cash pricing program

Through our internally administered program, we make sure your cash pricing is competitive. We perform ongoing market research on a local, regional and national basis every month to assure we maximize your cash prescription gross margin and, at the same time, price all prescriptions at a competitive level. Most participating pharmacies compete aggressively with special local and national programs. In addition, you are able to receive revenue on your cash claims through our enhanced revenue generating opportunity!

COST

A transaction fee of $0.40 per paid transaction is added on to the patient’s prescription price. There is a $0.15 reversal fee for each reversed transaction. Pharmacies are invoiced monthly unless volume is low, then a quarterly invoice is an option to request. Ongoing requests for enrollment forms are included in the transaction fee and the administrator reserves the right to limit the number of forms distributed per request.

REIMBURSEMENT

Brand and generic medications are priced at a competitive rate, based on the surrounding market and competition. We make appropriate adjustments to reimbursements to maintain the competitiveness of the program. Clients receive notice of reimbursement increases or decreases and receive detailed reimbursement rates if requested. The $0.40 transaction fee is incorporated into the dispensing fee and/or the ingredient cost markup.