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WALGREENS TURNS TO ROBOTS TO FILL PRESCRIPTIONS, AS PHARMACISTS TAKE ON MORE
RESPONSIBILITIES

Published Wed, Mar 30 20228:00 AM EDTUpdated Wed, Mar 30 20222:29 PM EDT
Melissa Repko@melissa_repko
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Key Points
 * Walgreens Boots Alliance is opening robot-powered micro-fulfillment centers
   across the U.S. to fill customers’ prescriptions as the role of stores and
   pharmacists change.
 * The drugstore chain plans to open 22 facilities across the country.
 * By 2025, as much as half of Walgreens’ total prescription volume could be
   filled at the automated hubs, said Rex Swords, who oversees the network of
   facilities as Walgreens’ group president of centralized services, operations
   and planning.

In this article

 * WBA+45.02
   

Walgreens is using automation to fill more of customers’ prescriptions. Inside
of a Dallas area facility, bright yellow robotic arms hold pill bottles up to
dispensers, which release tablets like a carefully calibrated vending machine.
Melissa Repko | CNBC

NORTHLAKE, Texas — Bright yellow robotic arms are becoming a bigger part of
Walgreens’ workforce.

Inside of a large facility in the Dallas area, they fill thousands of
prescriptions for customers who take medications to manage or treat high blood
pressure, diabetes or other conditions. Each robot can fill 300 prescriptions in
an hour, the company said — roughly the same number that a typical Walgreens
pharmacy with a handful of staff may do in a day.



Walgreens Boots Alliance is opening the automated, centralized hubs to keep up
in the fast-changing pharmacy industry. The pandemic has intensified the
drugstore chain’s need to stay relevant as online pharmacies siphon off sales
and more customers have items from toilet paper to toothpaste delivered to their
doorstep. The global health crisis has also heightened demand for pharmacists,
as hospitals and drugstores hired them to administer Covid vaccines and tests.

That has forced Walgreens and its competitors, CVS Health and Rite Aid, to
rethink the role of their stores and pharmacists.

Walgreens’ new CEO, former Starbucks operating chief Roz Brewer, wants to make
health care the company’s “growth engine.” It acquired the majority stake of
VillageMD, a primary care company, and iA, a pharmacy and health-care automation
technology company that is helping it build out the centralized hubs. It is
exploring a potential sale of its U.K.-based Boots business.

VIDEO1:5901:59
Walgreens CEO Roz Brewer on fulfillment center plans
CNBC News and Programming


By 2025, as much as half of Walgreens’ prescription volume from stores could be
filled at the automated centers, said Rex Swords, who oversees facilities as
Walgreens’ group president of centralized services, operations and planning.

That will free up more of pharmacists’ time to provide health care, Brewer said
in an interview with CNBC’s Bertha Coombs.



“We’re doing all of this work, so that the pharmacist has an easier job, so that
they can get back to being front and center, building a relationship with that
patient and interacting the way they were trained — the work that they love to
do,” she said.

Pharmacists will continue to fill time-sensitive medications and controlled
substances at local stores as the company expands its use of robots.

Brian Tanquilut, an analyst for Jefferies, said the automation could help
Walgreens focus on ways to differentiate from online pharmacies suh as
Amazon-owned PillPack and Capsule, and CVS, which owns health insurer Aetna and
pharmacy benefits manager Caremark.

“This is a complementary move to some of the health-care strategy they’ve laid
out,” he said.

CVS uses robotics to assist in filling prescriptions in its highest volume
stores, but through a spokesperson, the company declined to say how much of its
overall volume is filled by automation.

Walgreens will share its fiscal second-quarter earnings on Thursday.

Pill bottles and caps move through a choreographed and highly automated assembly
line in the Dallas area. Walgreens is building similar micro-fulfilment centers
across the country.
Melissa Repko | CNBC


A GLIMPSE OF THE FUTURE

The robot-powered center in Northlake, roughly 36 miles northwest of Dallas,
offers a glimpse of Walgreens’ future. It is staffed by 220 workers, including a
handful of licensed pharmacists.

Each day, about 35,000 prescriptions are filled at the Dallas area facility —
but eventually that number will increase to as many as 100,000 daily, Swords
said.

