January Is Over. What Do I Do?

By: Nick Secrest, VP of Member Performance

Published: February 5, 2026

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What January revealed

By now, January has given us a pretty clear picture of how these pricing and reimbursement changes are actually playing out in real pharmacies. The initial shock has passed, the data is starting to show up, and now the focus needs to shift from reaction to decision making.

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What went smoother than expected

One of the biggest takeaways from January is that some things have gone smoother than expected. Beacon MTF reporting has been more stable than many anticipated, which means pharmacy owners can actually see what rebate dollars are outstanding. That visibility matters. While rebate payments are still taking longer than hoped to arrive, the fact that the data is there is a positive step forward.

GCR trends to watch

We are also seeing Generic Compliance Ratios move in the right direction. On average, many pharmacies are up about one percent to two percent. That number was temporarily distorted by end of year purchasing behavior, but as buying patterns normalize, February should give a clearer and more accurate picture. For many stores, that improvement creates real opportunity.

Why February requires discipline

At the same time, patience and discipline are critical right now. Rebates are not hitting all at once, and for some pharmacies, they are taking longer than the original 21-day window many expected. February introduces additional risk if you are filling another round of 30-day prescriptions while still waiting on prior rebate payments. If you are not watching that closely, it can quietly create cash pressure.

Practical focus for right now

My advice is simple. Keep inventory tight. Know exactly how much rebate money you have outstanding. Pay close attention to Beacon and MTF data so you understand what is coming and when. Ask yourself whether your current cash balance lines up with your wholesaler pay terms and upcoming fills. These are not big strategic moves, but they make a big difference.

How pharmacy owners are adjusting

Some pharmacy owners are already taking smart action. With improved GCR performance, they are evaluating where to buy generics more intentionally. In some cases, that means maximizing rebates with their primary wholesaler. In others, it means selectively purchasing outside at a better price. Both approaches can work when cash flow is managed correctly.

How Member Performance can help

This is where the Member Performance team at Independent Pharmacy Cooperative can help. When owners reach out, our goal is to understand where you are today, identify the opportunity in front of you, and build a plan that fits your situation. We help you connect the dots between pricing changes, compliance, and cash flow so you can make informed decisions.

What to focus on next

Over the next 60 to 90 days, cash flow is everything. Track what is outstanding. Pay attention to changes in your deal. And if something does not make sense, call us sooner rather than later.

If January raised questions about how the months ahead will look, now is the right time to get clarity. Our team is here to help you stay focused, prepared, and confident moving forward.

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