--- title: Pharmacy Automation | RxSafe Blog | DIR fees description: DIR fees | Pharmacy automation for independent retail pharmacies and outpatient hospital pharmacy managers, pharmacists and pharmacy owners. We write on topics including pharmacy profitability, adherence packaging, workflow, accuracy & speed, space savings, narcotics security, inventory management. --- - [Facebook](https://www.facebook.com/RxSafe) - [Twitter](https://twitter.com/RxSafe) - [LinkedIn](https://www.linkedin.com/company-beta/2896335/) - [YouTube](https://www.youtube.com/user/RxSafe) - [RSS](https://rxsafe.com/feed) [![black-order_cart_2a@1.5x](https://info.rxsafe.com/hubfs/black-order_cart_2a@1.5x.png "black-order_cart_2a@1.5x")](https://reorder.rxsafe.com) [(877)-797-2332](tel:1-877-797-2332) [![eyecon-RxSafe-combo-logo-blk-200x56](https://info.rxsafe.com/hs-fs/hubfs/eyecon-RxSafe-combo-logo-blk-200x56.png?width=200&height=56&name=eyecon-RxSafe-combo-logo-blk-200x56.png)](https://rxsafe.com/) - [SOLUTIONS](https://rxsafe.com/solutions-2/) - Pouch Packaging - [RapidPakRx](https://rxsafe.com/solutions/rapidpakrx/) - [Vial Filling-Secure Med Storage](https://rxsafe.com/solutions/vial-filling/) - [RxSafe 1800 w/RWS](https://rxsafe.com/solutions/rxsafe-1800-w-rws-copy/) - [Blister Card Filling](https://rxsafe.com/solutions/blister-card-filling/) - [RapidCardRx](https://rxsafe.com/solutions/rapidcardrx/) - [RapidCardSD](https://rxsafe.com/solutions/rapidcardsd/) - Pill Counting - [Eyecon](https://www.eyeconvpc.com/) - IMPACT - [Success Stories](https://rxsafe.com/case-studies/) - [Before & After](https://rxsafe.com/services/installation/) - [FAQS](https://rxsafe.com/faqs/) - [Blog](https://info.rxsafe.com/blog/) - [Videos](https://rxsafe.com/resources/videos/) - [ABOUT](https://rxsafe.com/about/) - [Events](https://rxsafe.com/events/) - [Careers](https://rxsafe.com/about/careers/) - [Testimonials](https://rxsafe.com/about/testimonials/) - [CONTACT US](https://rxsafe.com/contact/) - [Training and Support](https://rxsafe.com/services/training-and-support/) [![](https://info.rxsafe.com/hubfs/NCPA%20panel%20group%20shot.jpg)](https://info.rxsafe.com/blog/dir-defense-tactics-from-ncpa) ## [DIR Defense Tactics from NCPA](https://info.rxsafe.com/blog/dir-defense-tactics-from-ncpa) December 19, 2023 [RxSafe](https://info.rxsafe.com/blog/author/rxsafe) [NCPA](https://info.rxsafe.com/blog/tag/ncpa), [DIR fees](https://info.rxsafe.com/blog/tag/dir-fees), [LTC](https://info.rxsafe.com/blog/tag/ltc), [Medical at home](https://info.rxsafe.com/blog/tag/medical-at-home) *At the NCPA conference recently, RxSafe hosted a special panel: "Elevate Your Pharmacy: Profit Boosters & DIR Defense Tactics." Below are a few “best of”…* [Read More](https://info.rxsafe.com/blog/dir-defense-tactics-from-ncpa) [![](https://info.rxsafe.com/hubfs/NCPA%202023.jpg)](https://info.rxsafe.com/blog/ncpa-2023-preview) ## [NCPA 2023 Preview](https://info.rxsafe.com/blog/ncpa-2023-preview) October 11, 2023 [RxSafe](https://info.rxsafe.com/blog/author/rxsafe) [Tradeshows](https://info.rxsafe.com/blog/tag/tradeshows), [NCPA](https://info.rxsafe.com/blog/tag/ncpa), [DIR