340B compliance and optimization
- Covered entity and grantee program review
- HRSA audit readiness and mock audit
- Contract pharmacy and TPA oversight
- Split-billing, mixed-use, and duplicate discount
Capabilities
Walters Rx Strategy: capabilities summary
Robert Walters, PharmD, MBA. Apexus Advanced 340B Certified. Independent health-system pharmacy advisory: 340B, oncology and specialty access, reimbursement strategy, and formulary and P&T guidance.
Practice areas
Oncology patient access
- Patient assistance, copay, and foundation navigation
- Benefits investigation and prior authorization design
- Hub and access-vendor evaluation
- Time-to-therapy, abandonment, and denial analytics
Specialty pharmacy access
- Limited-distribution and payer network access
- Referral-to-fill capture improvement
- URAC and ACHC accreditation roadmap
- 340B-enabled contract pharmacy design
Formulary and P&T strategy
- Formulary process and class review design
- P&T structure and evidence standards
- Biosimilar and therapeutic interchange
- Dossier and evidence package review
Medical affairs advisory
- Provider-side reimbursement and coverage education
- Oncology pathway and protocol review
- Scientific exchange and peer-level education
- Voice-of-the-customer on institutional access barriers
Operations and interim leadership
- Interim director coverage and turnaround
- Drug diversion program design and response
- USP 797/800 compliance recovery
- DSCSA and wholesaler conversion support
Background and credentials
Experience
Fifteen years leading pharmacy operations inside a New Jersey health system, most recently as Senior Director of Pharmacy and Oncology Infusion: acute care, the cancer center, infusion, and emergency department pharmacy across a multi-site system. Roughly a hundred people, a nine-figure drug-spend portfolio, and one of the larger 340B programs in the region.
Credentials
- PharmD, Rutgers University
- MBA, Southern New Hampshire University
- Apexus Advanced 340B Operations Certificate (ACE), active
- ASHP Revenue Cycle Management, certified
- Lean Six Sigma Green Belt
- NJ Pharmacist License #28RI03375700, active
Who I work with
- Health systems and hospital pharmacy leadership
- Cancer centers and infusion services
- Specialty pharmacies, health-system and independent
- Manufacturers: medical affairs, field, and reimbursement
- Access, hub, and copay technology partners
Engagement structures
- Discovery call, 30 minutes, no charge
- Fixed-scope program review or assessment
- Monthly strategic advisory retainer
- Interim leadership or project lead coverage
Fixed scope and fixed fee, papered before work begins. See pricing.
Contact
Robert Walters, PharmD, MBA
Founder, Walters Rx Strategy, Greater Philadelphia
robert@waltersrx.com
calendly.com/waltersrx/30min
linkedin.com/in/robertwaltersrx
waltersrx.com
Content is informational and non-promotional. It is not legal, regulatory, clinical, or medical advice.