Why Scalability Matters with Your Central Fulfillment Center

08.14.2025

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Jolee Carroll

In today’s changing pharmacy landscape, efficiency and adaptability are needed for pharmacies to keep up. With rising prescription volumes, increasing patient expectations and other outside factors, centralized fulfillment centers have become essential infrastructure.

However, not all fulfillment solutions provide the same value. Scalability is one feature of central fulfillment solutions that is necessary and determines the long-term success of the investment.

An investment that grows with your business 

While a centralized fulfillment solution is a significant upfront cost for pharmacies, the system should be able to support the pharmacy both today and well into the future. A scalable system handles the pharmacy’s current prescription volume and can readily change as demand grows. No matter the number of pharmacy prescription volume sizes, the central fulfillment center should have the ability to flex with your needs.

This flexibility is key for pharmacies, especially with the pharmacy industry always evolving. Pharmacies that have a flexible fulfillment center can easily adapt to seasonal surges, enter new markets or support expanded delivery models without service quality or efficiency suffering, which is critical for patient satisfaction. The best centralized systems are built with no prescription maximums, allowing pharmacies to scale up without limits. 

As seen in the last five years alone, pharmacy operations are always going through changes, and although patient care is a top priority, it’s essential to consider the business side of things as well. The right central fulfillment center is ready to integrate with changes of all types and sizes, including pharmacy locations, staffing changes and new technologies. No matter what, a pharmacy’s central fulfillment center should be built to evolve as any strategy shifts and ultimately propel the business further, not holding it back. 

Meeting the needs of growing prescription volumes 

One of the biggest reasons pharmacies explore centralized fulfillment is a steady increase in prescription demand. This growth is driven by a variety of factors, including an aging population, a rising prevalence of chronic conditions, and improved diagnostics and treatment access.

According to the IQVIA Institute, prescription drug use in the U.S. has reached record levels, exceeding 6 billion prescriptions annually, which equates to nearly 19 prescriptions per person, each year. As pharmacies work to keep up with this growing demand—while many pharmacies are facing labor shortages—a scalable central fulfillment strategy becomes a necessary part of pharmacy success.

By taking on high-volume dispensing tasks and enabling automation at scale, a centralized solution also frees up pharmacists to focus more on patient care. This operational efficiency contributes directly to improved health outcomes through timely, accurate and accessible medication delivery.

iA builds for the future 

At iA, scalability is built into every solution we offer. Our central fulfillment platforms are modular and designed for growth—accommodating no matter the pharmacy’s reason. From the start, iA works with pharmacy leaders to build systems that meet today’s demands and tomorrow’s goals.

Scalability is now a strategy of its own. And with the right fulfillment partner, it can be a powerful driver of long-term success.

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