More than 26,000 pharmacy closures in the past decade have quietly dismantled one of healthcare’s most trusted front doors, leaving many patients without critical care and medication support. For organizations serving complex populations, this widening gap isn’t a matter of convenience, it’s a serious threat to patient safety, care quality, and overall cost performance. This fast-paced session explores how leading providers and payors are rethinking the role of pharmacy beyond the retail counter, developing home-based and scalable models that restore access, rebuild trust, and close dangerous gaps in complex care.