Specifications include, but are not limited to: WSI reimburses for prescribed brand name drugs at either WAC plus 8% or AWP less 10%, plus a single item dispensing fee of $4.00. WSI reimburses for generic drugs at the lesser of MAC plus 5% or either WAC plus 8% or AWP less 10%, plus a single per item dispensing fee of $5.00. In the event that WAC or MAC pricing is not available for a specific generic product, the old fee schedule of average wholesale price (AWP) minus 10%, plus a single per item dispensing fee of $5.00 is used. In addition, WSI has a fee schedule for compounded prescriptions of AWP minus 72% for each bulk ingredient, plus a single item compounding fee based on the following level of effort (LOE): Compound LOE Value Reimbursement Level 1 11 $10.00 Level 2 12 $15.00 Level 3 13 $20.00 Level 4 14 $25.00 Level 1: Mixing liquids using graduated cylinders. Level 2: Triturate powder and mix by geometric dilution, mix creams, ointments, emulsions, and liquids by hand or by using unguator. Level 3: Suppository mold, lollipop mold, and troche/mini-troche mold, dissolve powder using stirrer and hot plate, melt base on hot plate, burette and/or pH meter, making capsules using capsule filling machine. Level 4: USP 797, sterile compounding using hood.
