Between 2022 and 2024, some of the biggest chains such as CVS and Walgreens shuttered around 2,100 stores nationwide. The latest trend is consolidation and vertical integration where insurers, healthcare systems or pharmacy chains acquire or merge with other entities along the supply chain, such as wholesalers, distributors, or pharmacy benefit managers (PBMs}. The aim is to reduce competition and boost profits. However, potential corporate gains are often offset by real risks to patients, staff, management and the communities they serve. This article dives into the repercussions of pharmacy consolidation and offers insights into how pharmacists can adapt and thrive in this evolving industry.

Consolidation and vertical integration are reshaping the profession in significant ways and defining the industry. For pharmacists, these changes present both challenges and opportunities.

Wage changes due to consolidation can be a double-edged sword. Consolidation may mean better employment stability at larger organizations with established financial resources. Yet, increased competition for roles within consolidated entities may place downward pressure on wages resulting in:

• Standardization of pay scales: Larger organizations may implement uniform pay structures, potentially reducing earning disparities but capping incomes at a certain level.
• Consolidated bargaining power: Without small business employers setting competitive salaries, pharmacists may have less leverage to negotiate.
• Reduced job markets in specific regions: If independent pharmacies close, pharmacists may face fewer local opportunities, leading to suppressed salary growth.

There’s a concerning lack of licensed pharmacists in the United States—in fact, the U.S. Health Resources & Services Administration projects a shortage of nearly 5,000 pharmacists through 2036. Demand for pharmacists is poised to increase about as fast as the average occupation. That said, those specializing in high-demand roles – such as clinical pharmacy, research, or executive-level management – might still see competitive compensation as these positions remain critical to the industry’s growth and evolution.

If you’re willing to adapt and explore new opportunities, pharmacists can position themselves for success in a consolidated marketplace by:

• Upskill for Upward Mobility. Large employers often prioritize professionals with diverse skill sets. Consider pursuing certifications in areas like pharmacogenomics, chronic disease management, or telehealth services to stand out in a competitive job market.
• Explore Leadership Roles. Consolidated entities often offer career paths beyond patient care. Pharmacists with managerial and leadership aspirations can explore roles in operations, corporate strategy, or pharmacy benefit management.
• Join Integrated Healthcare Teams. Consolidation often brings pharmacists closer to interdisciplinary healthcare teams. Seizing this opportunity can allow pharmacists to work collaboratively with physicians, nurses, and other specialists, delivering more holistic patient care.
• Build a Niche. Though consolidated companies aim for efficiency, there’s always demand for niche expertise. Whether it’s specializing in pediatrics, oncology, or rare diseases, focusing on a niche area can make your skills invaluable within large organizations.
• Be Open to Relocation. Consolidated networks often span multiple locations. While rural communities may face challenges, those open to relocating might find opportunities in fast-growing urban or suburban markets.
  

One of the key debates surrounding consolidation revolves around its impact on the scope of pharmacists' duties. Larger organizations often have greater resources and are better equipped to adopt technological solutions, such as advanced medication management systems and telehealth platforms. These tools could allow pharmacists to shift their focus from administrative tasks toward more clinical roles.
Consolidation also creates opportunities for pharmacists to engage in patient care initiatives that may have been less feasible in smaller or independent pharmacies. For instance:

• Offering comprehensive medication reviews through centralized support systems
• Participating in chronic disease management programs
• Collaborating with healthcare teams within integrated networks

Some worry that consolidated entities may prioritize standardization and efficiency over personalized care, potentially limiting pharmacists’ autonomy in patient interactions. Whether consolidation leads to expanded or restricted scope of practice will largely depend on the corporate culture and priorities of the larger organizations.

Pharmacy consolidation is undoubtedly reshaping the profession, bringing both opportunities and challenges. For pharmacists, adapting to this change involves understanding how to leverage new career paths, using data and technology to enhance patient care, and demonstrating resilience in a shifting industry.

To thrive, pharmacists must stay informed, continually expand their skills, and maintain a focus on what matters most – delivering high-quality care to patients. By doing so, they can help ensure that consolidation serves not just corporate interests but also the well-being of communities and the advancement of the pharmacy profession.

At Ridgemont Resources, we empower pharmacists to reach their full potential by providing top-tier career opportunities and expert guidance. Our solutions are driven by data and analytics, helping our clients achieve their commercial goals while promoting excellence in healthcare. Explore our available positions today and take the first step towards enhancing your pharmacy career.

