{"id":75239,"date":"2023-10-24T20:09:03","date_gmt":"2023-10-24T20:09:03","guid":{"rendered":"https:\/\/todaysveterinarybusiness.com\/?p=75239"},"modified":"2024-01-30T12:27:21","modified_gmt":"2024-01-30T17:27:21","slug":"where-did-your-money-go","status":"publish","type":"post","link":"https:\/\/navc.sitepreview.app\/todaysveterinarybusiness.com\/where-did-your-money-go\/","title":{"rendered":"Where Did Your Money Go?"},"content":{"rendered":"<p class=\"p1\"><span class=\"s1\">D<\/span><span class=\"s1\">oes the following scenario sound familiar? Dr. Smith reaches for her go-to NSAID on the shelf of the pharmacy and found the space empty. She does a quick look toward the clinic back door and sees the UPS driver left a few boxes lined against the wall. She asks her technician to check the boxes for the missing NSAID. Sure enough it\u2019s there, and she quickly begins to dispense the correct number of pills. While entering the transaction in her inventory software, Dr. Smith happens to check her packing list against the cost of the drug shown in the system. To her disappointment, she sees the price of the drug increased 5% over the past month and no one made a change to the client charge in the billing system. So, in effect she has been losing 5% margin for a month now. The client is waiting in the exam room and the next appointment is already running 15 minutes behind. She quickly applies the customary 2X prescription drug markup, prints the label, slaps it on the dispensing bottle and moves on with her day.<\/span><\/p>\n<hr \/>\n<p class=\"p1\"><span class=\"s1\">Brought to you by Norbrook<sup>\u00ae<\/sup>, Inc.<\/span><\/p>\n<hr \/>\n<p class=\"p3\">Veterinarians and office managers have doubled (2X) the cost of drugs and goods as a rule for decades now. Do you do the same in your practice? Some exceptions to the 2X markup are drugs and goods that are heavily shopped, like flea and heartworm products, and more \u201cexpensive\u201d drugs \u2014 in these cases the markup usually drops to 1.5X. Again, does this sound familiar? Have you ever stopped and asked if this is really a good pricing strategy, and can we do better? Veterinarians should move away from thinking in terms of \u201cmarkup\u201d and instead focus on \u201cmargin dollars\u201d or \u201cprofit\u201d in setting pricing. <b>The desired <\/b><span class=\"s2\"><b>gross margin should drive your markup, <\/b><\/span><b>not the other way around. <\/b><\/p>\n<p class=\"p3\"><span class=\"s3\">Focusing on margin vs. traditionally employed markups with your pharmacy inventory may increase your clinic\u2019s revenue and profit margins.<\/span><\/p>\n<p class=\"p5\"><span class=\"s4\"><b>Some definitions:<\/b><\/span><\/p>\n<p class=\"p6\"><span class=\"s5\" style=\"color: #289eb8;\"><b>Markup<\/b><\/span><b> <\/b><span class=\"s3\">is the ratio between the cost of a good or service and its selling price (client charge). Markup is expressed as a percentage over the cost:<\/span><\/p>\n<p class=\"p7\"><span class=\"s6\" style=\"color: #289eb8;\"><b>Sell Price of Drug<sup>x<\/sup> to Client \u2013 DVM\u2019s Cost of Drug<sup>x<\/sup><\/b><\/span><\/p>\n<p class=\"p9\"><span class=\"s6\"><b>DVM\u2019s Cost of Drug<sup>x<\/sup><\/b><\/span><\/p>\n<p class=\"p6\"><span class=\"s7\" style=\"color: #289eb8;\"><b>Gross Margin<\/b><\/span> is the difference between <span class=\"s3\">the selling price and the cost of goods <\/span><span class=\"s8\">sold, divided by the selling price, <\/span>expressed as a percentage. Gross profit is the difference between revenue and the cost of goods sold, expressed in dollars.