Estimating a reasonable reimbursement for community pharmacies in third-party programs.
The purpose of this study was to estimate the level of reimbursement necessary to provide community pharmacies with a reasonable profit on prescriptions dispensed through third-party prescription programs. Data were gathered by means of a literature review and a survey of community pharmacies in Virginia. Results indicated that an average reimbursement of average wholesale price less 15% plus a $6.95 dispensing fee was needed to provide pharmacies with a reasonable profit. This is much higher than the reimbursements currently provided in most third-party prescription programs.
Carroll
N V
NV
School of Pharmacy, Medical College of Virginia, Virginia Commonwealth University, Richmond, USA.
D016361:Bankruptcy; D016527:Drug Costs; D011307:Drug Prescriptions / Q000191:economics*; D007182:Income / Q000639:trends; D007349:Insurance, Health, Reimbursement; D007356:Insurance, Pharmaceutical Services; D008329:Managed Care Programs / Q000191:economics; D010594:Pharmacies / Q000191:economics*; D014481:United States; D014768:Virginia