RxFusion

Office Dispensing Solutions

The Contract Pharmacy Fee Problem

Total Fees: 30-40% of 340B Value

$

TPA Fees

10-15% per prescription

$

Contract Pharmacy Fees

15-25% per prescription

= $150-$250 on $1,000 meds
= $1,500-$2,500 on $10,000 specialty drugs

$

Additional Losses

True-ups, orphaned accumulations, rebate drug carve-outs

Total Fees Lost

30-40%

of your 340B program value

How Office Dispensing Works

Simple. Seamless. No System Changes.

1️⃣

We Set You Up

Complete implementation, training, and compliance setup—all while keeping your existing EHR and staff

2️⃣

You Dispense

Your clinic dispenses medications in-house using 340B pricing—no pharmacy build-out required

3️⃣

We Handle the Rest

Claims, compliance, reconciliation, and ongoing support—everything managed for you

✓ System Compatibility Advantage

💻

Keep Your EHR

🔄

No TPA Switch

📦

Same Wholesaler

👥

Existing Staff

The Clear Difference

Feature
Contract Pharmacy
RxFusion Office Dispensing
Total Fees
30-40%
12%
Service Level
Basic TPA + pharmacy
Comprehensive (implementation, PBM, compliance, more)
Manufacturer Access
Limited/restricted
Full access to all drugs
Patient Convenience
Separate pharmacy trip
Same-visit dispensing
Medicare Transaction Facilitator
Drug exclusions, lost value
Simplified compliance, no exclusions
System Compatibility
May require TPA switch
Works with existing EHR and TPA (or without TPA)
Revenue Retained
60-70%
88%

Real Dollar Impact

Contract Pharmacy

340B Savings Potential$200,000
Total Fees (35%)-$70,000
Gross Retained$130,000
COGS (35%)-$70,000
Net Profit$60,000

RxFusion Office Dispensing

340B Savings Potential$200,000
RxFusion Fee (12%)-$24,000
Gross Retained$176,000
COGS (35%)-$70,000
Net Profit$106,000

Additional Annual Net Profit

$46,000

77% more net profit with RxFusion

Real-World Annual Projection

Small Clinic Scenario: 10 Drugs/Day, 5 Days/Week (~2,600 Rx/year, ~$5M Program Value)

Contract Pharmacy

Total Fees (35%)-$1,750,000
Gross Retained$3,250,000
COGS (35%)-$1,750,000
Net Profit$1,500,000

RxFusion Office Dispense

RxFusion Fee (12%)-$600,000
Gross Retained$4,400,000
COGS (35%)-$1,750,000
Net Profit$2,650,000

Additional Annual Net Profit: $1,150,000

77% more net profit with RxFusion Office Dispensing

Drug-Specific Profit Comparison

Ozempic

Revenue: $950

Contract Pharmacy Net

$230 - $430

RxFusion Net Profit

$511

UP TO 122%

Better

Biktarvy

Revenue: $4,200

Contract Pharmacy Net

$0 - $571

RxFusion Net Profit

$846

UP TO 350%

Better

Eliquis

Revenue: $600

Contract Pharmacy Net

$340 - $470

RxFusion Net Profit

$515

UP TO 51%

Better

Note: Many contract pharmacies are now dropping 340B Rebate Pilot drugs like Eliquis

Beyond Savings: Clinical Impact

Why patients and clinicians prefer office dispensing

⚕️ Clinical Benefits

Faster Therapy Initiation

Patients start treatment immediately without pharmacy delays

Direct Provider Visibility

Clinic has full transparency into barriers and medication outcomes

Barrier Identification

Spot adherence challenges before they become clinical issues

Enhanced Safety Management

Clinical team actively manages drug interactions and medication safety

🤝 Patient Convenience

One-Stop Visit

Patients get medications in one visit—no separate pharmacy trip

Improved Adherence

Direct dispensing increases adherence when there's no barrier between visit and medication

Better Outcomes

Improved access and adherence lead to better clinical outcomes

Reduced Out-of-Pocket Delays

Immediate access eliminates cost or insurance barriers at the pharmacy counter

Complete Office Dispensing Platform

Enterprise-Grade Software for Clinical, Compliance & Analytics

RxFusion Analytics Dashboard

Record Keeping

Complete patient and prescription documentation with full audit trail

Clinical Safety

Drug interaction checking, allergy alerts, and clinical decision support

NCPDP Claims

Real-time online pharmacy billing and insurance adjudication

HIPAA & MFA

Secure, compliant platform with required multi-factor authentication

More Than Just TPA Services

RxFusion provides a comprehensive service package far beyond basic TPA and contract pharmacy

Complete Implementation

Full setup, training, and onboarding support

PBM Contracting

Negotiate and manage payor relationships

Policy & Compliance

340B policy development and audit support

Claims Reconciliation

Complete billing and reconciliation services

Software & Technology

Integrated dispensing and compliance platforms

Drug Purchasing

340B procurement and inventory management

Patient Assistance

Financial assistance program coordination

MTF Compliance Support

Medicare Transaction Facilitator claim-level data

RxFusion

Ready to Keep More Savings?

Let's discuss how office dispensing can benefit your entity

hello@rxfusion.com
www.rxfusion.com