Pharmacy consultant mid-conversation with pharmacy owner behind dispensing counter, reviewing margin analytics on a tablet with prescription vials softly blurred in background
Pharmacy Consulting — Est. 2018
// Independent Pharmacy Consulting

Your Pharmacy Runs
on Precision. Your Consulting
Should Too.

Compound specializes in three disciplines where independent pharmacies lose the most ground: DIR fee recovery, regulatory compliance, and operational workflow redesign.

340+
Pharmacies Served
$2.4M
Avg DIR Recovery
97%
Audit Pass Rate
// Measured Outcomes

The Numbers Don't Negotiate.

Every engagement is benchmarked against industry averages. These tables reflect real client outcomes — not projections.

DIR Fee Recovery

Stop Leaving Money on the Counter

DIR fee clawbacks cost independent pharmacies an average of $84,000 annually. Our reimbursement audits have reversed that trend for 340+ clients.

MetricCompound ClientsIndustry AverageΔ Difference
Average Annual DIR Clawback Recovered$2.4M cumulative / $71K per pharmacy$0 — most never appeal+$71K
Claim Reimbursement Rate (vs MAC)98.2% of MAC benchmark91.4% industry average+6.8 pts
Time to First Recovery Check47 days avg6–18 months (if attempted)−75% faster
PBM Dispute Resolution Rate84% favorable resolution31% industry average+53 pts

* Data sourced from Compound client engagements Jan 2022–Dec 2025. Industry benchmarks from NCPA 2025 Digest.

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Regulatory Compliance

Audit Preparation That Actually Holds Up

DSCSA serialization deadlines and 340B split-billing audits have a single unforgiving characteristic: they do not wait. Neither do we.

MetricCompound ClientsIndustry AverageΔ Difference
Audit Pass Rate (First Attempt)97% pass rate68% industry average+29 pts
DSCSA Serialization Readiness (30-day)100% of clients deadline-ready44% self-reported readiness+56 pts
340B Split-Billing Findings Cleared93% of findings resolved pre-auditTypically addressed post-findingProactive vs reactive
Average Cost of Compliance Gap (avoided)$18K avg savings per engagement$62K avg penalty per audit failure−$44K exposure

* Audit data from 2023–2025 Compound engagements. DSCSA readiness benchmarks from NABP 2025 survey data.

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Operational Workflow

Workflows That Run Without You in the Room

Operational drag costs independent pharmacies 14 hours of owner time per week. Our workflow redesigns give that back — with documentation that survives staff turnover.

MetricCompound ClientsIndustry AverageΔ Difference
Owner Hours Reclaimed Per Week11.2 hrs avg (post-redesign)14.3 hrs lost weekly+11 hrs/wk
Dispensing Error Rate Reduction0.04% error rate post-workflow0.18% national benchmark−78%
Staff Onboarding Time3.2 days to full competency8.7 days industry average−63%
Workflow Documentation Completeness100% SOPs documented on exitMost pharmacies have <30% documented+70 pts

* Workflow metrics from Compound operational engagements 2023–2025. National benchmarks from ISMP and NCPA surveys.

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// The Consultants

Specialists, Not Generalists.

Every Compound consultant carries both clinical credentials and domain-specific expertise. You will work with the same person from intake to implementation — no handoffs, no junior associates.

Dr. Renata Szymańska, pharmacist and reimbursement consultant, reviewing documents at a pharmacy counter with professional attire
PBM Negotiations & DIR Fee Recovery

Dr. Renata Szymańska, PharmD

Director, Reimbursement Strategy

Renata spent eight years on the payer side before switching to advocate for independent pharmacies. She knows exactly which DIR fee structures are legally challengeable — and she has the audit trail to prove it.

