RMargin Sample review Request your own
Sampleillustrative data
RxMargin · Dispensary margin review Prepared for partners · Period: Oct 2025 – Mar 2026

Ashcombe Medical Practice — where the dispensary is quietly leaking, line by line.

Practice
Ashcombe Medical Practice
ODS (fictional)
A99921
List size
8,400
Dispensing
88%
System
EMIS Web
£57,200
in recoverable margin identified across six months — before any change to prescribing.
§ 01

At a glance

A single month, reconciled. Every figure below is traced back to dispensing data, the Drug Tariff and your remittances.

Monthly contribution
£28,400
Feb 2026 · fees + rebates ▼ £1,300 vs Jan
Reimbursement (net)
£61,200
after 11.2% clawback
Dispensing fees
£19,800
8,940 items @ blended fee
NHS rebates
£8,600
below scheme rate
Items dispensed
8,940
Feb 2026 (FP34)
6-month contribution
≈ £172k
Oct 2025 – Mar 2026
§ 02

Contribution, month by month

A line that made money in October can quietly turn. The dip in February is concession-driven — and recoverable.

Monthly dispensary contribution
Contribution (£000)6-mo average
40 30 20 10 concession dip OctNovDec JanFebMar
§ 03

The drug-level ledger

Net cost versus what you were actually reimbursed, line by line — so loss-making and over-tariff items stop hiding inside the average. Click a column to sort; filter by flag.

Drug-level margin — February 2026 All lines Losses Over-tariff Concession
Item Items Net cost Reimbursed Margin £ Margin % Flag
Total — 16 lines shown8,940£42,180£61,200
Illustrative figures for a fictional practice. A real review covers every dispensed line, reconciled against the Drug Tariff Part VIIIA, monthly concessions and your wholesaler invoices.
§ 04

Where the money moves

Net margin by therapeutic class. Two classes carry the practice; two are quietly draining it.

Cardiovascular+£4,120
CNS / mental health+£2,980
Endocrine (incl. GLP-1)−£1,840
Gastro-intestinal+£2,150
Vitamins / OTC (over-tariff)+£1,410
Specials & shortages−£2,510
§ 05

Recoverable margin, prioritised

Not just charts — a ranked list of what to do, with the value at stake. None of it requires changing what you prescribe.

Loss
£2,100 /mo

Rebate below scheme rate

Wholesaler rebate running ~13% against a ~25% achievable rate. The single biggest lever — a procurement conversation, not a clinical one.

Loss
£1,850 /mo

Genuine shortage losses

Lines bought above reimbursement during shortages. ≈ £11,100 over six months versus what the Tariff paid back.

At risk
£1,600 /mo

Concession-dependent margin

≈ £19k a year of contribution that evaporates if specific price concessions are withdrawn. Worth watching and hedging.

At risk
£3,200 /6mo

Procurement anomalies

A cheaper same-month source existed on several lines. Ordering discipline, not concessions — quick to fix.

§ 06

What lands in your portal

Every review ships these — finished, audited and ready to act on. Open the samples below (fictional data).

This is a fictional practice. Yours would be real.

Send us a period of data and we'll show you exactly where your dispensary is leaking — and what it's worth to fix.