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Know Exactly What Your Pharmacy Is Owed Under MFP​

Under MFP, reimbursement now arrives in two parts — one from Medicare, one from the manufacturer. When those payments don’t align, accuracy and cash flow suffer. Financial Advantage brings both together at the claim level.

The challenge

The burden rests on the pharmacy

MFP created a new operational reality — and most existing platforms weren't built for it. Your team is now responsible for reconciling two separate payment streams on every eligible claim, manually, with tools designed for a single-payer world.

Cash flow strain
Manufacturer refunds don't arrive on the same cycle as Medicare payments — delayed reconciliation means delayed cash, affecting your pharmacy's financial planning.
Revenue blind spots
Without visibility across both payment sources at the claim level, shortfalls go undetected until they've already compounded into significant losses.
Operational overload
Reconciling split-bill claims manually adds hours of billing work per week — time your team doesn't have and shouldn't need to spend.
Incomplete financial picture
Disconnected payer and manufacturer data makes it impossible to produce audit-ready documentation or accurately forecast your MFP reimbursement position.
The core problem: Most pharmacy platforms were built for a single-payer reimbursement model. MFP requires two — and the gap between them is where revenue gets lost.
What changed

MFP introduced a new payment reality

As of January 1, 2026, this is already affecting your claims. Medicare now pays a capped Maximum Fair Price for select medications — and that price is often set below your acquisition cost.

Before MFP
Single payment stream
Medicare pays full reimbursement in one transaction
One payer, one reconciliation process
Existing pharmacy platforms handle it natively
Straightforward audit trail
→
After MFP
Split payment stream
Medicare pays a capped amount — often below acquisition cost
Manufacturer refund required to complete reimbursement
Most existing platforms have no split-bill reconciliation
Two sources, two timelines, two points of failure
The result: Pharmacies must now manage two separate payment streams to complete a single claim — and the responsibility for reconciling them falls entirely on your team.
Pulse check

Can your current system answer these?

Five questions. Answer honestly — we'll summarize your gaps once you're done.

how it works

Split-bill reconciliation, simplified

1
Claim ingestion
Financial Advantage identifies MFP-eligible claims automatically at point of dispensing
→
2
Dual-source tracking
Medicare payment and manufacturer refund are tracked independently against each claim
→
3
Reconcile & report
Daily reports surface shortfalls, aging balances, and audit-ready documentation in one view
The SOLUTION

Financial Advantage: MFP Clarity at the Claim Level

ScriptPro’s Financial Advantage platform gives pharmacies complete visibility into split-bill reimbursement so they can confidently reconcile payments due under MFP. 

 What You Can Expect: 

  • Down-to-the-penny accuracy across both payment sources 
  • Enhanced forecasting and shortfall detection 
  • One unified MFP view combining Medicare and manufacturer payments  
  • Daily reporting that shows amounts owed by manufacturer 
     

Want to explore the platform’s full capabilities? 

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15+
Years of Experience
What you gain

Four outcomes

  • ✓
    Down-to-the-penny claim accuracy Reconcile Medicare and manufacturer payments at the individual claim level
  • ✓
    Shortfall detection before it compounds Forecasting tools surface gaps while they’re still recoverable
  • ✓
    Unified MFP view — one dashboard No toggling between payer portals and manufacturer reports
  • ✓
    Audit-ready documentation, always on Daily reports exportable for compliance review
Social proof

What peers are saying

“

Before Financial Advantage, reconciling MFP claims took our billing team two days a week. Now it’s automatic.

Director of Pharmacy Finance
Regional health system — 4 locations
LET'S cHAT

See Exactly What Your Pharmacy Is Owed—In One Place

Schedule a personalized demo and see how MFP split-bill reconciliation works in practice. 

Article
Maximum Fair Pricing: Understanding the Impact on Pharmacy Economics
MFP is live — discover the operational and financial ripple effects pharmacies must navigate under the new Medicare model.
Read the article
Product
Learn more about Financial Advantage
See the full platform — split-bill reconciliation, shortfall detection, daily reporting, and audit-ready documentation in one place.
Explore Financial Advantage
Events
Meet us at an upcoming conference
Join ScriptPro at leading pharmacy conferences to connect, see Financial Advantage live, and talk through your MFP challenges with our team.
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