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Minimize DIR Fees and Enhance Your Pharmacy's Performance

Updated: May 7, 2023


Comprehensive strategies to alleviate the burden of DIR fees and improve overall pharmacy operations for better patient outcomes



Understanding DIR Fees: The Foundation for Effective Management

To effectively address DIR fees, it is crucial to comprehend their structure, their effect on your pharmacy, and the factors contributing to them. We recommend staying informed about the different types of DIR fees and keeping up to date with industry changes.


Focus on Specific Patient Populations

Pharmacies can make the most significant impact by focusing on patients taking statins, blood pressure medications, or diabetic medications, particularly those enrolled in Caremark or Humana Part D or Medicare Advantage plans. These PBMs determine DIR performance at the store level, while most others rely on PSAO or Network-level evaluations.


Enhancing Medication Adherence for Improved Star Ratings

Improving medication adherence can lead to better Star Ratings, which may subsequently reduce DIR fees. We suggest implementing programs such as medication synchronization, adherence packaging, and patient counseling to help patients stay on track with their medications.


Embrace Long-Term Care (LTC) Combo Shop Medical At Home Billing

In 2023, several plans adopted LTC Combo Shop Medical At Home Billing. Eligible patients on eligible plans are not subject to DIR fees and pay out $3.00+ per rx dispensing fees. By offering delivery and adherence packaging, your pharmacy is only a few steps away from providing this service.


Prioritizing Quality Measures for Optimal Results

Target the quality measures that most significantly impact your DIR Fees. We encourage regularly reviewing your pharmacy's performance data and developing strategies to improve areas where you may be falling short.


Proactive Patient Communication

Proactive communication with patients is essential for our team to make a difference in meeting PDC. For instance, if a patient declines a refill, it is crucial to inquire why to prevent negative impacts on PDC.


Leveraging Technology for Efficient Operations

Invest in pharmacy management systems and automation tools that can streamline operations, improve efficiency, and free up time for strategic planning and business growth. For those using PioneerRx, consider hiring an expert like Benjamin Jolley to input your DIR fees, ensuring accurate and timely data entry.


Building a Strong and Empowered Team

Ensure your staff is well-trained, motivated, and engaged in the pharmacy's mission. Develop a culture of continuous improvement and empower your team to take ownership of their roles and responsibilities.


By focusing on these strategies, you can work towards reducing the impact of DIR Fees on your pharmacy while simultaneously improving your business operations. The key is to stay proactive, adaptive, and open to new ideas and opportunities.


Partner with Pharmacy Stan for Success

My 20+ years of experience in the industry enables me to help you succeed in reducing DIR fees and focusing on your pharmacy's growth and improvement. Contact me today to begin your journey towards a more efficient and profitable pharmacy.

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