Independent Pharmacies Struggle to Rise Above the Effects of PBMs

Ron Patel, a Fort Lauderdale pharmacist, made an impassioned call to hold ‘predatory middlemen’ (PBMs) accountable for forcing independent pharmacies out of business in an op-ed published earlier this week. Arguing that PBMS no longer negotiate medication savings on the behalf of patients, Patel identifies a few key areas that are putting unsustainable pressure on smaller, independent pharmacies.

First, PBMs hold sway in determining what prescriptions insurance will cover and how much of that selected formulary they’ll pay for. Independent pharmacies do not have the access to all of the insurers that big-box chains do. This immediately limits their scope of business. To make matters worse, PBMs are hitting these smaller pharmacies with hidden fees that they’re unprepared to shoulder. Finally, PBMs are under reimbursing.

Read the original opinion piece in the Sun Sentinel.

XIL Health Insights

Ron Patel is hitting the nail on the head here and touches on an interesting, damaging dynamic at play. Most of the pharmacies that have survived to this point are those aligned with the PBMs. PBMs are being used to literally reroute business to the pharmacies they’ve merged with. Then, as these independents fall to the wayside, the big-chains are there to snatch up newly available storefronts. The impact extends beyond independents; it’s a snowball effect. As independents close, gaps are created in communities with job loss and limited access to products and services.

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Operations Project Manager

Job Type: Full-time

Position Overview

The Operations Project Manager will be involved in company-wide projects from start to finish. The Operations Project Manager must be able to see projects through to the end in a seamless, detailed manner. This position will work and interact with various leadership and stakeholders within and outside of the company. Communication skills are vital along with an attention to detail. This position will be focused on supporting our technology projects and will include coordinating resources, documenting requirements, maintaining project plans, documenting Standard Operating Procedures, and managing project deliverables to meet completion deadlines.


Essential Functions

  • Document project requirements in detail for development teams
  • Develop and maintain project plans and deliverables to project deadlines and within budget
  • Connect individual projects/requests to longer-term strategic objectives
  • Adjust schedules and targets as project changes
  • Communicate with all team members including the executive team to keep everyone in alignment with project progress and outstanding issues
  • Serve as a point of contact for teams when multiple units are assigned to the same project to ensure team actions remain in synergy and periameters are clear
  • Write Standard Operating Procedures clearly and concisely
  • Perform quality control on the project throughout development to maintain the standards expected
  • Be fluid in all job functions and  be able to pivot to help in other areas of the company as needed
  • Document technical decisions, testing results, policies and procedures, etc.


Job Requirements

·       Excellent communications skills and communication etiquette

·       Experience using Windows 10, Microsoft Office 365, and Adobe. Any familiarity with AWS, Azure, Tableau, Alteryx, Github is a plus

·       Ability to multi-task and prioritize assignments

·       Ability to problem-solve and think creatively

·       Work both independently and in a group or team


Education and Work Experience

·       Bachelor’s degree preferred

·       1-3 years in a similar position

·       Healthcare Experience a plus

Total Rewards Package

·       Competitive salary based on experience

·       Annual bonus potential

·       Comprehensive employee benefits package including Medical, Dental, Vision, Life Benefits, and 401k with Employer Match

·       Paid Holidays and Paid Time Off


XIL Health is an equal opportunity employer and inclusive in all aspects of diversity. Diversity creates a healthier atmosphere. XIL Consulting is an Equal Employment Opportunity/Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.