Plotly Cost Breakdown
The chart shows sample data before submission. It updates with your real totals after calculation.
Calculator Form
Use this single-column page to estimate patient payment, insurer contribution, and a basic gross margin view for one prescription plan.
Example Data Table
This example is illustrative only. Actual pricing, taxes, insurance rules, and dispensing practices vary.
| Medication | Acquisition / Unit | Units / Fill | Fills | Markup % | Insurance % | Copay / Fill | Discount | Estimated Patient Payable | Gross Margin Estimate |
|---|---|---|---|---|---|---|---|---|---|
| Amoxicillin 500 mg | $1.25 | 30 | 1 | 15% | 80% | $8.00 | $2.00 | $17.66 | $8.68 |
Formula Used
- Total Units = Units per Fill × Number of Fills
- Base Acquisition Cost = Acquisition Cost per Unit × Total Units
- Wastage Cost = Base Acquisition Cost × Wastage %
- Adjusted Acquisition Cost = Base Acquisition Cost + Wastage Cost
- Markup Value = Adjusted Acquisition Cost × Markup %
- Drug Charge = Adjusted Acquisition Cost + Markup Value
- Subtotal Before Discount = Drug Charge + Dispensing Total + Delivery Fee + Storage Fee
- Discounted Subtotal = Subtotal Before Discount − Discount Applied
- Insurance Amount = Discounted Subtotal × Insurance Coverage %
- Patient Share Before Copay = Discounted Subtotal − Insurance Amount
- Patient Pre-Tax Total = Patient Share Before Copay + Copay Total
- Tax Amount = Patient Pre-Tax Total × Tax %
- Final Patient Payable = Patient Pre-Tax Total + Tax Amount
- Gross Margin Estimate = Discounted Subtotal − Adjusted Acquisition Cost
The gross margin estimate is simplified. It does not include payroll, rent, payment processing, spoilage beyond wastage, or compliance overhead.
How to Use This Calculator
- Enter the medication or prescription label for reference.
- Type the pharmacy acquisition cost for one unit.
- Enter units per fill and the number of fills.
- Add markup, wastage, and dispensing fee assumptions.
- Enter insurance coverage, copay, tax, delivery, storage, and discount values.
- Press Calculate Pharmacy Cost to show the result above the form.
- Review the breakdown table and Plotly graph.
- Use the CSV or PDF buttons to save the calculation.
Frequently Asked Questions
1) What does this calculator estimate?
It estimates acquisition cost, markup-based drug charge, dispensing fees, discounts, insurance share, copays, tax, final patient payment, and a simple gross margin estimate.
2) Is the gross margin estimate the same as profit?
No. It is only a quick margin view. Real profit also depends on payroll, rent, spoilage, card fees, software, delivery labor, licensing, and other overhead costs.
3) Can I use this for cash-pay prescriptions?
Yes. Set insurance coverage to zero if the patient has no insurance contribution. You can still include copays, discounts, tax, dispensing fees, and delivery charges.
4) Why is copay added after insurance?
Many budgeting workflows treat copay as a direct patient obligation. This layout helps separate insurer contribution from the patient’s fixed refill payment.
5) What should I enter for wastage?
Use a small percentage for spoilage, breakage, partial-package loss, or expiry exposure. If wastage is irrelevant for your scenario, enter zero.
6) Does this calculator replace payer contract rules?
No. It is a planning calculator. Actual reimbursement, tax treatment, and claim settlement can differ by contract, region, product class, and pharmacy policy.
7) Can I compare different pricing strategies?
Yes. Change markup, dispensing fee, discount, or insurance values and recalculate. The graph and summary help compare how each assumption shifts patient payment and margin.
8) Why export to CSV or PDF?
CSV works well for spreadsheet review and scenario tracking. PDF is useful when you want a clean summary for meetings, approvals, or archived budgeting records.