<\/p>\n<p class=\"p7\"><span class=\"s6\" style=\"color: #289eb8;\"><b>Sell Price of Drug<sup>x<\/sup> to Client \u2013 DVM\u2019s Cost of Drug<sup>x<\/sup><\/b><\/span><\/p>\n<p class=\"p9\"><span class=\"s6\"><b>Sell Price of Drug<sup>x<\/sup> to Client <\/b><\/span><\/p>\n<p class=\"p6\"><span class=\"s4\"><b>Note: <\/b><\/span><span class=\"s3\">Selling Price = Client Charge = Revenue<\/span><\/p>\n<p class=\"p3\"><span class=\"s3\">The following sample calculation of markup and gross margin for an FDA- approved generic drug helps explain the difference:<\/span><\/p>\n<ul>\n<li class=\"p10\"><span class=\"s3\">DVM\u2019s drug cost for Loxicom\u00ae (meloxicam oral suspension) 1.5mg\/mL &#8211; 32mL = $25 (rounded to nearest $)<\/span><\/li>\n<li class=\"p10\"><span class=\"s1\">DVMs drug charge to the client = $50 <\/span><\/li>\n<\/ul>\n<p class=\"p11\"><span class=\"s9\"><b>Markup =<\/b><\/span> (<span class=\"s10\">$50 &#8211; $25) \/ $25<\/span> <span class=\"s11\">= 1.00 or 100%<\/span><\/p>\n<p class=\"p11\"><span class=\"s9\"><b>Margin =<\/b><\/span> (<span class=\"s10\">$50 &#8211; $25) \/ $50<\/span> <span class=\"s11\">= 0.50 or 50%<\/span><\/p>\n<p class=\"p3\"><span class=\"s3\">To illustrate this markup vs. margin point further and using FDA-approved generics to help you increase your revenues, see the two scenarios below. FDA-approved generics have proven to be \u201cbioequivalent\u201d to the pioneer, reference drug. This means the generic will perform equally as well as the pioneer in the pet. In the first scenario I utilize the traditionally employed 2X markup to the list prices of the pioneer brand meloxicam oral suspension <\/span>32mL and the generic brand meloxicam oral suspension 32mL. In <span class=\"s12\"><b>Scenario 1<\/b><\/span>, prescribing the generic Loxicom\u00ae would make your clients very happy, however, you would lose $14 ($39 &#8211; $25 = $14) for every generic bottle you sold vs. the <span class=\"s3\">pioneer brand, Metacam\u00ae (meloxicam oral suspension) 1.5mg\/mL &#8211; 32mL. <\/span><span class=\"s13\">Obviously, this is not a win-win situation.<\/span><\/p>\n<p><a href=\"https:\/\/todaysveterinarybusiness.com\/wp-content\/uploads\/sites\/2\/2023\/10\/TVBOctNov23_Norbrook_Sponsored_Fig1.png\"><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter size-full wp-image-75241\" src=\"https:\/\/todaysveterinarybusiness.com\/wp-content\/uploads\/sites\/2\/2023\/10\/TVBOctNov23_Norbrook_Sponsored_Fig1.png\" alt=\"\" width=\"1126\" height=\"314\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarybusiness.com\/wp-content\/uploads\/sites\/2\/2023\/10\/TVBOctNov23_Norbrook_Sponsored_Fig1.png 1126w, https:\/\/navc.sitepreview.app\/todaysveterinarybusiness.com\/wp-content\/uploads\/sites\/2\/2023\/10\/TVBOctNov23_Norbrook_Sponsored_Fig1-300x84.png 300w, https:\/\/navc.sitepreview.app\/todaysveterinarybusiness.com\/wp-content\/uploads\/sites\/2\/2023\/10\/TVBOctNov23_Norbrook_Sponsored_Fig1-1024x286.png 1024w, https:\/\/navc.sitepreview.app\/todaysveterinarybusiness.com\/wp-content\/uploads\/sites\/2\/2023\/10\/TVBOctNov23_Norbrook_Sponsored_Fig1-768x214.png 768w\" sizes=\"(max-width: 1126px) 100vw, 1126px\" \/><\/a><\/p>\n<p class=\"p3\"><span class=\"s3\">In <\/span><span class=\"s4\"><b>Scenario 2<\/b><\/span><span class=\"s3\"> we get to a win-win for both the clinic and the client. With the 2X markup, this clinic was <\/span>making $39 in margin dollars per 32mL sold. Let\u2019s assume the clinic calculated $48 margin dollars would help them cover their overhead expenses and provide more profit to the clinic. Applying the $48 to the cost of the Loxicom\u00ae Oral Suspension 32mL ($48 + $25 = $73) now puts the client charge at $73. $73 <span class=\"s13\">would save your client $5 versus Metacam\u00ae <\/span>Oral Suspension 32mL at 2X markup and net the clinic ($48 &#8211; $39 = $9) more margin per 32mL bottle sold.<\/p>\n<p><a href=\"https:\/\/todaysveterinarybusiness.com\/wp-content\/uploads\/sites\/2\/2023\/10\/TVBOctNov23_Norbrook_Sponsored_Fig2.png\"><img decoding=\"async\" class=\"aligncenter size-full wp-image-75242\" src=\"https:\/\/todaysveterinarybusiness.com\/wp-content\/uploads\/sites\/2\/2023\/10\/TVBOctNov23_Norbrook_Sponsored_Fig2.png\" alt=\"\" width=\"1122\" height=\"518\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarybusiness.com\/wp-content\/uploads\/sites\/2\/2023\/10\/TVBOctNov23_Norbrook_Sponsored_Fig2.png 1122w, https:\/\/navc.sitepreview.app\/todaysveterinarybusiness.com\/wp-content\/uploads\/sites\/2\/2023\/10\/TVBOctNov23_Norbrook_Sponsored_Fig2-300x139.png 300w, https:\/\/navc.sitepreview.app\/todaysveterinarybusiness.com\/wp-content\/uploads\/sites\/2\/2023\/10\/TVBOctNov23_Norbrook_Sponsored_Fig2-1024x473.png 1024w, https:\/\/navc.sitepreview.app\/todaysveterinarybusiness.com\/wp-content\/uploads\/sites\/2\/2023\/10\/TVBOctNov23_Norbrook_Sponsored_Fig2-768x355.png 768w\" sizes=\"(max-width: 1122px) 100vw, 1122px\" \/><\/a><\/p>\n<p class=\"p3\"><span class=\"s3\">A 32mL bottle will treat an average <\/span>sized (35-45 lbs.) dog for 24 to 30 days.