Table 4.

Barriers to implementation

Key elements
Consultation fee (11/12; the remaining respondent reported that the consultation fee was waived) More cost-effective than seeing a physician Some pharmacies will reduce the consultation fee or offer service at no charge	“Most of the time people will pay that fee for the convenience of not having to go see their doctor and having to pay the copay anyway to see the doctor. So most people are actually really glad that we’re here and that we’re being able to provide that service for them. ” ‘We just take the cost of the medication, bring it up to what is reasonable and what they can afford, and then we adjust it like that. So there’s nothing set. There’s no scale. It’s not rigid. ” “CVS waives the consultation fee. Previously, it was a $39 consultation fee, one time that’s not covered by insurance. And then it was dropped to $29 and then I believe now they waive that fee for the patient. ”
Lack of time (8/12) Need to streamline process Scheduling appointments so pharmacies can plan ahead	“I try to schedule it when we have pharmacists overlap so that I can provide the service to the patient while my other pharmacist is still running, like running the bench, kind of like what I’m doing with you now, right? Yeah, I have one, she’s in there like running the show and I’m up here talking so that you know, we try to do it so that the patient doesn’t necessarily feel rushed. ” ‘We ask [patients] to make an appointment. So we’re just trying to plan a date and time so we’re prepared for the patient and I think that works really well. ”
Addressing patient privacy (3/12 had private consultation rooms; others mentioned the need for it) Private consultation rooms allow patient to maintain privacy, which is needed for confidential health screening information and consultation Provides area for patient to sit for accurate blood pressure readings	‘We unfortunately don’t have a separate room or a separate area. It’d be nice to have that set area to do it where there would be more privacy and you can have a better one-to-one consult with the patient. ”