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MT Medicaid Dispensing Fee Survey

2017 Montana Medicaid Dispensing Fee Survey


 

Welcome to the Montana Medicaid dispensing fee survey.  This survey is intended to calculate the average cost to dispense a prescription in retail pharmacies. Pharmacies in Home Infusion Therapy or Hospital settings should complete the survey as completely as possible.

Important items to know about the survey:

Begin Survey

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MTMedicaidDispensingFeeSurvey\r\n\r\n\r\n

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Welcome to the Montana Medicaid dispensing fee survey.  This survey is intended to calculate the average cost to dispense a prescription in retail pharmacies. Pharmacies in Home Infusion Therapy or Hospital settings should complete the survey as completely as possible.

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Important items to know about the survey:

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Begin Survey

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By selecting \"No\" you will be assigned a $2.00 dispensing fee

Pharmacy Information

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Part I - General Data

The number of pharmacies your company operates:\" class=\"ng-pristine ng-untouched ng-valid ng-not-empty\" type=\"text\">

The number of pharmacies your company operates:

Number of prescriptions dispensed during the time period stated above\r\n(Please include the totals for ALL prescriptions dispensed, Medicaid and Non-Medicaid)\" class=\"ng-pristine ng-untouched ng-valid ng-not-empty\" type=\"text\">

Number of prescriptions dispensed during the time period stated above\r\n(Please include the totals for ALL prescriptions dispensed, Medicaid and Non-Medicaid)

Part II - Annual Personnel Expense

When entering expenses, only enter the amount that can be attributed to the pharmacy. E.g. if a custodian is paid $40,000 a year but only spends 25% of their time working in the pharmacy, only enter $10,000 for their salary.

0 || parse(form.fields.TechnicianTime.value)>0 || parse(form.fields.PharmacistsTime.value)>0 || parse(form.fields.OtherEmployeeTime.value)>0)\">Gross Salary includes the total salary or wage plus Social Security; Unemployment; Workers Compensation; Taxes; Health Insurance; Life Insurance; Bonus; Pension Plan Fund; Profit Sharing Contributions; and similar benefits paid by the pharmacy.\" class=\"ng-pristine ng-untouched ng-valid ng-not-empty\" type=\"text\">

Gross Salary includes the total salary or wage plus Social Security; Unemployment; Workers Compensation; Taxes; Health Insurance; Life Insurance; Bonus; Pension Plan Fund; Profit Sharing Contributions; and similar benefits paid by the pharmacy.

Part III - Annual Expenses Allocated Directly to the Prescription Department

Include pharmacy professional liability insurance; permit licenses; R.Ph./ PharmD; Owners registration; DEA license; Pharmacy Association dues (national, state, local); journal subscriptions; reference texts.\" class=\"ng-pristine ng-untouched ng-valid ng-not-empty\" type=\"text\">

Include pharmacy professional liability insurance; permit licenses; R.Ph./ PharmD; Owners registration; DEA license; Pharmacy Association dues (national, state, local); journal subscriptions; reference texts.

Include auto depreciation; insurance; gas; oil; repairs; maintenance.\" class=\"ng-pristine ng-untouched ng-valid ng-not-empty\" type=\"text\">

Include auto depreciation; insurance; gas; oil; repairs; maintenance.

Part IV-Annual Store Proportionate Expense

Exclude all previously listed expenses but include insurance; utilities (gas, electric, water); depreciation; interest; bad debts; bookkeeping; accounting fees; legal fees; collection agency fees; security personnel or system; maintenance; nonprofessional dues; professional attire; laundry; dry cleaning; business licenses.\" class=\"ng-pristine ng-untouched ng-valid ng-not-empty\" type=\"text\">

Exclude all previously listed expenses but include insurance; utilities (gas, electric, water); depreciation; interest; bad debts; bookkeeping; accounting fees; legal fees; collection agency fees; security personnel or system; maintenance; nonprofessional dues; professional attire; laundry; dry cleaning; business licenses.

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MTMedicaidDispensingFeeSurvey

By selecting "No" you will be assigned a $2.00 dispensing fee

Pharmacy Information

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Part I - General Data

The number of pharmacies your company operates:

Number of prescriptions dispensed during the time period stated above (Please include the totals for ALL prescriptions dispensed, Medicaid and Non-Medicaid)

Part II - Annual Personnel Expense

When entering expenses, only enter the amount that can be attributed to the pharmacy. E.g. if a custodian is paid $40,000 a year but only spends 25% of their time working in the pharmacy, only enter $10,000 for their salary.

Gross Salary includes the total salary or wage plus Social Security; Unemployment; Workers Compensation; Taxes; Health Insurance; Life Insurance; Bonus; Pension Plan Fund; Profit Sharing Contributions; and similar benefits paid by the pharmacy.

Part III - Annual Expenses Allocated Directly to the Prescription Department

Include pharmacy professional liability insurance; permit licenses; R.Ph./ PharmD; Owners registration; DEA license; Pharmacy Association dues (national, state, local); journal subscriptions; reference texts.

Include auto depreciation; insurance; gas; oil; repairs; maintenance.

Part IV-Annual Store Proportionate Expense

Exclude all previously listed expenses but include insurance; utilities (gas, electric, water); depreciation; interest; bad debts; bookkeeping; accounting fees; legal fees; collection agency fees; security personnel or system; maintenance; nonprofessional dues; professional attire; laundry; dry cleaning; business licenses.