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Integrity Pharmacy Consultants

Top 5 Red Flags To Look For When Purchasing a Pharmacy

Updated: Jan 11

Caveat Emptor is a Latin phrase that translates to “let the buyer beware.” Always conduct thorough due diligence prior to making a purchase. We’ve compiled a list of the top red flags we see most frequently:


What are the Top 5 Red Flags when buying a pharmacy to look out for?


  1. Bank Statements. Look at bank statements. Do the income (deposits) and expense (debits) match the profit & loss statements? These should match.

  2. Inconsistent Financials. Do the profit & loss statements match the tax returns? If not, find out why. These should always match.

  3. High House Account Balances. If a pharmacy has a high house account balance, this may be an indication they are waiving co-pays.

  4. Third-Party Plans. Have there been third-party plan cancellations? This may be cause for concern, depending on the reason.

  5. Variances from Industry Averages. In 2021, gross margins were around 21% for retail pharmacies. If their variance is +/- 4%, figure out why. They may have a large front-end with DME sales or large 340(b) plan that skew the profit?



Integrity Pharmacy Consultants is the most trusted and respected Pharmacy Consultant/Broker in North America. Through strong moral principles and ethical business practices, we prove you can count on us every single time.


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