Pharmacy Management Systems 2026: Benefits, Features & Pricing

My biggest complaint is the report system. Almost any time I need a customized report I have to call in and get someone from customer service to help me with setting it up. However, once it is set up it's pretty good. It just isn't very intuitive since it is built on an old DOS-based platform. NRx is a GUI of the DOS-based platform they had in the past. It definitely does what a pharmacy software should, in that you can process scripts pretty quickly. They are constantly trying to improve the software with things like Pharmacy at a Glance (sidebar that shows you your queues of new E-Scribes, Refill requests, etc.). This feature is very helpful and I've used it every day since we enabled the feature. The quality assurance queue is very helpful and their workflow can be customized to your needs. We definitely do not utilize the software to its full potential. If we had more time to look into and learn the additional features, then we would probably have a better opinion of the software. We are very excited about their new solution SharpRx, and would like to give it a go once it is fully released for multi-location stores. It is designed from the ground up, so should be the refresh that QS1 needs.

I have used QS/1 since 1981. QS/1 has always paid close attention to maximum security, a stable base, a configurable resource, as well as the ability for the user to capture and report on ANY data. In the 36 years, I can't think of a single day in which we could not process prescriptions for more than 10-15 minutes, and very few times for that period of time. I realize there are those PMS's that shine like a diamond on the outside, but after loading the computer, tend to turn to a lump of coal.

PMS has helped create an effective workflow that saves time in our pharmacy operations.

Was a long start-up / break-in process. Things that should be defaulted are not. Customer Service seems interested and responsive at first, but ultimately fails on many promises. I suspect their hands are tied. I learned this nRx system by QS1 is actually built on top of an old DOS based system. This causes many limitations. (e.g. despite numerous pleas, I've been told they are unable to default the checkbox to ON to automatically print monographs on refills. I have handfuls of examples like this that chip away at the likability of this system.) Reports: they will tell you the reports are customizable. The truth: they are a cumbersome mess, and the format in which they print out is just awful. Many, many screens to click through to print reports that you have already spent hours setting up and customizing. Despite the nRx system being called "Billing", they will try to upsale you later on their accounting software, claiming what you're using is only dispensing and cannot handle basic accounting tasks. There is a major pitfall that literally cost our company $10,000. If you print a label wrong, it will read "Copay $0" even when the insurance rejected it. This label looks *exactly* like the label does when it's a paid claim. In my opinion, this "wrong" way of printing a label is the most obvious (i.e. punch in the prescription number, click the print button). We gave out medication that we aren't going to get reimbursed for. Beware. There are positives. It has a modern interface. When things work well, it's nice to use. Not all together intuitive, however. If you've got young and tech-savvy employees, you could probably get along ok with this system, but don't expect anyone else to be able to use it. We've struggled with this system for a year and are now shopping for alternatives. I laughed out loud when I saw this was 3rd on the list. Figured I'd drop a review for the next guy.

Processing prescriptions is pretty good and quick. I switched systems to process secondary claims and tie in POS with system for electronic signatures and system does well with those 2 things. The system is TERRIBLE for generating reports that you need. I always have to call in and get help which is very time consuming.

We gained the ability to create, manage, bill patients in a decently convenient package.