GST Note: whether figures in this report include or exclude GST is determined by a tick box in the parameters screen before running this report. This will also be recorded at the top of the report under the period.


Understanding the report


Rx with Subsidy

The Value amount refers to the total dollar value of subsidies items, ie:

  • Rx positive subsidy: The part of the script price to be reimbursed according to the pharmacy contract if not fully covered by the co-pay
  • Rx negative subsidy: The part of the script price, when it is fully covered by the co-pay, which is recaptured by the claiming system
  • Rx brand switch fee: Brand switch fee scripts
  • PP part: The product premium paid by the patient on partially subsidised medicines
  • NSS part: The NSS part of subsidised scripts (e.g. if only 5 syringes are subsidised but 8 are dispensed, the NSS part is the value of remaining 3)
  • Co-pay part: The part paid by the patient –determined by the Rx code(e.g. A4, A3, X4, etc.)
  • Surcharge part: The surcharge added to rxs –not currently in use


Rx with no Subsidy

  • Rx NSS: Refers to scripts which are wholly NSS but raised on a subsidy code
  • Rx Co-pay NSS: Scripts for medicines listed in the pharmaceutical schedule but not reaching the patient ceiling charge
    eg. low cost medicine scripts raised on an A3 code where there is no subsidy because the medicine cost is fully covered by the co-pay


Rx Total

  • Rx Total: Refers to scripts which are wholly NSS but raised on a subsidy code.
    This total is then split into New & Repeats


MPSO/BSO

Derived from the Subsidy part+ the Other part 

  • Subsidy part: The part of the script price to be reimbursed according to the pharmacy contract
  • Other part: The NSS part of MPSO / BSO dispensings 


Private Claims

Claimable scripts not paid by the MOH claiming system –not necessarily only insurance claim

  • Claim part: Claimed from / paid by external organisation
  • Other part: Patient payment 

Sub Total

  • SUB TOTAL: Derived from Rx with Subsidy + Rx NSS + Rx Co-pay NSS + MPSO + BSO + Private Claims totals


Breakdown

  • Fees / Charges: ‘Medicines’ which have been dispensed to levy a fee for pharmacy services (e.g. Fax fee ) and where the class of the medicine has been set to Fee
  • NSS (‘NS’, ‘P’): Rxs done with NS (or P) code
  • OTC (‘NT’, ‘R’): Rxs done with NT (or R) code
  • Interstore (‘IS’): Sales done to other stores as an rx with IS code
  • LTC & Case Mix Fees: As entered at the bottom of the parameters screen before running this report
    (figures sourced from invoices external to Toniq Dispensary)


Total

Sum of Rx with subsidy + Rx NSS + Rx Co-pay NSS + MPSO + BSO + Private Claims + Fees + NSS + OTC + LTC & Case Mix Fees