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We’ve changed a lot in twenty years. Our partners haven’t.

New robots, new integrations, new packaging formats — and the same locally owned team on Harbison Way since 2006. Twenty years in October 2026.

How we got here

Innovation is easy to buy. Twenty years of trust isn’t.

Any pharmacy can purchase a dispensing robot. Plenty added long-term care as a line of business. We started there and never added anything else.

  • 2006

    Founded in Columbia

    Opened as a closed-door pharmacy serving intellectual and developmental disability providers in the South Carolina Midlands — a population retail pharmacy was not built to serve.

  • 2010s

    Statewide courier network

    Built our own delivery infrastructure rather than contracting it out, so a facility three hours away gets the same service as one across town.

  • 2010s

    Automation

    Brought in SynMed XF, RxSafe RapidPack and Eyecon, moving the repetitive precision work off pharmacists and onto machines built for it.

  • 2020s

    Integrated eMAR

    Integrations with Therap, QuickMAR and MAS, so orders stop being rekeyed by hand.

  • 2026

    Twenty years

    200+ active facilities across five care settings, still closed-door, still locally owned, still answering the phone at 2am.

“I have had the pleasure of working with Adam for 10 years as a consulting pharmacist on a psychiatric interdisciplinary team. His clinical input & analysis of the individual's complete medication regimen is invaluable. He frequently provides input regarding the possible impact of medication interactions, indications for medications & newly approved medications.”

Anita LinderAPRN
Psychiatric interdisciplinary team

Our team

The same familiar people, visit after visit.

You will get to know these names. That is the point of a named account manager rather than a queue.

Leadership

  • Adam Vandergrift, PharmDPresident

Pharmacy and operations

  • Jay Fisher, PharmDPharmacist in Charge
  • Lindsay Vandergrift, CPhTLead Pharmacy Technician
  • Peggy OhrinOffice Manager

Staff pharmacists

  • Alex Quinn, PharmDStaff Pharmacist
  • Sarah John, PharmDStaff Pharmacist
  • Earle Brown, RPhStaff Pharmacist

On the record

Twenty years of facilities choosing to stay.

Real names, real facilities, published with permission. Nothing on this site is a stock quote or a composite.

  • Having Palmetto Rx Solutions embedded within the interdisciplinary team has transformed how I approach behavior support, as pharmacology can play an impactful role in understanding behavior. Collaborating in real-time with a Palmetto pharmacist doesn't just streamline our behavioral support process; it fundamentally changes outcomes for the individuals we serve.

    Ley LinderMA, M.Ed., BCBA · Founder and CEO Crescent Behavioral Health Services
  • Palmetto Rx Solutions has been an awesome company for our agency. I can truthfully say that if there is a problem, they go above and beyond to fix it. The staff are all very friendly and helpful. I couldn't ask for a better pharmacy to work with.

    Katrina GallmanLead Nurse Newberry Disabilities and Special Needs
  • I have had the pleasure of working with Adam for 10 years as a consulting pharmacist on a psychiatric interdisciplinary team. His clinical input & analysis of the individual's complete medication regimen is invaluable. He frequently provides input regarding the possible impact of medication interactions, indications for medications & newly approved medications.

    Anita LinderAPRN Psychiatric interdisciplinary team
  • Since transitioning to [Palmetto Rx Solutions], our assisted living community has experienced better communication, and more personalized care. The team at [Palmetto Rx Solutions] has been personable, dependable, and committed to meeting the needs of our residents. We are very pleased with this partnership and highly recommend their services.

    Randy HammersExecutive Director Six Mile Assisted Living
  • Palmetto Rx Solutions has been a valued partner to the Newberry County Disabilities & Special Needs Board for over 10 years. Their team is professional, responsive, and genuinely committed to meeting the unique needs of the people we support. We appreciate their excellent communication, attention to detail, and willingness to work closely with our nursing department to ensure quality pharmacy services. Their dedication and customer service have made them a trusted partner, and we are grateful for the support they provide to our agency and the people we support.

    Trina WrightExecutive Director Newberry County Disabilities & Special Needs Board

In the community

Everything here has changed except who picks up.

The long-term care community in this state is small enough that people remember who showed up.

  • 01

    Conferences and associations

    Exhibitors at SCHSPA, SCAAIDD and SCALA. If there is a gathering of South Carolina long-term care providers, we are usually in the room.

  • 02

    Facility fundraising

    Supporters of partner galas, fundraising initiatives and the golf tournaments that keep programs funded.

  • 03

    Training and education

    Med tech training support and train-the-trainer programs, including for facilities that are not our customers.

Twenty years in October 2026.

We would like to spend the next twenty serving facilities like yours.

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