system
· Faster delivery services
· Mobile care and vaccinations
· 24 hour access to personal medical resources through the patient mobile app
· Decreased cost per prescription with the patient membership discount
·
Patient
requests for additional services through the patient mobile app
· Accepts all types of health insurance
Marketing Analysis and Logistics
Demographics and Location
To start, Rx Direct Pharmacy will predominantly serve patients in Baltimore along with the rest of Maryland. Rx Direct Pharmacy will offer a membership savings service for patients who may not be able to pay for the full cost of their prescriptions and delivery or for patients lacking insurance.
The pharmacy will offer its services to all demographics such as busy working adults, the underinsured, residents of rural areas in the city, busy college students, or just anyone who would prefer to skip the line at the neighborhood pharmacy to have their medication delivered to their doorstep.
· Specific Location in Baltimore where pharmacy will be located?
Operational structure
Since Rx Direct Pharmacy is not a Brick and Mortar pharmacy, we can establish a fulfillment center practically anywhere in Baltimore, where our pharmacists will check prescriptions received and pharmacy technicians will fill these prescriptions, our pharmacists will do a final check on the prescriptions which can then be beautifully packed for immediate delivery.
We plan to have one full time pharmacist to check all prescriptions and handle all the virtual services, a full-time pharmacy technician and two part-time pharmacy technicians to perform all filling and compounding of the prescriptions.
We will have an on-call pharmacist to fulfill house calls for additional services requested by patients through the mobile app such as vaccinations, blood pressure checks, diabetic testing, and counseling.
We will also have two drivers to handle all prescription deliveries to patient’s addresses.
Rx Direct Pharmacy’s fulfillment center will operate Monday to Friday, from 9am-6pm, Saturdays & Sundays from 9am-3pm.
The pharmacy will offer services like a mobile app (housing all patient prescription information, insurance, and membership savings account information), video chats with a pharmacist for medication reviews, counseling, diabetic testing, vaccinations, and blood pressure checks.
Traditional prescriptions will be filled in vials with or without safety vials as requested by the patient.
Target Population
As stated earlier, Rx Direct Pharmacy aims to serve any and all populations in Baltimore and the rest of Maryland. However, the pharmacy will especially like to cater to patients in rural parts of Maryland to increase access to pharmacy services for those rural residents, increase medication compliance, as well as reduce time spent commuting to brick and mortar pharmacies.
Rx Direct Pharmacy will provide pharmacy services to busy individuals from the average college student, to the accountant working 60-hour weeks, or just a tech savvy individual that would prefer to skip the line at the local pharmacy and have their prescription delivered to their doorstep.
Rx Direct Pharmacy will offer membership savings accounts to patients who lack insurance or are underinsured to increase the affordability of their filled prescriptions and additional requested services. The pharmacy will however accept any and all major insurances to cover the cost of filled prescriptions. Rx Direct Pharmacy will also accept payments in the form of cash, credit or debit cards for all services provided.
Advertising
To advertise our pharmacy, we will utilize social media platforms like Instagram, Facebook, Twitter. We will also list our business on Google with the services we offer as well as our hours of operation. This listing on Google will allow us to make use of Google ads, where we will pay a daily fee to have our pharmacy business listing appear on any Google search for an online pharmacy.
The Rx Direct Pharmacy mobile app will also be advertised using Apple’s App Store or Google Play Store as an online pharmacy. This will allow potential patients to download the app, see all services offered along with the membership savings account available, and potentially enroll to have their prescriptions filled at Rx Direct Pharmacy. Rx Direct Pharmacy’s mobile app will be linked to our main website which will be listed on Google as well.
Our delivery drivers and on call pharmacists will also make it a priority to hand every patient our business card(s) for their personal use as well as for the patient to distribute to friends and family.
