For pharmacies today, finding additional revenue streams while improving patient care is essential for sustainable growth. EQUIPP offers pharmacies structured revenue opportunities to improve patient care. In 2025, EQUIPP provides two primary revenue channels: My Programs and Enhanced Services. By understanding these opportunities and implementing proven best practices, your pharmacy can boost revenue while delivering superior care in 2025.
Get a Jump on Q2 EQUIPP Revenue Opportunities
My Programs
In 2025, more health plans will join EQUIPP’s “My Programs,” expanding opportunities for pharmacies to increase earnings and gain better program transparency. These health plan programs have specific measure qualifications and score expectations. To see if your pharmacy is participating, access “My Programs” by clicking the dollar sign icon on the left navigation bar. New programs began rolling out in January and will continue to launch throughout the year.
Enhanced Services
These specialized programs provide additional revenue for delivering specific patient care services:
Adherence Monitoring– Document your interventions supporting patient medication adherence to earn incentive payments. These interventions demonstrate your pharmacy’s commitment to improved health outcomes while generating revenue for continuously engaging your patients in their medication adherence journey.
Controlling Blood Pressure and Hemoglobin A1c Testing- Create a new revenue stream with clinical services for controlling blood pressure and Hemoglobin A1c testing. Conduct and properly document electronic blood pressure readings directly in your pharmacy. For pharmacies with CLIA waivers, document all test results accurately to ensure payment for A1C testing. To streamline this process, consider offering both services at the time of initial patient engagement.
Health Plan and State-Specific Adherence Programs- These programs, frequently targeting Medicaid members, provide incentives for conducting regular patient check-ins and supporting medication adherence.
Critical Reminder: Documentation is the key to getting paid! You must thoroughly document all services provided within Enhanced Services to receive payment.
Best Practices for EQUIPP Success in 2025
Access Patient Data Strategically
Utilize the “All Patients” view to identify everyone attributed to your performance measures. Sort patients by the number of applicable measures to prioritize those who can impact multiple metrics. Develop targeted intervention plans for high-priority patients.
Integrate EQUIPP Into Daily Workflow
Your daily workflow can begin each day with a brief EQUIPP check. Schedule dedicated time to review performance scores, patient data, and program updates. Make EQUIPP a cornerstone of your pharmacy operations, not an afterthought
Enable Your Entire Staff
Ensure all pharmacy team members have appropriate EQUIPP access and comprehensive training. PQS offers a variety of resources, including one-on-one training sessions and weekly demonstrations to answer your questions. Empower your staff to take ownership of specific measures or programs.
Set Meaningful Goals
Collaborate with your pharmacy team to establish realistic and impactful goals. Base your 2025 targets on your 2024 performance data and identified opportunities. Create both short-term and long-term objectives to maintain momentum.
Develop Efficient Processes
Establish clear protocols for enhanced services like blood pressure readings and adherence check-ins. Design workflows that ensure efficient service delivery and thorough documentation. Regularly review and refine these processes based on staff feedback and results.
How U-Save-It Makes the Most of EQUIPP
U-Save-It, a regional chain pharmacy, has focused on improving patient care outreach by utilizing EQUIPP through pharmacy operations implementation. How do they make the most out of EQUIPP?
“Take the time to sit, read, and try to really understand how these plans are measuring you for adherence.” Lori McLean, PharmD, U-Save-It Pharmacy and serves as Manager of Pharmacy Operations, Crowe’s Management, advises on making the best use of EQUIPP. “From a pharmacy standpoint, you want to focus on the plans that you have a lot of patients in related to your two to three biggest payers. We really focus on those patients to stay adherent.”
Check out the full regional chain pharmacy testimonial to learn more about how U-Save-It Pharmacy impacts adherence scores in EQUIPP.
Key Takeaways for 2025 Success
- Take a proactive approach by analyzing your 2024 EQUIPP data now to prepare for 2025
- Gain a comprehensive understanding of revenue opportunities through both My Programs and Enhanced Services
- Implement structured best practices to seamlessly integrate EQUIPP into your daily operations
- Remember that documentation is essential—especially for Enhanced Services payment
- Empower your entire team to contribute to EQUIPP success
By strategically leveraging EQUIPP’s revenue opportunities and implementing these best practices, your pharmacy can simultaneously enhance patient care quality, meet critical performance goals, and maximize revenue potential throughout 2025.
Is your pharmacy ready to maximize its EQUIPP potential in 2025? Start implementing these strategies today to position yourself for success.
