The Shingle Springs Health & Wellness Center is an Indian Health Service/ Tribal/Urban Indian Health pharmacy owned and operated by the local Miwok Tribe. Serving a unique community can change some of the usual assumptions of pharmacy management, including the common constraints around relying upon a specific formulary.

The first Hurricane Family Pharmacy location opened in 2009 in Hurricane, Utah. Pharmacist and company president, Cliff Holt, recalled those early days, when “you would just pray for [a customer] to walk in the doors.” Those worries didn’t last long, as the business quickly grew. Today, Hurricane cares for more than 14,000 patients in their community. The pharmacy’s growth led to some new needs in terms of drug packaging and inventory management.

Health Park Pharmacy in Raleigh, North Carolina, started working with some of the State's most complex "medical at-home" patients in early 2007. In an effort to support this growing population of patients, Health Park started adding a number of supportive services including: medication synchronization, montly phone calls from a "health coach", compliance packaging, and care coordination for post-acute care patients in transition from hospitals and rehab facilities. 

Maury Regional Medical Center (MRMC), located in Columbia, TN, is the largest medical center from Nashville to Huntsville, and was recognized by Truven Health Analytics as a ‘15 Top Health System’ in 2015. The Center operates three hospital pharmacies, an outpatient oncology clinic pharmacy, and serves 275 beds throughout middle Tennessee state. In their search for a new pharmacy solution and already limited by space constraints, they identified a key requirement—a system that would allow them to barcode products for bedside medication verification.

With tighter reimbursement and increased regulatory and service requirements, it was identified that control of labor and inventory costs must be addressed while also maintaining accuracy and enabling the ability to grow the business. Forum and TCGRx have worked together to implement pharmaceutical packaging and electronic imaging technology for unit dose and multi-med needs, inventory management, and secure medication storage. The results have allowed Forum to grow and sustain their operations while lowering costs and driving accuracy.