Social Media & Website Information
Instagram, Twitter, Facebook: @RxDirectPharm
Website:
www.RxDirectPharmacy.com
Phone
number: (410)-200-3000
Critical Threats and Opportunities
Threats
only one threat and elaborate how to mitigate that threat
a. Hacking of our application system can halt our production and risk loss of patients personal information
Mitigating Risks
a. We can set up a cloud storage or backup system that will save all patient information. In addition we can use more than one password to retrieve private patient information. Following these steps will help our business to run smoothly.
Opportunities PIck one and how to grow. What are you doing now to get there/ capitalize off that opportunity (eventual buy out by large corporation)
a. Expand our virtual pharmacy services across multiple states
b. Baltimore is a great city to start a retail healthcare business with over 87 percent of the people living in Baltimore have some sort of health insurance and an average income per capita of over $40,000 and a retail expense of $15,000
c. Establish a membership program with increased savings which can encourage customers without insurance to join by offering incentives for loyalty and also reduce waiting time in regards to health insurance coverage
d. Virtual pharmacist verification and counseling allows the outreach of our pharmacy to expand indefinitely
e. Increasing our available medication on our formulary will increase our profits and customer base as we will be able to provide all pharmaceutical needs for any customers needs
f. Partnering with ambitious and forward thinking healthcare providing teams can expand the business past its pharmacy routes to a virtual health management organization
Financials
Personnel
: We plan to have one full-time pharmacist and an on-call pharmacist, a full-time pharmacy technician and two part-time pharmacy technicians, and two delivery drivers.
Office Supplies and Software
Quantity Cost Total
Desktop: HP All-In-One
64
9.99
12
99.98
Tablet
: Samsung-Galaxy
2
119.99
239.98
HP Officejet Pro All-in-One printer
166.74
Printer Ink Cartridge
2
18.89
37.78
Printer pack (4 pack)
1
54.89
54.89
Fixtures and Shelving
2
850.00
1,700.00
Label paper
1
12.49
12.49
Bic Round Stic Xtra Life Ballpoint Pen (144-count)
1
13.99
13.99
Stapler
1
13.99
13.99
3-hole puncher
1
7.54
7.54
3-ring binder
1
3.89
3.89
File cabinet
1
70.99
70.99
Pharmacy Bays
2
75.00
150.00
1
44.95
44.95
Mini Refrigerator
1
83.98
83.98
Prescription bottles plus lids (case of 200)
1
12.90
12.90
Counting Tray with 2 Spatulas
2
19.98
Graduated cylinders
1
9.39
9.39
Rx-4 Automatic Pill Counter
1
2599.00
2,599.00
Electronic Delivery System
1
4,500
4,500
WinPharm Pharmacy Management Software System
1
9,500
9,500
Trash cans (2 pack)
1
26.95
26.95
First Aid kit
1
8.25
8.25
Office supplies total and software totals
20,577.66
Insurance
|
Store + Malpractice |
2500.00 |
2,500.00 |
|
Advertisement
s Quantity Cost Total
|
Advertisement (monthly) |
12 |
385/monthly |
4,6 20.00 |
Additional Expenses Overhead
Rent (yearly) (
27.00
/ sq. ft for 500 sq. ft)
13,500
Utilities
2,100
Smart Van
(1-time fee)
15,848
4-Wheel Van (1-time fee)
14,988
Car insurance/yearly
