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Waeckerlin was particularly disheartened when the state of Wyoming changed pharmacy plans earlier this year. He said it went from being one of the best paying programs to one of the worst.

There were many such transactions, week in and week out.

Geile said chains generate product Nike Sweatshirt Kids

With more time to chat, she is better able to assess customer needs, Geile added: "I'm old school. I like being able to care for my people completely, from head to toe."

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If your comment was not approved, perhaps.

But Wal Mart spokeswoman Deisha Galberth Barnett said the chain is able to sell low and still make money. She claimed that the retail giant makes a profit on every item on its $4 prescription list.

In 2011, the associations says there were 48 independents in Wyoming versus 10 chains, 28 supermarket and 31 mass merchant pharmacies in the state.

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Pharmacist Rod Waeckerlin scrolled through computerized prescription records at the Valley Pharmacy, pointing out less than profitable sales as he went.

At South Street Pharmacy, on the other hand, Geile can keep products based on individual requirements.

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Waeckerlin said big box stores can afford to lose money on prescription drug sales. "They use that as a loss leader to get you into their store," he said.

Ralph Hayes, program manager for the state employees' group insurance group, said the state switched from third party administrator Signa to MedImpact.

lines based on sales. So if a product doesn't sell, it's dropped from the inventory. "They are constantly rotating products in and out," she said.

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Cindy Geile worked as both a chain pharmacist and now as an independent. In 2010, she opened the South Street Pharmacy in Wheatland. She has been successful in carving out a niche based in part on greater personal contact with customers.

He said a committee decided upon the change due to a variety of factors, not solely based on lowest cost to the state: "They provided the best value for the services offered."

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Despite the buying power of chains, Geile said she still is able to compete on price with many items. has stabilized in recent years. There are now about 23,000. Thirty years ago, there were 40,000 independents.

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Mail order services are touted for convenience and cost savings. Chain stores often promote similar benefits, including Wal Mart's $4 prescription program on popular items.

Even with people who purchase drugs through the mail, Geile said they often turn to her when they have questions about medications.

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´╗┐Small drug stores search for niche

"Our business model relies on patient care and offering niche services like home delivery, immunizations, compound drugs, durable medical equipment and medical therapy managements," John Norton, the association's associate director of public relations, said. "We are also located in underserved rural and and urban areas, so we have a place in the marketplace that has a growing need for medication with medical advances and an aging baby boomer population."We provide this community forum for readers to exchange ideas and opinions on the news of the day. Passionate views, pointed criticism and critical thinking Nike Crew Fleece

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