November 2012 - Northeast Pharmacy Service Corporation

Network News 

WWW.NORTHEASTPHARMACY.COM 

NOVEMBER 2012 

SPECIAL POINTS OF 

INTEREST: 

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Lexmark laser printers 

for sale (page 5) 

INSIDE THIS ISSUE: 

SXC dba Catamaran 3 

What I Learned From 

Walgreens 

4-5 

HIPAA Security Part II 6 

Alert Your New 

Vendors 

Medicare B Updates 8 

Medicare D Update 9 

Immunization Page 10 

NPSC Purchasing 

Program 2012 

2013 EXPO 

H D SMITH 

FLEX TRAX 

KINRAY 

INSERTS 

7 

11 

By: David Benoit 

Dinner Meeting Highlights 

A round of dinner meetings has 

pretty much become an annual event. 

We see so many owners at the EXPO 

and receive lots of valuable feedback 

about the challenges Participating Pharmacies 

are facing. About half way 

through the year, we sit down with network 

participants to get a fresh view of 

our world. The meetings are always informative 

and lively. This latest round of 

dinner meetings pushed the value of the 

meetings to a 

new level. 

We invited 

our wholesaler 

vendors 

to join us and 

were rewarded 

by 

valuable input 

from them. 

We 

started to build the agenda with the topics 

that we knew were on peoples’ 

minds. Then as the discussions expanded, 

we added new topics. We 

never knew exactly what we would be 

talking about; the meetings are dynamic 

and in this case exciting. Since many of 

you were unable to attend these meetings, 

I’ll provide a synopsis of some of 

the more interesting and unusual topics. 

340b programs have changed. 

Qualified health centers can have more 

than one contracted pharmacy. Since 

that change was made, a number of companies 

have emerged that administer the 

340b program on behalf of the health 

center and networks of pharmacies. 

Such programs are being run locally in 

the cities of Waterbury, CT and Boston, 

MA. About ten NPSC Participating 

Pharmacies have enrolled in these programs. 

Only time will tell how well the 

expansion of 340b works for the clinic, 

the administrator, and the pharmacies. 

This arrangement allows us to compete 

with Walgreens who offers 340b administration 

and contracts to these health 

clinics. 

CMS is asking pharmacies to voluntarily 

report their 

acquisition costs for 

generics so that they 

may calculate the National 

Average 

Drug Acquisition 

Cost (NADAC). 

As you recall, pharmacy 

has beaten back 

Average Manufacturer’s 

Price (AMP). 

This is the next round in CMS’ struggle 

to reimburse generics at acquisition 

cost. There was very strong opposition 

to providing this data voiced at our 

meetings. Implementation of NADAC 

would require the states to raise dispensing 

fees to a level that reflects the 

cost of filling prescriptions. 

We talked about the New England 

Compounding Center’s expanding 

disaster. On the local front, a second 

sterile compounder, Infusion Resource 

was inspected by the Mass Board of 

Pharmacy. The inspectors expressed 

concern for the sterility of products. In 

addition, patients were being administered 

intravenous medication on-site, an 

activity requiring a clinic license that the 

Continued on pg. 2

NEW NETWORK PARTICIPANTS 

Cornerstone Pharmacy, Stamford, CT 

Neighborhood Healthmart Pharmacy, Methuen, MA 

Salem Health Mart Pharmacy, Salem, CT 

Continued from page 1 

company did not have. The Board issued an immediate cease and desist and quarantine 

notice. Subsequently, the company voluntarily surrendered its pharmacy license. 

NCPA has reported that Congress is considering the options relating to pharmacy 

compounding. Both the House and Senate Committees which have jurisdiction over this 

matter are currently conducting investigations. NCPA believes that it is likely that both 

will hold a hearing to further examine the tragic outbreak during the “lame-duck” session 

after the election. Congress is also interested in hearing pharmacy groups’ views on 

whether the FDA needs more authority to regulate compounding, 

and potential legislative options to address the current situation. 

States are also looking at possible actions, such as tightening up rules 

relating to pharmacy compounding and increasing inspections. 

What is happening in your state? Keep your eyes and ears 

open. The disaster keeps getting worse. 

