SureCost Blog

What Most Pharmacies Miss When Reviewing Purchasing Performance

Written by Danielle Dinglasan | Feb 23, 2026 4:02:51 PM

Most pharmacies review purchasing performance regularly. Reports are pulled. Numbers are scanned. Costs are compared to prior months or prior years.

And yet, many of the most expensive purchasing problems go unnoticed.

Not because teams aren’t paying attention—but because purchasing is often evaluated too narrowly to reveal what’s really happening.

The Trap of Surface-Level Metrics

Traditional purchasing reviews tend to focus on a handful of familiar metrics:

  • Total spend

  • Average cost per unit

  • Primary wholesaler compliance

  • Month-over-month changes

These numbers feel reassuring because they’re easy to track and easy to explain. But they rarely tell the full story.

Surface-level metrics smooth over variability. They hide item-level swings, vendor-specific inconsistencies, and timing-related price changes that quietly impact margins every day. Averages can look stable even when performance underneath them is anything but.

When performance is only evaluated at the top, problems stay buried.

Why Issues Only Appear When Something Breaks

In many pharmacies, purchasing issues don’t surface until there’s a disruption:

  • A sudden margin drop

  • A product shortage that forces emergency sourcing

  • A budget overrun that’s hard to explain

By the time these issues show up, they’ve usually been building for months.

This reactive pattern isn’t a failure of effort—it’s a failure of visibility. Without a way to see performance trends as they develop, teams are left responding to symptoms instead of addressing root causes.

Purchasing becomes something to fix when it breaks, rather than something to manage continuously.

The Gap Between Perceived and Actual Performance

One of the most common challenges in pharmacy purchasing is the gap between how performance feels and how it actually looks.

Perceived performance is often shaped by assumptions:

  • “Our pricing is competitive overall.”

  • “We’re using the right vendors for most products.”

  • “If there were a major issue, we’d know.”

Actual performance, when examined in detail, often tells a more complicated story. Certain high-volume items may be consistently overpriced. Vendor performance may vary dramatically by category. Small inefficiencies may repeat thousands of times without ever triggering an alert.

Because no single purchase looks catastrophic, the gap widens quietly.

How Blind Spots Compound Over Time

Purchasing blind spots are rarely costly in isolation. Their real impact comes from repetition.

A few dollars overpaid on a single item isn’t alarming. But across hundreds of SKUs, week after week, those small gaps turn into meaningful margin loss. Worse, once these patterns become normalized, they’re harder to challenge.

Blind spots also affect decision-making:

  • Teams rely more heavily on habit than data

  • Leaders hesitate to change strategies without clear proof

  • Opportunities for improvement are missed because they’re never clearly identified

Over time, purchasing performance drifts—not because conditions changed overnight, but because visibility never kept up.

Expanding the View of Purchasing Performance

A more complete view of purchasing performance looks beyond totals and summaries. It asks different questions:

  • Where is variability impacting us most?

  • Which purchasing decisions matter the most financially?

  • How does performance change over time, by product and vendor?

When pharmacies broaden how they evaluate purchasing, issues become easier to spot—and easier to address—before they become urgent.

Looking Forward

Most pharmacies aren’t ignoring purchasing performance. They’re just missing pieces of the picture.

In an environment where pricing, availability, and vendor behavior continue to shift, narrow evaluations create unnecessary risk. A more complete view doesn’t just reveal problems—it creates confidence in decision-making.

Understand what a more complete view of purchasing performance looks like.

Because in 2026, what you can’t see is often what costs the most.