As the needs of payers and consumers change, so must pharmacy. Business leaders must step back and create a compelling and relevant offer for the consumers and funders of services.

Some important initial questions to ponder include:

• How dependent do you want your business to be on medicines supply as a profitable income stream?
• How do you make yourself more attractive to those in the health system who fund services?
• How do you differentiate yourself from other providers?
• Why would consumers come to
  you, and why would they stay with you?
• Who are most important customers to your business?
• How do you increase the value to and from each consumer?
• What place does technology have in your business now and in the future?
• How are you networking locally to leverage opportunities and understand threats?
• What needs are unmet in your community?