Rx Office Dispensing by RxFusion
Stop Losing 30-40% of Your 340B Savings to Fees
Smaller covered entities using contract pharmacy arrangements pay substantial fees to TPAs and contract pharmacies. RxFusion’s office dispensing solution lets you capture the full value of your 340B program.
The Contract Pharmacy Fee Problem
Where Your 340B Savings Go
TPA Administration Fees
Per-prescription fees, monthly minimums, and platform costs that add up quickly for smaller programs.
Contract Pharmacy Dispensing Fees
Retail pharmacies charge 15-25% per prescription—that’s $150-$250 on a $1,000 medication, or $1,500-$2,500 on a $10,000 specialty drug. These fees add up to hundreds or even thousands of dollars per prescription for higher-cost brand and specialty medications.
Manufacturer Restrictions
Many manufacturers now limit contract pharmacy access, reducing the drugs available through these arrangements.
Typical Contract Pharmacy Fee Structure
Generate additional income for your practice while improving patient outcomes and reducing administrative burden
TPA Fees
10-20%
Contract Pharmacy Fees
15-25%
Total Lost to Fees
30-40%
*Based on typical arrangements for smaller covered entities
Rx Office Dispensing: Keep More of Your 340B Savings
By dispensing directly from your clinic, you eliminate contract pharmacy fees entirely and dramatically reduce TPA costs.
Eliminate Contract Pharmacy Fees
No more $15-25+ per-fill fees. When you dispense in-office, you keep the full margin on every prescription.
No Manufacturer Restrictions
Office dispensing is not subject to the contract pharmacy restrictions that have limited access to many 340B drugs.
Simplified Compliance
Fewer parties involved means simpler compliance tracking and reduced audit risk compared to contract pharmacy networks.
Feature
Contract Pharmacy
RxFusion Office Dispensing
Total Fees
30-40% of savings
12% comprehensive service fee
Service Level
Basic TPA + contract pharmacy
Complete implementation, PBM contracting, policy, compliance, claims reconciliation & more
Manufacturer Access
Limited by restrictions
Full access to all drugs
Patient Convenience
Separate pharmacy trip
Same-visit dispensing
Compliance Complexity
Multiple parties, complex tracking
Simplified, direct control
340B Rebate Model (Jan 2026)
Complex setup, multiple coordination points
Simpler setup, easier Beacon data submission, fewer complications
Revenue Retained
60-70%
88%
Perfect for Smaller Covered Entities
You don’t need a full pharmacy to capture 340B savings. Office dispensing works even when traditional pharmacy options don’t make sense.
Low Prescription Volume
Contract pharmacy minimum fees don’t make sense when you’re processing fewer prescriptions. Office dispensing scales with your actual volume.
Limited Space
No room for a full pharmacy? Office dispensing requires minimal space—often just a locked cabinet and small workflow area.
Staffing Constraints
Can’t afford a full-time pharmacist? Physician dispensing allows your existing clinical staff to manage the program.
Rural Locations
Limited local pharmacy options? Office dispensing provides your patients immediate access to medications without travel.
Capital Constraints
Building a pharmacy requires significant investment. Office dispensing has minimal startup costs and quick time to revenue.
Quick Implementation
Unlike building a pharmacy (12-18 months), office dispensing can often be operational in weeks with the right support.
See the Difference Office Dispensing Makes
A real-world example of how switching from contract pharmacy to office dispensing impacts your 340B program.
Contract Pharmacy Model
Annual 340B Savings Potential
$200,000
TPA Fees (15%)
-$30,000
Contract Pharmacy Fees (20%)
-$40,000
Net Savings Retained
$130,000
(65% of potential savings)
RxFusion Office Dispensing
Annual 340B Savings Potential
$200,000
RxFusion Comprehensive Service (12%)
–$24,000
Contract Pharmacy Fees
$0
Net Savings Retained
$176,000
(88% of potential savings)
Additional Annual Savings with RxFusion Office Dispensing
$46,000
That’s 35% more retained savings
Simpler for the New 340B Rebate Model
With the 340B rebate model launching in January 2026, RxFusion office dispensing offers a better, easier solution than contract pharmacy arrangements.
Simpler Setup
Direct dispensing means fewer coordination points and simpler data flows compared to contract pharmacy networks.
Easier Beacon Submission
Your entity can submit necessary data to the Beacon platform more easily with direct control over dispensing data.
Fewer Complications
With office dispensing, you eliminate multiple parties and potential communication breakdowns in the rebate process.
RxFusion: Comprehensive Office Dispensing Service
We provide a complete, turnkey solution far beyond what TPAs and contract pharmacies offer. From implementation to ongoing operations, we handle the complexity so you can focus on patient care.
Full Implementation
Complete setup including software, hardware, workflow design, staff training, and state licensing support.
PBM Contracting
Expert assistance with pharmacy benefit manager network enrollment and contract negotiations to maximize reimbursement.
Policy & Compliance
Comprehensive 340B policy development, ongoing compliance monitoring, audit preparation, and regulatory guidance.
Claims Reconciliation
Automated claims processing, 340B split-billing, payer reconciliation, and detailed financial reporting.
Software & Technology
Complete dispensing platform with 340B tracking, inventory management, and billing integration.
Drug Purchasing
Access to 340B pricing through established wholesaler relationships and dedicated purchasing accounts.
Ongoing Support
Dedicated account management, technical support, and continuous program optimization.
Beacon Platform Support
Guidance and assistance with 340B rebate model implementation and Beacon platform data submission (launching Jan 2026).
This is True Full-Service
Unlike TPAs that simply track claims or contract pharmacies that only dispense, RxFusion manages every aspect of your office dispensing program. Our 12% comprehensive service fee covers implementation, ongoing operations, compliance, contracting, reconciliation, and more—delivering far more value than the combined 30-40% you’d pay for TPA and contract pharmacy services.
Free Office Dispensing Value Analysis
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Interested in learning more? We’re happy to discuss what we can do to help. There are many ways we can connect.