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Maximum Fair Pricing (MFP)​

• As of January 1, 2026, Medicare has set a capped priceit will pay for select medications​
• This price – known as Maximum Fair Price (MFP) – isoften lower that the acquisition cost​
• As a result, pharmacies now receive two payments forthese drugs – one from the payer (Medicare) andanother from the drug manufacturer

Pharmacies need a reconciliation system that…​

• Supports MFP reconciliation seamlessly​
• Provides full visibility into payer and manufacturerpayments via MFP Split Bill​
• Supports accurate forecasting and identification ofshortfalls​
• Provides detailed reporting by manufacturer for auditreadiness​
• Is integrated and adaptable

MFP Impact on Pharmacy​

• MFP rebate program puts the burden on the pharmacy ​
• Creates potential cashflow issues​
• And potential revenue transparency concerns​
• Reconciliation, reporting, and systems will be critical​
• However, most systems do not track and verify these newpayments or provide reporting tools needed for audits​
• The result: inaccurate finances and reporting