Flip the Pharmacy is a transformation program focused on intensive, hands-on, prescriptive, domain-centered change. Scalable practice transformation efforts require a structured process with as little ambiguity as possible, and with sufficient intensity and duration to stick with the pharmacy after the transformation process is complete. Flip the Pharmacy will deploy a 24 month transformation process that emphasizes local supports and data driven milestones using SMART (specific-measurable-attainable-relevant-timely) methodologies across six separate transformation domains.