Quoted straight from the user AOLsux: (a lot of excellent points brought up here)
I don't have numbers, but I have plenty of evidence. Just open up your eyes and you will see whats going on and read every comment on
r/pharmacy. I don't want to be a jerk by saying this, but pay more attention to the people that have been in the business for a long time than the people in school that think they know more than the people actually in the business. Some of these guys in school don't want to admit to themselves what is actually going on. Talk to some pharmacy owners also, they will tell you the same thing I am telling you. I wanted to buy a pharmacy within a year or so, now I won't buy a pharmacy for half price.
- Mail Order is going to reduce jobs significantly. Insurance companies are pushing almost everyone to mail order. They do this in several ways...
Some patients can only refill the same drug a few times before they are forced to switch to mail order.
Patients are being called and told to switch to mail order. Sometimes they will even get a discount on their copays. For some old people its just easier to have it mailed to you then have to get up and go to the pharmacy and wait.
Some reimbursements for pharmacies are BELOW cost, so some pharmacies are turning customers away for some prescriptions. This makes it harder for the patient to get the drug, it makes the pharmacy look bad, and it gets patients really mad and frustrated at the pharmacy even though its not the pharmacy's fault. They are making the pharmacy look like the enemy. So sometimes they want to move to mail order to avoid problems like this.
Soon (if they don't already exist, I'm not sure if they do) you will see plans that have a cheaper premium by lets say maybe $20/monthly that require mail order. People will jump all over this because their premiums are super expensive already.
Any day now, Medicare will probably switch to mail order. They have to if they want to cut costs.
Get ready to see most independent pharmacies shut down within the next 5-10 years. You are going to walk into a pharmacy one day (in 5-10 years) and you will ONLY see emergency drugs. You will see antibiotics, pain meds, and not much else. A mail order pharmacy can get you your medicine within a few days if its not an emergency. They will open up more and in every state if they have to.
- Pill Dispensing Robots - In my state we have a limit on the number of techs per pharmacist. Some bigger pharmacies have already switched to these robots and many more will also. What do you think the mail order pharmacies use? Robots so they have less pharmacists.
- They used to give huge bonus for you to go to areas that no one goes to. Now for some people, if they want a job they have to move to those areas. Big cities are over-saturated.
- Some pharmacies that have been in business forever have closed and more will close. Independent pharmacies used to be a gold mine if you knew what you were doing. Their profits have been going down every year. Our customers used to increase all the time, now we probably lose at least 1-1.5 customers to mail order for every new customer. So you will see more and more independent pharmacies close, some have already. How do you make money if you are making a couple dollars per prescription for most prescriptions? Do you know how much it costs to run a pharmacy per hour?
- I have friends that could not transfer back to where they used to live (before school) for over a year because there were no openings. He flew down here so many times for ONE interview.
- Pharmacists are being forced to work harder then ever. I have a friend that does 250 a day with 1 tech and NO cashier. Keep in mind that she has to deal with doctors, phone calls, insurance, crazy customers, AND in my state you have to consult for every new RX. You don't like doing 250 with you and a tech? Good, quit, there's a line of pharmacists waiting to be hired and they will take less pay than you.
- I know pharmacists that have taken $45-50 an hour at independent pharmacies. That's a big pay cut. One of them doesn't even get insurance. One owner told me that his friend told him to get rid of 2 of his techs and pay him only $45 an hour to do their job because he's having a hard time finding a job.
- Like everyone else said, too many schools opened up too fast. Also, many pharmacists are retiring later.
- The economy is bad so some poor people will start to skip doses or not take as directed to save a few dollars. This means less prescriptions filled. Guess what? These people are the first to switch to mail order.
If you have any better options available to you, consider one of them. Nothing is worse than owing $100k-250k and not having a job. I'm telling you right now from someone who has a lot of experience in this business. Open up your eyes and see what is going on. I've seen all the actual numbers over the years for my pharmacy and I have talked to a lot of other people I know. I know a lot of people who are pharmacists and a few pharmacy owners. I hear the same thing from all of them. I'm deeper in than most people and I am getting out. It's a bad time in the US to become a pharmacist or doctor or just about anything medical related.