More Pharmacy Chains Closing In MI: What’s Behind It?

MICHIGAN — Drugstore chains Walgreens and Rite Aid announced a slew of pharmacy closings this week, creating more uncertainty among Michigan residents about where they’ll get their prescriptions filled as pharmacy deserts become more common. CVS is also shuttering stores.

Chain pharmacy executives have cited a variety of reasons for closing stores in Michigan and other states, including reduced spending by inflation-weary customers, low reimbursement rates for pharmacy care and low dispensing fees for Medicaid enrollees.

Also, they have said, current business models are outdated in an environment of increased competition from stores that sell much of the same merchandise, and pharmacies are still adjusting to a spike in demand for services during the COVID-19 pandemic.

Michigan has lost several pharmacies in a wave of closings over the past few years. Rite Aid, one of the nation’s largest drugstore chains, initially said three Michigan stores will close down, before adding 12 more Michigan stores earlier this month. Those stores include:

• Allen Park, 15411 Southfield Road
• Bay City, 3880 Wilder Road
• Burton, G4033 Fenton Road
• Burton, 6026 Lapeer Road
• Flint, 4519 Richfield Road
• Grosse Pointe Farms, 107 Kercheval Ave.
• Livonia, 37339 Six Mile
• Ludington, 936 E. Ludington Ave.
• Marlette, 2985 Main St.
• Milford, 640 N. Milford Road
• Spring Lake, 603 E. Savidge St.
• Wyandotte, 1998 Biddle Ave

Here are the closings big pharmacy chains have announced:

• Walgreens plans to close a "significant share" of its 8,600 U.S.stores nationwide to turn around its struggling pharmacy model. In an earnings call with investors Thursday, Walgreens Boots Alliance CEO Timothy Wentworth said as many as 25 percent of the stores — about 2,150 of them — could close. That’s on top of about 2,000 stores the Deerfield, Illinois-based chain has closed over the past 10 years, 484 of them since February.
• CVS has shuttered about 600 stores since 2022 and plans to close 300 more this year. The closings “are based on our evaluation of changes in population, consumer buying patterns and future health needs to ensure we have the right pharmacy format in the right locations for patients,” CVS spokesperson Amy Thibault said in an email to CNN early this year.

What Does That Mean For Michigan?

An Associated Press analysis in early June shows 2,338 retail pharmacies, or about 0.23 per 1,000 people in Michigan. In the Detroit ZIP code 48228 there are 10 pharmacies to serve about 54,000 people; in the Rochester Hills 48307 ZIP code there are 16 pharmacies for about 43,000 residents.

In Canton Township, the 48187 ZIP code has 15 pharmacies for roughly 53,000 people.

Whether independent or a chain, pharmacies can be important assets in their communities. They are health centers where the pharmacists and staff know everyone’s names and the drugs they’re taking, and often can spot signs of a serious illness. These local businesses are often stocked with supplies such as catheters, colostomy supplies and diabetes test strips that people need to stay in their homes as they navigate serious illnesses.

The AP analysis focused on rural communities, finding the gaps are greatest in those states. An earlier study by University of Southern California researchers found that Black and Latino neighborhoods in 30 large US. cities had fewer pharmacies than white and diverse neighborhoods from 2007 to 2015, before the current wave of pharmacy closings.

“If you’re located in a low-income neighborhood, and effectively in a Black and Latinx neighborhood, having any pharmacy is less common. And having a pharmacy that meets your needs is much less common,” Jenny Guadamuz, a co-author of the study, told CNN.

Can Michigan’s Independents Close Gap?

Michigan’s 798 independent pharmacies face their own set of challenges and are likely unable to fill pharmacy voids, according to the National Community Pharmacists Association, a trade group that represents more than 19,400 independent pharmacists.

The group said in a statement earlier this year that new Medicare and Medicaid rules resulting in lower prescription reimbursements, in particular, put a third of independent drugstores at risk of closure and that “millions of patients could be stranded without a pharmacy.”

In 2022, Michigan’s independent pharmacists filled 52,510,874 prescriptions. Total sales at these stores was $3.35 billion, with $3.10 billion coming from pharmacy sales, and another $101 million from front-end sales.

Patients suffer when pharmacies disappear.

“You can think of a closure as a disruption of care,” Guadamuz, who is an assistant professor at the UC Berkeley School of Public Health, told CNN last fall. “You had a routine: You would go to a pharmacy that was geographically accessible — ideally affordable — and was probably preferred by your health insurance plan. And then that pharmacy is no longer there.”

When CVS announced suddenly last March that it planned to shutter the store in Herscher, Illinois, a village of about 1,500 located 80 miles south of Chicago, the town’s mayor met with executives and asked them to at least delay the closure. CVS execs told the mayor the front of the store wasn’t making enough money, The AP reported.

Pharmacy access is an important consideration in decisions about store closings, CVS spokesman Matt Blanchette told The AP, but the company also looks at local market dynamics, population shifts and competition from stores selling the same over-the-counter products, he said.