Pharmacy First

Pharmacy First is a leading Pharmacy Services Administration Organization (PSAO) that provides comprehensive business and clinical solutions to independent pharmacies across the United States. Operating as a subsidiary of J M Smith Corporation, the company specializes in third-party contract management, negotiating with Pharmacy Benefit Managers (PBMs) to ensure fair reimbursement and access for its member pharmacies. Beyond contracting, Pharmacy First offers financial reconciliation, credentialing, and data-driven clinical support services aimed at enhancing the operational efficiency and patient care capabilities of community pharmacies. By leveraging the collective strength of its network, the organization helps independent pharmacists navigate the complexities of the healthcare supply chain and maintain financial viability. For analysts, Pharmacy First represents a key intermediary in the U.S. retail pharmacy infrastructure, influencing drug access and reimbursement at the community level.