Transfer Prescriptions

Medication Management · Long-Term Care

Serving regional facilities since 1995.

Unit-dose packaging, MAR reporting, controlled substance management, and on-call pharmacist support for regional facilities. Skilled nursing, assisted living, memory care, and group homes across Northwest Ohio rely on Okuley's for full pharmacy services — from unit-dose packaging and MAR documentation to controlled substance compliance and 24/7 pharmacist access.

1995
Serving facilities since
24/7
On-call pharmacist coverage
DEA
Controlled substance protocols
Local
Single-point-of-contact partnership

What We Provide

A full long-term care pharmacy service built around your facility's workflow.

Three foundational services that make the day-to-day of medication administration work for your nursing staff and your residents.

Unit-dose packaging

Each medication dose is individually sealed and labeled for facility administration. Eliminates bottle-rotation errors, reduces medication waste, and makes nursing rounds faster. Available in blister-card and cup-based formats depending on what your facility's workflow uses.

MAR reporting

Medication Administration Records formatted to match your facility's existing workflow, updated with every prescription change. For facilities using electronic MAR systems, we can interface where the platform supports it.

Controlled substance management

DEA and Ohio Board of Pharmacy-compliant controlled substance dispensing — perpetual inventory, secure delivery protocols, narcotic count reconciliation, and required regulatory reporting. Audit-ready documentation.

Why Facilities Choose Us

Four reasons regional facilities stay with us for decades.

The differences that show up in day-to-day operation, not just on the proposal document.

30+ years serving regional facilities

Travis and Kieu Okuley have served Northwest Ohio long-term care facilities since 1995. The institutional knowledge of how regional facility operations actually work, what the regulatory expectations look like, and how to navigate surveys is hard to replicate.

On-call pharmacist, not a call center

When your nursing staff needs a dose verification at 2am or a controlled substance question on a Sunday, they reach an actual local pharmacist — not a national support line cycling through scripts.

Single-point-of-contact partnership

Your DON, administrator, and lead nurses build relationships with specific people on our team. No quarterly account manager rotation. The team you onboard with is the team you'll still be working with years later.

Compounding capabilities in-house

Many long-term care residents need compounded medications — specific dose forms, ingredient combinations, or formulations not available off the shelf. Our Defiance compounding lab serves facility prescriptions alongside our retail patients.

What's Included

The full service scope we offer facilities.

Four categories of services that make up a full facility partnership. Most facilities use most of these; some use a subset depending on what they need.

Pharmaceutical services

  • Full prescription dispensingRoutine and acute prescriptions for facility residents, with our standard formulary plus brand requests as needed
  • Compounded medicationsCustom-formulated medications prepared at our Defiance lab — topicals, suspensions, capsules, and dose-adjusted formulations
  • IV & injection supplyFor facilities offering IV therapies and injectable treatments, we coordinate supply and storage requirements

Packaging options

  • Unit-dose blister cardsIndividual sealed doses on cards, organized by resident, day, and administration time
  • Cup-based unit-doseSealed single-dose cups for facilities using cup-based med pass workflows
  • Bulk medications with labelsFor PRN medications and specific facility workflows that need traditional bulk dispensing

Documentation & reporting

  • MAR generationMedication Administration Records produced and updated to match your facility's format, with prescription change tracking
  • Controlled substance reportingPerpetual inventory documentation, narcotic reconciliation reports, and required regulatory submissions
  • Survey-ready documentationDocumentation organized to satisfy state survey requirements and audit reviews when they happen

Communication & support

  • 24/7 on-call pharmacistPharmacist accessible by phone outside normal pharmacy hours for dose questions, supply issues, and urgent clinical guidance
  • Local deliveryScheduled deliveries to facility on established cadence, plus same-day delivery for urgent needs depending on timing
  • Provider coordinationDirect coordination with attending physicians, facility medical directors, and consulting specialists for residents

Facility Types We Serve

Different settings, different scope of partnership.

The four facility types we work with most often, each with its own typical scope of partnership.

Skilled nursing facilities (SNF)

Full pharmacy services including unit-dose packaging, MAR reporting, controlled substance management, IV/injection supply, and 24/7 on-call coverage. Highest service intensity, regulated workflow.

Assisted living communities

Unit-dose packaging, MAR support where the community provides medication assistance, scheduled delivery, and pharmacist consultation. Lower controlled substance volume than SNF; flexible scope.

