Supporting Independent Pharmacy
Pharmacy First is the premier PSAO partner for independent pharmacies of all types, sizes, and market environments. With a network of 2,300+ community pharmacies across the U.S. and Puerto Rico, we are proud to serve single stores, multi-store chains, grocery/supermarket pharmacies, and franchise/group affiliates.
Whether your independent pharmacy business operates in rural, urban or suburban markets, we understand your needs and deliver the tools, resources, and support for optimal growth and vibrant, long-term sustainability.
Our contracts cover thousands of plans and markets spanning across the country – but where other PSAOs prioritize contract quantity, we focus on contract quality. Our conservative approach means we will not accept terms that fail to protect your profitability or mitigate risk of DIR clawbacks. For every contracting decision, we balance access, outcomes and reimbursement to strengthen sustainability and serve you best.
As the first PSAO to achieve URAC accreditation as a Credentials Verification Organization, we provide comprehensive credentialing, complete with compliance training. Through our PFCares program, we rigorously verify credentials for not only the pharmacy, but all staff as required by our payer contracts. For you, that helps ensure organizational excellence that drives a higher performing network of pharmacies – and the benefits do not end there.
Every penny on every claim – that’s what you need as an independent pharmacy, and it’s precisely what we deliver. Through our industry-leading software and support, we do the work for you, including research and recovery for every cent owed on every unpaid or underpaid claim. Optional central pay provides rapid reimbursement through daily ACH deposits, or we offer convenient direct pay solutions with integrated data visibility into payment details.
We offer MAC appeals, cash claims management and rebate programs, quality and performance monitoring, online reporting, MTM platform support, and much more. It’s all part of our commitment to being your partner in excellence. Our full complement of solutions comes with flexibility and scalability so you can decide – and receive – exactly what you need for your unique business and competitive environment.