Store Level Options/Pricing

To access Store Level Options/Pricing:

1. Click Store Control, Store Level Options.

2. The Store Level Options/Systems window displays.

3. Click Pricing on the vertical icon bar. The Pricing Options window displays:

4. Use the definitions below to determine how to set the options:

STORE CONTROL

STORE LEVEL OPTIONS/PRICING

General

Field Name

Field Definition

Automatic Rx Pricing

Check this option and the following rules apply:

If the Patient Record contains a Price Plan, the system does not look at the Drug Record unless the Price Plan is a Medicaid or Third Party Price Plan. In this event, the Auto Price Plan is added to the Rx Record to meet U&C requirements.

If the Patient Record does not contain a Price Plan, the system uses the Price Plan in the Primary Price Plan field of the Drug Record.

Update Rx with New Price Plan

Check this option and the system automatically updates the Rx Record with the Primary Price Plan associated with the Drug Record unless filling for a Third Party or Medicaid Price Plan.

Pricing Cost Basis

Select the cost basis for pricing from the drop-down.

Minimum Price

Type the minimum price to charge for all prescriptions.

Margin Percent Formula

Select the margin percent formula to use for calculations on reports.

Add Additional Fees after TP Adjudication

Check this field to add patient fees to the transaction after third party adjudication has been completed. When this option is checked, the Transaction Record displays Additional Fees in the Billing Recap.

High Dollar Alert in Tickler/Workflow

An alert to warn the pharmacy when a new prescription is above a certain dollar amount, or if there is an increase from the previous fill above a certain dollar amount.

Alert if First Fill Greater than Amount

This option is greyed out if High Dollar Alert is not checked. Functionality for the Alert if First Fill Greater than Amount option:

This dollar amount is only checked for the original fill. If the patient amount is above the dollar amount entered in Pricing Options, an alert is entered in Workflow or Tickler. If Workflow is used, the alert is entered as a Workflow Message and sent to Error Resolution. If the pharmacy does not use Workflow, a Tickler Message is entered.
If the prescription is a cash prescription, the total amount is checked. If it is a third party prescription, the co-pay amount is checked.
This option does not apply to subsequent fills.

Alert if Increase Greater than Previous Amount

This option is greyed out if High Dollar Alert is not checked. Functionality for the Alert if Increase Greater than Previous Amount option:

This dollar amount is only checked for refills. If the difference between the patient dollar amount increases more than the dollar amount entered in Pricing Options as compared to the patient amount from the previous fill, an alert is entered in Workflow or Tickler. If Workflow is used, the alert is entered as a Workflow Message and sent to Error Resolution. If the pharmacy does not use Workflow, a Tickler Message is entered.
If the prescription is a cash prescription, the total amount is checked. If it is a third party prescription, the co-pay amount is checked.
If the prescription has been discontinued and reassigned, the system checks the amount from the last fill of the discontinued prescription.
If the total amount for a batch increases above the dollar amount entered for this option, the alert displays. This logic applies if the number of prescriptions for a patient are the same from month to month. For example, if the batch had five prescriptions one month and six the next month, the alert does not display. The amount of the last batch and the number of prescriptions in the batch are saved on the Patient Record but are not visible to the pharmacy.

Tax Percentages

Rx Sales Tax %

Type the sales tax for prescriptions in your state/county.

Rx Flat Tax

Type the amount of the flat tax rate for prescriptions in your state/county.

OTC Sales Tax %

Type the sales tax % for OTC items processed as prescriptions in your state/county.

OTC Flat Tax

Type the flat tax rate for OTC items processed as prescriptions in your state/county.

Drug Cost Percentage Defaults

AWP Cost Calculation %

Type the percentage to use to calculate the AWP cost of a drug. This figure is the default value in the AWP field on each Drug Record.

Medicaid Cost Calculation %

Type the percentage to use to calculate the Medicaid cost of a drug. This figure is the default value in the Medicaid Pct field on each Drug Record.

Acquisition Cost Calculation %

Type the percentage to use to calculate the Acquisition cost of a drug. This figure is the default value in the Acquisition field on each Drug Record.

Misc 1 Cost Calculation %

Type the percentage to use to calculate the Miscellaneous 1 Cost of a drug. This figure is the default value in the Misc 1 field on each Drug Record.

Misc 2 Cost Calculation %

Type the percentage to use to calculate the Miscellaneous 2 Cost of a drug. This figure is the default value in the Misc 2 field on each Drug Record.

Payment Options

Payment Options display if you have QS/1 Point-of-Sale and ShipRx. The A/R Options display if you have the A/R Module. If Perform Credit Card Pre-Authorizations is unchecked, all other options are disabled.

Reconciliation Write Off Options

Write-off functionality is for Variance Amounts (Amt Paid is < Amt Due) left when the third party amounts paid are less than the amount billed from third party reconciliation.

Small Variance Amounts - Enter a beginning and ending dollar amount to define the range. For example, $0.00 to $5.00. Default = .00. The fields are six characters in length including the decimal.

Large Variance Amounts - Enter a lower and upper dollar amount to define the range. For example, $5.01 to $20.00. Default = .00. The fields are six characters in length including the decimal.