PTCommunity.com - Pharmacy Management Tools

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PTCommunity.com - Pharmacy Management Tools (Rx Claim Cost Analysis)

Mail Order vs Retail Cost Calculator

Prudent Rx Mail Order vs Retail Cost Calculator^TM

AWP of Drug

RETAIL Pricing

Discount

Fee

Copay

Amt Due

AWP(-)

$55.80

MAIL ORDER Pricing

Discount

Fee

Copay

Amt Due

AWP(-)

$55.30

Mail Order Savings (Loss)

$0.50

Member Copay Difference

$10.00

	Fill 1 (Retail)	Fill 2 (Retail)	Fill 3 (Retail)	Total (Retail)	Fill 1 (Mail)
	Retail				Mail	Difference
AWP of Drug	$30.00	$30.00	$30.00	$90.00	$90.00	$0.00
Percent Discount	13.00%	13.00%	13.00%	13.00%	18.00%	-5%
Dollar Discount	$3.90	$3.90	$3.90	$11.70	$16.20	($4.50)
Discounted Cost of Drug	$26.10	$26.10	$26.10	$78.30	$73.80	$4.50
Pharmacy Dispensing Fee	$2.50	$2.50	$2.50	$7.50	$1.50	$6.00
Total Cost of Claim	$28.60	$28.60	$28.60	$85.80	$75.30	$10.50
Member Copay	$10.00	$10.00	$10.00	$30.00	$20.00	$10.00

Total Cost of Claim to Plan	$18.60	$18.60	$18.60	$55.80	$55.30	$0.50