We just wrapped up an unforgettable experience at Western Pharmacy Exchange 2025, and we’re still feeling the energy and momentum from the event! The theme — Pandas! — added a playful flair, but the real highlight was the passion and hunger we witnessed from pharmacists across the board, all seeking new ways to grow and diversify in today’s evolving pharmacy landscape.
One major theme that stood out? Diversification through clinical services and medical billing — what we like to call a Ray of Opportunity in Pharmacy.
Session Spotlight: Getting Paid for Time via Medical Billing
One of the standout moments of WPE 2025 was the session led by Dr. Parth Parikh, titled “Getting Paid for Time via Medical Billing.” In this powerful presentation, Dr. Parikh broke down what many pharmacists have long struggled with: how to get properly reimbursed for the clinical care they already provide. He explained that services like chronic care management, medication therapy management (MTM), and immunizations can be billed to medical insurance — not just pharmacy benefits — creating an entirely new revenue stream. Dr. Parikh walked through the basics of medical billing, shared essential codes (like CPT and ICD-10), and explained different payment models including fee-for-service and “incident-to” billing. He also addressed common roadblocks like credentialing and payer challenges, and backed it all up with real-world case studies of pharmacies that have successfully made the leap. The message was clear: pharmacists already have the clinical skills — now it’s time to get paid for them. Access the presentation slides here
What does this mean for you?
At RxBB, our mission is to help independent pharmacies blossom beyond dispensing. That’s why we’ve turned insights from sessions like Dr. Parikh’s into real, turnkey services that any pharmacy can start using immediately — including:
Medical billing support from Day 1
Back-billing for vaccine services (up to 1 year)
MTM support — earn $834+/patient/year
End-to-end documentation and submission assistance
Where do you stand?
Over the weekend, we spoke with dozens of pharmacy owners, and a pattern quickly emerged. No matter where they were on their clinical journey, nearly everyone fell into one of five common buckets — each representing a real challenge, but also a real opportunity.
- “I want to learn more, but I’m too busy.” We get it — you’re juggling operations, staff, inventory, and patients. But don’t let that stop you from stepping into a more sustainable, profitable future. Waiting for the “perfect time” can easily become analysis paralysis, and we both know how that ends: nothing changes. RxBB makes it simple to start small, with bite-sized steps that fit into your already full schedule.
- “I don’t know where to begin.” The world of medical billing can feel like alphabet soup — CPT, ICD-10, CMS 1500. If you’ve Googled your way into a rabbit hole before, you’re not alone. That’s why we built RxBB with a plug-and-play approach. No guessing, no going it alone — just a clear, supported path from first step to first payment.
- “I tried MTM but never got paid.” You’re not imagining things — MTM programs can be frustrating when you’re navigating them without the right infrastructure. Maybe claims were rejected, maybe you missed documentation requirements, or maybe no one showed you how to track progress. RxBB helps ensure you’re billing the right way, documenting properly, and actually seeing the revenue you’ve earned.
- “The paperwork and billing is overwhelming.” If billing sounds like a mountain of forms and fine print, you’re not wrong — but you’re also not alone. RxBB streamlines the entire process with smart automation, standardized templates, and expert support so you’re not spending nights buried in paperwork.
- “I bill services but don’t document.” This one’s risky. Billing without documentation not only leaves money on the table — it opens the door to audits and clawbacks. RxBB helps you close this gap with compliant, integrated documentation workflows that protect your practice and keep your reimbursements safe.
Whichever one you relate to, we can help you get over the hump and into a future where your pharmacy is paid for the value it delivers.
We’re deeply grateful to CPhA for the opportunity to join WPE 2025. It was an honor to connect with such an engaged and forward-thinking pharmacy community. As part of its initiative to expand clinical roles for pharmacists, CPhA provides a $400 grant to support members pursuing MTM credentialing. This grant is designed to ease the financial barrier and encourage more pharmacists to engage in reimbursable clinical services. If you’re not yet a member, we’d be happy to guide you through the enrollment process.
Ready to Turn Talk Into Action?
Let’s take the next step — together. Not sure where to start? Let’s talk. Schedule a quick 15-minute session or a 45-minute demo — we’ll answer your questions and show you how RxBB makes medical billing doable.