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Can pharmacies charge additional fee for dispensing prescriptions?


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Guest msullivan
Posted

Does anyone know if a health plans' network pharmacy can add a fee onto filling a prescription - and that fee is not reimbursed by the insurance company? For example, the pharmacy charges $2.50 for each prescription it fills. The pharmacy is also trying to collect back fees and charging the individual 1 1/2% interest??

Posted

I can not think of any statute that would preclude the pharmacy charging a fee. However, from a practical standpoint, I would think market forces would preclude this from happening. In other words, it seems to me most pharmacies are looking for customers and this would drive them away.

Guest KGibson
Posted

With most prescription programs there is a dispensing fee associated with each prescription. However, I have not seen it passed on to the individual, but part of the total billed to the prescription coverage group. For example, an employee may fill a prescription which costs $50.00. The employee would pay the copay, say $20, and the other $30.00 billed to the prescription service (or group plan if self funded) plus a dispensing fee of about $2.50 - $4.00. I would contact the pharmacy where this occured. They may be able to tell you if it is pharmacy policy, plan design, or what the case may be.

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