Pharmacy Transformation

AdhereRx Company Background

AdhereRx Inc. is a pharmacy transformation company. The firm specializes in advanced training, coaching and technical support for pharmacy owners who want to significantly improve both patient care and pharmacy profit.

Formed by a group of industry veterans with over 100 years of experience in the clinical, operational and financial sides of community pharmacy, AdhereRx is also co-owner of Howe Sound Pharmacy, an award-winning, high-volume clinical community pharmacy serving a diverse range of patients. The team of 23 includes clinical pharmacists, registered pharmacy technicians and pharmacy assistants with skills and training in a wide range of specialties, automation and home-health. Howe Sound Pharmacy is a long-time participant in university, government and industry-based clinical research, a preceptor site for university Community Pharmacy Residency rotations, a beta-site for new pharmacy technologies, an immersive training centre for Medication Management skills training for practicing pharmacists, and the Howe Sound Pharmacy clinical team tests and refines AdhereRx R&D initiatives in real-world conditions.

AdhereRx & Howe Sound Pharmacy credentials at a glance

  • Rx Adherence program design & consulting experience since 1998
  • Early adopters and researchers of MM Theories (Cippole & Strand 2003, APhA etc)
  • Multiple staff clinical certifications and specializations including CPhA ADAPT Course
  • Post-graduate residencies
  • First participants in the BC Medication Management Project (BCMMP)
  • Workflow design innovations including productivity optimization and the pharmacist-at-intake model
  • Host & co-authors of UBC PhINDMORE studies of Med Management outcomes – Canadian Foundation for Pharmacy & Pfizer grants
  • Designed the first measurement method of Continuous Medication Adherence for Community Pharmacies, AdherenceTRACK© (co-authors with UBC, U of Saskatchewan, CPJ 2014)
  • Contract beta-test site for new pharmacy technologies including BC gov’t ‘PharmaNet 2’
  • CCSA Commitment to Care Service Award Winner
  • Designed the first retail brand of adherence packaging & services: Simpl™ – Rubicon Pharmacies
  • Knowledge User / participant in the three-year Ontario OPEN research project
  • Advanced training site for residents and 4th year PharmD students – UBC, Memorial University
  • 30+ pharmacy industry keynote speeches and CE workshops on adherence & MM since 2013
  • International engagement & consulting: Abrafarma & Abradilan Assn.'s, Venancio Drugs (Brazil), PAS Australian Health Destination Pharmacy (Queensland University of Technology), University of Otago (New Zealand)

Howe Sound Pharmacy

Howe Sound Pharmacy

Clinical Pharmacy Team


Pharmacists see patients at intake

4 Intake stations

3 Consultation Rooms

700+ Rx/ day in a peaceful, collegial, caring environment
40,000+ hours of continuous, real-world pharmacist-to-patient Medication Management (MM) interventions
30,000+ documented MM patient encounters
50% of Rx volume is synchronized and/or in adherence packaging

Our Management Team

Paul Tyers

As a founding investor and the chairman of AdhereRx Inc., Paul Tyers brought together the other founders of the firm. He plays an active role in leading the business and advising pharmacy owners on financial and business succession planning. He is also managing director of the prominent Canadian wealth management firm Wealth Stewards Inc. and is portfolio manager of a fund that invests in select pharmacy innovation businesses. Mr. Tyers has pioneered the integration of wealth management services with accounting and tax services in Canada since 2002. Previously Paul was with KPMG and Bank of Montreal.

He earned a degree in business at Wilfrid Laurier University, CPA and CA designations from the Institute of Chartered Accountants, CFP from the Financial Planning Standards Council and CIM Chartered Investment Manager designation from the Canadian Securities Institute.
Paul holds the following designations: CPA, CA, CFP, CIM.

Christopher Juozaitis

Chief Clinical Officer
Christopher Juozaitis is the chief clinician at AdhereRx Inc., and co-owner/ pharmacy manager of Howe Sound Pharmacy. As a co-founder and clinical director of the company, he tailors workflow and clinical practice solutions to help pharmacy leaders sustainably improve patient outcomes and business results in any community pharmacy setting. With more than 34 years of experience in both the clinical and business sides of retail pharmacy, Chris respectfully collaborates with his fellow pharmacy owners to help them create and sustain their own atmospheres that compassionately and efficiently provide better care and education to both staff and patients. For nearly three decades, has co-owned one the country’s most clinically advanced community dispensaries.

