Pharmacy and 340B Consulting Services

Strategy | Compliance | Optimization

Expert 340B Guidance From a Trusted Industry Leader

Maximize Your 340B Program Value

Led by Josh Free, PharmD, MBA—a recognized 340B expert with 25 years of healthcare leadership experience—Nelco Advisory delivers customized consulting that transforms 340B programs into strategic revenue assets. Unlike big-name firms with cookie-cutter approaches, we provide personal attention and deep expertise tailored to your unique needs.

Contact: jfree@nelcoadvisory.com | www.nelcoadvisory.com

⚠️ Large Consulting Firms

•Standardized solutions designed for broad application
•Junior consultants may handle day-to-day operations
•Premium pricing with varied partner involvement
•Focus on larger, more typical scenarios
•Recommendations based on industry best practices

✓ Nelco Advisory Approach

•Custom solutions tailored to your specific needs
•Direct engagement with 25+ year industry veteran
•Personal attention with competitive pricing
•No problem too small, too unique, or too complex
•Actionable strategies from real-world implementation experience

Core 340B Consulting Services

Compliance Audits

Comprehensive HRSA compliance review with gap identification and remediation plans

Program Optimization

Strategic analysis to maximize 340B savings while maintaining compliance

Enterprise Pharmacy Strategy

Contract pharmacy optimization, network design, vendor selection & implementation, clinical strategy, and more

Split-Billing Implementation

System setup, workflow design, and ongoing compliance monitoring

Real Savings Example: Program Optimization

Mid-sized FQHC with 5 sites, 15,000 patients/year

Before Optimization

$1.2M

Annual 340B Savings

After Optimization

$1.8M

Annual 340B Savings

Additional Annual Value: $600,000

Through improved compliance, expanded eligible sites, and optimized dispensing strategies

Your 340B Expert: Joshua Free, PharmD, MBA

Founder & President, Nelco Advisory

25 years of healthcare leadership focused on growth, team building, operations, and strategy across retail pharmacy, long-term care, and hospital/health system environments.

Deep 340B expertise with leadership of one of the largest 340B programs on the west coast. Former Chief Pharmacy Officer and VP of Business Development implementing multi-million dollar system strategies.

Out-of-the-box thinker and creative problem solver, personally invested in each client and eager to roll up his sleeves while maintaining focus on the big picture.

True partner approach to consulting—not just solving today's challenges, but building capability within your organization to adapt and thrive as your 340B program grows. Combines strategic guidance with hands-on support to ensure you're never left wondering how to implement recommendations.

Key Credentials

✓PharmD, The University of Iowa
✓MBA, University of Colorado
✓Former Chief Pharmacy Officer
✓Lean Six Sigma Black Belt
✓Extensive retail, LTC, and hospital pharmacy experience
✓340B Program Compliance Expert

Comprehensive Consulting Services

Custom solutions for every aspect of your 340B program and pharmacy operations

✓ 340B Compliance Audits

HRSA requirement review, gap analysis, and remediation strategies

✓ 340B Program Optimization

Maximize savings through strategic operations and compliance excellence

✓ Enterprise Pharmacy Strategy

Contract pharmacy optimization, network design, vendor selection & implementation, clinical strategy, and more

✓ Pharmacotherapy Clinics

Clinic design, billing optimization, and revenue maximization

✓ Pharmacy Development

Facility design, licensing, staffing strategy, and 340B integration

✓ Infusion Strategy

High-value 340B opportunity optimization and financial analysis

✓ Office Dispensing

Complete setup and compliance guidance. Visit RxFusion (Nelco's sister company) at www.rxfusion.com

✓ Contract Negotiation

Drug wholesalers, PBMs, and payor contracting expertise

✓ Labor Strategy & Cost Control

Staffing optimization, workflow efficiency, and financial management

✓ Proforma Business Case Analysis

Data-driven financial modeling for strategic decision support

Why Nelco Advisory? Custom tailored solutions with the personal attention you deserve. Founded with the belief that no problem is too small, too unique, or too complex. We tackle challenges the big consulting firms don't want and don't understand.

Ready to transform your 340B program?