The Hidden Cash Flow Risks in Your Wholesale Agreement

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Pharmacy wholesaler agreements can give large discounts, but the terms of the arrangement itself might dictate the amount of cash a pharmacy has available. Analysis of the true expenditures, payment deadlines, and purchase conditions might be a technique to understand why certain pharmacies experience financial challenges even in cases of steady sales.

The big problem is the time between buying the medication and getting reimbursed for prescriptions from insurance. A pharmacy should pay wholesaler invoices before getting money for the medications. In addition, the pharmacy has to pay staff and other operational expenditures. This suggests that, despite regular sales, there will always be a lack of money. Also, reimbursement modifications (including DIR costs) must be considered.

Pricing is another crucial factor to consider. Wholesaler Acquisition Cost (WAC) is the price published by a pharmaceutical firm as the selling price to the wholesaler or direct purchaser of the medicine. For example, if the contract says “WAC less 6%,” the price would be 6% below the benchmark price stated in the contract. However, this is an attractive offer, but it does not automatically mean that the pharmacy will acquire the lowest possible price. WAC Pricing For Pharmacies should be assessed by considering a comparison between the actual cost of each medicine and various means of purchasing. This is especially true with expensive medications, including several of the GLP-1 treatments for diabetes and obesity. And if the reimbursement isn’t enough to cover the purchase price and other expenditures, there may be no profit left.

Rebate incentives could make the wholesaler deal look better than it really is. Some of the agreements give an incentive based on the amount of sales or the purchase of certain products. Such a refund can be advantageous, but the terms linked with the offer will decide its benefit. Buying extra items to take advantage of the rebate offer may imply that the money being utilized needs to be locked up in pharmaceuticals that take a long time to sell. Blended pricing might have a similar effect of disguising the actual price of pharmaceuticals since different drug costs are averaged together.

There are several practical ways to optimize the buy without affecting the day-to-day running of the pharmacy. A strong Pharmacy Drug Purchasing Strategy starts with an analysis of existing wholesaler agreements and, when relevant, looking at the pricing provided by alternative suppliers. Assessing the stock turnover percentages will assist in avoiding overstocking, while negotiating payment terms might allow some flexibility in managing payments. Comparing the purchase price with the reimbursement rates will help pharmacies to discover medications with poor margins and even losses. Such regular inspections will be important, especially for pharmacies with little operational capital.

The wholesaler agreement will only be important in how much it helps optimize the finances of a pharmacy, not how much of a discount it offers. The financial side of things includes payment arrangements, medicine pricing, rebates, and purchases. It is necessary to spend time evaluating this. This will enable small pharmacies to save unnecessary expenditures, optimize profit, and manage their cash flows well. 

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