Maximizing Provider’s Pharmacy Reimbursements – Thriving in a challenging environment

Many pharmacies continue to struggle with the weight of drug prices and an inequitable reimbursement scale from payers. The past several years have brought a steady decrease in allowances for dispensing drugs, along with a renewed focus on reducing AWP (average wholesale price) and WAC (wholesale acquisition cost) based reimbursements. To further complicate matters, constant mergers, new agreements, and recurring price changes make it nearly impossible for pharmacies and hospital systems to synchronously conduct effective compliance audits to help ensure accurate reimbursement from the payer, to gauge the financial impact of rate changes on high impact drugs, to ensure they are receiving th

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