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OvaryIt’s Substack · Apr 17, 2025

Physicians & Pharmacists Unite

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PRISM · PRSIM Substack

We see social media posts of physicians fighting insurers to secure crucial treatment coverage for their patients. Meanwhile, we’re engaging in the same battle with PBMs; seeking rebates, coupons, and discounts to ensure that even the most basic needs are met. These parallel struggles highlight a shared reality: both pharmacists and physicians are essential providers in a strained healthcare system. Instead of allowing a turf war to divide us, it’s time to recognize that both pharmacists and physicians are essential providers in America’s healthcare system. Amid a broken system that leaves us burned out and striving to do our best for patients, our focus should be on uniting our expertise and passion. We all deserve better support and recognition for the vital roles we play.

Pharmacists—it's time to practice at the top of our license. We are not mere "pill counters"; we are pharmacological experts poised to serve as accessible public health partners. Our training, experience, and reach equip us to alleviate pressure on the healthcare system, particularly by addressing long wait times and access gaps in care. But we cannot succeed in isolation.

By building alliances with physicians and opening clear channels of communication, we can forge a stronger, more collaborative approach to patient care, because our success depends on supporting one another. While clinical differences of opinion may arise, mutual respect and collaboration are what allow us to deliver the best possible outcomes. We’re all navigating the same fragmented system and doing our best within the constraints we’re given.

Physicians—I urge you to recognize us as your essential medication partner, the yin to your yang. When you hear us on the phone, our tone may sometimes seem exasperated; it’s only because we’re working through filling an average of 200 prescriptions per day within a system that often limits our ability to fully engage with patients. But beneath the exhaustion is a profound desire to do more—to contribute meaningfully through expanded services like vaccinations, point-of-care testing, and contraceptive prescribing.

We know the stakes are high. Threats to Medicaid funding and access loom large. And yet, pharmacists stand ready to help "pick up the pieces" and ensure patients don’t fall through the cracks. But we can’t do this alone. We need your collaboration, your advocacy, and your trust. Together, we can strengthen care delivery and meet patients where they are.

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Our Call to Action:

  1. Expanding Roles:
    We are actively recruiting for a clinical trial aimed at enabling pharmacists to prescribe contraception in community pharmacies. Share this opportunity with colleagues and pharmacy teams who are eager to transcend traditional roles and truly make a difference.

  1. Policy Advocacy:
    Many states still restrict pharmacists from providing these crucial services, and CMS has yet to acknowledge pharmacists as viable providers. It’s imperative that we advocate for change at both the state and federal levels, pushing for regulations that empower pharmacists to practice at the top of their license.

  1. Building Bridges:
    It’s time to finally bridge the gap between our two professional groups. Rather than squabble for the scraps left over by insurance companies, we must work together. By uniting our efforts and growing side by side, pharmacists and physicians can create a more robust, patient-centered healthcare system where every role is valued.

There is a significant amount of research showing that patient outcomes, quality of care, and cost of care delivery all improve when healthcare professionals work together toward a shared goal that centers on the patient. When we refocus our work through a lens of collaboration, we not only reduce inefficiencies in care—we create a healthcare system that is truly patient-centered, resilient, and equitable. Together, we can drive meaningful change.

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