Pharmacies are the first point of access to modern medical advice and treatment for most people in Southeast Asia, especially the poor and rural. Patients may not go to a hospital or clinic at all unless treatment at the pharmacy fails first. Because most pharmacies in the region are private independently-owned shops not integrated into any national electronic health information system, little data exists on potential and active TB patients seeking treatment at pharmacies leading to missed tuberculosis cases. It’s clear that TB isn’t going anywhere unless pharmacists get involved. Pharmacists should be empowered to screen, refer, and notify TB cases.