Health System Pharmacy Executive · 340B Strategist · Founder, Walters Rx Strategy

Fifteen years running it. Now I help you run yours.

Apexus Advanced 340B Certified. Author of The Modern Pharmacist's Playbook. PharmD, MBA. I'll show up like a colleague who's built the thing — not a consultant who'll sell you a deck.

What I help with

Four kinds of engagements. Whichever one fits, I'll keep deliverables short and the work honest.

340B that doesn't break under audit

Program on autopilot. CFO asking questions. Grantee buying a contract pharmacy. Money leaking somewhere. I've worked both sides, grantee and covered entity, in-house and contract pharmacy. I'll tell you what's working, what's leaking, and what to do.

  • Grantee-side and covered-entity 340B program reviews
  • Contract pharmacy oversight (TPA review, vendor displacement, performance audits)
  • Buy-and-bill workflow and JW/JZ modifier capture
  • HRSA audit readiness and self-assessment
  • Split-billing, GPO carve-out, mixed-use, and orphan drug protocols

Specialty pharmacy without the consultant theater

You've decided to build or scale specialty pharmacy. You don't have eighteen months for a feasibility study. In two weeks I'll tell you whether the math works. If it does, you get a plan. If it doesn't, you save the buildout.

  • Two-week feasibility and pro-forma reality check
  • URAC and ACHC accreditation roadmap
  • Payer and PBM contracting strategy
  • Limited-distribution drug network access
  • Operational design and revenue cycle integration

The director called out and you need someone Monday

Interim leadership, turnaround, or executive advisory when your pharmacy is in trouble. Drug diversion incident. USP 800 inspection failure. DSCSA non-compliance. Oncology service line bleeding money. I've fixed each of these. I won't pretend the work is harder than it is.

  • Interim director coverage and turnaround engagements
  • Drug diversion program design and incident response
  • USP 797/800 compliance recovery and cleanroom strategy
  • DSCSA implementation and traceability
  • Oncology, infusion, and FQHC pharmacy operations

Career advice from someone walking the path

Pharmacist. Executive. Author. Now consultant. I'll share what I learned. What I would have done differently. Who to listen to. Who to ignore. How to position for the role you actually want.

  • CV, LinkedIn, and personal brand strategy
  • Residency guidance (programs, applications, ranking strategy)
  • Letter of Recommendation (LOR) and Letter of Intent (LOI) draft reviews
  • Pharmacy executive interview preparation
  • Negotiation and offer review

About

Hi, I'm Robert.

I spent fifteen years inside a New Jersey health system, most recently as Senior Director of Pharmacy Operations and Oncology Services. My teams ran acute care, cancer center, infusion, and emergency department pharmacy across five facilities (two hospitals, two cancer centers, and an infusion center), about a hundred staff, a $60M+ 340B program, a $50M+ oncology service line, and the regulatory burden that comes with all of it.

I know what it's like to walk into a 340B audit unprepared. I know what it's like to convert wholesalers in the middle of a workflow crisis. I've prevented DEA audits and navigated NJ Board of Pharmacy inspections to a 100% pass rate. I know the cost of doing nothing.

That's why I do this work. Walters Rx Strategy is built for clients who need outcomes, not slide decks. Leaders who want a colleague in the room, not a vendor pitching a framework.

I'm Apexus Advanced 340B Certified, an MBA, and a published author. My first book, The Modern Pharmacist's Playbook, is a complete personal finance and wealth-building system for pharmacists navigating six-figure student debt and lifestyle inflation. The book I wish someone had handed me on graduation day.

What's different about working with me

Most pharmacy consultants leave you with a sixty-page slide deck. I leave you with three things to do Monday.

I've actually run the program

I built cleanrooms. I converted wholesalers. I stood up diversion programs. I sat across the table from HRSA. So when we talk, I'm not reading a framework off a slide — I'm telling you what I'd actually do, and what I'd skip.

I keep deliverables short on purpose

Your team is already drowning in documents. What you need is the next decision, the next conversation, the next fix. That's what I deliver — short, plain English, and built so your team can act on it without translation.

You work directly with me

No junior associates ghostwriting the report. No layered teams. No partner-on-paper, associate-in-practice routine. The person you talk to is the person doing the work. If we engage, I'm in the room.

Let's talk

The first 30-min call is on me. Tell me what you're working on. If I can help, I'll tell you how. If I can't, I'll tell you that too — and I'll point you to someone who can.

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