1,750/yearly
Gas
and maintenance/yearly (estimated)
6,000
54,186.00
Additional Prescription Expenses/
Revenue
|
Estimated cost of medications per prescription |
20.00 | |
|
Estimated cost of medication vial per prescription |
0.50 |
|
|
Estimated cost of patient ed. Materials per RX |
1.50 |
|
|
Estimated cost of delivery per prescription |
4.50 |
|
|
Capsule s per prescription |
||
|
Average prescription charge (can vary) |
27.00 |
Revenue
|
Average Dispensing fee per RX |
19.00 |
|
Variable cost + Revenue Total |
46.00 |
Projected Amount before Breaking even
P x V=Fc+Vc
Income and expenses ( personel, supplies, certifications, advertising)
Personnel- salary $250,667
Pharmacist-Full-time
$116,923
Pharmacist- Part-time
$50/hour (average 10-20 hours per week)
Pharmacy technician-Full-time
$31,720
Pharmacy technician-Part-time
$13.50/hour. (average 20 hours per week)
Delivery drivers
$10.50/hour (average 32 hours per week)
https://www.glassdoor.com/Salaries/pharmacist-salary-SRCH_KO0,10.htm
Equipment
HP – 23.8″ Touch-Screen All-In-One – AMD Ryzen 3-Series – 8GB Memory – 256GB SSD – Jet Black
Samsung – Galaxy Tab A (2019) – 8″ – 32GB – Black
119.99
https://www.bestbuy.com/site/hp-23-8-touch-screen-all-in-one-amd-ryzen-3-series-8gb-memory-256gb-ssd-jet-black/6402515.p?skuId=6402515
https://www.bestbuy.com/site/samsung-galaxy-tab-a-2019-8-32gb-black/6368084.p?skuId=6368084
HP Officejet Pro 8028 All-in-One Printer, Scan, Copy, Fax, Wi-Fi and Cloud-Based Wireless Printing (3UC64A)
166.74
Ink for Printer
(5) Black & Tri-color Combo Inkjet Cartridge for 73.78 each
Pill bottles will be used in both locations for patient medications. They will be obtained
through our distributor McKesson. Bottle Pill 6DR 600/CS Clark Vial Generic Push & Turn
for $0.13 per bottle. https://mms.mckesson.com/product/891739/
Drug
-Package-CV-
GPT6-600
One mini fridge will be used in our company to store vaccines and medications that
need refrigeration. Supernon Galanz 1.7 cu ft Compact Refrigerator, Black for $83.98
each. https://www.amazon.com/Galanz-1-7-Compact-Refrigerator-Black/dp/B00Y3ON29A/ref=sr_1_3?crid
LexiComp
One-time fee for the subscription of the program. Program will be used for reference of
medications in both of our pharmacies. One-time fee of $798.
http://webstore.lexi.com/Information/Product-Information/Lexi-Comp-ONLINE-
Purchasing-Options
Labels will be used to print out instructions, medication name and other relevant
information the dispensed medicine may need. They will be obtained through our
distributor McKesson. Blank Label Printer Label Without Legend White for $0.03 per
label for a package including 12 rolls.
https://mms.mckesson.com/product/826493/CompuGroup-Medical-9100AC01
Gloves will be used to maintain sterile conditions
during testing. Klex Nitrile Exam Gloves – Medical Grade, Powder Free, Latex Rubber
Free, Disposable, Food Safe, Lavender Medium for $47.99 for a package of 1,000 gloves
(100 gloves per box). https://www.amazon.com/Klex-Nitrile-Exam-Gloves-
Disposable/dp/B06WWHTP8C/ref=sr_1_4?crid=7I73ZOVQP4X&keywords=gloves%2Bme
dical&qid=1555997710&s=gateway&sprefix=gloves%2Bmed%2Caps%2C131&sr=8-
4&th=1
Paper, pens, stapler, staples, etc.
