In this episode, we tackle the ongoing challenge of direct and indirect remuneration fees draining independent pharmacy revenue. Learn practical 10-minute daily playbooks designed for PICs and managers to track DIR accruals accurately and offset them with cash-pay services that bypass PBM contracts—no buy/sell transitions involved. Discover how to pull and sort 30-day claims data each Monday, mark expected fees as liabilities immediately, and shift high-fee payers when possible. We'll also cover launching simple cash-pay offerings like immunizations and dermatology compounding using existing inventory, setting flat prices, training staff with quick scripts, and reviewing results weekly to measure impact. These steps fit seamlessly into your workflow, helping balance budgets without extra meetings or setups.

Key takeaways:
- Use a simple spreadsheet to monitor DIR fees in real time and adjust cash flow proactively.
- Start with one in-stock service, test pricing with patients, and track interest daily.
- Add compounding formulas only after initial services stabilize, training one tech to keep time under 15 minutes per session.
- Review combined DIR and cash-pay numbers every Friday to validate the approach.
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