Building in-house pharmacies for
safety net clinics

Get in Touch

Serving 340B covered entities:

Get in Touch

Who we serve:

The future of 340B pharmacy is clinic owned, vendor operated

Meet Cody

CEO, Equality Health

70%

Federal grantees are exploring in-house pharmacy

12K+

Expected number of new on-sites in the next 3 years

<4

Months ROI payback period with Alchemy

Our Partners

The Alchemy Platform

The Alchemy

Platform

We provide the physical, clinical, and digital infrastructure to power your in-house pharmacy end-to-end while maintaining full ownership.

Physical

In-house pharmacy

Get your clinic-owned pharmacy up and running—from ROI analysis to staffing and contracts. We handle every step, ensuring you retain full control and ownership.

Clincal

Clinical pharmacy programs to expand your clinic’s reach

Expand your patient reach with clinical pharmacy programs. Mobile testing for HIV, HepC, and other STDs can grow patient volume and boost your 340B program.

DIGITAL

Mission control for your pharmacy

Our digital tools help monitor and scale your pharmacy while extending your clinic’s brand through white-labeled experiences that keep patients engaged and boost outcomes and revenue.

Hear what patients are saying about their in-house pharmacy
experience

Juan G.

Oklahoma City, OK

Rebecca C.

Haines City, FL

David H.

Oklahoma City, OK

Juan G.

Oklahoma City, OK

Rebecca C.

Haines City, FL

David H.

Oklahoma City, OK

Customer Spotlight

Customer Spotlight

From in-house pharmacy launch to ROI breakeven in under 12 weeks

Equality Health launched an in-house pharmacy, increasing proceeds by 30% and achieving 99% PBM in-network status in 9 weeks. They’ve expanded services beyond the clinic and are set to triple revenue compared to contract pharmacy relationships.

Read Case Study

9

Weeks to full PBM in-network

79

Days to ROI breakeven

75%

RX volume increase at 12 mo.

30%

Immediate growth in proceeds

Pick the right pharmacy operating model for your clinic

The 340B market is evolving rapidly and it’s time to take control of your own destiny with a clinic-owned, vendor-operated in-house pharmacy.

Clinic-Owned,
Clinic-Operated

Clinic-Owned,
Vendor-Operated

Vendor-Owned,
Vendor-Operated

Contract
Pharmacy

Setup Time to Launch

18+ months

< 4 months

12 months

3 months

Initial Setup Costs

$35K - $175K

$0*

Varies

-

Drug Inventory & Startup Cash Reserves

$500K - $3M

$0*

N/A

N/A

Pharmacy Staffing Cost

1 Full time pharmacist
on Day 0

Cost-plus pass through on pharmacist cost post launch

N/A

N/A

Flexible Financing Options

N/A

N/A

N/A

Protection Against Drug Manufacturer Restrictions

Administrative Fees

$0

% of revenue

5-35% of 340B net savings

12-65% of 340B net savings

Dispense Fees

N/A

$0

Variable, to $2500+ for specialty Rx

Variable, to $2500+ for specialty Rx

TPA Fees

$0

$0

Variable

Variable

Patient, Provider, Pharmacy Digital Hub

Additional Clinical Services

* Eligibility for flexible financing options is determined based on a comprehensive Rx analysis. We perform this analysis free of charge for all our prospective partners.

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FAQs

How can I determine if an in-house pharmacy makes sense for my clinic?

The first step is to set up an exploratory conversation with the Alchemy team. We’ll guide you through key considerations and offer a free ROI analysis to give you the data needed to make an informed decision about opening an in-house pharmacy.

Can Alchemy help if I cannot afford the initial pharmacy buildout cost?

Alchemy provides flexible financing options that will cover all upfront costs including construction, staffing, and pharmacy inventory. In fact, we take care of all expenses as needed until your pharmacy is open and has built up enough cash reserves to be self-sustaining!

How much space do I need to open an in-house pharmacy?

The physical requirements for a pharmacy are state specific, and may include square footage, hot/cold running water, and a dedicated counseling space, among others. In many states as little as 200 square feet is enough to open a pharmacy. Alchemy will review your state’s requirements and then visit your site and help design your space to meet them.

What should I expect in terms of additional audits and compliance requirements when running an in-house pharmacy?

As your operating partner, Alchemy manages all audits and compliance requirements related to your in-house pharmacy. This includes upfront licensing and inspections, and managing Board of Pharmacy, DEA, and PBM audits when they arise. We also support any 340B audits the clinic goes through that require pharmacy support.

What clinical pharmacy services does Alchemy provide?

In addition to providing a best-in-class in-house pharmacy experience for your patients, Alchemy works to extend your community outreach and help patients overcome the barriers that prevent them from getting care. We partner with clinics to launch and scale mobile clinics, refine their community STD testing programs to target those at highest risk, and build systems and processes to improve linkage and retention on care.

Let us bring your
in-house pharmacy vision to life