Pharmacy Revenue Assessment | MDHIN Corporation

1

About Your Pharmacy

Pharmacy Name

Primary State

Pharmacy Type

Number of Locations

Approximate Monthly Prescription Volume

Pharmacy Street Address

City

ZIP Code

Additional States Served (Optional)

Selected States

Planning for multiple states? Add any additional states where your pharmacy operates or plans to expand. These selections do not affect your score but will be included in your Executive Growth Report with state-specific billing and reimbursement insights.

i

Select your state for a clinical billing snapshot.

Your state's reimbursement environment will help personalize the opportunity score and recommendations.

2

Clinical Readiness

3

Current Clinical Services

Select every service currently offered.

MTM Point-of-Care Testing Test-to-Treat Immunizations Weight Management Laboratory Services Employer Programs Chronic Care Support

4

Billing and Payers

Clinical Claims

Do you currently submit claims for clinical services?

Yes No

Clinical Billing Confidence

Select all payer relationships that apply.

Medicare Medicaid Commercial Plans Employer Contracts Cash-Pay Only

5

Business and Margin Challenges

Low reimbursement GLP-1 reimbursement Specialty medication margins Inventory costs Staffing Cash flow Prior authorizations Limited clinical revenue

How often do high-cost medications create low or negative margins? (Optional)

Do high-cost medications create cash-flow pressure?

Yes No

6

Growth Interests

Which areas would you most like to grow?

MTM Point-of-Care Testing Test-to-Treat Weight Management Laboratory Services Employer Programs Clinical Billing I am not sure, but I want to grow my business Other

Other Growth Interest

7

340B Participation and Interest

Current 340B Status (Optional)

Interested in learning about 340B opportunities?

Yes No

8

Tell Us More About Your Pharmacy (Optional)

These optional questions help personalize purchasing, technology, membership, compounding and growth recommendations.

Purchasing and Operations

Which Group Purchasing Organization(s) do you participate in?

Not currently participating APCI Arete Pharmacy Network Elevate Provider Network Health Mart Atlas LeaderNET Premier Vizient Other

Have you reviewed your drug acquisition contract (WAC) within the last 12 months?

GPO Name

Which pharmacy management system do you use?

Primary goals over the next 12 months

Increase pharmacy revenue Expand clinical services Improve profitability Grow prescription volume Win more employer business Reduce drug acquisition costs Improve operational efficiency

Pharmacy Management System

Membership Programs

Approximately how many active members?

Is the membership program meeting expectations?

What type of membership program do you offer? Select all that apply.

Pharmacy Discount Program Clinical Membership Employer Membership Medication Synchronization Delivery Program Concierge Pharmacy Wellness Membership Other

Other Membership Program

No additional membership questions are required.

Compounding and Delivery Options

Are you a compounding pharmacy?

Yes No

Would you be interested in needle-free solutions for drugs that typically require injections?

Do you have a clean room for compounding?

Yes No Not sure

Do you have relationships with other compounding pharmacies?

Yes No Not sure

Business Priorities

Please Specify

9

Your Contact Information

Contact Name

Email

Phone

Discover Your Clinical Revenue Potential

About Your Pharmacy

Clinical Readiness

CLIA Waiver

Consultation Space

Provider Collaboration

Telehealth

Membership-Based Services

Employer Relationships

Current Clinical Services

Billing and Payers

Clinical Claims

Business and Margin Challenges

Growth Interests

340B Participation and Interest

Tell Us More About Your Pharmacy (Optional)

Your Contact Information

Ready to see your results?