$40.00
Amazon.com
Smart Van
2017 Ford Transit Connect Cargo XL LWB FWD with Rear Cargo Doors – $15,848
https://www.cargurus.com/Cars/l-Used-Van-Baltimore-bg8_L14959#listing=294511817_isFeatured
4-Wheel drive Van
2015 Chevrolet City Express Cargo Van LS – $14988
https://www.laurelkia.com/used-Baltimore-2015-Chevrolet-City+Express+Cargo+Van-LS-3N63M0YN1FK706393
Advertisement
Website, mobile app, business cards, and social media marketing
$4620/yearly
Education
RX Connect
1649.00/yearly
http://webstore.lexi.com/Lexicomp-Premium-Retail-Pharmacists?webSyncID=57c101c8-7730-be1a-55b4-3b82c3b10a61&sessionGUID=82a55024-5013-bd81-74a3-24e23ca38d4b&_ga=2.12082550.317859021.1556033261-2089808381.1550893658
Formulary
Overview:
Rx Direct Pharmacy overall objective is to provide a quality pharmacy experience that our customers are used to directly to our customers doorsteps. Our team of talented pharmacists have derived a formulary that prioritizes convenience, affordability, and our patients needs. We will offer a full formulary with the top most used and available medications while stocking the more affordable generic forms of the medications. Some of the most common diseases that require medications are hypothyroidism, hypertension, hypercholesterolemia, and diabetes. Knowing this, our pharmacy made sure to have several different medications that help treat these.
Levothyroxine
has been in the top 3 medications prescribed over the last 10 years, lisinopril coming in second last year, atorvastatin in 3rd, and then metformin coming in 4th. Antibiotics are a must when dealing with pharmaceutical healthcare, and lastly we tried to also have some medications that are more over the counter every day issues such as allergies, GERD, and supplemental therapy.
Focus on FDA indications, combinations of medication, Citations, and add more to PI about different side effects or situations, all dosage forms (IR, ER, solutions etc.) oral solutions injections
REMS?
Amlodipine
Azithromycin
Prednisone
HCTZ
Glimepiride
Flu vaccine
Maybe insulin pen
| Drug |
Indication |
Dosage Forms |
Side Effects |
Patient Information |
Storage |
Access |
|||||||||||||||||||||||
|
Famotidine |
Ulcers Reflux disease |
Oral Tablet |
10mg |
Central nervous system agitation Headache Dizziness Diarrhea Constipation Necrotizing Enterocolitis |
All oral products: • Take with or without food. •Ask your doctor before you take antacids with this drug. Liquid (suspension): •Shake well before use. •Measure liquid doses carefully. Use the measuring device that comes with this drug. If there is none, ask the pharmacist for a device to measure this drug. Injection: •It is given as a shot into a vein. |
Store at 25°C (77°F) ; excursions permitted to 15°C to 30°C (59°F to 86°F). Protect from light. |
Accessible |
||||||||||||||||||||||
|
Vitamin C |
Ascorbic acid deficiency |
100mg – 1 500mg |
Hyperoxaluria Dizziness Fatigue Headaches Heartburn |
Take medication by mouth as directed by your primary provider as a dietary supplement |
Store at room temperature |
Accessible | |||||||||||||||||||||||
|
Atorvastatin |
Hypercholesterolemia |
10mg 20mg 40mg 80mg |
Diarrhea
Arthralgia Nasopharyngitis Stroke Diabetes Mellitus Nausea Insomnia |
Take medication by mouth as directed by your primary provider for high cholesterol |
Store at 20°C to 25°C (68°F to 77°F) . |
||||||||||||||||||||||||
|
Fluticasone Propionate |
Nasal Spray |
Allergic and non-allergic nasal symptoms |
27.5mcg /spray |
Headache
Body pain Dizziness Weight gain Nausea Vomiting Local irritation |
Spray in nose as directed by primary provider as needed to relieve nasal and eye symptoms |
Store between 4°C to 30°C (39°F to 86°F). |
|||||||||||||||||||||||
|
Cetirizine |
Allergic Rhinitis |
Oral tablet |
Drowsiness, Dry mouth. |
Take with or without food. Take with food if it causes an upset stomach. |
Store at room temperature in a dry place. Do not store in a bathroom. |
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Clonidine |
Attention-deficit/ hyperactivity disorder high blood pressure |
0.1mg 0.2mg 0.3mg |
Feeling nervous, headache, somnolence. |
Take with or without food.
Take this drug at the same time of day. |
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|
Valacyclovir |
Herpes infections |
500mg
1g |
Malaise, headache increased LFTs |
Take with or without food.
