The Hidden Costs of Cheap Wholesale Drugs (And a Better Way to Save Money on Pharmaceuticals)

The Hidden Costs of Cheap wholesale Drugs (And a Better Way to Spend Less on Pharmaceuticals) by Elements magazine | pbahealth.com

Inside: Don’t sacrifice quality and potential rebates during your search for cheap drugs. There’s a better and more lucrative way.

As the adage goes, “You get what you pay for.” Because your prescription inventory is the biggest expense your pharmacy faces, it’s easy to go down the rabbit hole in your search for cheap drugs.

But even though searching for the lowest price might seem like the financially prudent decision in the moment, you’ll inevitably face some trade-offs on your quest.

Read on to learn which pitfalls you need to watch out for and how you can really save money on your inventory.

What You Risk From Cheap Wholesale Drugs

When you prioritize acquiring cheap drugs over everything else, you are putting both your patients’ health and your pharmacy’s reputation at risk.

Even if they have the right names and labels, these medications could be contaminated.

Imported pharmaceuticals are especially risky. The international supply chain is rife with drugs that could be counterfeit, stolen, unapproved, or substandard in other ways. Since the U.S. doesn’t have the power to regulate drugs from other countries, it can be difficult or impossible to trace where they came from or how many hands they’ve passed through.

To combat these counterfeits, in 2013 Congress passed the Drug Supply Chain Security Act. These measures safeguard the integrity of the drug supply chain in the United States and protect your patients from substandard drugs.

However, because the supply chain is so complex, it’s important that you stay vigilant during your search for cheap drugs.

Credentials Matter 

Even if a pharmaceutical wholesaler has a state license, it doesn’t mean the drugs they are providing are legitimate. In 2012, counterfeit versions of Avastin and Altuzan were distributed by licensed wholesalers, adding up to $1 billion in fraud.

Because of this, you need to dig into wholesaler’s accreditation beyond just their state license.

Every pharmaceutical wholesaler you buy from should be certified as a Verified-Accredited Wholesale Distributor (VAWD). While criteria state licenses vary across the country, to be VAWD-certified, wholesalers need to pass the same stringent review process conducted by the National Association of Boards of Pharmacy (NABP).

To obtain VAWD certification, wholesalers will submit to a review of their operating procedures and policies, licensure verification, a survey of their facility, and screening through the NABP Clearinghouse.

In addition to VAWD certification, you can also look for wholesalers that are members of the Healthcare Distribution Alliance (HDA). HDA members buy pharmaceuticals directly from manufacturers, ensuring that the supply chain is secure. That means the drugs are safe for your patients.

To make sure you’re getting exactly what you’re paying for when you purchase cheap drugs, keep these things in mind:

  • Drugs should be purchased from a VAWD-certified, HDA member wholesaler
  • You should be able to trace the medication back to its manufacturer
  • Drugs shouldn’t exhibit warning signs like misspelled words, outdated expiration dates, missing lot numbers, or unfamiliar labeling

What You Lose From Cheap Wholesale Drugs

When you jump from one secondary supplier to another searching for the best deals, you may feel like you’re saving money. But you’re losing something else: time.

With patients to see, staff to train, books to manage, and a pharmacy to promote, your time is valuable. Don’t waste it trying to save a buck or two on every prescription you purchase.

Instead, buy consistently from one or two secondaries that you trust to give you consistently cheap drugs.

Consider these factors when deciding which secondary suppliers to work with:

  • Timeliness
  • Fill-rate accuracy
  • Range of products available
  • Sourcing and pedigree
  • Certifications and accreditations

Don’t Wreck Your Rebate

Hopping around secondary to secondary to find the best prices has more consequences beyond just wasting your time.

In your primary contract, there are all sorts of conditions and requirements that, if followed, result in rebates for your pharmacy. That means more money in your pocket at the end of the month.

The most notable of these rebates is the one rewarded for meeting a certain generic compliance ratio.

This is a tiered system. So, if 23 percent of your purchases from your primary are generics, you might get a rebate of 33 percent at the end of the month. But if your generic compliance ratio drops down to 20 percent, your rebate will drop to only 30 percent.

When you purchase outside your primary contract to save $50, you risk dropping down a tier on this rebate structure. That could mean a loss of thousands of dollars, and suddenly that $50 savings doesn’t seem like a good deal.

There are still reasons to purchase prescriptions from a secondary supplier, like if your primary is out of stock. And if your pharmacy is sitting comfortably in the top tier of the rebate structure, you can afford to occasionally buy discounted drugs from your secondary.

How to Actually Save Money on Wholesale Drugs

In your search for quality medications, you don’t necessarily have to shell out for the highest prices. And you don’t have to shop around dozens of secondary suppliers to get the lowest price, either.

With a service like PBA Health’s ProfitGuard, you can get cheap drugs that you can trust, increasing your profit margins and ensuring your patients’ health.

ProfitGuard works to negotiate a better primary wholesaler contract than the one you have now–guaranteed. That means better prices on brand name drugs and specialty items and better rebates.

You also get the perk of receiving ProfitGuard’s proprietary purchasing tool that maximizes wholesaler rebates and item-by-item savings automatically.

ProfitGuard members have averaged between $70,800 and $212,400 in annual savings on their cost of goods.

“It’s the industry game changer for the independent pharmacy owner or operator,” says Huy Duong, owner of Dale’s Pharmacy in Colorado. “There’s nothing out there like it on the market.”

In the case that you need to use secondary supplier, BuyLine® offers a full line of brands, generics, OTCs, and controls at the lowest prices in the secondary market. In addition to having low list prices, BuyLine also rewards purchases with cash rebates and significant discounts on brands. Earn up to an additional 10% cash rebate on generics and up to WAC -4% on brand.

With online ordering and next-day shipping options, shopping with BuyLine is quick and convenient. There are absolutely no commitments with BuyLine — no fees, no contracts.


A Member-Owned Company Serving Independent Pharmacies

PBA Health is dedicated to helping independent pharmacies reach their full potential on the buy-side of their business. Founded and owned by pharmacists, PBA Health serves independent pharmacies with group purchasing services, wholesaler contract negotiations, proprietary purchasing tools, and more.

An HDA member, PBA Health operates its own NABP-accredited secondary wholesaler with more than 6,000 SKUs, including brands, generics, narcotics CII-CV, cold-storage products, and over-the-counter (OTC) products — offering the lowest prices in the secondary market.

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Elements is written and produced by PBA Health, a buy-side solutions company.

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