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Health
24 October 2024

Pharmacy Chains Brace For Widespread Closures

Major drugstore companies alter their strategies amid economic challenges and changing consumer habits

Pharmacies across the United States are facing significant upheaval, with major chains like Rite Aid, CVS, and Walgreens announcing closures of their locations. These changes are driven by various factors, including shifting consumer behavior, increasing overhead costs, and challenges within the industry.

Walgreens Boots Alliance has revealed intentions to shut down approximately 1,200 stores nationwide over the next three years, with about 500 closures expected to occur within fiscal year 2025. This follows the company's recent struggles, which saw it post staggering financial losses, including nearly $1 billion in operating losses for the last quarter alone. CEO Tim Wentworth stated the need to stabilize their retail pharmacy business, aiming to optimize their footprint and adapt to new reimbursement models to support dispensing margins.

Rite Aid, meanwhile, is still reeling from its own financial misfortunes. The chain has filed for Chapter 11 bankruptcy protection, struggling under significant debt accrued after past mergers and acquisitions, particularly the costly purchase of Eckerd and Brooks chains back in 2006. The drugstore chain has closed over 500 locations to combat mounting losses.

The chain's closures have led to concerns about “pharmacy deserts,” particularly affecting rural areas and smaller communities. Dr. Joe Galati has pointed out the impact of these closures, saying, "You may not have a local pharmacy nearby, and you may have to drive many miles to get your prescriptions filled." This exacerbates the situation for individuals reliant on medications who may not have the means to travel great distances.

Meanwhile, CVS has also been shutting down multiple locations. The company has announced plans to close about 900 pharmacies by the end of this year, partly attributed to fluctuated consumer interests. Amidst all this, CVS's former CEO, Karen Lynch, was ousted amid criticism of the company’s failure to integrate its numerous acquisitions successfully, making the operation more unwieldy.

The pharmacy industry's recent movement toward mail-order fulfillment is yet another factor critically reshaping the market. Consumers increasingly prefer to order medications online and have them delivered directly to their homes, leading them to bypass brick-and-mortar stores altogether. The cost-saving and convenience factors are swaying even long-time pharmacy patrons.

Several pharmacy leaders, like Neil Saunders, attribute this drift to mismanaged priorities. "Both CVS and Walgreens have been guilty of chasing healthcare dreams at the expense of retail. That shortsightedness is now hitting them hard," he noted. By investing so much energy and resources toward becoming broad health care providers, these chains have compellingly weakened their actual retail operations.

Across the board, experts point out the industry has grown overly reliant on drugs and stores without adequately addressing the imminent demand shifts and technological changes. According to analyst Tim Wentworth, “The retail pharmacy industry was largely overbuilt for where the future was going to be.”

With thousands of storefronts poised to close, many retail locations, once seen as stable tenants, will soon be empty. This has raised concerns about what will occupy these spaces post-closure. "When you have a junior box, it is like gold to the landlord," noted Steven Teitelbaum, highlighting the potential for repurposing these properties for new endeavors, from urgent care facilities to grocery stores and everything in between.

Real estate investment trusts (REITs) holding leases for pharmacy chains see opportunities for new tenants but are also conscious of the impact this has on neighborhoods. Walgreens and CVS have both made it clear they plan to collaborate with community stakeholders to find appropriate future uses for their vacant storefronts. While CVS claims 95% of its closing locations are leased, Walgreens expresses confidence about re-leasing these vacant units effectively.

The interplay between closures and urban development is evident as areas become pharmacy deserts, which can hinder residents from easily filling prescriptions—sometimes even extending distances to find remaining pharmacies. Darren Covington from the Indiana Pharmacy Association expressed concern over how the absences will create difficulties for patients relying on routine medications.

Many are left wondering what potential policies can be enacted to resolve these increasingly problematic trends. There’s a palpable urgency among members of the pharmacy sector, with calls for policies emphasizing fair reimbursement to keep pharmacies open. Dr. Tracey Wilkinson from Indiana University’s School of Medicine has stressed the importance of maintaining timely access to medications, noting the health risks of delayed treatment.

Overall, the current upheaval reflects not just the individual fates of these pharmacy giants, but also broader shifts within the retail and healthcare landscapes. The intensifying competition from online pharmacies is reshaping what once was deemed the core of American retail. With closures expected to continue, timely solutions will be necessary to tackle the ever-looming pharmacy access problems throughout communities nationwide.

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