Drink lots of non caffeine liquids unless told to drink less liquid by your doctor. |
Store at room temperature in a dry place. Do not store in a bathroom. | ||||||||||||||||||||||||
|
Hydroxyzine |
Insomnia associated with anxiety |
Oral tablet Capsule Syrup Injectable solution |
10mg
2 5mg 50mg 25mg 50mg 10mg/5mL 25mg/ml 50mg/ml |
Sedation, headache, dry mouth, fatigue |
Store at room temperature protected from light. Store in a dry place. Do not store in a bathroom. |
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|
Losartan (Cozaar) HCTZ-Losartan (Hyzaar) |
Hypertension Diabetic nephropathy, In Type 2 Diabetes and History of Hypertension Cerebrovascular accident, In hypertensive patients with left ventricular hypertrophy; Prophylaxis Hypertension |
Oral Tablet
Oral Tablet |
25mg 50mg 100mg 12.5-50mg 12.5- 100mg 25-100mg |
Cough Back pain Constipation Hypotension Hyperkalemia Upper respiratory infection Dizziness Common cold symptoms Back pain |
Take your medicine as directed. This medicine is not safe to take during pregnancy, especially in your second or third trimester. It could harm an unborn baby. Tell your doctor right away if you become pregnant. Take your medicine as directed. |
Store at 25°C (77°F). Protect from light. Store at 25°C (77°F). |
Accessible | Accessible | |||||||||||||||||||||
|
Lisinopril (Zestril) Lisinopril/HCTZ (Zestoretic) |
Hypertension
Acute Myocardial Infarction Heart failure Management of hypertension |
Oral Tablet
Oral Solution | Oral Tablet |
2. 5 mg 5 mg 10 mg 20 mg 30 mg 40 mg 1mg/1ml 12.5-10 MG 12.5-20 MG 25-20 MG |
Diarrhea Dizziness Dry cough Headache Hypotension Feeling dizzy, tired, or weak Headache |
Store at 15°C to 30°C (59°F to 86°F). Protect from moisture Store at 20°C to 25°C (68°F to 77°F) . Protect from excessive light and humidity. |
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|
Levothyroxine
(Synthroid) |
Thyroid Supplement |
25mcg- 2300mcg |
Decreased appetite Anxiety Diarrhea Insomnia Hair loss |
Take your medicine as directed. Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal including over-the-counter medicines, vitamins, and herbal products |
Store at 25 °C (77 °F). Protect from light and moisture |
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|
Atenolol (Tenormin) Atenolol/Chlorthalidone (Tenoretic) |
Hypertension Angina Myocardial Infarction: early treatment and secondary prevention Management of hypertension |
Oral | Tablet |
25 mg 50 mg 100 mg 50-25mg |
Slow heartbeat Cold extremities Dizziness Fatigue Depression Chest pain Nausea Vomiting Lack of appetite Constipation Abdominal cramps |
Take your medicine as directed. |
Store at 20°C to 25°C (68°F to 77°F). Store at 20°C to 25°C (68°F to 77°F). Protect from light. |
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|
Sertraline |
Major Depressive Disorder OCD, Panic Disorder, PTSD, premenstrual dysphoric disorder, social phobia |
Oral Solution |
25mg
50mg |
QT prolongation CNS depression |
Oral solution: Must be diluted immediately before use to make the preparation more palatable Use with caution in patients with latex sensitivity; dropper dispenser contains dry natural rubber. |
Store at 20°C to 25°C (68°F to 77°F) | |||||||||||||||||||||||
|
Fluoxetine |
Bipolar Major Depression Major Depressive Disorder |
Oral tablet |
5mg 10mg 20mg |
CNS depression QT prolongation |
Administer without regard to meals. Take medication as directed by prescriber For patients attempting to conceive, symptom onset dosing may be beneficial to minimize potential fetal exposure |
All dosage forms should be stored at controlled room temperature. Protect from light. |
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|
