A new report, supported by NACDS, outlines practical steps for leveraging pharmacies for prevention, early detection, and management of chronic diseases such as diabetes.

Arlington, VA - As American Diabetes Month draws to a close, the National Association of Chain Drug Stores (NACDS) is urging swift action to expand pharmacy-based care amid a worsening diabetes epidemic. With over 38 million Americans living with diabetes and another 98 million at risk, NACDS is calling on policymakers to recognize and reimburse pharmacists' clinical services - particularly in communities where access to traditional care is shrinking.

A new Milken Institute report commissioned by NACDS, "Advancing Health Through Expanded Access to Pharmacy-Based Care," outlines practical steps to leverage pharmacies for prevention, early detection, and ongoing management of chronic disease. With a pharmacy located within five miles of 90% of Americans, the report finds that pharmacies are well positioned to deliver screenings, education, and follow-up support that keep people healthier and out of the hospital - yet limited reimbursement and uneven scope-of-practice rules hamper impact.

"Diabetes is taking a heavy toll on families and our health system, but pharmacies can help change that," said NACDS President and CEO Steven C. Anderson. "Pharmacies are often the first and most frequent point of contact for people with diabetes. When pharmacists are empowered to practice at the top of their education and training, we see better adherence and stronger health outcomes."

Pharmacist-led care improves early detection, supports medication adherence, and lowers blood sugar levels - reducing the risk of serious complications. The approach is especially effective in rural and underserved areas, where pharmacy teams help close care gaps with screenings, medication counseling, and support for healthy living.

The Milken Institute blueprint also underscores the importance of partnership - calling for collaboration among pharmacies, health plans, policymakers, and technology leaders to break down silos and drive measurable results. It urges federal and state action to establish payment pathways for pharmacists' clinical services and to align scope-of-practice laws and regulations so patients can fully benefit from pharmacists' training.

Anderson added, "As the diabetes epidemic grows and care gaps widen, it's time for policies that let pharmacists do more to help people prevent and manage chronic disease. By implementing these recommendations, we can keep neighborhood pharmacies open as vital access points for care, advance health equity, and help Americans live longer, healthier lives."

Through its Nourish My Health public education campaign, NACDS and participating member pharmacies are raising awareness and connecting people with pharmacy-based screenings, nutrition resources, and support for managing diabetes and other chronic conditions.

Access the Milken Institute report here.