Excelling in your role requires more than just technical know-how. With rising patient expectations, competitive pressures, and the rapid pace of change, it's crucial to cultivate a core skill set that enhances your professional performance and helps you stand out so that you can control your career growth. Here, we highlight five essential skills that every pharmacy professional should focus on to drive their career forward every day.

Interpersonal skills are vital in the pharmacy setting. You'll frequently interact with patients and a broad range of healthcare professionals. Effective communication that exudes empathy and respect is key. Whether collaborating on care plans or discussing medication details with patients, your ability to build relationships, convey confidence, and approach interactions with a positive demeanor can significantly impact your success. Strong interpersonal skills enable you to foster teamwork and facilitate better healthcare outcomes today and tomorrow.

Few positions are free from the challenges of juggling various responsibilities, but pharmacists take those demands to the next level. From developing medication plans to providing detailed consultations, being organized and adept at managing multiple tasks simultaneously is a must. Multitasking in this context isn't just about doing many things at once—it's about switching between them smoothly and efficiently without compromising on productivity – or alienating those around you in the process. Success in this fast-paced environment depends on your ability to adapt to change and manage your time effectively while communicating effectively with your team.

Accuracy is critical in the pharmaceutical field. Pharmacists must possess a keen eye for detail when entering information, checking prescriptions, and assessing patient progress. Scrutinizing every aspect of the medication process ensures safety and efficacy. Key to career growth is fostering trust with patients and colleagues alike by maintaining that attention to detail even while performing the most innocuous tasks. By doing so you'll enhance your reputation as a reliable and trustworthy professional.

Strong analytical and problem-solving skills are indispensable for clinical pharmacists. These skills allow you to evaluate patient conditions accurately and develop effective treatment plans. When issues arise with a patient’s treatment, your analytical mindset will help you build confidence among your peers because they know that you can identify and suggest smart, evidence-based alternative solutions. By approaching challenges with a logical perspective, you can make informed decisions that enhance patient care and drive your career success.

Building a robust professional network is crucial for career advancement. Networking opens doors to new career opportunities and keeps you informed about industry developments. Engage actively with peers and mentors, attend industry events, and focus on what you can contribute to others. Meaningful networking involves listening, sharing insights, and leaving a positive impression. By being authentic and attentive, you can cultivate relationships that propel your career forward.

At Ridgemont Resources, we empower pharmacists to reach their full potential by providing top-tier career opportunities and expert guidance. Our solutions are driven by data and analytics, helping our clients achieve their commercial goals while promoting excellence in healthcare. Explore our available positions today and take the first step towards enhancing your pharmacy career.

Want an impressive career trajectory? Ask powerfully purposeful questions. It’s interesting that while Pharmacist job seekers all have specific concerns about each position, they often struggle to ask the truly important questions that help them evaluate if a position aligns with their career goals, personal values, and professional aspirations.
Starting your career in the right environment can often determine your career trajectory. Know that you’ve found a great fit by interviewing your interviewer. Ask insightful questions. Truly listen. Then consider what they are saying – and what they’re not.

1. How does the pharmacy team collaborate and communicate with each other and other departments? Communication is critical to team and personal success. Is it a collaborative or siloed work environment? You should look for signs of effective communication and support among team members. Have the courage to ask for specific examples of how collaboration and communication helped solve a specific problem within the department.
2. Can you provide examples of how the company has implemented employee feedback to improve the work environment?  This question helps determine if the company values employee input and takes action to enhance the workplace. It indicates a culture of continuous improvement and responsiveness to staff needs.
3. How does the company recognize and reward its employees' achievements and contributions?  Understanding the recognition and reward systems can give insight into how much the company values its employees. It’s important to know if hard work and achievements are acknowledged and celebrated.
4. How does the company handle conflicts or disagreements within the team? This question provides insight into the company's approach to conflict resolution and whether they have a supportive and fair process for addressing issues that may arise among staff.
5. What recent changes has the company made in response to the evolving pharmacy industry or healthcare landscape? This question can reveal how proactive and adaptable the company is in staying current with industry trends and challenges, indicating their commitment to innovation and improvement.
6. What do you enjoy most about working here, and what would you change if you could? Asking this question can provide a personal perspective from the interviewer about the pros and cons of working at the company, offering a candid look at the company culture from an insider’s view.
7. What are the key responsibilities and expectations for this pharmacist position? While this may seem like a softball question, what you’re really looking to uncover are any hidden organizational challenges related to structure, workflow and team dynamics. Look for inconsistencies between your interviews. Well structured organizations will have a consistent response from each person that you are interviewing with.
8. What qualifications and skills are most important for this role? Assess how your background aligns with the position by understanding which qualifications, certifications, and skills are required and which are preferred for this position. Follow-up by asking how you compare to other team members. This will provide insights into where you may fit in the team hierarchy and how you may need to approach career growth.
9. What opportunities are available for mentoring within the company? Showing your desire to be a part of internal growth makes a strong impression. Always ask about mentoring opportunities where you can mentor others and find a mentor for yourself. The answer will reveal deep insights into the company culture.
10. What are some examples of career advancement within the company? The response to this question often reveals a lot about the company’s culture and values. Listen for structured development, growth, and support systems. Be cautious if the interviewer is vague or avoids the question. Lack of clarity or examples may suggest limited opportunities and indicate a lack of investment in their employees' long-term success.
11. What are the biggest challenges faced by pharmacists in this role and at this company? Seek to understand potential challenges you might face and how the organization is supporting the people working to overcome these challenges. It’s vital that you determine what issues are and if you’ll be expected to resolve them individually or as a team. Again, listen to what they say, what they don’t say and how they say it. Dig deep by asking follow-up questions that examine details within their answer.
    