Metoprolol |
High blood pressure Chest pain Heart failure |
50mg 100mg |
Sinus bradycardia Anaphylactic reactions |
Tablets: Administer with food or immediately after meals; swallow whole with a glass of water. Use with caution in patients with diabetes mellitus; may potentiate hypoglycemia and/or mask signs and symptoms. Use beta-blockers with caution in patients with myasthenia gravis |
Store at 25°C (77°F) |
Accessible |
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|
loratadine |
Allergic rhinitis or conjunctivitis Relief of nasal and non-nasal symptoms of seasonal allergies |
5mg |
10mg |
Headache
drowsiness Fatigue Skin rash nausea |
Oral: Administer without regard to meals Rapidly disintegrating tablet: Place rapidly disintegrating tablet on the tongue;tablet disintegration occurs rapidly; may administer with or without water |
Store at 20°C to 25°C | |||||||||||||||||||||||
|
Propranolol |
Hypertension
Cardiac dysrhythmia Angina pectoris Migraine |
10 Mg 20 mg 60 mg 80 mg |
Constipation
Abdominal pain Abdominal cramps Nightmares Trouble sleeping |
Tablets (immediate release) should be taken on a empty stomach |
Store at controlled room temperature; protect from freezing or excessive heat. |
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|
Ibuprofen |
Management of inflammatory diseases and rheumatoid disorders, mild to moderate pain, fever, dysmenorrhea, and osteoarthritis |
100 mg
200 mg 400 mg 600 mg 800 mg |
Constipation Heartburn Diarrhea Gas Dizziness Stomach pain Upset stomach Throwing up |
Administer with food or milk. |
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|
Tamsulosin HCL |
Treatment of signs and symptoms of benign prostatic hyperplasia (BPH) |
Oral Capsule |
0.4 mg 0.8 |
Headache Back pain Diarrhea Runny nose Loss of strength and energy |
Administer capsules 30 minutes after the same mealtime each day. Capsules should be swallowed whole; do not crush, chew, or open. The controlled-release tablet |
Store at 25°C (77°F); excursions are permitted between 15°C and 30°C (59°F and 86°F). |
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|
Aripiprazole |
Bipolar disorder Schizophrenia |
IM injection |
Increase risk of Suicidal thinking/behavior Altered cardiac conduction Dyslipidemia Weight gain |
For IM use only; do not administer SubQ or IV. Inject slowly into deltoid or gluteal muscle using the appropriate provided needle |
Store below 30°C (86°F) |
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|
Ferrous Sulfate |
Iron-deficiency anemia: Prevention and treatment of iron-deficiency anemias |
325 mg |
Diarrhea Constipation Stool discoloration Lack of appetite Staining of mouth, teeth, or fillings |
Do not chew or crush ER preparations; administer with water or juice on an empty stomach. |
Iron is a leading cause of fatal poisoning in children. Store out of children’s reach and in child-resistant containers. |
|
Albuterol (Proair HFA) |
Bronchospasm: Treatment or prevention of bronchospasm in patients with reversible obstructive airway disease (eg, asthma). Exercise-induced bronchospasm: Prevention of exercise-induced bronchospasm. |
Aerosol Solution, Inhalation |
90 mcg/actuation (6.7 g, 8.5 g, 18 g) |
Nausea, pharyngitis, rhinitis, throat irritation, upper respiratory tract infections |
Shake well before use; prime prior to first use, and whenever inhaler has not been used for >2 weeks or when it has been dropped, by releasing 3 to 4 test sprays into the air (away from face). HFA inhalers should be cleaned with warm water at least once per week; allow to air dry completely prior to use. A spacer device or valved holding chamber is recommended for use with metered-dose inhalers. |
