Uncaptured reimbursement and write‑offs from DEA‑driven dispensing rejections and documentation gaps

$50,000–$150,000 annually per 300-script/day location; multi-store chains with 50+ locations bleed $2.5M–$7.5M; additional audit fines of $10,000–$50,000 per non-compliance citation. • Lost gross margin from prescriptions that could have been filled and reimbursed but are abandoned due to workflow and documentation friction in the delivery channel, plus incremental write‑offs when the chain cannot prove compliant dispensing or delivery during audits—potentially hundreds of thousands of dollars annually as e‑commerce volume scales. • Revenue leakage from conservative write‑offs on prescriptions that cannot be fully documented, plus concessions or discounts granted during contract negotiations when the chain cannot cleanly answer compliance questions—commonly in the tens to low hundreds of thousands of dollars per year across a portfolio of corporate pantry clients.

Compliance and account managers manually reconcile corporate billing files with pharmacy claims and dispensing logs using spreadsheets, then request missing logs or clarifying notes from pharmacists by email or phone to plug documentation gaps before audits or contract renewals. • Compliance and pharmacy operations staff manually review exception queues and delivery logs in separate systems, use spreadsheets to track problematic controlled‑substance deliveries, and depend on emails or phone calls to couriers and patients to reconstruct what occurred when claims are disputed or audited. • Compliance cobbles together contract terms, paper logs from event‑based dispensing, and pharmacy system exports in spreadsheets, and uses email to collect missing attestations from pharmacists and event coordinators to demonstrate that each controlled‑substance transaction was lawful and properly documented.