fees](https://info.rxsafe.com/blog/tag/dir-fees), [RxSafe Product Theater](https://info.rxsafe.com/blog/tag/rxsafe-product-theater) RxSafe will be exhibiting at [NCPA's 2023 Annual Convention](https://ncpa.org/annual-convention) from Oct. 14-17 at the Orange County Convention Center in Orlando, Fla. [Read More](https://info.rxsafe.com/blog/ncpa-2023-preview) [![](https://info.rxsafe.com/hubfs/non-cash%20revenue-1.jpg)](https://info.rxsafe.com/blog/dir-rule-changes-in-2024-whats-coming-and-how-to-avoid-a-cash-flow-crunch) ## [DIR Rule Changes in 2024: What’s Coming and How to Avoid a Cash Flow Crunch](https://info.rxsafe.com/blog/dir-rule-changes-in-2024-whats-coming-and-how-to-avoid-a-cash-flow-crunch) February 1, 2023 [RxSafe](https://info.rxsafe.com/blog/author/rxsafe) [DIR fees](https://info.rxsafe.com/blog/tag/dir-fees), [CMS](https://info.rxsafe.com/blog/tag/cms), [cash flow](https://info.rxsafe.com/blog/tag/cash-flow), [cash-based revenue](https://info.rxsafe.com/blog/tag/cash-based-revenue) ***Next year, there will be significant changes to how DIR fees are collected. CMS will remove retroactive application of DIR fees beginning Jan. 1, 2024.…*** [Read More](https://info.rxsafe.com/blog/dir-rule-changes-in-2024-whats-coming-and-how-to-avoid-a-cash-flow-crunch) [![](https://info.rxsafe.com/hubfs/spread%20pricing.jpg)](https://info.rxsafe.com/blog/pbm-consolidation-worsen-spread-pricing-2022) ## [PBM Consolidation Could Worsen ‘Spread Pricing’ in 2022](https://info.rxsafe.com/blog/pbm-consolidation-worsen-spread-pricing-2022) November 30, 2021 [RxSafe](https://info.rxsafe.com/blog/author/rxsafe) [NCPA](https://info.rxsafe.com/blog/tag/ncpa), [PBMs](https://info.rxsafe.com/blog/tag/pbms), [clawbacks](https://info.rxsafe.com/blog/tag/clawbacks), [DIR fees](https://info.rxsafe.com/blog/tag/dir-fees), [spread pricing](https://info.rxsafe.com/blog/tag/spread-pricing) In a recent survey conducted by the National Community Pharmacy Association (NCPA), 95% of pharmacy owners said they're ‘significantly concerned’ about… [Read More](https://info.rxsafe.com/blog/pbm-consolidation-worsen-spread-pricing-2022) [![money and blister packs](https://info.rxsafe.com/hubfs/prescription%20medicine%20prices.jpg)](https://info.rxsafe.com/blog/goodrx-surescripts-affects-independent-pharmacy) ## [How Will the GoodRx-Surescripts Agreement Affect Independent Pharmacy?](https://info.rxsafe.com/blog/goodrx-surescripts-affects-independent-pharmacy) August 25, 2021 [RxSafe](https://info.rxsafe.com/blog/author/rxsafe) [independent pharmacy](https://info.rxsafe.com/blog/tag/independent-pharmacy), [PBMs](https://info.rxsafe.com/blog/tag/pbms), [DIR fees](https://info.rxsafe.com/blog/tag/dir-fees), [goodrx](https://info.rxsafe.com/blog/tag/goodrx), [surescripts](https://info.rxsafe.com/blog/tag/surescripts), [monopolies](https://info.rxsafe.com/blog/tag/monopolies) GoodRx recently announced its agreement with health information network provider Surescripts, in a move that GoodRx says will enable physician access to… [Read