Every prescription has four numbers. They're never on the same page.
- Bought
- $14.80
- Dispensed
- 30 tablets
- Paid
- $11.42
- Owed
- $15.95
$4.53 between paid and owed.
Paid $3.38 below what you bought it for.
Illustrative example. Not from a real pharmacy.
What you bought it for. What you dispensed. What you were paid. What your contract says you were owed. PV1RX puts them side by side, and people who have run pharmacies tell you what it means and what to fix first.
PV1RX Deep Dive. A 30-day consulting engagement. $999. Pay once.
Or Verticals, for the opportunities around your pharmacy. $999.
Now ask that question about every prescription you filled last month.
Can you answer these about your own pharmacy?
- Which plans you fill at a loss.
- What your wholesaler terms actually work out to.
- Which fees came out of your payments after the claim was paid.
- What your contracts say you're owed, and whether it arrived.
- How many hours a week your team spends chasing money instead of helping patients.
- Which of your vendors you'd sign with again.
If any of those takes more than five minutes, you're running the business on half the picture. That's not a failing. The records were never built to talk to each other.
Seven systems. Nobody connecting them.
- Pharmacy systemwhat you dispensed
- Wholesaler portalwhat you paid for it
- PSAO and PBMshow the claim adjudicated
- Remittanceswhat actually arrived
- Bankwhat cleared
- Contractswhat you were promised
- Vendor invoiceswhat it costs to run the place
Each one is accurate about its own piece. None of them checks the others. The margin hides in between, and nobody is paid to look there except the people on the other side of the table.
We work for the pharmacy. Only the pharmacy.
Your PBMs, PSAO, and wholesaler all have people reading your numbers on their behalf. PV1RX reads them on yours. You pay us, and nobody else does, so nothing we tell you is shaped by someone who profits from the answer.
Two engagements. Pick one or both.
Each takes 30 days. Each has one fixed price. Each stands on its own.
Deep Dive
The economics of your pharmacy.
- Find the money.
- Reimbursement against what you paid. Fees and adjustments after the claim. Contract terms against what actually arrived. What you spend on software and vendors.
- Fix the work.
- Every recurring task gets a straight answer: keep it, change it, automate it, or stop doing it. Sometimes the answer is software. Usually it isn't.
- What we found
- Two plans account for most of the fills paid below cost. Post-adjudication fees rose across the last three months.
- What matters
- The plan-level losses are concentrated in a small set of drugs.
- What we'd change
- Review purchasing on the affected drugs. Raise the fee pattern with your PSAO, with the records attached.
- What we'd leave alone
- A vendor charge that looks high but is in line with its contract.
- What we'd look at next
- Time spent reconciling third-party payments, which looks heavier than it should.
Illustrative example. Not from a real pharmacy.
A decision document in plain language, with the records behind every finding, then a walkthrough with you. Not every area produces a finding. When one doesn't, we tell you.
$999. Pay once.
Explore the Deep DiveVerticals
The opportunities around your pharmacy.
- Map the market.
- The prescribers, nursing homes, clinics, and other pharmacies around each of your locations.
- Score the fit.
- Which new services your market could support, and which your team could realistically take on.
- Your pharmacy
- Prescribers
- Facilities
- Other pharmacies
Illustrative example. Not from a real pharmacy.
- Long-term careWorth investigating
- Several facilities in your delivery radius. Would need: packaging capability, delivery capacity, facility agreements.
- Clinical servicesFits now
- Prescriber mix supports it. Would need: staff time and a workflow change.
- 340BNot for you
- The nearby covered entities are already served.
Illustrative example. Not from a real pharmacy.
A map of your area and a short list of what's worth pursuing, with what each would take, then a walkthrough with you.
$999. Pay once.
Explore VerticalsBoth together: $1,599. Fix what you have. Find what's next.
Book bothAn operator on your side of the counter.
- Nearly 30
- years in pharmacy operations
- 250+
- independent pharmacies acquired, managed, or developed
- 100+
- locations run on one P&L
I've worked the counter and I've run the P&L for more than a hundred stores. The owners who last are the ones who know their numbers. Most of them never had the time, or anyone on their side, to get them. That's what PV1RX is for.
PV1RX is built by a team that has run pharmacies across chain, independent, health-system, specialty, long-term care, central fill, and 340B settings, and has sat on both sides of PBM and PSAO contract negotiations. That experience is the difference between numbers and knowing what they mean.
Read Noah's letterIndependent owners get nickel-and-dimed by enough people. You'll know exactly what this costs before it starts, and that's what it costs.
Pick one or both. Pay once. Done in 30 days.
The economics of your pharmacy.
- 1 location
- $999
- 2 to 3 locations
- $1,499
- 4 to 6 locations
- $2,499
- 7 to 10 locations
- $3,999
The opportunities around your pharmacy.
- 1 location
- $999
- 2 to 3 locations
- $1,499
- 4 to 6 locations
- $2,499
- 7 to 10 locations
- $3,999
Fix what you have. Find what's next.
- 1 location
- $1,599$399 less than buying separately
- 2 to 3 locations
- $2,399$599 less than buying separately
- 4 to 6 locations
- $3,999$999 less than buying separately
- 7 to 10 locations
- $6,399$1,599 less than buying separately
11 or more
Email us. One fixed price, quoted before anything starts.
- Total price for all your locations, not per store.
- Pay once. Non-recurring. No monthly fee.
- Nothing extra. No percentage of anything we find. No add-ons.
- Full refund if you cancel before sending records, or if your records can't support the work.
What the next thirty days look like.
- 01
Book
Pick what you want, your location count, and a kickoff time.
- 02
Week 1: Records
Sign the agreements, pull the reports on our checklist.
- 03
Week 2: Connect
We line up every transaction.
- 04
Week 3: Analyze
We find what matters and rank it.
- 05
Week 4: Readout
You get the findings and we walk you through them.
Your time: a kickoff, one conversation about how work moves through the pharmacy, and the readout. We do the rest.
How it worksBefore you book.
Who sees my data, and what happens to it afterward?
Only your PV1RX advisor and the people working on your engagement. Before you share anything, we sign a confidentiality agreement and put in writing how records are used, accessed, and returned or deleted. We never sell pharmacy-identifiable data.
Will you contact my PSAO, PBMs, or wholesaler?
No. Not without your direction.
Will you try to sell me something afterward?
No. Each engagement stands on its own. If you want help acting on the findings, we'll talk about it, only if you ask.
See your pharmacy clearly.
Start with the question that matters most to you right now. If you're not sure which one that is, ask us first.