Memory care units

Pre-sorted multi-dose packaging tailored to the routine of dementia care administration, with attention to medications commonly prescribed in memory care settings.

Group homes & residential treatment

Group homes for adults with intellectual or developmental disabilities, behavioral health residential facilities, and similar settings. Customized packaging and MAR workflow per setting.

Onboarding Process

From first conversation to live partnership.

Onboarding a new facility typically runs 2-6 weeks depending on size and complexity. We move at the pace your facility can absorb without disruption.

1

Initial partnership conversation

Call or contact us to schedule an initial conversation. We'll discuss your facility's current setup, what's working, what's not, and what scope of pharmacy partnership would fit.

2

Proposal & contract setup

We prepare a service scope and pricing proposal based on your facility's specifics — resident population, services needed, packaging preferences, and any system integration requirements.

3

Resident roster & workflow setup

Intake of resident roster, current medications, and prescriber relationships. Workflow alignment for packaging, MAR format, and delivery cadence to match your existing operations.

4

Go-live & ongoing support

First scheduled deliveries, MAR cycles, and controlled substance protocols go live. Staff orientation included. Our team stays closely engaged during the first 30-60 days to address any operational adjustments.

Common Questions

Facility partnership questions, answered.

The questions we hear most from administrators and DONs evaluating a new pharmacy partnership.

What kinds of facilities do you serve?
We serve skilled nursing facilities, assisted living communities, memory care units, group homes, and residential treatment facilities across Northwest Ohio. Specific service scope depends on the facility's needs — some facilities use us for full pharmacy services including unit-dose packaging and MAR reporting; others use us for compounded medications, specialty items, or after-hours support.
How does your pricing work for facilities?
Pricing varies based on the services your facility needs and the size of the resident population. For full pharmacy services, we typically structure pricing per-resident-per-month with itemized inclusions and add-on services. For more targeted services (after-hours coverage, controlled substance management, specialty compounded medications), we structure billing accordingly. We're happy to put together a proposal based on your facility's specifics.
How does on-call pharmacist coverage work?
Our pharmacist team provides on-call coverage outside regular pharmacy hours for the facilities we serve. When a facility has a medication question, needs a dose verification, or has an urgent supply need outside business hours, the on-call pharmacist is reachable by phone. Specific coverage windows are documented in our facility agreements.
Can you handle controlled substance dispensing and reporting?
Yes. We follow DEA and Ohio Board of Pharmacy requirements for controlled substance dispensing to facilities — including perpetual inventory tracking, secure delivery protocols, narcotic count reconciliation, and required regulatory reporting. Our controlled substance workflow is documented and audit-ready. Specifics for your facility get covered during the onboarding conversation.
What does MAR reporting look like?
We provide Medication Administration Records (MARs) for facilities that use them — formatted to match your facility's existing workflow where possible, or in our standard format if you're starting fresh. Updates are pushed on the schedule your facility needs (typically with each prescription change). For facilities using eMAR (electronic) systems, we can typically interface depending on the platform.
How long does the onboarding process take?
Typical onboarding for a new facility runs 2-6 weeks depending on resident population size, controlled substance volume, and any system integrations needed. The process includes contract setup, resident roster intake, formulary review, packaging workflow setup, MAR template alignment, controlled substance protocols, and staff orientation. We move at the pace your facility can absorb without disruption.
Why choose an independent pharmacy over a long-term care chain?
Different facilities value different things. Major long-term care chains have scale and standardized systems; we offer local relationships, single-point-of-contact responsiveness, custom compounding capabilities, and pharmacist continuity that doesn't change with quarterly account-manager rotations. Travis and Kieu have served regional facilities since 1995, and the same team you onboard with is the team still answering the phone five years later.
Can you work with our existing pharmacy system / EMR?
It depends on the system. We work with many of the common long-term care pharmacy and EMR platforms used in Northwest Ohio facilities. For onboarding, we review the specific systems your facility uses and confirm what integration points (or workarounds) are available. We're realistic about what works and what doesn't — we won't promise integration we can't actually deliver.

Considering a new pharmacy partnership?

Schedule a partnership conversation with our team.

Whether you're evaluating a switch from your current pharmacy, expanding services, or onboarding a new facility, we're happy to walk through what a partnership with Okuley's would look like. Decades of regional facility experience plus in-house compounding capabilities.