Over the next three years, Walgreens plans to grow to a total of 22 facilities
that serve over 8,500 of the company’s nearly 9,000 stores. It has opened two
others near Phoenix and Memphis.

Instead of getting filled by hand, pill bottles and caps move through a
choreographed and highly automated assembly line.

Canisters of pills go into robot-powered pods at Walgreens’ automated facility
in the Dallas area.
Melissa Repko | CNBC

A team of workers feed robot pods containers of pills. Each medication gets its
own canister and pill counter. A yellow robotic arm grabs a labeled pill bottle
and holds it up to the canister, which dispenses pills like a carefully
calibrated vending machine.

Then, before the pill bottle leaves the pod, it get topped with a cap.

In the Dallas facility, the robot pods can dispense about 900 different
medications. Some common medications are in multiple dispensers to keep up with
the workload.

Pill bottles travel along the track. At one station, some get paired up with a
patient’s other medications or the rest of his or her 90-day medication supply.
Scanners read bar codes, so printers can prepare paperwork and bags that
customers will later pick up.

Those prescriptions — now packaged in a bag — are ferried by Roomba-like rolling
robots. The devices sort prescriptions and drop them into plastic totes that
head to the same pharmacy location.

A worker places filled and packaged prescriptions on rolling robots at
Walgreens’ centralized facility in the Dallas area. The robots help sort the
prescriptions and drop them into plastic totes that head to the same pharmacy
location.
Melissa Repko | CNBC

About 30% of prescriptions at the facility skip the automated assembly line,
Swords said. Instead, workers manually prepare items like asthma inhalers, eye
drops and temperature-controlled medications.

There are security and safety checks throughout the process, including
pharmacists who verify the medications in canisters and pill bottles, electronic
locks on the robot pods that can detect and stop dispensing if a canister is in
the wrong spot, and zip ties on totes that transport the filled prescriptions to
stores.

The facilities do not yet fill direct mail prescriptions, but that is on the
program’s roadmap, Swords said.


MORE HANDS-ON PHARMACISTS

Trucks from AmeriSourceBergen drive the ready-to-pickup prescriptions to more
than 500 drugstores across most of Texas, parts of Arkansas and parts of
Louisiana — a radius of about 400 miles. The same trucks also deliver wholesale
drugs to those pharmacies.

To customers, the change to automation would be hard to detect — aside from
slightly different packaging.

For Walgreens, the investment could translate into cost savings and new streams
of revenue. Walgreens President John Standley said at the company’s investor day
in October that the micro-fulfillment centers will reduce the company’s working
capital by $1.1 billion by 2025.

As more prescriptions get filled by robots, he said pharmacists can take on
other duties that Walgreens can bill to insurers or customers, such as testing
and treating medical conditions like strep or the flu and writing prescriptions
for people at risk of HIV.

For example, as part of a pilot program, pharmacists in Ohio are counseling and
managing care for patients with asthma and chronic obstructive pulmonary
disease.

Rick Fernandez, a regional health care director for Walgreens in the Dallas
area, said the pandemic underscored the value of pharmacists and how they can be
used in smarter ways.

“It’s kind of dreary to be filling scripts all day long,” he said. “What we were
hearing was pharmacy was more of an asset that people gave us credit for.”

Jefferies’ Tanquilut said the automation can reduce staffing needs and turn
pharmacists into more hands-on medical providers. It’s not clear how that may
play out — whether that will mean smaller pharmacy staff or a workforce that’s
the same size or bigger, but with different roles. Another factor is state laws.
Walgreens is urging state lawmakers to allow pharmacists to provide a longer
list of health-care services.

The challenge, he said, will be convincing customers and insurers to pay —
rather than expecting free advice.

“One of the key questions is ‘Are you getting paid for these things?’” he said.
“The idea or the hope is that over time, there will be actual reimbursement for
them providing that service to patients.”

Join us for Healthy Returns on Wednesday, March 30 to hear health care experts,
including Walgreens Boots Alliance CEO Roz Brewer, discuss health tech
investing, the drug market, health equity, wellness programs and more. Register
here.


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