<span class=\"s3\"> By switching to this margin pricing of $73 per 32mL bottle, the clinic can <\/span><span class=\"s13\">realize this additional $9 in profit X all the <\/span><span class=\"s1\">dogs on generic meloxicam oral suspen<\/span><span class=\"s13\">sion in the practice X 12 months in a year.<\/span><\/p>\n<p class=\"p3\"><span class=\"s3\">Those profit dollars start to add up very quickly! Imagine doing this same exercise with other NSAIDs you carry, flea and heartworm products, commonly prescribed antibiotics and other fast-moving drugs. <\/span><\/p>\n<p class=\"p6\"><span class=\"s4\"><b>Tip: <\/b><\/span><span class=\"s3\">Start with the top-25 mov<\/span><span class=\"s1\">ers in your pharmacy to see if there <\/span>are FDA-approved generic alternatives <span class=\"s3\">available and start applying margin pricing. <\/span><\/p>\n<p class=\"p3\">Another benefit of stocking FDA-approved generic pharmaceuticals and <span class=\"s13\">utilizing targeted, well-thought-out mar<\/span>gins can better position your clinic to <span class=\"s13\">compete against online and human retail <\/span>pharmacies. Millennials have surpassed <span class=\"s13\">Baby Boomers as your largest potential <\/span>client demographic. You can be certain <span class=\"s13\">that as soon as you quote or prescribe a Millennial an Rx drug, they are going to whip out their phone and check your pric<\/span>ing against any online entity that sells that <span class=\"s13\">brand. Members of every generation <\/span>are becoming more comfortable with ask<span class=\"s13\">ing for and seeking out generic alternatives to the higher priced pioneer brands. So, if you are not offering FDA-approved <\/span>generic alternatives to your clients and not <span class=\"s13\">giving them an option to the pioneer brands, you may get that first sale but <\/span>don\u2019t be surprised if you never see that <span class=\"s3\">revenue stream again. This is especially <\/span><span class=\"s13\">true for chronically used drugs that are prescribed for the life of the pet. Almost every veterinary professional I have met truly wants to save their clients money when they can \u2014 and some clients are having to make some tough choices where <\/span>to spend their discretionary income.<\/p>\n<p class=\"p6\"><span class=\"s14\"><b>Tip:<\/b><\/span><span class=\"s1\"> It makes good financial sense to charge clients lower margins on maintenance drugs and higher margins on drugs <\/span>used for short-term treatments.<\/p>\n<hr \/>\n<p class=\"p1\"><span class=\"s1\">\u00a9 2023 Norbrook Laboratories Limited. All rights reserved. Norbrook logos and Loxicom are registered trademarks of Norbrook Laboratories <\/span>Limited. Metacam is a registered trademark of Boehringer Ingelheim Vetmedica GmbH, licensed to Boehringer Ingelheim Vetmedica, Inc. 497-23-164<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Are you concerned about the rising costs of goods and products for your practice?<\/p>\n","protected":false},"author":236,"featured_media":75240,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"iawp_total_views":0,"footnotes":""},"categories":[409],"tags":[],"class_list":["post-75239","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-october-november-2023","clinical_topics-sponsored"],"acf":{"hide_sidebar":false,"hide_sidebar_ad":false,"hide_all_ads":true},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.7 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Where Did Your Money Go? | Today&#039;s Veterinary Business<\/title>\n<meta name=\"description\" content=\"Are you concerned about the rising costs of goods and products for your practice? 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