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Defining the domains and knowledge areas for pharmacy supply chain practice: a consensus-driven study.

Michael Stepanovic1, Stephen F Eckel2, Kathryn A Morbitzer3

  • 1Division of Practice Advancement and Clinical Education, UNC Eshelman School of Pharmacy, Chapel Hill, NC, USA.

American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
|February 18, 2026
PubMed
Summary

A new 5-domain framework for pharmacy supply chain (PSC) practice was validated to guide curriculum development. This framework addresses key knowledge areas, preparing pharmacists for leadership in complex medication supply systems.

Keywords:
curriculum developmenthealth-system pharmacyleadership trainingpharmacy educationpharmacy supply chain (PSC)supply chainsupply chain management

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Area of Science:

  • Pharmacy Practice
  • Supply Chain Management
  • Educational Frameworks

Background:

  • Pharmacists are increasingly involved in strategic roles within the pharmacy supply chain (PSC), including procurement and logistics.
  • The evolving demands of PSC leadership necessitate structured educational preparation for pharmacists.
  • Current educational offerings may not fully address the specialized knowledge required for effective PSC practice.

Purpose of the Study:

  • To define essential knowledge domains and areas for effective pharmacy supply chain (PSC) practice.
  • To establish a validated framework to guide the development of PSC curricula for pharmacists.
  • To prepare pharmacists for leadership roles in complex medication supply systems.

Main Methods:

  • A 3-phase, national, consensus-based study involving 22 pharmacy leaders from spring 2024 to spring 2025.
  • Phase 1: Structured focus groups (n=10). Phase 2: Independent curriculum review (n=12). Phase 3: Modified Delphi consensus survey.
  • Benchmarking of curricula from 12 US-based supply chain programs to assess topic coverage.

Main Results:

  • A 5-domain framework for PSC practice was developed: Manufacturer (Supply and Procurement), Distribution (Logistics, Inventory, and Warehousing), Operations (Procurement, Management, and Automation), Medication Use Management (Practice, Value, and Patient Care), and Overarching Competencies.
  • All developed domains achieved the consensus threshold of ≥80% agreement.
  • Participants identified traditional supply chain topics as important but infrequently used, favoring pharmacy-specific knowledge areas.

Conclusions:

  • This study presents the first validated framework for pharmacy supply chain (PSC) education.
  • The framework provides a foundation for developing pharmacy-specific curricula aligned with current practice needs.
  • It aims to equip pharmacists with the necessary skills to lead in complex and evolving supply chain environments.