For decades, psoriasis has been treated as a condition of the skin — visible, manageable, local. Yet the inflammation driving those familiar plaques does not confine itself to the surface; it moves through blood vessels, stresses the heart, and quietly elevates the risk of cardiovascular events. As clinical evidence solidifies this understanding, pharmacists — trusted, accessible, and positioned at the crossroads of patient care — are being called to widen their counsel beyond the prescription pad and into the fuller story of what it means to live with a whole-body inflammatory disease.