Throw out everything you think you know about maximizing your reimbursements from PBMs. My mind was blown back at the beginning of 2021 when I first spoke with Robbie at Pricing Systems. I was always taught that you program your PMS to bill huge amounts to the PBMs to get the most reimbursements. It turns out it is way more sophisticated than this!
When was the last time you adjusted your pricing tables in your PMS?
My guess is close to forever ago. If you are like me at all, I just didn’t know you should update your pricing tables in the backend of your system on an annual basis.
When I buy a new pharmacy, this is now the VERY FIRST THING I do in every pharmacy. We start maximizing reimbursements on day 1.
Pricing Systems uses its proprietary algorithms to determine what your pricing tables should be to maximize revenue from PBMs. This can dramatically increase your gross profits. I have seen huge success in my pharmacies and in many other owners’ pharmacies almost immediately after implementing their system. The range of increase in my pharmacies is from an average of $1.70 per Rx to over $3.50 per Rx. It’s a huge amount of real money in your pocket.
This is a rarity for our Quick Wins: signing up with Pricing Systems does cost about $4,500. I know that is no small amount. For being a PBU member, Robbie offers a full 100% money-back guarantee if you don’t make your money back within 90 days.
You can contact Robbie at [email protected] or 252-813-1501, and be sure to mention you are a DiversifyRx member.
