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A pharmacy is under contract with an insurance company for a patient who has three prescriptions. The contract states the pharmacy will be reimbursed AWP minus 1% plus a $10.50 dispensing fee per prescription. The first medication is for a 30-day supply taken tid that has an AWP of $2.35 per tablet. The second prescription is for a 15-day supply of medication that is taken qid. This medication has an AWP of $4.56 per tablet. The third medication is taken daily, and the patient wants a 90-day supply, which is approved by the physician. The AWP on this medication is $12.25 per tablet.
What is the cost to the insurance company for the first medication?
What is the cost to the insurance company for the second medication?
What is the cost to the insurance company for the third medication?
If the medications have a copay of 10% of the total amount billed to the insurance company, what should be charged to the patient?
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