WHAT HAPPENS IF MY LOCAL RETAIL PHARMACYS ADVERTISED PRICE IS LESS THAN THE NEGOTIATED NETWORK PRICE?
The pharmacist should submit the regular price to the processor. The processor allows only the lower of his regular price or the negotiated price. (It is not uncommon for some stores to advertise “loss leader drugs” – drugs that they are willing to lose money on to encourage customers to come to their pharmacy.) If your drug is advertised at a lower price than the negotiated price the pharmacist should submit the advertised price to the processor. Do not allow yourself to be penalized because your prescription is being processed! Remember – your prescription must be transmitted to the processor so it can perform necessary safety checks against your drug profile.