Medicare began a program in October that penalizes 

hospitals for high re-admission rates. Poorly performing hospitals 

can lose 1% of their payments this year and 2% next year. This initiative 

focuses on congestive heart failure (CHF), acute myocardial infarction 

(AMI), and pneumonia (pneumonia). In most quarters, patient 

compliance with discharge orders and medications are seen as 

the weak links to be mended. Some larger hospitals actually will use their outpatient 

pharmacies to become more involved with managing and monitoring these patients. 

There is even some federal grant money around. But smaller community hospitals will 

not have access to the kind of pharmacy resources they need. This means that you 

might have the opportunity to become a critical partner with your local hospital pharmacy 

Director. Find the name of that person and talk to them. 

If you don’t think this is a viable business, consider this: Walgreens has undertaken 

this initiative with about a dozen hospitals. It is called Well Transitions. 

Fax requests for continuation of therapy on controlled substances Class 

III–V. We try to make it crystal clear: PHARMACIES MAY NOT SEND A FAX RE- 

QUEST THAT FILLS IN THE PRESCRIPTION AND NEEDS ONLY THE PHYSICIAN 

SIGNATURE. Most software systems have already made the necessary changes or will 

Continued on page 3 

2 

NETWORK NEWS - NOVEMBER 2012

Continued from page 2 

make them soon. The chains are all sending the same message to the doctors’ offices that we are. 

We have found that there are a significant number of pharmacies 

using CSOS where only the subscriber (usually the 

owner) is authorized to order online. We found a significant number 

that had filled out power of attorneys and had them on file in the 

store; authorized employees were using the subscriber’s key. Only a few 

stores had done it correctly. They filled out the Power(s) of Attorney, 

and submitted it with all required documentation to the DEA for approval. 

Each authorized person was provided their own “key” to order 

on the CSOS system. The wholesalers were the ones who pointed out 

that there were inspections by the DEA and fines being issued in New 

York State. DEA inspections will be coming to New England. Violations 

can cost $10,000 per line. This can be fixed pretty simply. You will find 

that your wholesaler that set you up on CSOS will be well experienced in 

expanding the number of authorized users. They’ll be happy to help. 

The chains have been pre-filling prescription refills. We have heard that nearly every chain 

pharmacist is under enormous pressure to pre-fill maintenance meds and then call the patient to tell 

them it is ready. It would be one thing if the patient had opted into this kind of adherence program. 

But it is a starkly different matter when the patient has not initiated the refill in a federally funded program. 

We have read that the Justice Department, the Department of Health and Human Services, and 

the states of New Jersey and California are investigating claims that CVS/Caremark filled and billed 

without the approval or knowledge of the patient. Since this was first published in the Los Angeles 

Times, the newspaper subsequently reported that Target, Rite Aid, and Walgreens are also doing this. 

They are all denying this practice and any pressure or quotas on their pharmacy personnel. There is 

the potential for this to be really painful. 

Of course, there is much more that was discussed at the dinner meetings. We hope that you will 

be able to attend future meetings. 

SXC dba Catamaran 

By David Benoit 

Catamaran was formerly known as SXC. SXC sometimes referred to itself as Informed Rx. In the 

last year or more leading up to the name change, SXC took over NMHCRx, MedMetrics, Innoviant, 

and Catalyst, which had just bought Walgreen Health Initiatives. The name change might help employees 

to have a common name for their employer. But the amalgam of companies is not an organized, 

efficient model of scale; it is a disorganized, dysfunctional collection of parts that have been aimlessly 

cobbled together. There does not even appear to be a central command. That opinion might sound 

harsh but it is honest. 

In mid-July, Catamaran turned on a mandatory 90-day fill for maintenance medications for the Mass 

Neighborhood Health Plan, initially operated by MedMetrics. At the same time, it appears that Catamaran 

implemented a MAC list that goes well below anything we have ever seen. Hundreds of pricing 

appeals were sent to challenge below cost reimbursements. So far, only one owner has told me that a 

price actually was adjusted. That’s not really a cause for celebration because the adjustment only ameliorated 

the problem. Instead of losing $20 on a 90-day supply, the store only loses $13 now. For the 

rest of the appeals, owners are still waiting to get a response or have been told that the MAC will not 

be changed. 

It gives us no solace to learn that Neighborhood Health Plan had a record setting year financially. 

Now with that as background, think what Rhode Island pharmacists can look forward to. BCBS-RI is 

finally getting rid of CVS/Caremark. That must be proof that there is a higher power looking after us. 

