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The Profit Vault November 2025
THE #1 PBM OPTIMIZATION STRATEGY YOU’VE BEEN IGNORING Why Smart Pharmacies Say ‘Yes’ to Prior Authorizations and Watch Profits Climb
PRIOR AUTHORIZATIONS ARE NOT THE ENEMY. Somewhere along the way, prior authorizations got a bad rap. Owners worry about:
PBM margins keep getting tighter, DIR fees hit harder every year, and you’re fighting to stay profitable while keeping patients happy. Sound familiar? That’s why prior authorizations (PAs) are a game-changer you can’t afford to ignore. Every dollar counts, every script matters, and every margin point could be the difference between profit and loss. When done right, PAs help you optimize PBM performance, unlock higher reimbursements, and fill more profitable prescriptions. But let’s be real for a second. Most independent pharmacy owners hear the words prior authorization and immediately groan. It feels like a time suck, a paperwork nightmare, or worse, an exercise in futility where approvals are few and far between. That’s old-school thinking, and it’s costing you money, margin, and opportunities. Modern prior authorizations, especially with platforms like CoverMyMeds (CMM) , are fast, seamless, and way easier than you think. In fact, with the right setup, PAs could be the easiest ROI you’ll see all year, especially for high- margin prescriptions like Coxanto (Oxaprozin) , where the margins make it well worth your time.
town, no deciphering payer-specific forms. We’re talking:
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A few clicks inside your existing pharmacy management system Automated form selection so you can’t pick the wrong one Notifications for patients and prescribers so nobody is left in the dark PAs triggered directly from claim rejections with no extra work Follow-up support for high-margin products so approvals don’t slip through the cracks
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Annoying doctors with extra paperwork Getting denied over and over
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Messing up the process
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Losing time on administrative headaches
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But here’s the kicker for those who utilize platforms like CMM:
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Over 50% of PAs get approved on the first try across all meds. For products like Coxanto with an active prior authorization program through CMM, approval rates are in the high 80% range. Most approvals come back within 24 hours , and sometimes within minutes once the prescriber submits.
And the best part? For products like Coxanto/Oxaprozin, CMM does all the heavy lifting at no cost to your pharmacy. They’ll even chase down the prescriber if needed. This isn’t busywork. It’s technology doing what it should: Saving time, reducing headaches, and getting prescriptions out the door. WANT HIGH-MARGIN SCRIPTS? THE JUICE IS WORTH THE SQUEEZE. High-margin meds like Coxanto can make a huge difference in your bottom line. But many require a PA. That’s why skipping the process leaves serious money on the table. With approval rates this high and automation this smooth, there’s no reason to ignore these
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That horror story you heard about 20 PAs denied in a row? Total outlier. The reality is that most PAs get approved, and most patients get on therapy faster than ever. COVERMYMEDS IS YOUR ‘EASY BUTTON’ FOR PAS. If your pharmacy software is even halfway modern, chances are CoverMyMeds is already integrated. That means no fax machines, no chasing signatures across
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GLP-DLax Is Your High-Margin Hero Turn GLP-1 Side Effects Into Pharmacy Profits With GLP-DLax
When it comes to PBM Optimization, the name of the game is simple: more profitability, less frustration. We’ve hammered home the importance of finding high-margin opportunities that actually make sense for independent pharmacies, and today, we’ve got one that checks every single box. Say hello to GLP-DLax , the new supplement designed for patients on GLP-1 therapies or other weight-loss medications dealing with the all- too-common gut side effects like bloating, constipation, and sluggish digestion. This is the product you didn’t know your pharmacy needed, but trust us, you do. WHY GLP-DLAX BELONGS ON YOUR SHELF GLP-1 medications are everywhere right now. Everyone from your next-door neighbor to half the people at your kid’s soccer game seems to be on them. And with that popularity comes a huge opportunity because while the weight loss results are exciting, the GI side effects are not. Enter GLP-DLax. This supplement is specially formulated to support gut health and correct nutritional deficiencies that often come with GLP-1s and similar therapies. It’s not just another random vitamin on the shelf. We’re talking about a targeted, clinically designed product that solves a real, consistent problem for a growing patient population. Oh, and here’s the kicker: It’s a high-margin product that commercial patients can get for $0 with a coupon (just don’t use it with Caremark since it’s a supplement, not a drug). That means better patient outcomes and better profitability for your pharmacy. THE POWER-PACKED FORMULA Each dose of GLP-DLax is loaded with ingredients to tackle both nutritional deficiencies and gut sluggishness head-on:
supplements. That means you can confidently offer it to your patients, knowing affordability won’t be the issue stopping them from saying yes. You can order GLP-DLax right now from Axia, Real Value Products, and KeySource or request it from your secondary wholesaler through Solubiomix. WHY THIS MATTERS FOR PBM OPTIMIZATION You know we’re obsessed with helping independent pharmacies fight back against shrinking margins. Too often, owners get buried in low-reimbursement prescriptions that barely keep the lights on. High- margin products like GLP-DLax are part of the solution. They let you:
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Offer real clinical value to your patients.