More](https://info.rxsafe.com/blog/goodrx-surescripts-affects-independent-pharmacy) [![](https://cdn.vidyard.com/thumbnails/15028238/RrXT_RynOm4IUn96BaFZBJ2csM5ibq92_play_button_small.gif)](https://info.rxsafe.com/blog/1830-for-a-gallon-of-gas) ## [$1,830 for a gallon of gas?](https://info.rxsafe.com/blog/1830-for-a-gallon-of-gas) July 19, 2021 [RxSafe](https://info.rxsafe.com/blog/author/rxsafe) [NCPA](https://info.rxsafe.com/blog/tag/ncpa), [PBMs](https://info.rxsafe.com/blog/tag/pbms), [DIR fees](https://info.rxsafe.com/blog/tag/dir-fees), [Legislations](https://info.rxsafe.com/blog/tag/legislations) | CMS recently [reported](https://ncpa.org/newsroom/news-releases/2021/06/03/its-not-typo-91500-increase-fees-heaped-pharmacies) to Congress that direct and indirect remuneration (DIR) fees are up 91,500%since 2010.  | | --- | [Read More](https://info.rxsafe.com/blog/1830-for-a-gallon-of-gas) [![](https://info.rxsafe.com/hubfs/sasun-bughdaryan-e11Oa3kvx4c-unsplash.jpg)](https://info.rxsafe.com/blog/pbms-what-are-legislators-doing) ## [PBMs - What are Legislators Doing?](https://info.rxsafe.com/blog/pbms-what-are-legislators-doing) June 17, 2021 [RxSafe](https://info.rxsafe.com/blog/author/rxsafe) [pharmacy reimbursement](https://info.rxsafe.com/blog/tag/pharmacy-reimbursement), [PBMs](https://info.rxsafe.com/blog/tag/pbms), [community pharmacies](https://info.rxsafe.com/blog/tag/community-pharmacies), [DIR fees](https://info.rxsafe.com/blog/tag/dir-fees), [Legislations](https://info.rxsafe.com/blog/tag/legislations) It’s no secret that community pharmacies are essential healthcare providers for thousands of Americans across the country. Despite playing such a critical… [Read More](https://info.rxsafe.com/blog/pbms-what-are-legislators-doing) [![](https://info.rxsafe.com/hubfs/us-supreme-court-building-2225766_1920.jpg)](https://info.rxsafe.com/blog/a-historic-win-for-independent-pharmacy) ## [A Historic Win for Independent Pharmacy](https://info.rxsafe.com/blog/a-historic-win-for-independent-pharmacy) December 26, 2020 [RxSafe](https://info.rxsafe.com/blog/author/rxsafe) [independent pharmacy](https://info.rxsafe.com/blog/tag/independent-pharmacy), [pharmacy reimbursement](https://info.rxsafe.com/blog/tag/pharmacy-reimbursement), [PBMs](https://info.rxsafe.com/blog/tag/pbms), [DIR fees](https://info.rxsafe.com/blog/tag/dir-fees), [SCOTUS](https://info.rxsafe.com/blog/tag/scotus), [Legislations](https://info.rxsafe.com/blog/tag/legislations) Independent pharmacy owners have eagerly awaited the decision from the monumental case, *Rutledge vs. PCMA.* The case was presented to SCOTUS on Oct. 6,… [Read More](https://info.rxsafe.com/blog/a-historic-win-for-independent-pharmacy) [![](https://info.rxsafe.com/hubfs/PBM_infographic_feat.png)](https://info.rxsafe.com/blog/pbms-make-money-infographic) ## [How PBMs Make Money: PBM Practices & Profits - \[Infographic\]](https://info.rxsafe.com/blog/pbms-make-money-infographic) September 24, 2020 [RxSafe](https://info.rxsafe.com/blog/author/rxsafe) [mail-order pharmacies](https://info.rxsafe.com/blog/tag/mail-order-pharmacies), [PBMs](https://info.rxsafe.com/blog/tag/pbms), [pharmacy benefit managers](https://info.rxsafe.com/blog/tag/pharmacy-benefit-managers), [DIR fees](https://info.rxsafe.com/blog/tag/dir-fees), [infographic](https://info.rxsafe.com/blog/tag/infographic) Growing awareness about the problems and pitfalls with [pharmacy benefits managers](https://ncpa.org/pbm-resources) (PBMs) in the US healthcare system has taken hold in recent years.