A pharmacy is under contract with an insurance company for a patient who has three prescriptions. The
Question:
A pharmacy is under contract with an insurance company for a patient who has three prescriptions. The contract states the pharmacy will be reimbursed AWPminus1% plus a $10.50 dispensing fee per prescription. The first medication is for a 30-day supply taken tid that has an AWP of $2.35 per tablet. The second prescription is for a 15-day supply of medication that is taken qid. This medication has an AWP of $4.56 per tablet. The third medication is taken daily, and the patient wants a 90-day supply, which is approved by the physician. The AWP on this medication is $12.25 per tablet.
What is the cost to the insurance company for the first medication? $
What is the cost to the insurance company for the second medication? $
What is the cost to the insurance company for the third medication? $
If the medications have a copay of 10% of the total amount billed to the insurance company, what should be charged to the patient? $