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Vitamin D (5,000 IU)
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Aloe Vera
• Improve profitability without adding complicated new services. • Strengthen relationships by solving common medication side effects. This is the kind of product that helps you win with PBMs instead of feeling like you’re constantly losing ground. READY TO LEARN MORE? Everything you need, like coupon details, ingredient information, and clinical usage, is available just by scanning the QR code above! Get the flyer and start offering GLP-DLax to your patients today. Don’t wait. This is exactly the kind of opportunity independent pharmacies need to grab if they want to grow in 2025 and beyond.
Folate Inulin
Slippery Elm
Cascara Sagrada
Patients take two tablets once or twice daily with water. Simple. Effective. Done. It’s an easy sell for GLP-1 patients looking for digestive relief. PBM COVERAGE AND ORDERING DETAILS To make things better, many commercial plans through Optum, ESI, and others cover GLP-DLax just like they do other prescription
SCAN THE QR CODE TO CHECK OUT OUR GLP-DLAX FLYER!
561-379-7750 2
YOUR NEXT HIGH-MARGIN HIT Cure Skin Problems and Grow Your Profits With Amcinonide Ointment
loyal and keep coming back. That equals repeat fills, referrals, and a stronger cash flow line.
This is the kind of product you want on your shelf yesterday. Amcinonide Ointment 0.1% is a high-margin topical steroid that patients love and prescribers increasingly recommend for stubborn, hard-to-treat areas. This is a practical, revenue-driving play that also improves patient outcomes. In short, it pays to carry, advise, and promote it. PATIENTS LOVE IT AND PHARMACIES PROFIT Amcinonide is a potent topical corticosteroid that reduces inflammation and itching in conditions like eczema, dermatitis, allergic rash, and other steroid-responsive dermatoses. Feet, scalp, and behind the knee, areas that frustrate patients and resist other treatments, respond beautifully. Smooth application, long- lasting relief, and powerful results mean your patients stay
PBM OPTIMIZATION MADE SIMPLE Let’s break down why Amcinonide is a must-stock for your pharmacy:
• Broad Tier 1 coverage: Most commercial plans cover it.
• Coupon included: Makes most commercial patients pay $0.
• Caremark-friendly: Unlike many supplements, it works with Caremark.
