Create Discounting Rules

  1. From the Set Up menu, select Co-Payment Discounting rules; or press [Alt+S], then [P].
    Fig. 1: Automated Co-Payment Discounting rules screen - Rules are displayed in the order of priority they are applied to the co-payment amount.

    When setting up multiple discounting rules, the following order of priority is applied:

    1. Do not discount overrides any other rule.
    2. Then, the lowestLimit discount to is applied (only if it coexists with an Apply Discount rule of a higher amount).
    3. Then, the highestApply Discount amount is used.

    Limit discount to, used in conjunction with Apply Discount, enables you to set exceptions within the more "general" Apply Discount rule. For example, use this combination when you do not want to apply the highest discount rule applicable to a specific group define in the Limit discount to criteria.

  2. Click Add New Rules to open the Define criteria dialogue.

    You can set rules according to a combination of 10 criteria:

    • For all scripts
    • Patient (by Surname)
    • Patient type (Claim category)
    • Patient who reached SN or CN last year
    • Patient Facility
    • Patient Mail Category
    • Drug
    • Drug Manufacturer (by Code or Name)
    • Drug has a Brand Premium Price (BPP)
    • Drug has a Premium Fee Drug Incentive (PFDI)