Management Final Pneumonics & Definitions Flashcards
AWP
Average wholesale price: has a large markup, pharmacies buy at lower amount
AAC
Average acquisition cost: what the pharmacy ACTUALLY paid for the product
EAC
Estimated acquisition cost: what we predict the cost of products to be
MAC
Maximum available cost: the maximum cost insurers will pay for a product (usually generics)
AMP
Average manufacturer price: the price wholesalers pay manufacturers. One standard for Medicaid reimbursement.
Why do independent pharmacies struggle more to pay less for products compared to chains and hospitals?
They have much less purchasing power/leverage
ASP
Average selling price: what CMS uses to calculate drug reimbursement, slightly higher than AMP.
CMS
Center for Medicare and Medicaid Services: determines federal standards for reimbursement
FUL
Federal upper limit: the maximum reimbursement allowed for drugs according to the Social Security Act.
ACA
Affordable Care Act: FUL reimbursement rates to brand name Rxs and generic RXs from multiple sources
Procurement Costs
Associated cost to purchase products
Carrying cost
Cost associated with holding inventory (x% of total inventory value)
What is the golden rule of inventory management?
Should budget 12% budget/year for inventory carrying costs (should only be paying 1%/month)
Shrink
Internal or external loss; increases the COGS since inventory decreases without payment.
Difference between physical and paper inventory
What is 340B Drug Discounting?
Manufacturers are required by law to sell drugs to eligible HCOs at a reduced price. For FEDERAL clinics/hospitals etc.
Central/cooperative buying
Groups of pharmacies form a buying group for improved/increased purchasing power (volume discount)
What three things can you negotiate down to maximize inventory efficiency?
- Discounts
- Dating and credit terms
- Transportation charges
Trade discount
Largest discount, general discount
Quantity discounts
The more you buy the less you pay per unit
Cash Discount
Discount for prompt payment (1-2%)
Serial discount
COmbination of trade, quantity and cash discount
Dating and credit terms
Negotiable timeline of payment due date. Sometimes there is a discount for prompt payments (cash discount) otherwise we want to delay as much as possible to get reimbursed by insurance first.
Consignment
Manufacturers retain ownership of products, we just sell on their behalf and take the profit. Manufacturers responsible for carrying cost.
Who pays for transportation of goods?
Wholesalers either include it in price (aka free shipping) or add additional shipping/handling
FOB
Free on board: when the risk of loss shifts from the seller to the buyer (and whoever pays the cost of shipment)
Elastic Demand
If price goes up just a little, big drop in demand (ie. Sports cars, luxury items)
Non-necessities, so demand can fluctuate easily
Inelastic demand
Necessities (ie. Food, water) where no matter the price the demand will always be the same
Directed demand
When a demographic/influence directs the price of a product. Mostly necessities (similar to inelastic) but prices are customer-directed.
Ie. The more consumers who buy gas, the higher the prices will go.
Derived demand
When a finished products’ supplier has an increase in demand, that will cause an increased demand in the intermediate products.
Ie. Flying Car suddenly in demand! So the demand from the supplier for the motor used in the car also increases.
Competitive Demand
The change in demand (usually negative) that comes with increased businesses in the market (more competition = less demand per business).