Average Administrative Cost for Prescriptions
VA updates the average national administrative cost used for billing third party pharmacy prescription drugs for nonservice-connected disabilities every calendar year (CY).
CY 2025 Average Administrative Cost for Prescriptions
The average administrative charge is $15.61, which was based on VA’s national average administrative costs associated with prescriptions filled in a prior fiscal year. The CY 2025 average administrative cost used for billing pharmacy prescription claims is effective on January 1, 2025.
CY 2024 Average Administrative Cost for Prescriptions
The average administrative charge is $17.01, which was based on VA’s national average administrative costs associated with prescriptions filled in a prior fiscal year. The CY 2024 average administrative cost used for billing pharmacy prescription claims is effective on January 1, 2024.
CY 2023 Average Administrative Cost for Prescriptions
The average administrative charge is $14.95, which was based on VA’s national average administrative costs associated with prescriptions filled in a prior fiscal year. The CY 2023 average administrative cost used for billing pharmacy prescription claims is effective on January 1, 2023.
CY 2022 Average Administrative Cost for Prescriptions
The average administrative charge is $13.26, which was based on VA’s national average administrative costs associated with prescriptions filled in a prior fiscal year. The CY 2022 average administrative cost used for billing pharmacy prescription claims is effective on January 1, 2022. For more information, please review the National Average Administrative Prescription Drug Charge Update CY 2022.
Federal Register, Vol. 86, No. 240
CY 2021 Average Administrative Cost for Prescriptions
The average administrative charge is $20.71, which was based on VA’s national average administrative costs associated with prescriptions filled in a prior fiscal year. The CY 2021 average administrative cost used for billing pharmacy prescription claims was effective on January 1, 2021. For more information, please review the Reasonable Charges for the National Average Administrative Prescription Drug Charge Calendar Year (CY) 2021 Update.
Federal Register, Vol. 85, No. 243
CY 2020 Average Administrative Cost for Prescriptions
The average administrative charge is $18.38, which was based on VA’s national average administrative costs associated with prescriptions filled in a prior fiscal year. The CY 2020 average administrative cost used for billing pharmacy prescription claims was effective on January 1, 2020. For more information, please review the Reasonable Charges for Medical Care or Services; V3.27, 2020 Calendar Year Update and National Average Administrative Prescription Drug Charge Update.
Federal Register, Vol. 84, No. 244
CY 2019 Average Administrative Cost for Prescriptions
The average administrative charge is $17.66, which was based on VA’s national average administrative costs associated with prescriptions filled in a prior fiscal year. The CY 2019 average administrative cost used for billing pharmacy prescription claims was effective on January 1, 2019. For more information, please review the Reasonable Charges for Medical Care or Services; V3.25, 2019 Calendar Year Update and National Average Administrative Prescription Drug Charge Update.
Federal Register, Vol. 83, No. 234
CY 2018 Average Administrative Cost for Prescriptions
The average administrative charge is $16.64, which was based on VA’s national average administrative costs associated with prescriptions filled in a prior fiscal year. The CY 2018 average administrative cost used for billing pharmacy prescription claims was effective on January 1, 2018. For more information, please review the Reasonable Charges for Medical Care or Services; V3.23, 2018 Calendar Year Update and National Average Administrative Prescription Drug Charge Update.
Federal Register, Vol. 82, No. 239
CY 2017 Average Administrative Cost for Prescriptions
The average administrative charge is $16.36, which was based on VA’s national average administrative costs associated with prescriptions filled in a prior fiscal year. The CY 2017 average administrative cost used for billing pharmacy prescription claims was effective on January 1, 2017. For more information, please review the Reasonable Charges for Medical Care or Services; V3.21, 2017 Calendar Year Update and National Average Administrative Prescription Drug Charge Update.
Federal Register, Vol. 81, No. 240
CY 2016 Average Administrative Cost for Prescriptions
The average administrative charge is $14.29, which was based on VA’s national average administrative costs associated with prescriptions filled in a prior fiscal year. The CY 2016 average administrative cost used for billing pharmacy prescription claims was effective on January 1, 2016. For more information, please review the Reasonable Charges for Medical Care or Services; V3.18, 2016 Calendar Year Update and National Average Administrative Prescription Drug Charge Update.
