In Portugal, the revision of the profit margins system in 2012 has resulted in a successive decrease in pharmacies’ regulated margins in recent years. As a result, 27.4 per cent of pharmacies are facing serious financial difficulties (234 of them have been declared insolvent, and 566 are being seized, according to data from December 2022). The current remuneration model associated with dispensing medicines could, therefore, jeopardise the sustainability of the pharmacy network, as well as users’ access to therapies and closer healthcare, and should be duly reviewed and improved¹. Internationally, pharmacy remuneration models need to evolve to reflect the pharmacy’s growing clinical role beyond traditional dispensing. The definition of remuneration models for pharmacies, linked to the dispensing of medicines and complemented by the establishment of remuneration for pharmaceutical services and acts, will enable community pharmacies to continue to provide effective and adequate support to the health systems in which they operate.