Pharmacy leadership health equity is the operational practice of designing pharmacy strategy and workflows so patients can access, afford, understand, and continue prescribed care, especially during hospital discharge and ambulatory transitions. Darra M. Edwards describes this as embedding pharmacists in medication reconciliation, Meds-to-Beds, chronic disease management, and community partnerships while measuring success through clinical outcomes rather than activity alone. In safety-net systems, 340B savings often fund the sustainable programs that make equitable medication access possible. 340B Pulse is a NorthArc Health podcast powered by PureLogics, featuring operator-level conversations about how pharmacy, 340B, and care delivery work in practice. In this episode, host Muhammad Atif is joined by Darra M. Edwards, PharmD, MSOL-HCM, BCCCP, BCPS, ACE, Corporate Pharmacy Director overseeing 340B programs across a large health system. Darra shares the personal experience that shaped her career: a preventable post-discharge medication gap that inspired her to build a Meds-to-Beds program and champion pharmacy as a strategic driver of health equity. You'll hear how pharmacy leaders operationalize health equity, why 20% to 47% of hospital readmissions are linked to medication access, and why organizations should measure meaningful clinical and biometric outcomes instead of activity alone. Darra also explains how community partnerships improve continuity of care, where healthcare systems unintentionally create friction for patients, how cultural humility strengthens trust, where AI can support transitions of care while human judgment remains essential, and how 340B reinvestment converts program savings into lasting community impact. Timestamps 00:00 Welcome and episode framing: pharmacy leadership drives health equity 02:38 340B as the foundation for medication access and community programs 03:28 Guest introduction: Darra M. Edwards 04:00 Career journey and leadership path 04:18 The Meds-to-Beds origin story 06:53 Pharmacy-led health equity in practice 07:03 Defining health equity 08:08 Embedding pharmacists in care transitions 08:34 Medication access and readmissions 09:23 Care plan gaps and patient trust 12:26 Medication access as a health equity issue 14:28 Reducing avoidable returns after discharge 17:47 Measuring clinical and biometric outcomes 21:49 Building effective community partnerships 25:34 Eliminating patient friction 29:18 Cultural humility and inclusion 32:35 AI and human judgment in care transitions 36:26 Privacy, security, and policy guardrails 39:44 Rapid-fire segment 43:56 Practical first steps and 340B reinvestment 46:48 Closing remarks Q. What is pharmacy leadership health equity? Pharmacy leadership health equity embeds equitable medication access, transitions of care, outcomes measurement, and community partnerships into health system strategy instead of relying on reactive programs after post-discharge failures occur. Q. Why is Meds-to-Beds a health equity priority? Meds-to-Beds places prescribed medications in patients' hands before discharge, reducing retail delays and access barriers that contribute to preventable readmissions and adverse events. Q. How does 340B support pharmacy-led equity work? 340B helps safety-net providers stretch limited resources by funding medication access programs, discharge support, community outreach, and chronic disease services that reimbursement alone often cannot sustain, connecting savings to measurable patient and community impact. #340B #HealthEquity #PharmacyLeadership #MedsToBeds #TransitionsOfCare #MedicationAccess #MedicationReconciliation #Readmissions #CoveredEntity