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TAKE A BREAK
APPLES BASKETBALL BLACK FRIDAY
NAP PARADE PIE SCORPIO TOPAZ VETERAN
ELECTION KINDNESS LEAVES
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Crack the Code to Higher Margins
How UGO Rx Turns Pharmacy Data Into Dollars
• AI-Powered Analytics: Everyone’s talking about AI, but UGO actually put it to work for you. It highlights profit opportunities and helps you optimize formulations with laser precision. • Community Search: Ever wish you could peek over the fence at what other successful pharmacy owners are doing? Now you can. See what meds and NDCs are working for others and discover new opportunities you didn’t even know existed. You get all that in one powerful, cloud-based platform designed specifically for independent pharmacies. It’s like hiring a full- time data analyst who works 24/7 (without the six-figure salary). WHY THIS MATTERS RIGHT NOW The pharmacies thriving in today’s market aren’t guessing. They’re data-driven. With UGO Rx, you can:
Digging through spreadsheets isn’t why you opened a pharmacy. You wanted to help people, not spend hours buried in reports, wondering why your margins keep shrinking. But here’s the cold, hard truth: If you’re not tracking your numbers, you’re flying blind. And that’s where UGO Rx comes in. This software is your behind-the-scenes secret weapon for uncovering hidden profits, outsmarting PBMs, and finding the prescriptions that actually pay. WHY GUESSWORK IS KILLING YOUR PROFITS I talk to independent pharmacy owners every week, and this is what I hear: • “I’m filling more prescriptions than ever, but making less money.” • “I have no idea which scripts are making me money and which ones are draining me.” • “I don’t have time to run reports all day.” Sound familiar? UGO Rx solves all of that. In fact, pharmacies using UGO’s monthly reports uncover thousands of dollars in additional revenue every month, and it often takes just minutes to see where the profits are hiding. And it’s not complicated. UGO’s platform digs into your pharmacy data, points out where you’re winning, and exposes where you’re losing money so you can adjust fast. No more guessing. No more gut calls. Just data-backed decisions that drive profit.
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Tap into crowdsourced drug coverage and reimbursement data Spot profit leaks before they sink your margins Connect with a community of owners sharing real-world wins
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• Finally get clarity on your numbers so you can make better, faster decisions
You can’t fix what you can’t see. UGO Rx shines a spotlight on your pharmacy’s numbers, so you can finally see where the profits are hiding and go get them. You can do all of this without hiring a single extra employee or spending hours running reports.
Even better? Use code DRX25, which gives active PBU members a free one-month trial, plus a monthly discount to $249 a month.
YOUR DATA IS TALKING. UGO HELPS YOU LISTEN. Every prescription in your pharmacy either makes you
GAME-CHANGING NEW FEATURES UGO’s always been good. But the latest updates? They’re next-level.
money or costs you money. Until now, you didn’t have a clear way to tell the difference. UGO Rx changes that. Visit UgoRx.com, use code LISA for your exclusive discount, and turn your pharmacy’s data into a full- blown profit strategy.
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2-Way Pioneer Integration: If you’re
on Pioneer, this is huge. Now you can check UGO directly inside Pioneer. No more downloading reports, no more manual uploads. Instant data at your fingertips.
Because in today’s pharmacy world? The owners who know their
numbers are the ones who win.
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Brain Freeze Meets Business Brilliance
THE SWEET SUCCESS OF JONNYPOPS
Starting a business can be difficult, but you can relieve some of the stress and responsibility by bringing in a business partner. While this can introduce complexity, it allows you to divvy up and share vital responsibilities, brainstorm new ideas, and have a support system within the business when new obstacles arise. But finding a business partner is not necessarily easy. You have to find someone you can trust and depend on, as you’re taking on a big
Before long, JonnyPops appeared on the radar of major grocery chains and began showing up on the shelves of Kroger, Target, Walmart, and Costco. The company brought in $5 million annually but knew it could do more.
JonnyPops wanted to expand its options, exploring layered ice pops using different flavors. They explored the same machinery that competitors used but found it outdated, with
responsibility together. While you can turn to a mentor, business associate, or even a family member, sometimes the best partners are our best friends. Apple, Microsoft, Hewlett-
most from the 1980s. Brust and Wray decided they needed to take manufacturing into their own hands,
Packard, and Ben & Jerry’s are famous examples of friendships that produced business success. Now, JonnyPops is throwing its hat into the ring as it continues to grow the business and reach new heights.
opening a large factory in 2021 in Elk River, Minnesota, and filing 20
patents and trademarks. JonnyPops is now available in 27,000 stores nationwide with plenty of room for growth. Around 60% of stores nationwide have yet to sell their products.
