Why Private Equity Is Buying Up Independent Pharmacies

What this episode covers

Episode 69 of The Buyout Show with Fexingo. Lucas and Luna examine the wave of private equity acquisitions of independent pharmacies, focusing on the specific strategy of roll-ups like the one led by Oak Street Health's former executives. They discuss the economics: how a single independent pharmacy generates roughly $3-5 million in revenue but only 8-12% EBITDA margins, and how consolidation into a 50-plus location entity can boost margins to 20% through centralized purchasing and back-office efficiencies. They also touch on the regulatory risks, including the FTC's recent scrutiny of pharmacy benefit manager practices. Hosts: Lucas and Luna. #PrivateEquity #Pharmacies #RollUps #IndependentPharmacy #OakStreetHealth #EBITDA #FTC #PBMs #PharmacyBenefitManagers #Consolidation #Healthcare #MergersAndAcquisitions #LBO #BusinessStrategy #FexingoBusiness #BusinessPodcast #TheBuyoutShow #RetailPharmacy Keep every episode free: buymeacoffee.com/fexingo

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Frequently Asked Questions

How long is this episode of The Buyout Show with Fexingo: Private Equity, Roll-Ups, and Business Acquisitions?

This episode is 8 minutes long.

When was this The Buyout Show with Fexingo: Private Equity, Roll-Ups, and Business Acquisitions episode published?

This episode was published on June 23, 2026.

What is this episode about?

Episode 69 of The Buyout Show with Fexingo. Lucas and Luna examine the wave of private equity acquisitions of independent pharmacies, focusing on the specific strategy of roll-ups like the one led by Oak Street Health's former executives. They...

Can I download this The Buyout Show with Fexingo: Private Equity, Roll-Ups, and Business Acquisitions episode?

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