Shared Dispensing Fee / Fee Limit

The shared dispensing fee, or fee limit, refers to the portion of a pharmacy’s dispensing charge that your insurance plan will cover. Pharmacies add this professional fee each time a prescription is filled to cover handling, verification, and counselling.

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Plans may cap reimbursement at a fixed amount, such as $8 per prescription. If the pharmacy’s fee exceeds this cap, you pay the difference. This structure encourages cost-conscious choices among pharmacies.

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Example:

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If your pharmacy charges a $12 dispensing fee and your plan covers up to $8, you pay the remaining $4.

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What to Watch For:

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Compare dispensing fees among pharmacies. Some insurers partner with networks that charge lower standard fees to minimize out-of-pocket costs.