Mr. Juozaitis still sees patients every day as he oversees a state-of-the-art home facility that incorporates a combination of innovative workflow, technology, environmental design and patient-centred communication that deliver superior outcomes in a cost-effective, patient-centred manner. Chris and his team are constantly improving pharmacy workflow designs, harnessing technology and refining staff training that allow pharmacists to practice at the fullest extent of their scope, concentrating on authentic patient engagement, drug therapy problems and proactive care plans.

Prior to joining Howe Sound Pharmacy and AdhereRx, Chris managed several community pharmacies. He has been active in sport, community and cultural outreach. Mr. Juozaitis holds a bachelor’s degree in pharmacy from the University of British Columbia, is a graduate of the CPhA ADAPT course, and focuses his practice in community applications of medication management and geriatrics.

Jim Danahy

Jim Danahy leads the day-to-day operations of AdhereRx Inc. and plays an active role in the operations of Howe Sound Pharmacy. A third generation retailer who grew up around his family’s pharmacy, Jim has led teams of pharmacists and technical experts to devise innovative medication adherence and profit improvement initiatives for independent and chain pharmacies across North and South America since 1994.

In early 2013, after nearly 20 years of research, Danahy released the first publicly available analysis demonstrating that medication adherence is a reliable marker of both patient outcomes and pharmacy profit. Mr. Danahy co-developed AdherenceTRACK the world’s first scorecard to measure continuous Rx adherence in retail pharmacies. In collaboration with Rubicon Pharmacies, Jim led a team that created Simpl™ the first retail brand of adherence services and packaging for community pharmacies. Other initiatives include: Rx-Guided Frontshop™ a process which optimizes OTC, natural health products (NHP), nutrition and home healthcare product assortments; License to Linger™ (L2L™), a lucrative front shop customer behavior model unique to freestanding drug stores. Jim and his team have extensive experience in retail inventory balancing, integration of POS with dispensary IT systems; remote dispensing technologies & automation; in-store traffic flow/display performance/ loss prevention analytics, M&A due diligence and post-merger integration.

Mr. Danahy has acted as an expert witness on retail legal matters and is frequently quoted on retail topics in US and Canadian business media. He is the founding Director of the Center of Excellence in Retail Leadership in the Schulich Executive Education Center at York University, advising senior executives at some of Canada’s largest retailers. Jim is past chair of Hope Air, Canada’s national charity which arranges air transportation to healthcare for people in financial need. He has held directorships on various industry association boards, and currently sits on advisory boards for the Retail Council of Canada and the international merchandise licensing body, LIMA. Jim holds a degree from Ryerson University.

Rob Cunningham

CFO, Analytics & business processes
Rob Cunningham leads the pharmacy analytics and business processes at AdhereRx, including preparation of customized performance dashboards to help participating pharmacies track and improve financial and operational results. He has a wealth of experience in planning and analysis, forecasting, reporting of key financial metrics, margin improvement initiatives and internal controls.

Prior to joining AdhereRx, Rob led a private consulting firm advising companies on business structure and process efficiency. He was Director of Sales Operations at Patient Care Automation Services (PCAS), makers of the world’s first accredited remote pharmacy dispensing kiosks (acquired by Walgreens), and held senior finance roles at Sun Microsystems for 20 years. Rob gained retail and consumer goods experience with finance roles at BB Bargoons stores and Premdor (now a division of Masonite).

Mr. Cunningham holds a degree in Mathematics and Computer Science from York University in Toronto.

David Cunningham

Co-Founder, Advisor
David Cunningham is one of the founders of AdhereRx Inc. and continues to be of counsel to the company and pharmacies participating in AdhereRx programs on matters related to pharmacy profit optimization and M&A. Widely respected as one of Canada’s most experienced and knowledgeable public accountants specializing in retail pharmacy profitability, David has advised hundreds of pharmacy owners and managers across the country on operating efficiencies, drug plan revenue optimization, business valuation, buy and sell-side diligence, tax, business succession support, assurance engagements and financial planning since 1985.

He has co-developed and presented retail pharmacy industry education courses to pharmacy owners in all regions of the country and wrote a chapter in the latest university textbook for pharmacy management in Canada, published September 2015. Previously, David worked at Bank of Montreal (BMO), auditing the collateral of owner-managed businesses and reviewing loans for adherence to credit policy and special loans. David holds Chartered Accountant, Chartered Professional Accountant and Certified Management Accountant designations and graduated from the University of Waterloo with an Honours degree in Mathematics.

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Company Address

Annex Building
25 Mississauga Rd. South
Mississauga, ON L5H 2H2

Contact Us

(416) 523-0013
© 2017 AdhereRx Inc.