There will be market adjustments downward for urban salaries and upward for Certificate of Need rural and hard to fill locations. This time around, hospital pharmacists will start getting cuts (low raises or understaffing) toward their historical balance with retail. There will be silent hiring freezes at most hospitals this and next year. PBM are going to have their massive layoffs around June-July for industry known reasons. Most industry pharmacists in regulatory compliance will find jobs hard to come by if they are laid off this season and about half of those will leave the industry altogether like 2008.