Pharmacy consulting that connects strategy to operations
Maikova helps health systems, community health centers, and health plans understand pharmacy performance, evaluate investments, and put practical improvements into action.
Work directly with Meridith Dandridge, PharmD, whose leadership experience spans payer strategy, hospital pharmacy, and community health.
What decision is on your agenda?
Understand pharmacy performance
Volume, revenue, costs, or service levels are changing. Identify the important drivers and decide what to address first.
Evaluate a service or investment
Before expanding a pharmacy, changing a delivery model, or committing to a vendor, examine the business case and operating requirements.
Strengthen 340B oversight
Connect policies, workflows, reporting, and accountable owners for a defined covered-entity issue.
Align payer strategy and execution
Bring affordability initiatives, vendor responsibilities, and performance reporting into a shared operating plan.
Clarify a compliance priority
Review the operating responsibilities, evidence gaps, and next actions for a defined pharmacy compliance issue.
See an illustrative performance brief
Follow a fictional pharmacy’s numbers from rising prescription volume to falling contribution. See the questions leadership needs to answer before adding capacity.
Experience behind the advice
Meridith’s employment experience spans payer strategy, hospital pharmacy, and community health. These career achievements inform her consulting work; they are distinct from Maikova client outcomes.
Seattle Children’s Hospital
$10 million in annual drug cost savings through improved 340B compliance, alongside hospital and outpatient pharmacy leadership and an Epic Willow Ambulatory conversion.
HealthPoint
Leadership of a pharmacy division from a $1.4 million loss to a $5.8 million profit, with specialty and prescription-delivery service expansion.
Cigna Healthcare
Individual and family plan pharmacy strategy, medication therapy management, prescription-affordability initiatives, and a 30- to 90-day prescription conversion campaign.
Practical resources for your next decision
When pharmacy volume rises but contribution falls explains how to reconcile the financial question before changing capacity. Payer pharmacy strategy implementation connects a program priority with member needs, vendor responsibilities, and measures.
Read three pharmacy leadership histories with the role, work, reported results, and source limitations made clear.
What you get
We examine your pharmacy’s finances and operations, explain the findings, and recommend what to do next. You get an executive brief, a comparison of your options, and an action plan. We quote the work before you commit.