Providers / 10.30.26

From Prescription to Patient: A Provider’s Look at Pharmacy Operations

Strive Sessions webinar on compounding pharmacy operations with Tyler Chamberlain, PharmD, and Andrew Daniels

When a patient wants to know why their prescription hasn't arrived, or why their medications came in two separate shipments, they may call the provider’s office first. The answer usually comes down to what’s happening behind the scenes, such as prescription processing, compounding standards, quality testing, or shipping procedures..

In “Behind the Rx: How Strive Delivers Quality at Scale,” part of Strive Pharmacy’s Strive Sessions webinar series, the operations and compliance teams walk through what happens from the moment a prescription is received to when the medication leaves the compounding pharmacy, including where your practice fits into the process.

Watch the conversation below for a closer look at what goes into filling and shipping a prescription.

Compounding Pharmacy Operations: Turnaround Times and Shipping

“So, turnaround time, what does that actually mean?” — Andrew Daniels, Strive SVP of Operations

One important distinction: Strive measures turnaround time from when a prescription is received until it ships or is ready for pick-up. Delivery time to the patient isn’t included.

That difference matters when a patient calls your practice asking where their medication is. Knowing what turnaround time actually covers, what Strive can track internally, and what happens once a shipment reaches the carriercan help your team give patients a clearer answer.

Why Prescriptions May Arrive in Separate Shipments

Not every Strive pharmacy compounds the same medications. Different locations have different equipment and capabilities, which means a patient with multiple prescriptions may receive more than one shipment. That can help your team explain why medications prescribed at the same time don’t always arrive together.

Anticipatory Compounding and Automation: Planning for Prescription Demand

How does a pharmacy plan ahead for demand while keeping individual patient prescriptions the priority?

It starts with understanding demand. To stay compliant, Strive tracks and uses historical prescribing patterns to plan for commonly prescribed preparations, while automation supports efficient production. Equipment, capacity, and available space also determine which medications are compounded at each location.

Ingredient shortages, sudden spikes in prescriptions, and supplier delays can all affect prescription filling and turnaround times. Those variables can explain why medication availability sometimes changes and why certain orders may take longer to fill.

The full conversation goes deeper into how Strive handles individual prescriptions, plans for compounding, and uses specialized compounding equipment across its pharmacy locations.

Sterile and Non-Sterile Compounding: Quality Testing and Batch Release

The session gives “quality testing” a more concrete meaning by discussing the types of quality testing that may apply to a compounded preparation, such as sterility, endotoxin, potency, and stability testing, along with quarantine and batch-release decisions.

“And if we don't have the right results that we need, that batch is destroyed, no questions asked.” —Tyler Chamberlain, PharmD, Strive Director of Compliance

Sterile and non-sterile compounded medications have different testing requirements. The conversation breaks down those differences, how Strive approaches testing, and what factors providers should consider when evaluating a compounding pharmacy.

As Strive grows, oversight has to grow with it. Accreditation, operations, and compliance all play a role in maintaining consistent quality standards across different pharmacy locations.

Prescriber Licensing Requirements and Prescribing Platform Access

Prescribing across state lines adds another layer of complexity. State-specific requirements, and controlled-substance credentials affect how prescriptions can be submitted. Prescribing credentials are individual and should not be shared. The session also covers the difference between office-manager and prescriber profiles. Office staff can help prepare an order, but only a licensed healthcare prescriber can authorize and prescribe a medication for a patient.

Watch the full webinar for a closer look at how these operational and compliance decisions affect your practice and patients.

Sign up for the next Strive Sessions to join the conversation.

Disclaimer: This information is intended for educational purposes only and does not constitute medical advice. The creators of this content disclaim any liability for decisions made based on the information presented. The information provided relates to patient-specific compounding. Compounded medications are specially prepared for identified individual patient needs based on a valid prescription from a prescribing healthcare practitioner and, as such, have not been reviewed or approved by the U.S. Food and Drug Administration (FDA) for safety or efficacy. Compounded drugs are intended for patients whose prescriber has determined their medical needs are not met by an available FDA-approved drug. Prescribers should use their independent clinical judgment when determining appropriateness for individual patients.