Our Story

Our passion since 1986 has been improving the lives of patients and healthcare professionals through locally owned and operated infusion pharmacies across the country.
Vital Care of the Four States is a specialty and infusion pharmacy located in beautiful downtown Neosho, MO. Originally known by BioEthics Advantage, Inc. when we started in 2010, our focus was to provide blood clotting factor to severe and moderately severe hemophilia patients. Since these medications are expensive, and hemophilia is rare, most retail pharmacies are unable to shoulder the financial burden and maintain the care for these unique patients.

Most of the owners of Vital Care of the Four States were actually involved in a similar pharmacy in Dallas, TX in the mid to late 1990’s. With a unique mix of pharmacists, nurses, business minds, and field representatives, Choice Source Therapeutics became a nationally recognized leader in the hemophilia and specialty market with physical locations in Dallas, TX; Houston, TX; Tulsa, OK; Daphne, AL; Seattle, WA; and Puerto Rico. Ultimately, that business was acquired by Caremark (CVS) in 2001. The reputation built during the development of that business laid the groundwork for the emergence of BioEthics in 2010. Patient centered care and versatility, only found in a smaller more agile company, brings a personal aspect to a sometimes cold and insincere medical industry.

In today’s corporately controlled and limited market, we found that various insurance companies and PBM’s were not allowing smaller pharmacies into their contracts. This is referred to as a “carve out.” To meet this challenge, yet stay independent, we joined the Vital Care franchise in 2017. They allowed us to maintain our independence as a small business with internal owners, but offered leverage with their multiple franchisees. This opened up contract access and medication purchasing opportunities. We are proud of the organization we have built and the growth we continue to see every day. We started as a pharmacy operating from a card table in a single room, to a facility with in-house sterile and non-sterile compounding labs. We have on-staff nurses for in-home and suite based infusion services, and a variety of well-trained support staff from pharmacy technicians to field representatives. At Vital Care of the Four States, we make sure our patients remain confident and comfortable every time we see them. 

Please explore our website or call us to find out more about the many specialized services we can provide for you or your family.

Our Team


Jeff Werneke   |   COO / Owner

I am one of the owners of Vital Care of the Four States and currently serve as the Chief Operating Officer for the organization. I have served in a small business management role for over 30 years in a wide array of industries. My first exposure to the specialty and infusion business was in the late 1990’s when I was involved with the growth and ultimate sale of a hemophilia focused specialty pharmacy spanning multiple states across the U.S. Our “patient first” focus translated to incredible growth and a stellar reputation in the market at that time.

With those same guiding principles in mind, and many of those same owners, in 2010 we found the opportunity to enter the infusion market once again, starting with an emphasis on hemophilia, but later expanding into a wide array of specialty and infusible therapies not commonly offered by traditional retail pharmacies. I feel that my history with lean manufacturing and lean operations has given me a unique skillset to weather a very challenging and tight margin medical environment.

I spend much of my time volunteering in the community as the Board Chair of the local sheltered workshop, Board Chair of the local economic development organization, involvement with Rotary for over 20 years, and commitment to a variety of school levy and bond elections for the expansion and fortification of the school district. I am a former two time Mayor of our community and have developed two residential subdivisions totaling over 50 single family building lots.

My wife Debbie, my two sons, Lukas and Landon, and I are proud of the legacy we have built in our small part of the world.

Debbie Werneke   |   RN, CRNI, IgCN

Debbie has 29+ years in nursing with experience in labor and delivery, pediatrics, home health and infusion therapy. She has a passion to continue her education to further help her care for her patients. She cares for her patients as if they were her own family member. She has her certification in immunoglobulin therapy and is certified in infusion therapy nursing. She loves spending time with the 3 most important boys in her life; her husband, Jeff, and two sons, Lukas and Landon. She enjoys being with them and supporting them in all that they love to do. She enjoys crocheting in her spare time.

Nickey Hiebert   |   RPh

My name is Nickey Hiebert. I have 3 lovely daughters and a hard-working husband that keep me very busy on a day to day basis. When I'm not taking care of my family, I work with the great people at Vital Care of the Four States. I have been a pharmacist for 25+ years with experience ranging from hospital pharmacy to Indian health, including several years in retail pharmacy. All of this has made me well rounded as a pharmacist and prepared me for my current position as a compounding pharmacist with Vital Care. I am a Certified Hormone Replacement Therapy Specialist through PCCA's accreditation program and am working on my Fellowship in Anti-aging Metabolic Functional Medicine through A4M. My life/work experiences have taken me full circle to giving me the opportunity to make a personal connection with each and every patient that I meet. I embrace the knowledge and challenges my employment gives me to provide better, whole-patient care to the customers we serve. I love my job!

