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welcome to the Sykes Company PA videoblog well Dioner fees today is is a major item it represents anywhere from one and a half to three and a half percent of total accrued revenues for most pharmacies the issue is most pharmacies dont realize what those numbers are they dont track it they dont look at the reports that are available and frankly only in the last year year and a half have most of the pharmacy scrip systems provided data that provides what those dir fees are and the the Dr fees typically are subtracted from the third party PBM payments so the monies that you have coming into your pharmacy electronically are coming in net of Dr fees as well as adjudication cost and unless you go by and adjust your revenue for those net amounts that are being taken out its fees then your revenue is understated your gross profit is understated your gross margin is also understated and so what we like to do is to pull the reports that available from the third party reconciliation systems