TY - JOUR AU - Wyatt, Benji, K. AB - Abstract A 200-bed hospital's change in pricing drug products from a cost-plus-fee system to a flat fee per dose based on the medication administration record (MAR) is described. With the flat-fee system, drug charges are not recorded when the drug is dispensed by the pharmacy; data for charging doses are obtained directly from the MAR forms generated by the nursing staff. Charges are 55 cents per oral or suppository dose and $3.00 per injection dose. Drugs administered intravenously, topical drugs, injections costing more than $10.00 per dose, and miscellaneous nondrug items are still charged on a cost-plus-fee basis. Man-hours are saved in the pharmacy department because of the elimination of the pricing function and maintenance of price lists. The need for nursing staff to charge for any doses administered from emergency or Schedule II floor-stock supplies is eliminated. The workload for business office personnel is reduced because the number of individual charges is less than with the cost-plus charging system. The system is accepted by patients and third-party payers and has made a complete unit dose drug distribution system possible at lower cost. Charges, Forms, Hospitals, Pharmaceutical services, Pharmacy, institutional, hospital, Professional fees, Records, Workload This content is only available as a PDF. Copyright © 1979, American Society of Hospital Pharmacists, Inc. All rights reserved. TI - Charging for hospital pharmaceutical services: Flat fee based on the medication record JO - American Journal of Health-System Pharmacy DO - 10.1093/ajhp/36.3.365 DA - 1979-03-01 UR - https://www.deepdyve.com/lp/oxford-university-press/charging-for-hospital-pharmaceutical-services-flat-fee-based-on-the-cpvrddCv4s SP - 365 EP - 367 VL - 36 IS - 3 DP - DeepDyve ER -