Monday, February 19, 2007

Calculating dispensing costs and the value of e-prescribing

What does it cost to fill a prescription?

Depends on what you measure.

One valuable source are the Medicaid cost data prepared by firms like Myers and Stauffer, LLC.

A 2002 study prepared for Texas, for example, showed a weighted median cost per prescribing of $5.95.

The dispensing fee is one of two major components of drug fees (the other is the ingredient cost). The dispensing, or professional, fee is paid to pharmacies to cover their overhead and labor costs. Federal regulations at 42 CFR 447.331-333 require states to establish a reasonable dispensing fee for their Medicaid pharmacy programs and to document their pharmacy reimbursement methodology in their state plan. (the requirement is for reasonable, but evidently not for perspicuous). These studies are a mother lode of information. They demonstrate some obvious trends (for example, the relationship between prescription volume and unit cost).

Pharmacy costs are also dictated by the amount of compounding and intravenous drugs delivered. These specialty areas skew data and hence lead to calculations of median rather than mean values.

0 Comments:

Post a Comment

<< Home