Or is it? The new PBM for BCBS-RI is Catamaran! I hope I’m wrong. 

NETWORK NEWS - NOVEMBER 2012 3

What I Learned From Walgreens 

Scott Campbell 

Last winter I noticed a Walgreen’s 

commercial asking people to get 90 days 

supplies of their medications whenever 

possible. I was puzzled. This is a company 

with pharmacies that are over 10,000 

square feet of non-prescription store space. 

They sell things like makeup, toys, school 

supplies, food, health and beauty aids. 

Doesn’t their business model require customers 

to enter the store, and purchase 

non-prescription merchandise with their 

prescriptions, the more times the better? 

Isn’t the pharmacy both a draw for customers 

and a profit center? According to the 

Walgreens annual 

report, 35% of their 

sales are nonpharmacy 

or front 

store items. CVS has 

similar numbers. If 

people are getting 90 

days supplies of their 

maintenance medications 

that’s only 1 

trip every 3 months 

instead of 3 trips 

every 3 months. Doesn’t this go against 

their business model? I knew there was 

reason Walgreens was pushing the maintenance 

quantities; I just wasn’t sure what it 

was. I mentioned this to the student 

NCPA chapter at URI when one of the students 

responded that his job the summer 

before was to call physicians and get approval 

for 90 days supplies for maintenance 

medications. So now I was sure. There 

must be a strong financial reason to dispense 

90 days, and my next task was to find 

out what it was. 

First, I examined the prescription filling 

process and tried to put a dollar amount to 

each step in the process. The prescription 

processor, the counting technician (we do 

not have automation), the pharmacist 

checking, and the cashier’s time ringing the 

customer out. Then, I compared the relative 

costs of doing all of the functions three 

times if you fill a prescription once a month 

for three months, verses once every three 

months. As you might imagine almost all of 

the costs of doing the same job three times 

will be three times higher. The most expensive 

of which is having your pharmacist check the 

same prescription three times. What surprised 

me the most was the time and expense 

at the cash register. It takes about 2 minutes 

to have people sign request or decline pharmacist 

counseling, request or not child proof 

prescriptions bottles, and then of course sign 

that they received the prescription. But wait; 

there is one last final 

cost, PLASTIC! Do 

you know how high 

those fees are? Our 

average fee when 

plastic is involved is 

$0.75. Use plastic 

three times and that 

will take a bite out of 

profit. How much 

plastic do you take in 

these days? Do you 

anticipate plastic use will decrease in the future 

or increase? Now that’s just the cost of 

dispensing a prescription. What about retail 

pricing for 30 verses 90 days’ supply? 

The other day one of the technicians filled 

a simvastatin 10mg prescription for #30 tablets 

and we got paid $5.17 and our COGS (cost of 

goods sold) was $0.90. I noticed the physician 

had ordered #90 tablets. I asked the technician 

to reverse the claim and resubmit it for 

#90 tablets. We received $12.57 for #90 tablets 

and our COGS was $2.70. In this one example 

I was able to increase my profit from 

$4.27 to $9.87 considering the selling price 

alone. According to the 2012 NCPA digest 

the national average cost of dispensing a prescription 

is $12.19, the average cost to dispense 

in the Northeast region is $15.03. Figure 

in your net costs of filling that one $4.27 

three times. Assuming the NCPA average 

4 


$12.19 cost to dispense a prescription is correct, we lose money 

both times, but we lose much less filling the prescription once for 

a 90 days supply. 

Yesterday an old customer came into the store and we were 

talking. Both he (asthma) and his wife (diabetes) had been forced 

to mandatory mail order a few years ago. His insurance had 

changed and he was going to Walgreens because they could do 

90 days supply. I said “I can do that too”! So he transferred his 

Advair 250/50 90 days supply. The profit for 3 months was 

$17.00. Now $17.00 profit on 3 boxes of Advair is a terrible gross margin of around 2.5%. If I had 

given him one 30 day supply my profit would have been $8.00 on one Advair 250 which would give a 

gross margin of around 3.5% not much better, but my net profit would have been much less. I know a 

2.5% gross margin is very low, but a $17.00 profit is better than an $8.00 profit. And we still pay our 

invoices in dollars not gross margin percents. 

