[Revised Oct 02]
Pricing is complex on scripts that have a large premium. Apart from the other causes of unexpected prices, this can lead to unexpected prices that appear wrong although they are actually correct.
Under s'net script that will be SS once repeats collected
Eg, 30 Zantac 150mg for an A3. 2 repeats
- Original SS price is $9.74, which is less than $15 so the script is NSS. Hence computer charges patient $12.95 (or whatever, depending on 'under NSS markups chosen by pharmacy).
- 1st repeat. Patient charge $19.65. The script is now SS so the total patient payment is bought up to (2 x $8.78 = $17.56) premiums on the two dispensing's, plus the balance of their Patient contribution ($15.00 less the $12.95 paid originally = $2.05). $17.56 + $2.05 = $19.61 which rounds to $19.65 patient charge.
- 2nd repeat Patient charge $8.75. The patient payment is bought up to (3 x $8.78 = $26.34 + $15.00 =) $41.35, less the $12.95 paid on the original and the $19.65 paid at time of first repeat = $8.75
As above, but with premium suppression
Eg, 30 Zantac 150mg for an A3. 2 repeats, pharmacist chooses to suppress Premium.
- Original SS price is $9.74, which is less than $15 so the script is NSS. Hence computer charges patient $12.95 (or whatever, depending on 'under NSS markups chosen by pharmacy), and the <F12> key is pressed to reduce this ($12.95 - $8.78 = $4.17 rounded) to $4.20 patient charge. This is less than the cost of $5.61.
- 1st repeat. Patient charge $10.80. The script is now SS so the total patient payment is bought up to ($15.00 - $4.20 =) $10.80.
The premium is automatically suppressed on the repeat since it was on the original.
- 2nd repeat Patient charge of $0 since the whole $15.00 has been paid.
Script entirely under s'net NSS with Premium suppression <F12>
Eg, 15 Zantac 150mg for an A3. 1 repeat
SS price $6.23, so even with 1 repeat is less than $15.
Hence the computer charges the patient $7.95 (the Under s'net NSS).
A premium of $4.39 exists on 15, but is not relevant since the price charged is the NSS price (actual cost plus percentage, not based on schedule cost). It is displayed since it does exist (but may be suppressed in a future version).
If the operator uses the <F12> to suppress Premium option, the patient price is (as instructed) reduced by $4.39 to $3.60, which is less than the cost.
On repeating this script, the patient is charged $7.95 (although the 'Premium suppressed' flag is ticked, the computer ignores it since knows it is working off the NSS formula rather than the SS formula, so there is no premium being applied anyway).
The operator could of course subtract the premium again if they wished.
Check user settings
The user has a lot of control over the pricing of 'under s'net NSS' scripts. Many scripts with large premiums have a SS content under the cutoff, even though they are expensive due to the small amount paid by the state, so the user settings come into use..
- Check on the Options Menu: RxOne Start Menu, Tools, Options, then Switchboard.
- Look at the 'Reprice Under Safety Fee NSS' value.
Check to see if you are set for SS+MP or Cost +%
- Look at the Prices Menu.
Check the
Under safety net NSS Disp fee
Under safety net NSS Markup
SS Container Fee
SS count and Pour Disp fee
OTC & True NSS
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