TRx Integrated Pharmacy Services LLC

Vermont Psychiatric Care Hospital | Berlin, Vermont

Employment Status: Full-time, 1.0 FTE (40hrs/week)

Annual Salary: $135,200-$145,600, depending on experience and qualifications

Schedule: Monday-Friday, approximately 8:00 AM-4:30 PM, with shared pharmacist after-hours/on-call coverage

Anticipated Start Date: December 2026

Work Location: Onsite at Vermont Psychiatric Care Hospital, Berlin, Vermont

Position Summary

TRx Integrated Pharmacy Services LLC is seeking a full-time Clinical Pharmacist to provide onsite clinical and operational pharmacy services at Vermont Psychiatric Care Hospital (VPCH) in Berlin, Vermont.

VPCH is a small, specialized acute inpatient psychiatric hospital. This is not a high-volume dispensing or retail role. The pharmacist works as an embedded member of the interdisciplinary treatment team, with meaningful involvement in psychiatric pharmacotherapy, medication safety, medication-use systems, and quality improvement.

The position offers substantial exposure to complex psychopharmacology while also providing opportunities to participate in hospital pharmacy operations, formulary management, medication-use system development, regulatory readiness, and performance-improvement initiatives.

The Clinical Pharmacist works closely with the Director of Pharmacy, Licensed Pharmacy Technician, psychiatrists, medical providers, nursing, and other members of the VPCH treatment team.

There are no routine sterile-compounding responsibilities.

Key Responsibilities

• Provide clinical medication review and pharmacotherapy support for an acute inpatient psychiatric population, including admission medication reconciliation, ongoing medication review, discharge-related medication review, drug-information support, and pharmacist documentation.

• Evaluate medication regimens for efficacy, safety, tolerability, drug interactions, duplication, adherence concerns, and opportunities for optimization.

• Provide clinical monitoring and recommendations involving antipsychotics, long-acting injectable antipsychotics, lithium, valproate, clozapine, antidepressants, mood stabilizers, medications used for movement disorders, and other complex or high-risk therapies. Knowledge of associated comorbities i.e. diabetes, hyperlipidemia is helpful.

• Review relevant laboratory results, therapeutic drug levels, vital signs, metabolic monitoring, adverse effects, and other clinical information and communicate recommendations to the treatment team.

• Participate in interdisciplinary treatment planning and collaborate directly with psychiatrists, medical providers, nursing, and other clinical disciplines.

• Support medication workflows associated with Emergency Involuntary Procedures (EIPs)/Emergency Involuntary Medications (EIMs), court-authorized treatment, and other specialized psychiatric medication processes in accordance with applicable law and VPCH policy.

• Support formulary management, medication shortages, recalls, therapeutic interchange, medication procurement and availability, inventory-related issues, and other hospital pharmacy operations.

• Use and support CPSI/TruBridge and BD Pyxis ES, including medication-order and distribution workflows, formulary and medication builds, automated dispensing cabinet maintenance, troubleshooting, testing, and implementation of medication-use workflow changes within assigned responsibilities.

• Participate in medication-safety activities, performance improvement, policy development, accreditation and regulatory readiness, controlled-substance processes, and pharmacy quality initiatives.

• Participate in Pharmacy & Therapeutics and other hospital committees or workgroups as assigned.

• Provide pharmacist oversight and support for technician-level pharmacy activities and collaborate with the Director of Pharmacy to maintain reliable pharmacy-service coverage.

• Participate in shared pharmacist after-hours/on-call coverage, including remote clinical support and onsite response when necessary. On-call time will be based on a weekly rotation, and split between Clinical Pharmacist and Director of Pharmcy.

• Maintain accurate and timely documentation and comply with applicable TRx, VPCH, State of Vermont, privacy, information-security, and medication-management requirements.

Qualifications

• PharmD or Bachelor of Science in Pharmacy from an accredited pharmacy program.

• Active Vermont pharmacist license, or eligibility to obtain Vermont pharmacist licensure before beginning employment.

• Hospital or inpatient pharmacy experience preferred. Inpatient psychiatric pharmacy experience is strongly preferred but not required. Pharmacists with strong hospital clinical experience, an interest in psychiatric pharmacotherapy, and/or comfortability verifying high dose antipsychotic medications quickly and accurately are encouraged to apply.

• Experience with BD Pyxis ES, CPSI/TruBridge, electronic medication records, automated dispensing systems, medication safety, formulary management, or hospital pharmacy operations is preferred.

• Board certification in psychiatric pharmacy (BCPP) or another applicable pharmacy specialty is welcomed but not required.

• Ability to work onsite at VPCH, participate in shared on-call coverage, collaborate effectively within an interdisciplinary treatment environment, and exercise independent pharmacist judgment within the scope of the position.

• Employment is subject to applicable VPCH/State onboarding, credentialing, background-check, training, and system-access requirements.

Compensation and Benefits

• Full-time, 1.0 FTE (40hrs/week).

• Annual salary of $135,200-$145,600, depending on experience and qualifications.

• Formal compensation review after approximately six months of successful employment, with the opportunity for an increase based on demonstrated performance, responsibilities, and applicable business considerations.

• Paid Time Off: Eligible full-time employees accrue 8 hours of PTO for each completed biweekly pay period, up to 208 hours annually, plus longevity PTO after qualifying service and 5 paid sick leave days per year. Flexible schdule prioritizing work-life balance.

• TRx does not currently offer employer-sponsored health insurance.

• Additional benefit and employment-plan information will be provided during the hiring process.

About TRx Integrated Pharmacy Services LLC

TRx Integrated Pharmacy Services LLC is a Vermont-based clinical pharmacy services organization focused on medication management, psychiatric pharmacotherapy, medication safety, hospital pharmacy operations, and medication-use system support.

This position is anticipated to begin in December 2026 in connection with TRx's State of Vermont pharmacy-services contract at VPCH and is contingent completion of applicable onboarding, credentialing, and system-access requirements.

TRx is committed to maintaining a collaborative, flexible, clinically focused work environment while providing reliable pharmacy coverage and high-quality service to VPCH.

How to Apply

Please submit a current resume through Indeed. A brief cover letter describing relevant inpatient, psychiatric, clinical, or hospital pharmacy experience is welcome but not required.

TRx Integrated Pharmacy Services LLC is an equal opportunity employer and provides employment opportunities in accordance with applicable federal and Vermont law.

VERMONT PSYCHIATRIC CARE HOSPITAL

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