You lose money on every fill of these twelve drugs

A seven-step play for an independent-pharmacy consultant. It starts from Medicaid NADAC, stacks Firecrawl and NPI Registry on top, and ends in a message to the pharmacy owner that is useful before anyone replies.

Deploy in Glider

Installs this workflow, five project tables and a draft campaign. Source access and any external outputs are checked before research.

Category: Health and life sciences
Sources: 3
Steps: 7

The workflow

TriggerMedicaid NADACAcquisition cost trends by drug
Evidence
FirecrawlPublished reimbursement benchmarks NPI RegistryIndependent pharmacies and their details
Artifact
What you hand overA list of drugs where cost rose faster than typical reimbursement, plus an appeal template their staff can use.
Contact
GliderFinds the pharmacy owner, with a verified work email and a phone
Message
Send itFrom your own mailboxes, evidence attached

Why it earns attention

Independent pharmacies feel the margin squeeze but rarely see which drugs cause it. Acquisition costs are public, and when they jump while reimbursement stays put, specific fills lose money.

The play in seven steps

01
Find drugs whose cost jumped
Medicaid NADAC
What you pull
NADAC prices by drug over the last six months: the drug, strength, and percent change.
Why it matters
NADAC tracks what pharmacies actually pay. A sharp rise is a cost every pharmacy is absorbing right now.
Example
12 common generics up more than 30% since June · largest: one blood pressure drug up 74%
02
Compare with what plans pay
Firecrawl
What you pull
Published reimbursement benchmarks for the same drugs, such as state Medicaid maximum allowable cost lists, and when they last changed.
Why it matters
If the benchmark has not moved while cost rose, the pharmacy loses money on every fill. That is the gap you show.
Example
State MAC list unchanged since April for 9 of the 12 drugs
03
Find independent pharmacies
NPI Registry
What you pull
Pharmacies in the registry with a community pharmacy taxonomy and a single location: name, address, and authorized official.
Why it matters
Chains have contracting teams. Independents do not, and the authorized official is often the owner.
Example
Single-location pharmacy · owner listed as authorized official · in business since 2009
04
Build the list and appeal template
Your artifact
What you build
The drugs, the cost change, the benchmark, and a template appeal for each that staff can fill in and send.
Why it works
Appeals are tedious, so most pharmacies skip them. A ready template recovers money this week.
Example
12 drugs · cost vs benchmark · 1 appeal template with fields for the claim
05
Check before you send
Contracts differ by pharmacy, so say fills may be underwater, not that they are. Use the latest NADAC week and the latest published benchmark.
06
Find the pharmacy owner in Glider
Glider
Search for
OwnerPharmacist in chargePharmacy manager
Why them
At an independent, the owner is usually also the pharmacist in charge and sees the margin directly.
What you get
A work email and a direct phone, with the email verified before it goes into a sequence.
07
Send the evidence, then run the first test
To: the pharmacy ownerEvery line comes from a step above
NADAC for twelve common generics rose more than 30% since June.¹ The state's maximum allowable cost list hasn't moved for nine of them since April.² If your contracts pay on benchmarks like that, those fills may be underwater. I put the list together with an appeal template your staff can use today.⁴ Want it?
- Facts from the data (the number is the step)
- What you built for them
- One small ask
Why it works
It names drugs the owner fills every day and gives them a tool to recover money now, without a sales call.
First test
One state, thirty independents, with the drug list checked against current benchmarks.
Success looks like
Eight template requests out of fifty pharmacies, and two consulting clients.