Store at 20°C to 25°C (68°F to 77°F); excursions permitted to 15°C to 30°C (59°F to 86°F). Do not store at temperature >120°F. Do not puncture. Do not use or store near heat or open flame. |
|
Acetaminophen (Tylenol) |
Fever: Temporary reduction of fever. Oral, Rectal: Temporary relief of minor aches, pains, and headache. |
Oral and Rectal |
Oral: 80 mg, 160 mg,325 mg, 500 mg, 650 mg Rectal Suppository: 80 mg, 120 mg, 325 mg, 650 mg |
Dermatologic: Erythema of skin, skin blister, skin rash Otic: Hearing loss |
Oral: May administer without regards to food; may administer with food to decrease possible GI upset; do not crush or chew ER products. Suppository: Remove wrapper; insert suppository well up into the rectum. |
Oral: Store at 20°C to 25°C (68°F to 77°F); avoid excessive heat (40°C [104°F]). Avoid high humidity (chewable tablets). Suppository: Store at 2°C to 27°C (25°F to 80°F); do not freeze |
|
Polyethylene Glycol 3350 (Miralax) |
Constipation, occasional: Treatment of occasional constipation |
Oral |
17 g |
Anal irritation, bloating, epigastric fullness, nausea, stomach cramps, vomiting, flatulence |
Stir powder in 120 to 240 mL (4 to 8 ounces) of water, juice, soda, coffee, or tea until dissolved and administer immediately. |
Store at 20°C to 25°C (68°F to 77°F); excursions are permitted between 15°C to 30°C (59°F to 86°F). |
|
Trazodone (Desyrel) |
Major depressive disorder (unipolar): Treatment of unipolar major depressive disorder |
Oral |
50 mg, 100 mg, 150 mg, 300 mg |
Dizziness, sedation, headache, nausea, somnolence, xerostomia |
IR tablet: Administer shortly after a meal or light snack; swallow whole or as a half tablet by breaking along the score line ER tablet: Take on an empty stomach; swallow whole or as a half tablet without food. Tablets may be broken along the score line, but do not crush or chew. |
Immediate-release tablet: Store at 20ºC to 25ºC (68ºF to 77ºF); excursions permitted between 15ºC to 30ºC (59ºF to 86ºF). Protect from light. Extended-release tablet: Store at room temperature of 15ºC to 30ºC (59ºF to 86ºF). Protect from light. |
|
Amoxicillin |
Antibiotic used to treat pathogenic bacteria in the ear, nose, and throat infections (pharyngitis/tonsillitis, otitis media) |
Oral tablet and solution |
25mg 50mg 250mg 500mg 125mg/5mL 200mg/5mL 250mg/5mL 400mg/5mL |
Central nervous system: Headache Gastrointestinal: Diarrhea, nausea, vomiting. Genitourinary: Vulvovaginal infection. |
· Use this drug as ordered by your doctor. Read all information given to you. Follow all instructions closely. Take with or without food. Take with food if it causes an upset stomach. Shake liquid form very well before use |
Store at room temperature. Reconstituted oral suspension remains stable for 14 days at room temperature or refrigerated (refrigeration preferred). Unit-dose antibiotic oral syringes are stable at room temperature for at least 72 hours (Tu 1988). |
|
Metformin |
Management of type 2 diabetes mellitus when hyperglycemia cannot be managed with diet and exercise alone. |
Oral Tablet
Oral Tablet Extended Release Oral Solution |
Oral Tablet: 500 mg, 850 mg, 1000 mg; Oral Tablet, Extended Release: 500 mg, 750 mg, 1000 mg; Oral Solution: 500 mg/5 mL |
Diarrhea, malabsorption, nausea, asthenia, vomiting, flatulence, headaches, indigestion, cobalamin deficiency, weight loss |
Take with meals. Drink plenty of liquids to improve elimination of metformin. Avoid alcohol; this increases the risk of lactic acidosis. |
Store at 20°C to 25°C (68°F to 77°F); excursion permitted to 15°C to 30°C (59°F to 86°F). Protect from light and moisture. |
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