How about our customers? I really think most would rather make one trip to the pharmacy every 

three months, especially with many of the low co-pays on generic medications. How many customers 

are not coming to me because I haven’t been filling 90 days supplies? How can I get the word out to 

welcome people back? Aren’t we in the customer service business? If the customers want larger quantities 

and fewer trips to the pharmacy, than that is what we should give them. 

The NCPA average cost to dispense for 2011 was $12.19. I like to use $10.00 as my break even 

line. If I can make more than $10, I win, if not try again. When you are filling 30 days supplies of generic 

maintenance medications how often do you make a gross profit of $10.00? Think of all the different 

medications; amlodipine, atenolol, citalopram, furosemide, metoprolol, simvastatin, lisinopril , 

ramipril, quinapril, levothyroxine, fluoxetine, hctz, metformin, glyburide, losartan to name just a few 

that we are lucky to get reimbursed $5.00 for a 30 days supply. Do you think the list will be larger or 

smaller in 2013, 2014, and beyond. When I run my daily audit checking for co-pay offset cards, and 

checking for odd sizes or quantities to prevent insurance audits, I now add profitability to the mix. If I 

am not making $10.00 profit on a prescription I will investigate to see what I can do to increase my 

profits. Remember, with your staff it’s not their money, it’s not as important to them as it is to you. If 

you don’t do it, who will? 

One thing to do is make sure you can fill 90 day (extended day) supplies. There are some plans 

that allow you to fill 90 day without a separate contract, and other plans that require a separate contract. 

Call your PSO to find out if you can fill extended days for all contract. 

There are many lessons we can learn from the chains. This is one I latched onto. Does anyone 

else have an example of a chain program that we could all become more profitable doing? Please share 

so we can all learn from each other. 

United we stand, divided we fall. 

Scott Campbell is the owner of Ocean Pharmacy in Charlestown, RI. He is also a member of the NPSC Board of 

Directors. Connect with him on Facebook at http://www.facebook.com/pages/Ocean-Health-Mart-Pharmacy- 

Charlestown/10150101968710436 

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HIPAA SECURITY: A FOUR-PART SERIES 

By Karen Hekeler 

In the September issue of the Network News, we brought you through the first three 

steps of the HIPAA Security rule. Hopefully, you have set aside some time to complete 

those three steps. We will now continue with Step 4. 

Part II of IV 

HIPAA SECURITY 

Step 4: 

Step 5: 

Step 6: 

Step 7: 

In Tab 4 of the HIPAA Security binder, you will find a document titled 

“Risk Management Chart for Protecting Patient Information in Electric 

Form Administration Safeguards.” Please go through the chart and enter 

the date you completed each action item. 

The Security Regulations require you to have a BUSINESS ASSOCIATE 

AGREEMENT (BAA) on file with any entity you share PHI with that is 

not in itself a covered entity. Examples of who needs to have BAA on 

file include: IVR companies, Pharmacy and/or DME software companies, 

DME billing companies and any facility you deliver to where you 

are not delivering directly to the patient. Tab 4 has a copy of the BAA. 

Please go through your files and ensure you have a signed BAA on file 

for any of the business partners you are sharing PHI with. 

Under Tab 5, we have provided you with Security Policy and Procedures 

for all Employees. Please take a few minutes to familiarize your 

self with this policy and have your staff do the same. We have also 

provided you with a sample employment application. 

In Tab 6, you will find Personnel Policies Employee Sanctions. The Se 

curity Rule requires that all covered entities have appropriate sanc 

tions in place for employees who fail to comply. Please review this 

policy with your staff. 

Part III of this series will be included in the January issue of the Network News. If at 

any time during this process you have questions, please feel free to contact the 

NPSC office or your pharmacy consultant. 

6 


Alert Your New Vendors! 

By Dianne Shaffer 

From front-store to pharmacy supply, NPSC has contracted with many different types of 

vendors to assist you with your pharmacy’s needs. Pharmacies that are in our Prime Vendor 

Program meaning their primary wholesaler is H.D. Smith, McKesson or Kinray, will see 

additional incentives paid to them when they use any of our authorized vendors. Pharmacies 

that use any other primary wholesaler and are on our fair share program will see incentive 

credit applied to their quarterly statement. 

