Business Math for Pharmacy Technicians
• Calculate overhead expenses for a specified period of time including calculating annual depreciation
• Calculate prescription markup or gross margin
• Calculate discounts on merchandise
• Calculate gross profit for a specified period of time
• Calculate insurance reimbursement using average wholesale prices and capitation fees
• Manage inventory including par levels and inventory turnover rate
Price that a pharmacy theoretically pays for its medications; this price is theoretical because discounts, sales, special deals, and the like may influence the actual wholesale price
Set amount of third-party money paid monthly to the pharmacy for a specific patient without regard to number of prescriptions filled
Report made at the end of each day that summarizes the sales, discounts, amount of cash, checks, refunds, and credit card charges that have occurred in the day’s operations
Decrease in value of an asset based on total value of the asset, the estimated length of use of the asset, and its value at disposal
Subtraction of a percentage amount from the markup price of an item, which lowers the actual price by the given percentage; also called markdown or sales discount
Difference between the selling price and the purchase price; can be affected by the total inventory available
Calculation done by dividing the cost of the item into the difference between the selling price and the cost
Expenses of a business, not including cost of inventory, such as rent, wages, utilities, insurance, and other costs of doing business
Introduction
Pharmacy technicians in retail settings, as well as in hospital settings, must know how to perform some basic business calculations. For a business to remain profitable, the net income, or net profit, derived from the sales of medications must exceed the costs for doing business. The mathematical calculations may include using percentage to find discounts and markups as well as addition and subtraction to obtain the necessary par level for inventories and evaluate the financial picture for the overall business. The pharmacist(s) in charge must be sure that an adequate markup is in place so the receipts of the business are in excess of the expenses and that the supply of inventory is adequate to cover demand but not so excessive that it would tie up the cash flow of the business with stale or unwanted merchandise on the shelf. The monitoring of pricing and inventory, as well as obtaining the necessary inventory levels, may become a task of the pharmacy technician, who, therefore, has the responsibility of arriving at the actual profit of the pharmacy. The cash flow of the pharmacy is directly related to the mathematical calculations performed for inventory and profit (or loss) that are calculated on a routine basis. Therefore, costs of new inventory must be carefully checked each time the stock arrives to be sure cost of the stock has not changed since the last order. If inventory prices change and the basic costs or prices for sales are not changed simultaneously, profits will be affected. As a pharmacy technician, you have a major role in inventory control and reorders that affect turnover rates, overhead, and gross/net profits.
Overhead Expenses
In business, the receipts from sales must exceed the overhead for doing business for the retailer to be profitable. Overhead is the actual cost of doing business. It includes all costs for the pharmacy such as salaries, equipment purchases and repairs, utilities, telephone, insurance, and rent—those expenses that are required for the business to operate efficiently. The net profit for the pharmacy is based on the gross profit less the overhead. Overhead should be kept to a minimum while still providing quality services for the customers. As equipment, building, and the like age, the value is lessened by depreciation expense.
Depreciation
Depreciation represents the decrease in value of an asset (equipment, building, fixtures) based on the age related to the asset and the expected time the asset is to be used. For example, a computer is bought for $1000 to be used for 5 years. The amount to depreciate is $1000 taken over 5 years as part of the overhead. If the depreciation is taken as equal value over all years, the amount would be $200 per year.

To calculate overhead, the total of all business expenses should be added together.
Markup Of Prescriptions
The markup for a prescription is the same as the gross margin. The actual markup amount is the difference in the purchase cost of the drug and the selling price of the same drug. The formula is as follows:

Markup rates on brand name drugs are generally lower than the markup rate on generics. For instance, if a brand name drug, such as Keflex, costs $100 and has a 6% markup, the cost to the customer is $106 ($100 × 0.06 [6%]). A generic brand for the same drug, cephalexin, may cost $40, and the pharmacy has a 25% markup on generics. The cost will be $50 ($40 × 0.25 [25%]) to the customer. As you can see, pharmacies have a higher profit margin available in generics than they do in brand name drugs. Use of generics allows pharmacies to offer “teaser” prices on these drugs as a way to gain business. This marketing ploy is often used by major chain pharmacies.
Percentage of Markup
Markup percentage or the gross margin percentage is calculated by dividing the gross margin by the cost and then multiplying by 100 to figure the percent. Using percentage of markup provides the calculation of which prescription medications have the greatest percentage of profit. The formula is as follows:

Discounts
Discounts or markdowns, may be calculated on prescriptions, over-the-counter (OTC) drugs or other merchandise by subtracting a percentage of the original selling price for the item to lower the price the patient pays; this is also called the markdown price. Discounts and markdowns are used as an incentive to encourage the customer to purchase the item by realizing a savings on the previous total price. Markdowns and discounts may be in the form of manufacturers’ coupons or special discounts for reasons such as senior citizens’ initiatives. Discounts are one of the simplest business-related calculations—a concept used for sale items throughout retail businesses, such as an end-of-season 40% off sale at your local department store. The amount of the discount is always based on the selling price, not on the cost of the item. This mathematical calculation is the opposite of what was accomplished previously when the percentage of markup was accomplished. A discount decreases the sales price based on the previous sales price, while a markup is based on the wholesale price to increase the selling price to cover overhead. The formulas for discounts are as follows:

When discounts are given based on manufacturers’ or other coupons, the amount of the coupon should be subtracted from the selling price and the coupon placed in the cash drawer to be used at the end of the day to balance the cash drawer. These coupons are actually a type of refund.

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