Healthcare, Education & Personal Services · Buyer guide

Buying an Independent Pharmacy business

Published · Reviewed by The Diligence Standard Team · Updated

an Independent Pharmacy can look attractive on a summary P&L while the operating details underneath it change the cash flow, transferability and capital a buyer will actually own. Diligence should connect the reported earnings to the business-specific drivers that create them.

How the business works

Prescription volume, reimbursement spread, payer/PBM mix, inventory, specialty/services and regulatory compliance determine economics.

Risks to test

  • PBM reimbursement pressure
  • Inventory
  • Licensing/DEA/compliance
  • Payer concentration
  • Owner pharmacist labor
  • Working capital

Evidence to request and reconcile

  • Rx system reports
  • PBM/payer statements
  • Inventory
  • Licenses/compliance
  • Payroll
  • Vendor/wholesaler terms

Decision questions

  • What is true gross profit per script by payer?
  • What inventory is saleable?
  • Which licenses/credentials must transfer?
  • How much owner pharmacist labor must be replaced?
  • What PBM reimbursement trends exist?