Please remember that if you place an order with one of our contracted vendors and you 

haven’t purchased from them before, or in quite a long time, you must inform them that 

you are a part of the Northeast Pharmacy Service network. If they are not aware of your affiliation 

with NPSC, the data necessary to process your incentives may not be entered correctly. This 

can lead to incentives missing from your quarterly statement. Research and “detective work” will need 

to be done so that you may receive proper credit. We want the process to be a smooth one for our 

network stores, so please keep this in mind when ordering from any vendors. 

Are you working with a vendor that you think would be a terrific fit for NPSC? Let us know! We are 

always interested in new vendors that may be beneficial to our stores! If you have any questions about 

the vendor program, or would like to refer a vendor to the program, please feel free to contact your 

field consultant or contact the office at 800-532-3742. 


ABN - REMINDER 

Latest Advance Beneficiary 

Notice of Noncoverage (ABN) Dated 3/2011 

The ABN, Form CMS-R-131, is the Office of Management and Budget (OMB) approved 

standard notice. Failure to use this notice as mandated could result in the notice being 

invalidated and/or the supplier being held liable for the items or services in question. 

MEDICARE B 

On May 2011, the Centers for Medicare & Medicaid Services (CMS) released an updated 

version of the Advance Beneficiary Notice of Noncoverage (ABN) (form CMS-R-131), 

which replaced the 2008 version of this form. The 2011 version contains no substantive 

changes from the 2008 version of the notice and was approved by the Office of Management 

and Budget. Suppliers are reminded that effective January 1, 2012, only the 

ABN dated 3/2011 should be used when executing an ABN. Any ABNs that are executed 

on or after January 1, 2012, must be the latest version. The latest version is identified 

by the release date of 3/2011 printed in the lower left-hand corner. If an older version 

of the ABN is issued on or after January 1, 2012, it will be considered invalid. 

If you need the ABN dated 3/2011, you can go to our website, log in and go to Accreditation/Medicare 

B. The ABN is located under Medicare Billing Requirements. 

TUESDAYS AT 10 

There will not be a Tuesday at Ten program scheduled for December, but Tuesdays 

at Ten will resume in January. In the meantime, did you know that past 

Tuesday at Ten presentations are on our website? Log in, click on the Accreditation/Med 

B tab, and then scroll down to Medicare Billing Requirements. The 

first item is Tuesday at Ten Presentations. You can scan through the various 

presentations at any time to brush up on numerous Med B topics! 

Got a questions? Are you confused about 

Medicare B, Accreditation, the Exemption, 

Billing Immunizations to Medicare Part B, 

CMS 855B, CM855S, HIPAA, FWA, etc ? 

NPSC is here to help. Just give us a call. 

Don’t make a costly mistake that could cost 

you additional money in application fees, etc. 

Ask us first! 

1-800-532-3742. 

8 


Medicare D Update 

By David Benoit 

As you know we are in the open enrollment period for Medicare D enrollees and eligibles. You probably 

want to make certain that the patients who want to continue their care in your pharmacy know which plans to 

avoid. 

This is shaping up to be the year of the “Preferred” plans. Last year there were four networks that we 

could not participate in: Humana-Walmart, Aetna/CVS Pharmacy, RiteAid Envision Rx Plus, and First Health Part 

D Value Plus (Target, Walgreens and Walmart). 

For 2013, there is a new “Preferred” network for all AARP plans. I don’t have a lot of information about 

this plan. There have not been any changes to my network contracts regarding these new “Preferred” plans. 

When I searched for preferred pharmacies, I found Walgreens, Target, and Stop&Shop. In 2013, Community 

Care Rx will disappear. CCRx Basic will be rolled into the Silverscript Basic open network. CCRx Choice will 

be rolled into Silverscript Plus preferred network, which can include independents. 

Finally there is SmartD, the preferred network that RxAlly is partnering. As you know, this plan has very 

deep discounts and a $2 per prescription chargeback. While we have enrolled nearly all NPSC Participating 

Pharmacies, we have not elected to market the plan. SmartD has qualified for $0 premium LIS in our regions. 

Therefore, there will be some Medicaid enrollees who will be placed in SmartD. Otherwise, we want to see 

how SmartD helps RxAlly to develop Medication Therapy Management programs. It is these RxAlly programs 

that attracted us in the first place. 