PharmD, University of MichiganCertified Pharmacy Technician TrainerNCPA Reimbursement Committee Member
$2.4M
Total DIR recovered for clients in 2025
Work with Renata
Marcus Okonkwo, pharmacist and regulatory attorney, in business attire with pharmacy shelving visible in background
DSCSA Compliance & 340B Audit Defense

Marcus Okonkwo, RPh, JD

Lead Regulatory Consultant

A licensed pharmacist and attorney, Marcus navigates the intersection of pharmacy law and operational reality. His 340B split-billing defense record: 93% of findings cleared before formal audit proceedings begin.

RPh, Ohio State UniversityJD, Georgetown LawASHP Regulatory Affairs Fellow
97%
First-attempt audit pass rate across all engagements
Work with Okonkwo,
Priya Nair, pharmacy workflow consultant, smiling in clinical setting with tablet device showing operational data
Operational Redesign & Staff Systems

Priya Nair, MBA, CPhT

Senior Workflow Architect

Priya rebuilds dispensing workflows from the ground up — SOPs, staffing models, technology integrations. Her clients stop losing 14-hour weeks to operational drag within 60 days of engagement.

MBA, Northwestern KelloggCPhT, PTCB CertifiedLean Six Sigma Black Belt
11.2 hrs
Average owner hours reclaimed per week post-redesign
Work with Nair,
// Service Pillars

Three Disciplines.
One Standard.

Compound does not offer advisory retainers or vague strategic guidance. Every engagement ends with documented deliverables, measurable benchmarks, and a clear record of what changed.

Pillar 01

Reimbursement Optimization

We audit your entire claim history against current MAC schedules, identify DIR fee structures that exceed CMS safe-harbor thresholds, and build the documentation required to dispute them. Most independent pharmacies have 18–36 months of recoverable claims sitting untouched.

Full 36-month claim reimbursement audit
DIR fee benchmark analysis vs CMS thresholds
PBM contract renegotiation support
Ongoing MAC monitoring dashboard
Relevant For
Independent Pharmacies
Small Chain Operators
$71K
avg recovery per pharmacy engagement
Discuss This Pillar
Pillar 02

Regulatory Compliance

DSCSA serialization, 340B split-billing audits, state board inspections — every deadline is a fixed constraint. We build compliance frameworks that hold up under scrutiny, not just on paper. Our audit defense record reflects preparation that starts 90 days before any examiner walks through the door.

DSCSA serialization readiness assessment
340B split-billing workflow documentation
Audit simulation and gap analysis
Board inspection preparation checklist
Relevant For
Hospital Outpatient Directors
Small Chain Operators
Independent Pharmacies
97%
first-attempt audit pass rate
Discuss This Pillar
Pillar 03

Operational Workflow Redesign

Operational drag is invisible until you quantify it. We map your current dispensing process, identify the bottlenecks costing you hours and accuracy, and rebuild the workflow with full SOP documentation. The result is a pharmacy that runs correctly whether you are present or not.

Full dispensing workflow mapping and analysis
SOP documentation suite (100% coverage on exit)
Staff training protocol and competency assessment
Technology integration and automation recommendations
Relevant For
Independent Pharmacies
Small Chain Operators
60 days
to measurable operational improvement
Discuss This Pillar
// Start Here

Schedule Your
Pharmacy Assessment.

A 45-minute intake call with the relevant Compound consultant. No sales pitch — just a structured review of your current reimbursement position, compliance exposure, and operational gaps.

Assessment Request Form

No commitment required. 45-minute intake call, then we propose a scoped engagement.

What to Expect
01
Intake Call
45 minutes. We review your current DIR exposure, compliance calendar, and operational pain points.
02
Scoped Proposal
Within 48 hours, you receive a fixed-fee proposal with defined deliverables and timeline.
03
Engagement
Your assigned consultant begins work. Weekly status updates. No surprises.
04
Documented Exit
Every engagement closes with a written findings report and implementation roadmap.
// Free Resource

DIR Fee Recovery Checklist

The 14-point checklist our consultants use to identify recoverable DIR fees before opening a formal engagement. Covers claim window analysis, MAC benchmark comparison, and PBM contract flags.

No spam. One email with the checklist attached.