For FQHCs and community health centers
50–80%
of specialty Rx fills often happen outside the health center pharmacy.
$0
upfront cost to launch a partnership with Vital Health.
MTM + 340B
clinical support and pharmacy economics aligned in one model.
Your patients’ specialty medications are filling somewhere else.
Vital Health helps FQHCs recapture specialty prescription revenue through clinical pharmacy services, copay optimization, and patient engagement — turning prescription leakage into durable 340B program growth without asking your team to absorb more operational burden.
50–80%of specialty prescriptions may leak outside the FQHC pharmacy channel.
$2K–8Kpotential monthly spread from a single commercially insured specialty patient.
340Bspread recaptured on every prescription brought back into the preferred channel.
MTMclinical pharmacist support helps sustain adherence and refill continuity.
The problem
Your 340B program is leaving revenue behind.
Most FQHCs capture only a fraction of their patients’ specialty prescriptions through their own pharmacy network. The rest fills through chain or mail-order channels, which means the health center loses margin, visibility, and the chance to coordinate medication support around the patient.
50–80%
Prescription leakage
Commercially insured and Medicare patients often fill at CVS, Walgreens, or mail-order specialty pharmacies instead of your 340B-aligned channel. Each external fill is an uncaptured economic opportunity.
$2K–8K
Monthly spread per patient
A single patient on a specialty biologic can represent substantial monthly spread when properly captured through the health center’s pharmacy workflow.
Zero
Internal bandwidth to fix it
Existing pharmacy and care teams are already overloaded. Very few organizations have the time to find leakage, optimize copays, transfer fills, and maintain adherence at scale.
How it works
From leakage to captured revenue.
Vital fits alongside your current pharmacy and clinical operations. No tech migration. No new internal team required. Just a more deliberate engine for identifying specialty leakage, engaging patients, and sustaining compliant recapture.
1
Identify the leakage
We analyze your patient panel to find commercially insured and Medicare patients whose specialty prescriptions are being filled outside your preferred channel, then quantify the specific 340B opportunity.
- Payer mix analysis to surface the highest-value patient cohorts.
- Medication mapping by drug, dispensing channel, and potential spread.
- Patient-level recapture reporting for leadership review.
2
Engage patients with savings
Vital’s clinical team reaches out with personalized cost-savings information, medication reviews, and support so patients understand both the financial and clinical value of filling through the health center pharmacy path.
- Copay comparisons between the current path and the health center route.
- Manufacturer copay card and assistance program enrollment.
- Licensed pharmacist comprehensive medication review.
- Patient choice stays informed and independent.
3
Activate through your pharmacy
Once the patient elects the new path, fills move into your preferred pharmacy setup, 340B economics are realized, and documentation is maintained for compliance and audit readiness.
- Prescription transfer into in-house or contract pharmacy workflows.
- 340B pricing application and revenue capture support.
- Patient attribution records and audit trail documentation.
- Prior authorization support to reduce therapy interruptions.
4
Sustain and optimize
After recapture, Vital supports adherence, refill coordination, insurance re-optimization, and ongoing engagement so value compounds over time instead of slipping back out of network.
- Refill coordination and adherence interventions.
- Annual benefit optimization during coverage changes.
- Patient communication through reminders, messaging, and education.
- Quarterly ROI and operational reporting for leadership.
The partnership
What Vital provides. What your FQHC gains.
Vital absorbs the upfront operational lift so your health center can realize incremental specialty revenue, stronger medication support, and a more defensible pharmacy growth story without adding headcount.
What Vital provides
- Licensed clinical pharmacists for MTM consultations.
- Copay optimization and benefits navigation support.
- Patient engagement workflows and digital coordination tools.
- Medication adherence monitoring and refill intervention.
- Prior authorization support and follow-up.
- 340B capture analytics, reporting, and audit-support documentation.
What your health center gains
- Incremental 340B spread from recaptured specialty fills.
- Improved adherence support and stronger patient experience.
- Higher-quality reporting for board and executive review.
- Reduced internal burden on already-stretched pharmacy teams.
- Patient copay savings that can improve retention and trust.
- Compliance-ready workflow documentation.
Built for compliance
AKS-safe-harbor aware
HRSA audit readiness
Clinical leadership
Physician-led. Compliance-first. Designed to withstand scrutiny.
Every part of the model is framed around clinical credibility, operational clarity, and documentation discipline. The result is a partnership built to work in real FQHC environments where finance, pharmacy, compliance, and leadership all need confidence in the operating model.
Structured with attention to compliant services arrangements and defensible compensation architecture.
Patient attribution and workflow documentation support a stronger audit trail posture.
Built by physician leadership that understands care delivery realities and pharmacy operations.
“This is not just about recapturing margin. It is about creating a reliable specialty access workflow that aligns patient savings, pharmacy economics, and clinical follow-through.”
Vital Health operating thesis“The strongest partnerships in this category make finance legible to leadership while keeping the patient experience simple, compliant, and genuinely helpful.”
FQHC-focused design principle
Next step
Let’s find out how much revenue your pharmacy is leaving on the table.
We can analyze your specialty prescription leakage and map where recapture opportunity exists across your patient panel. The goal is simple: show your leadership team what the opportunity looks like in operational and financial terms, without adding noise or friction.