What does it take to turn pharmacy into a true enterprise asset? In this episode, host Jim Jorgenson is joined by Derek Imars, Executive Director of Pharmacy Supply Chain at IU Health, and Steve Rough, Chairman at Visante, to explore how pharmacy supply chain is evolving—from managing drug shortages to enabling growth in infusion and specialty services—through more connected, end-to-end strategies from purchase to patient. They share perspectives on operating models, centralized infrastructure, and the financial and regulatory complexity shaping pharmacy today. From 340B and DSCSA to site of care strategy and value capture, this conversation highlights where organizations are still leaving value on the table—and how to build a more resilient, strategic supply chain.