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DIR Fee Changes Coming in 2024: The Pros and Cons for Independent Pharmacies

Digital Pharmacist

DIR Fees: An Overview DIR fees, or Direct and Indirect Remuneration fees, are fees paid by pharmacies to PBMs. These fees are based on a variety of factors, including performance metrics and drug prices, and are typically calculated retroactively. The Evolution of DIR Fees Over the years, DIR fees have evolved significantly.