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Pharmaceutical Chargeback Software and Processing
Pharmaceutical chargeback is the difference between the Wholesaler Acquisition Cost (WAC), which is the price at which wholesaler purchased the drugs, and the contract price, offered to the buyer of the product.
Chargeback processing has to address several issues. The first one is to ensure that the pricing submitted on the chargeback claim is correct, the product purchaser is eligible to buy on the contract specified and all relevant terms specified in trade agreements are complied with. Another issue to address is to properly utilize chargebacks in government pricing calculations of Average Manufacturer Price (AMP), Best Price (for brand manufacturers), etc. Yet another issue is to calculate admin fees and rebates on indirect sales. And, finally, Gross-To-Net aspect of chargeback processing requires that contract pricing exceeds product costs at specified margin.
Chargeback claims submitted for sales on particular contracts – Public Health Services (PHS), Federal Supply Schedule (FSS) and wholesalers’ source contracts – need to address particular requirements. More complicated scenarios, like the one frequently happening at distributors, include chargebacks processing on products with the same National Drug Code (NDC-11) yet produced by different manufacturers.
Relasoft platform handles all aspects of chargeback claim processing: claims pricing, customer eligibility, compliance with trade agreements, communication with trading partners with chargeback responses and resubmissions, indirect sales data utilization in government pricing, rebate and Gross-To-Net systems and providing manufacturers with extensive reporting and dashboards.
Relasoft platform successfully handled chargebacks for about a thousand of products, with a transactional volume of over 1,000,000 chargeback lines per month, and proved to be the most efficient chargeback processing software on the market.
Manufacturers may choose to use the software platform in-house, or delegate processing services to Relasoft. Both scenario successfully cover all aspects of chargeback processing.
When Relasoft platform is used in house, we help manufacturers to integrate it with the manufacturer’s ERP, to ensure that users have at their disposal sufficient tools and are fully empowered to find and solve data issue themselves, without reaching out to ERP support.
For more details, please see https://relasoft.net/chargebacks/