These questions will help you make an informed decision about whether the company will offer you fertile ground to grow and achieve your personal and professional goals.

You bet! Take Sarah for example. She came to us after feeling stuck for several years. Advancement and growth simply weren’t part of the company culture. It was a good place to work, and she enjoyed her coworkers, Sarah knew she needed more.

We talked about her goals, and she envisioned her career trajectory. It was clear that growth, learning, and expanding responsibility would be key elements for Sarah to feel challenged and find a path she could truly embrace. After discussing her options, Sarah decided to pursue transitioning into a hospital pharmacy setting. Interviews were set with several hospital systems, and we coached Sarah on how to ‘interview her interviewer’ to uncover the company culture, working styles, and management personality of the pharmacy team so that she could determine which hospital system might be the best fit for her and provide the professional growth and collaborative environment that she needed.

Sarah was nervous at first. It was a new approach. Turning the tables by asking firm, insightful questions can be tough. After her first interview Sarah called to share what happened, “I can’t believe it. It felt like I was losing the interview. The hiring manager wasn’t really engaged. Then I started asking questions and the hiring manager really opened up!” Sarah went on, “I think we hit it off. I learned that pharmacists regularly participate in interdisciplinary meetings with doc’s and nurses. And, they have a mentorship program for new hires! She even told me about some issues they’ve had and how they’re working through them.”

Sarah gained more confidence and sailed through interviews we set up with a few other health systems. In the end, she felt reassured by the responses she received in her first interview, pursued the opportunity and got the job.

We followed up with Sarah one year after she accepted her hospital pharmacy position and her experience reflected the importance of asking the right questions during her job interview.

Sarah found her experience one year into her new role: Company Culture and Values:  Sarah found that the hospital’s commitment to patient-centered care and teamwork was not just talk during the interview but a genuine part of the day-to-day operations. The values she had been drawn to were evident in how her colleagues interacted with each other and with patients. The culture promoted open communication and inclusivity, making Sarah feel like a valued member of the team from day one.

Professional Development: The hospital lived up to its promise of supporting professional development. Sarah attended several workshops and conferences, enhancing her skills and expanding her professional network. She also pursued a specialized certification in clinical pharmacy, which the hospital not only supported but also partially funded. The access to learning opportunities exceeded her expectations and kept her engaged and motivated in her role. Sarah is in consideration of being promoted to a Clinical Pharmacy Specialist role, where she’ll focus specifically on serving oncology patients. Working towards her promotion, Sarah has taken on some leadership responsibilities, helping her mentor oversee a team of pharmacists and pharmacy technicians by training new staff members and facilitating team meetings.

Work-Life Balance: The hospital’s focus on maintaining work-life balance was a significant factor in Sarah's job satisfaction. Flexible scheduling allowed her to manage her work hours effectively, reducing stress and preventing burnout. The organization’s efforts to ensure manageable workloads were particularly beneficial during the flu season when demands increased. Sarah appreciated the hospital's understanding of personal commitments, which contributed to her overall well-being.

Collaboration and Communication:  Sarah experienced firsthand the hospital's collaborative environment, which had been a selling point during her interview. Interdisciplinary meetings facilitated effective communication between pharmacists, doctors, nurses, and other healthcare professionals. This collaboration not only improved patient outcomes but also fostered a sense of community among staff. The mentorship program has been very rewarding. Not only is Sarah working with a mentor, she’s found that mentoring younger pharmacists incredibly rewarding too.