In 2007, Erik Brust spoke with his cousin, Jonny, about their love of ice pops. They both concluded that many popular ice pops had unhealthy or unnecessary ingredients. They played around with the idea of
Whenever new brands reach this level of success, bigger food companies always look to scoop them up and add them to their product line. Experts estimate that Brust and Wray could get more than $300 million if they were to sell to Dove, Klondike, Mars, General Mills, or Unilever. Many of these brands have been looking for a healthier alternative to offer to their customer base, which makes JonnyPops a target. However, Erik Brust states, “We’re thinking about what the next decade looks like. This was never a grow-the- business-to-sell-it type of idea.” Although Brust and Wray are unlikely to sell their company, their success has also led to some negativity. Last year, GoodPop, a competitor, filed a class action lawsuit for false advertising, claiming that the JonnyPops aren’t as healthy as they claim and contain lots of sugar. JonnyPops has not commented on the ongoing litigation. JonnyPops’ story proves that the power of friendship can lead to incredible business success and millions of dollars in profit. If you work together and strive to do the best for your business and customers, anything is possible!
starting a socially responsible business that made healthier ice pop options. Jonny passed away after a battle with addiction, but Brust kept the idea alive. When he met Connor
Wray in a physics class in 2010 at St. Olaf College in Minnesota, the two hit it off and decided to bring the concept to life.
Brust and Wray started with a small-business model. They made frozen smoothies on a stick in their dorm for two years, using only a blender, strawberries, and cream. Not only were they delicious, but they had half the sugar and fat of traditional ice cream pops. After graduating from college, the duo used their profits to buy a stainless-steel ice cream machine that would allow them to make ice pops on a countertop, which they started selling at local farmers markets and other venues.
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Find out exactly how to turn prior authorizations into a PBM optimization tool that pays off without adding more headaches to your day. By the end of the webinar, you’ll wonder why you waited this long to push the “easy button” that’s been sitting in your pharmacy software all along. THIS IS LOW-HANGING FRUIT. You already have the tools. You already have the patients. You already have the high-margin products waiting to be filled. All that’s missing? Your decision to finally embrace the process. So, stop letting fear keep you from running a more profitable, efficient pharmacy. Watch the webinar. See the process. Start winning with prior authorizations. Scan the QR code now to watch the webinar and see how PAs can help you protect your bottom line and maximize PBM profitability.
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opportunities. Every script you don’t process is revenue walking out the door. Independent pharmacy owners need every margin boost they can get. Products like Coxanto/Oxaprozin deliver exactly that, but only if you complete the PA. YOU HAVE NO MORE EXCUSES. Still feeling skeptical? On Nov. 5, we partnered with CoverMyMeds for a webinar where you’ll see exactly how fast, easy, and profitable PAs can be. It’s a real demo with real pharmacists and real results. You’ll see: • How the system integrates seamlessly into your existing workflow • Real data on approval rates for high-margin medications • A live demo proving how easy it is to automate the process
Because in today’s world, every margin point matters, and PAs can help you keep it.
Scan the QR code now to watch the webinar and see how PAs can help you
protect your bottom line and maximize PBM profitability. HAVE A LAUGH
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Do More of What Works, Less of What Doesn’t Why Chasing Every Task Is Killing Your Pharmacy (and How to Fix It)
We’re all busy. Too busy, in fact. But busy doesn’t always mean productive, and it certainly doesn’t always mean profitable. The truth is that many pharmacy owners burn time, energy, and money on things that don’t work, while high-profit opportunities, the ones that could actually move the needle, get buried under endless to-do lists and half-baked projects. It’s time for a mindset shift: Do more of what works. Do less of what doesn’t. Sounds simple, right? It is. But simple doesn’t always mean easy. ‘WORKING’ = PROFITABILITY, NOT JUST ACTIVITY When I say “do more of what works,” I’m talking about one thing: profitability. For example, when I dug into my own pharmacy’s numbers, I learned some hard truths. Medicare DIR fees were eating away all the profit on branded prescriptions. The solution? I stopped filling nearly all branded meds on Medicare. Instead, I used RetailMyMeds. com to transfer those brand prescriptions to mail order while keeping the profitable generics for my pharmacy. Result? Higher margins, less wasted time, and fewer headaches. That’s the power of knowing your data. Once you can identify your high-profit Rxs, you can create a plan to grow that side of the business on purpose. And when you pinpoint the low or negative profit Rxs, you know exactly what needs to change, whether it’s purchasing better, requesting medication switches, or cutting them out entirely. DATA DOESN’T LIE, BUT INSTINCTS WILL When you’re in the thick of running a pharmacy, it’s easy to make decisions based on gut instincts or assumptions. I’ve had
