If a third-party payer reimburses a pharmacy "AWP less 15%, plus a professional fee of $3.50", what would the total reimbursement be on a prescription written for 40 capsules, having an AWP of $22.00 per 100 capsules?
$3.80
$5.80
$7.30
$9.30
$9.30
Rationale: In this example, the total reimbursement for 40 capsules would be $9.00 . If the AWP for 100 capsules is $22.00, then the AWP for 40 capsules is calculated by the following, 100 / $22.00 = 40 / X. This means that 40 capsules has an AWP of $8.80 . Next, calculate 15% of the AWP ($8.80), which is $5.80 . Now, add the professional fee of $3.50 . ($3.50 + 5.80 = $9.30). the total reimbursement is $9.30.
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