Specialty Pharmacy Calculator
Estimate potential labor savings, recovered denial revenue, and reduced script abandonment for your specialty pharmacy operation.
Your Operation
Total scripts filled per month — type your exact number
Average reimbursement / acquisition value per fill
% of specialty drug claims denied (industry: 4–10% typical)
Avg minutes spent per script for BI and PA packet setup
Loaded hourly cost including benefits
% of approved PAs that patients abandon due to delay / drop-off
Adjust the assumptions — every factor is editable
The expected case uses the values below. Change anything — the math updates live.
Share of denied revenue prevented or overturned. Conservative: 30%.
Share of manual check time removed. Conservative: 50%.
Faster turnaround retains this share of abandoned scripts. Conservative: 25%.
Share of new referrals / annual renewals requiring BI work. Conservative: 25%.
Flat rate, unlimited users
Recovered denial revenue
Assumes 45% of specialty drug claims denied are prevented or overturned. From your 6% denial rate this leaves ~3.3% residual.
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Benefit investigation labor saved
Assumes 25% of fills need BI / PA work (new referrals and renewals) and 70% of that time is automated. Conservative: 25% of cases, 50% automated.
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Abandonment revenue retained
Assumes faster PA turnaround saves 25% of scripts currently lost to delays. Conservative: 25%.
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5-Year Projection
Interested in a custom ROI analysis for your specific pharmacy?Contact our strategy team