owners tell me they’re launching some “big project” only to realize they’re fixing the wrong problem. Why? Because they never looked at the data. The numbers don’t lie, but our feelings often do. We get busy, distracted, spread too thin. Before you know it, you’re filling prescriptions that lose money, managing projects that drain energy, and saying “yes” to everything while profitability slips through the cracks. This is where the CEO mindset comes in. Stop reacting. Start analyzing. Build a business based on facts, not feelings. TRIM THE BRANCHES TO HELP THE TREE GROW Think of your pharmacy like a tree. If you want it to grow tall and strong, you’ve got to prune the branches. Otherwise, it just grows out in all directions and becomes a tangled mess with no clear path upward. Your time and energy work the same way. If you’re dividing them across 20 different projects, none of them will ever reach their full potential. But trim the dead weight, cut the unprofitable tasks, and focus only on what’s actually working? That’s when growth explodes. This isn’t about doing more. In fact, doing less often leads to more growth, more profit, and more time back in your day. MAKE NOVEMBER THE MONTH YOU REFOCUS Independent pharmacy owners, here’s my challenge to you: 1. Dig into your data. Find out exactly which prescriptions are making money and which are draining it. 2. Stop guessing. Build strategies based on real numbers, not gut feelings. 3. Prune the dead weight. Focus your time and energy on the tasks, prescriptions, and projects that actually grow your business. If you’re not sure where to start, that’s exactly why we offer Implementation Calls for Essentials members and above at 2 p.m. daily . Bring your data and your questions. We’ll help you cut the noise and focus on what’s actually profitable. Because at the end of the day, pharmacy success isn’t about doing more. It’s about doing more of what works and less of what doesn’t.
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417 Ravenaux Dr. Southlake, TX 76092
561-379-7750 DiversifyRx.com
INSIDE THIS ISSUE
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The High-Margin Script Secret PBMs Don’t Want You to Know GLP-DLax: The High-Margin Solution Every Pharmacy Should Know About High-Potency, High-Profit: Meet the Topical Steroid Patients Actually Want Why the Smartest Pharmacy Owners Are Turning to This Tool in 2025 How 2 College Buddies Turned Frozen Smoothies Into a $300 Million Empire Cut the Dead Weight: Focus on High-Profit Prescriptions That Really Work
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• High-margin product: Boosts your profitability with every fill.
documentation is ready. With broad coverage, coupon support, and proven patient results, this product is ready to generate revenue from day one. You are fighting shrinking margins, DIR pressure, and pharmacy consolidation. Stocking high-margin, clinically valuable products that insurers cover is a direct, practical countermeasure. Amcinonide is not a gimmick but a clinical tool patients need and payers will cover. That fool-proof formula creates a rare trifecta that funnels real dollars back into your store. STOP PASSING ON PROFITS Independent pharmacies live or die by smart decisions. You can’t afford to stock what doesn’t move or miss out on products that deliver high margins. Amcinonide Ointment hits every mark: It satisfies patients, simplifies PBM processes, and boosts profitability. If you’re serious about running a stronger, more profitable pharmacy, this is one you cannot ignore. Scan the QR code to grab the flyer, coupon, and full ingredient information , and make sure your pharmacy is positioned to capitalize on this high-margin, patient- approved product. Your shelves, your patients, and your bottom line will thank you.
• Prior authorization support: CoverMyMeds makes any required approvals fast and painless.
• Patient satisfaction: Strong, reliable results keep your patients coming back.
High margins, fast approvals, and patient satisfaction all in one. That’s PBM optimization done right.
EASY ORDERING WITH IMMEDIATE IMPACT You don’t have to jump through hoops to get Amcinonide on your shelves. Order it from Axia, KeySource, or Real Value Products. If a plan asks for prior authorization, CoverMyMeds will help, and you can get approvals quickly when the
Scan the QR code to learn more about Amcinonide Ointment!
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