Despite the critical role of pharmacies in the pharmaceutical supply chain and evidence that pharmacy closures contribute to nonadherence of prescription medications,1 there is limited information on the prevalence and risk factors for pharmacy closure. In this study, we examined trends in pharmacy closures in the United States between 2009 and 2015, and analyzed pharmacy, community, and market factors that might be associated with such closures. We hypothesized that pharmacies disproportionately serving publicly insured populations were at increased risk for closure owing to lower pharmacy reimbursement rates from Medicaid and Medicare.2 We also hypothesized that independent pharmacies were more likely to close because they often do not participate in preferred pharmacy networks.3
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Guadamuz JS, Alexander GC, Zenk SN, Qato DM. Assessment of Pharmacy Closures in the United States From 2009 Through 2015. JAMA Intern Med. 2020;180(1):157–160. doi:10.1001/jamainternmed.2019.4588
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: