Since the question of changes in pharmacy revenue has been posted, it has brought another question to mind. I have noticed that in all of the responses posted, the contributors are referencing their AWPs. About a three years ago, based on the recommendations of several Medicare consultants, we switched all of our charge formulas to cost based rather than AWP. This has been a difficult process for me as it has obviously considerably reduced our revenue. My question for the "L" is, what are other pharmacies basing their charge formulas on? AWP, acquisition, or something else? Bob Cutter, RPh Lead Pharmacist Willamette Falls Hospital 503-650-6243
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