Lori Bartlett   |   RPh

Lori is a clinical pharmacist, entrepreneur and businesswoman who has devoted her time to her patients, community, and family. She has her certification in Hormone Replacement Therapy-PCCA, and currently practices as a clinical pharmacist at Vital Care of the Four States. She also owned and operated Community Pharmacy, Inc., for 20 years where she worked with physicians and nurse practitioners to specialize patient drug therapy and education. Lori followed in her father’s footsteps by becoming a pharmacist and grew up helping her father in the pharmacy. Her father, Bob Suschnick, owned an operated Jones Drug in Liberal, MO and then started an independent chain, Hometown pharmacy, which were located in the SW MO and SE KS area. Having a love for being a continual learner, she is continuing her education and is working towards her board certification in functional medicine with A4M. She also is certified in the Disease State Management Program with Missouri Healthnet, and Medication Therapy Services by the State Board of Missouri. She is involved in her community and is a member of many organizations to help better our youth, educate patients on healthcare issues, and be a voice for those without. In her spare time she enjoys church, singing activities and ministry, spending time with family, and many sport activities. Lori is a multi-talented woman who has experience as a trained vocalist and performer. She was Miss Missouri USA 1990 and toured with the Bob Hope USO troupe on a South Asian tour the same year. She recorded 2 Christian albums and traveled the country sharing her gift of song and witness. She and her husband Brent have been married for 30 years and have 2 beautiful young ladies as well, Mikayla who is studying towards her PharmD in pharmacy school and Chloe who is getting her BSN in nursing

Jeremy Robinson   |   Business Development and Marketing

My name is Jeremy Robinson. I have over 20 years experience working in sales and marketing and have been born and raised in Joplin, MO. I have an amazing 9 going on 16 year old son who is my world. I also have a strong family background in the area. I come to Vital Care of the Four States team with a background in hospice, skilled nursing home and durable medical equipment consulting/sales. But more importantly I come with passion of advocacy to help families and patients receive the care, services and education they need. My goal is to send out that same message of passion to the local community and local providers in the area.

Amber Ball   |   RN

Amber is a Registered Nurse with 4+ years of experience in critical care, cardiology, and infusion therapy. She knew from the time she was a toddler she wanted to follow in the footsteps of her grandmother and become a nurse. It has always been her passion and nature to care for people, and she cares for them as if they were her own family. Amber strives to continue her education as she is working towards her certifications for infusion nursing and immunoglobulin therapy. She and her husband Austin have been together for 12 years and have 1 beautiful daughter together, Adara. When not working, she enjoys spending time with her family, going to the creek, hunting, fishing, or simply working alongside her husband in their taxidermy shop, MO 76 Taxidermy.

Krystal Frossard   |   PharmD

Krystal is a clinical pharmacist with 6 years of experience as a pharmacist but over 18 years of experience in the field of pharmacy. She worked alongside her grandfather from the age of twelve while he volunteered as a pharmacist at a local clinic. Following in his footsteps, she received her Doctor of Pharmacy degree in 2016 from Harding University. She began her pharmacy career at a local independent pharmacy as a clinical pharmacist taking care of the local community. She currently practices at Vital Care of the Four States as a clinical pharmacist. She is certified in Medication Therapy Services by the State Board of Missouri and is working on her certification in immunoglobulin therapy. She and her husband Justin have been married for 9 years and have two adorable children, Oliver and Hazel. When not working, she enjoys spending time with her family in worship at their church, reading, hunting, fishing, and relaxing outdoors.

Tawni Keeling   |   Pharmacy Care Specialist

I am a wife, and mom of 2 kids, one son and one daughter. I enjoy spending my free time with them, playing video games with my son or snuggling up with my daughter and a good book. My husband and I love to watch movies, TV series, sports and are always up for a competitive round of Name That Tune! I enjoy learning new things and meeting new people so I am always up for good conversation. I am a pharmacy technician at Vital Care of the Four States with over a decade of experience in both the retail and specialty settings. My favorite part about my job is working with patients and assisting with financial resources (because everyone loves a good bargain!). I truly enjoy helping people so working in healthcare, even if my job isn’t as direct as some, is very rewarding. We may not have the biggest group here at Vital Care, but I can tell you that we have a lot of passion pushing us to give each patient the best experience we can.

Heather Smith   |   Pharmacy Care Specialist

In 2005 I started out in a retail pharmacy as a tech and was promoted to assistant manager. I had an opportunity to go another local retail pharmacy before taking a job at a long term hospital pharmacy in 2013. In 2014 I joined Vital Care of the Four States as a pharmacy compounding specialist. I have 3 amazing boys, Beau, Jaxson, and Parker.

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