Sarah observed the hospital’s commitment to acting on employee feedback. The administration conducted regular surveys and held town hall meetings to discuss suggestions and concerns. This resulted in tangible improvements, such as upgrading the pharmacy’s technology systems and enhancing employee break areas. Sarah felt that her voice mattered and appreciated the organization's dedication to continuous improvement.

Personal Reflections:  Sarah’s thoughtful approach to assessing the company culture paid off, resulting in a successful transition to a new role where she felt supported, challenged, and valued. Her positive experience is a powerful example of how aligning personal values with organizational culture can lead to long-term job satisfaction and career fulfillment.

Interviewing your interviewer is a powerfully purposeful approach to evaluating company culture that lays the groundwork for a successful and fulfilling career.  Sarah's journey exemplifies the importance of aligning personal values with organizational culture, demonstrating how this alignment can lead to sustained job satisfaction, professional growth, and positive contributions to patient care and the pharmacy profession.
It's never too late to direct your career towards an upward trajectory. We hope that you’ll use this article to inspire your journey and navigate your pharmacist career path with intention and purpose.

Over my 20 years as a Pharmacist recruiter I noticed that my happiest clients all put 6 key habits to work finding the perfect position. You can too. Check out these 6 key habits my happiest clients have used to find the perfect position.
 
1. Expand your network and work it.Personal referrals are hands-down the most effective way to find a fantastic job. Hiring managers are always more comfortable when a candidate is referred by someone in their network. Engage your colleagues, coworkers, friends and family. Ask them about their experiences. Update your Linked In profile and make new connections. It's a small world, you will be surprised at the connections you will find with little effort.
PRO TIP: Keep networking through your interview process. Ask around to see if anyone knows people who work at a particular company that you could talk to. You can gain amazing insights.
 
2. Seek out references and keep communication openIt may come as a surprise, but people will agree to be a reference and not provide a favorable recommendation on your behalf. Always make sure to verify the reference is willing to provide a favorable letter of recommendation.
 
In addition, it is important that your references have a reasonable relationship with you and the lines of communication remain open. From my experience, your future employer will do one or more of the following: call your references to get a verbal referral, email a questionnaire for the references to fill out, or request a formal letter of reference. As you go through your search process, it will be important that you respect the time of your references by keeping them aware of what may be requested of them.
PRO TIP: Keep your references in the loop by updating them periodically about who might reach out to them. Be sure to avoid sending too many emails their way.
3. Write down your five and ten-year goalsKnowing what you want is the key to finding happiness. While you may think you understand what your goals are, you may be surprised at what this exercise reveals. Goals will guide your job search. I recommend adding both professional and personal goals so that you know what work-life balance really means to you.
PRO TIP: After writing your goals, discuss them with a trusted mentor. You'll gain insight into what you really want - and don't want - in a position.
4. Be patient and stay organizedEveryone is busy and you may not hear back for weeks or months. Hiring decisions take time and there are a lot of factors beyond your control or the control of the pharmacy administrators looking for new employees.
I recommend for you to create a document or folder for every job you've applied to that contains all the other pertinent information and a list of exactly what you've submitted so that you will not have to keep looking it up.
PRO TIP:  Check your junk mail daily and contact human resources if you think something is amiss.
 
5. Take advantage of specialty job boardsThere are specialty job boards like RidgemontResources.com focused solely on PharmD so that you don't waste your time sifting through jobs you'll never want. Next, go to the institutional websites of the companies you want to work for and try searching their “jobs” section - sometimes you will find jobs not yet posted elsewhere.
PRO TIP: Be on top of new openings and apply fast! Often job postings have a cap on the number of applications.
 
6. Be proactive and go after what you want.Usually job applications will first go to human resources, get screened and potentially stuck. Write a short, polite well-constructed email directly to the hiring manager or director. Avoid selling yourself. Express your intentions and thank them for the opportunity.
PRO TIP: Less is more. Be brief and express gratitude for the opportunity.
 
For many the first job out of school may not seem like a “dream job” but every job has unique potential. My happiest clients all seem to know the same thing, "the grass may be greener on the other side of the fence, but you know what, the grass is also greener where you water it.”
 
I hope these points helped you out, good luck!

Mastering these 15 core interview questions will give you the edge over other potential candidates. Confident responses when navigating your job interview can be as challenging as getting through pharmacy school. Interviews can be high stress, anxiety-driving situations. Whether you’re fresh out of residency or a seasoned veteran, preparation always pays off.  Interviewers will probe your knowledge, patient-care acumen, and decision-making skills. Likely you already know the right answers. But will you be able deliver clear, concise answers under pressure?

Here are 15 essential questions that you’re likely to face during your next clinical pharmacist job interview and some expert tips on how to respond.