HealthSeptember 09, 2025

Key insights from NACDS Total Store Expo 2025

Retail pharmacies are evolving into community health hubs, embracing innovation and new service lines to meet patient needs and drive growth.

The 2025 NACDS Total Store Expo once again gathered retail pharmacy leaders from across North America to discuss the evolving challenges and opportunities shaping the industry. This highly anticipated event delivered a wealth of insights into how retail pharmacies are tackling pressing issues like margin pressures, the expansion into community health services, and the adoption of innovative technology to stay competitive.

Key takeaways from the NACDS Total Store Expo:

  • Retail pharmacies are rapidly transforming into community health hubs, expanding beyond dispensing to offer clinical care, immunizations, and wellness programs.
  • Medication Therapy Management (MTM), point-of-care testing, and food as medicine programs are promising new offerings that elevate patient engagement and satisfaction.
  • Margin challenges persist, prompting a focus on workflow automation, central fill operations, and digital tools to boost efficiency and lower costs.
  • Pharmacies are seeking new revenue streams, including specialty medications and pet meds, which offer strong margin potential.
  • Technology and innovation—like digital consumer education platforms and multimedia resources—are crucial to supporting the evolving role of pharmacies and improving community health outcomes.

See highlights from 2025 NACDS Total Store Expo

The Wolters Kluwer Health NACDS TSE 2025 booth
2025 NACDS Total Store Expo

Retail pharmacies as community health hubs

The transformation of retail pharmacies from traditional dispensaries to comprehensive community health centers was front and center at the expo. Industry leaders emphasized the need to move beyond the core business of medication dispensing to offer critical health services that meet growing patient demand. Pharmacies are fast becoming the go-to providers for nonemergent clinical care, offering everything from immunizations to chronic disease management.

Some promising areas of expansion discussed include:

Medication Therapy Management (MTM)

MTM services are paving the way for enhanced pharmacist-patient interactions. By dedicating time to detailed medication reviews and consulting on complex treatment plans, many pharmacies are reducing adverse drug events while also bolstering patient retention through these personalized services.

Point-of-care testing and treatment

Pharmacies are uniquely positioned to bring diagnostic testing into convenient retail settings. From strep throat to influenza and even COVID-19, point-of-care testing paired with immediate dispensing of necessary treatments could dramatically improve access to care.

Food as medicine programs

Food as medicine programs involve integrating dietary advice and nutrition programs into health service offerings. This could help address critical diseases such as diabetes, obesity, and cardiovascular conditions while establishing pharmacies as holistic wellness centers.

Pharmacies investing in these transitions stand to unlock significant potential for patient loyalty and improved health outcomes while diversifying revenue streams.

Addressing margin challenges

Margin pressures remain a top challenge for retail pharmacy leaders, and innovative solutions were a hot topic at NACDS TSE 2025.

Streamlined workflow and automation

Central fill operations and the automation of dispensing processes have emerged as key strategies for improving efficiency. By automating routine tasks, pharmacies can redirect pharmacists’ time toward higher-value clinical services. For example, dispensing chronic condition prescriptions in centralized, automated facilities can drastically reduce in-store backlogs and operational stress.

Digital tools, such as Wolters Kluwer’s Digital Medication Education, are transforming how pharmacies operate. By providing patients with accessible, multilingual medication leaflets digitally, pharmacies can reduce paper costs, save time, and enhance patient engagement. These innovations not only cut down on expenses but also create meaningful efficiencies at every step of the workflow.

New margin-rich service lines

Expanding into higher-margin offerings like specialty medications and pet medications could be a game-changer for retail pharmacies.

  • Specialty medications represent a substantial opportunity for pharmacies willing to take on the complexities of handling high-cost treatments. By streamlining how they dispense these critical medications, pharmacies can generate significant revenue while supporting patients managing serious health conditions.
  • Pet medications have captured attention as an untapped revenue stream. With most consumers paying out-of-pocket for pet prescriptions, pharmacies can attract budget-conscious pet owners by offering better pricing than veterinary clinics, all while avoiding the complications of reimbursements tied to third-party payers.

The role of technology and innovation

A recurring theme throughout the event was the indispensable role of technology in enabling these transformations. Solutions like UpToDate® Consumer Education platform are designed to bridge the gap between pharmacies and their patients by providing condition-specific, multimedia education programs.

Empowering Patient Engagement and Education

UpToDate’s technology suite not only supports operational efficiency but enhances patient relationships by delivering tailored, interactive education materials. For example, patients who scan a QR code from their prescription label can access condition-specific multimedia content. This not only empowers patients with relevant knowledge but deepens their trust in pharmacy services.

Enhancing community care models

As retail pharmacies evolve into community health hubs, technology plays a critical role in enabling this transformation. UpToDate® Digital Architect platform offers two key solutions—Digital Medication Education and Consumer Education—that help pharmacies deliver more personalized, accessible care while streamlining operations.

  • Digital Medication Education – With more than 3,900 digitally accessible medication leaflets, pharmacy teams can reduce paper costs, save time filling prescriptions, and connect patients to the most current medication information across 19 languages. To date, Digital Medication Education is preferred by more than 11,000 pharmacies and used to support over 800 million prescriptions.
  • Consumer Education – Using medication leaflets as a digital front door, patients can access interactive education programs and multimedia content mapped to their specific condition designed to drive patient engagement and adherence.

Leading the future of community pharmacy

The NACDS Total Store Expo 2025 made one thing clear: the future of retail pharmacy lies in innovation, adaptability, and a deeper commitment to community care. Wolters Kluwer is proud to support this evolution with digital solutions that streamline operations and strengthen patient relationships.

Ready to transform your pharmacy into a community health hub?

Connect with us today to explore how our tools can help you drive growth, improve outcomes, and lead with confidence.

Schedule A Demo of UpToDate Today
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