Free Tool to Promote Your Adult 

Immunization Services 

ATTN: IMMUNIZING PHARMACISTS (NCPA e-news 9/25/2012) 

An enhanced, free, and online immunization locator is now available through HealthMap, 

a global disease-tracking resource overseen by researchers at Children's Hospital Boston 

Flu season is rapidly approaching, and with it, the launch of the newly redesigned and 

expanded HealthMap Vaccine Finder. Vaccine Finder now is highlighting the availability of 

all forms of influenza vaccine (traditional flu shot, nasal spray, intradermal and high dose). 

Later this year, the Vaccine Finder will expand to cover 10 adult vaccines and help individuals 

locate practices that administer the wide spectrum of adult vaccines. 

HealthMap Vaccine Finder will use geo-mapping to identify providers from the database 

within an identified radius who meet the vaccination criteria of an individual. Listing order 

will be based upon distance from the patient. All providers have the opportunity to 

enter information on their vaccine services into the database. The system allows you to 

upload a spreadsheet for multiple practices (template provided online) or manually enter 

information on a single practice. 

If you already have a Vaccine Finder account, enter your data on vaccines and vaccination 

services. Log-in at http://healthmap.org/vaccinefinder/admin/ to get started. 

If you have not already signed up for an account and would like to have your practice 

listed on HealthMap Vaccine Finder, go to http://healthmap.org/vaccinefinder/admin/ 

signup/. 

2013 Practice Based Immunization Training for Pharmacists: 

Thursday, March 14, 2013 

Foxwoods Resort 

8:00AM-5:00PM 

Contact: joanne.nault@uconn.edu 

Check your insurance policy to ensure you are covered to provide 

immunizations. If your policy does not clearly state you are 

covered, it is more than safe to assume, YOU ARE NOT COV- 

ERED! 

Contact Al Martinelli at Pharmacists Mutual for a quote that will 

include coverage for pharmacists providing immunizations! 

al.martinelli@phmic.com 401-339-5902 

Attention Immunizing Pharmacies! 

ARE YOU COVERED? 

10 

IMMUNIZATIONS 


By Pat Monaco 

NPSC Purchasing Program 2012 

The results are… 

More money back to you! 

For the 1 st quarter of 2012, we returned $162,473.75 in incentives back to the network. 

The wholesaler program changed in April, 2012 to include higher generic 

incentives from H.D. Smith and Kinray, so the 2 nd quarter payout to the network increased to 

$188,402.31! McKesson’s new generic incentives went into place July 1, so the third and 4 th quarter 

payments are expected to increase as well. We are predicting that for the year of 2012 we will return 

approximately $700,000 to the network. This number surpasses any in our 20 year history! 

We added Quest Pharmaceuticals to the generic distributor listing this year to join Anda and Harvard. 

Letco (compounding supplies) which is owned by Harvard re-signed an agreement with NPSC 

for another year. Castine Candle joined the program right after the Expo and is doing well; Harmony 

is a new vendor for front end products that many of you will be very interested in (see advertisement 

enclosed), and Speedscript is a pharmacy system that also has long term care. If you have 

some vendors that you would like to recommend to us for the network, we want to hear from you! 

Once again, we appreciate your participation in our programs and look forward to returning record 

levels of incentives back to you in upcoming quarters! 


NPSC Board of Directors 

Ed Schreiner Doug Pisano Steve MacQuarrie Mark Dumouchel 

Chairman Vice Chairman Treasurer Clerk 

Stoll’s Pharmacy MA College of Pharmacy Marketing Consultant Eaton Apothecary 

Waterbury, CT Boston, MA Wellesley, MA Holliston, MA 

Darlene Able Scott Campbell Greg Conz 

Able Care Pharmacy Ocean Pharmacy Williamsburg Pharmacy 

Enfield, CT Charlestown, RI Williamsburg, MA 

Walter Douglass James Garvey Paul Hackett 

Durham Pharmacy Apothecare Olden’s Pharmacy 

Durham, CT Hyannis, MA So. Weymouth, MA 

Kim McDonough Shane Savage Rocky Tenaglia 

Adv Pharmacy Concepts Fairfield Pharmacy Nantasket Pharmacy 

Kingston, RI Fairfield, ME Hull, MA 

Northeast Pharmacy Service Corporation 

1661 Worcester Road, Suite 405 

Framingham, MA 01701 

Phone: 800-532-3742 

Fax: 508-875-6108 

www.northeastpharmacy.com 

www.facebook/northeastpharmacy.com

November 2012 - Northeast Pharmacy Service Corporation

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