… [Read More](https://info.rxsafe.com/blog/pbms-make-money-infographic) [![](https://info.rxsafe.com/hubfs/Rich%20Text%20Pasting/google-1593186545177.png)](https://info.rxsafe.com/blog/a-better-solution-to-increase-volume-brisson-drugs) ## [A Better Solution to Increase Volume -- Brisson Drugs](https://info.rxsafe.com/blog/a-better-solution-to-increase-volume-brisson-drugs) June 26, 2020 [RxSafe](https://info.rxsafe.com/blog/author/rxsafe) [adherence strip packaging](https://info.rxsafe.com/blog/tag/adherence-strip-packaging), [pharmacy workflow](https://info.rxsafe.com/blog/tag/pharmacy-workflow), [RapidPakRx](https://info.rxsafe.com/blog/tag/rapidpakrx), [automated strip packaging](https://info.rxsafe.com/blog/tag/automated-strip-packaging), [pharmacy reimbursement](https://info.rxsafe.com/blog/tag/pharmacy-reimbursement), [DIR fees](https://info.rxsafe.com/blog/tag/dir-fees), [Brisson Drugs](https://info.rxsafe.com/blog/tag/brisson-drugs), [Joe Williams](https://info.rxsafe.com/blog/tag/joe-williams) In North Carolina, an independent pharmacy owner was searching for a better solution to help his pharmacy increase prescription volume and grow community… [Read More](https://info.rxsafe.com/blog/a-better-solution-to-increase-volume-brisson-drugs) [1](https://info.rxsafe.com/blog/tag/dir-fees/page/1) [2](https://info.rxsafe.com/blog/tag/dir-fees/page/2) [❯](https://info.rxsafe.com/blog/tag/dir-fees/page/2) [![demo graphic ](https://info.rxsafe.com/hs-fs/hubfs/demo%20graphic%20.png?width=314&height=220&name=demo%20graphic%20.png)](https://rxsafe.com/contact/) [![Eyecon 250x175 1](https://info.rxsafe.com/hs-fs/hubfs/Eyecon%20250x175%201.png?width=323&height=226&name=Eyecon%20250x175%201.png)](https://www.eyeconvpc.com/contact-the-eyecon-sales-team/) ### Most recent posts [Celebrating Dave Lang: 48 Years, One Remarkable Career](https://info.rxsafe.com/blog/celebrating-dave-lang) [![](https://info.rxsafe.com/hubfs/Dave%20Lang-1.png)](https://info.rxsafe.com/blog/celebrating-dave-lang) [Maximize Pharmacy Investment with Section 179 in 2026](https://info.rxsafe.com/blog/section-179-and-your-pharmacy) [![](https://info.rxsafe.com/hubfs/2026%20Section%20179%20(35%20x%2015%20in)%20(1).png)](https://info.rxsafe.com/blog/section-179-and-your-pharmacy) [Customer Spotlight: Debbie's Family Pharmacy — From Falling Behind to Two Weeks Ahead](https://info.rxsafe.com/blog/customer-spotlight-debbies-family-pharmacy) [![](https://info.rxsafe.com/hubfs/CustomerSpotlightDebbies-1.png)](https://info.rxsafe.com/blog/customer-spotlight-debbies-family-pharmacy) #### CONTACT US [2453 Cades Way, Ste. 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