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Our Mission

To support the pharmaceutical supply chain by providing actionable guidance and excellent administrative services with a focus on client care across compliance, commercial, and quality solutions.

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Businesses in the pharmaceutical industry are required to comply with a wide range of state and federal regulations related to the DEA and FDA.  In addition, many companies must adhere to VAWD and VDIP standards in order to be accredited. Let us be your guide to navigate today’s complex regulatory environment. 


Does your company need help with business strategy, market research, or data analytics? We have experience helping our clients make well-informed business decisions. By working with us, your company will be able to move forward with confidence in the right direction.


Five Rivers RX helps manufacturers through all aspects of quality. We tailor our services to your unique business requirements and objectives to enhance your company’s operational excellence and mitigate risk, all while maintaining cost-effectiveness. 


Does your business need help with suspicious order monitoring? NavigateSOM is our cloud-based SaaS solution to ensure compliance with the DEA’s SOM rules and regluations.

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The Importance of State Compliance

Navigating the intricacies of state licensing can be challenging and often lead to businesses wasting valuable time and money. Keeping track of each individual state’s requirements proves difficult but is essential to remain in good standing with each Board of Pharmacy. Many companies often fall down a rabbit hole trying to solve their own compliance needs, and as a result, business growth is stunted.

Five Rivers RX offers our expertise to eliminate any loss of productivity or money, as well as in fostering the legitimacy of your company’s operations. Entrusting us with your compliance maintenance allows you to focus on the growth of your business, uninterrupted.

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Innovative Approach with Best-In-Class Service

We have the necessary tools and expertise to help you properly manage your expansion or your next project. Through a dynamic partnership with our clients, we develop engaging business strategies and high quality, scalable solutions.​

We provide comprehensive solutions that promote quality and security in the pharmaceutical supply chain. Our services span federal and state requirements including state licensing, VAWD accreditation, DEA compliance, and more.

Industry News

Shipping Office Stock vs. Prescriptions: $15M Case Study for Omnicare

Shipping Office Stock vs. Prescriptions: $15M Case Study for Omnicare

Omnicare, a leading provider of closed-door pharmacy services, agreed to pay more than a $15 million civil penalty for allowing opioids and other controlled substances to be dispensed without a valid prescription. The fine zeroes in on a common issue amongst pharmacies – discerning between office stock and shipping pursuant to a prescription.

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Drug Pricing Transparency Fight Rages On

Drug Pricing Transparency Fight Rages On

Even as the COVID-19 pandemic disrupts day-to-day life, drug pricing transparency rages on between consumer groups, regulators, and industry. Regulators are now having to resort to assessing significant fines to increase compliance.

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Optum Rx & NABP DDA Lawsuit Update

Optum Rx & NABP DDA Lawsuit Update

Optum Rx’s requirement for their network pharmacies to only purchase prescription drug and diabetic testing supplies from Accredited wholesalers has caused significant disruption and controversy since its implementation in August 2016. The requirement spurred two separate lawsuits. The second, which continues in full force, has a recent amended complaint – and Five Rivers RX has unique insight into the lawsuit’s developments.

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Contact Us

705 Montgomery Avenue Suite 200
Penn Valley, PA 19072

P: 800.962.8760