Quartzfield
Pharmacy and dispensary accounting

QFLD · SVC-001

Your pharmacy's finances, organized the way the dispensary counter actually works

Monthly accounting built specifically for independent pharmacies and licensed dispensaries — prescription revenue, reimbursement tracking, and documentation that holds up when it matters.

THE PROMISE · QFLD-P01

Financial records that reflect the reality of running a pharmacy

When your accounting is organized around how pharmaceutical retail actually works — prescription fills, reimbursement cycles, controlled substance counts — managing the business becomes considerably clearer. You know where margins are thinning, which payers are slow to settle, and whether your documentation would hold up under review.

That kind of clarity takes consistent, specialized work each month. It's what this service is structured to provide.

SPEC-P01

What you can expect

  • Prescription revenue tracked by category

    Monthly reports show gross margin broken down by product category and reimbursement type, so pricing and procurement decisions have a concrete basis.

  • Reimbursement reconciliation each month

    Insurance and program payments compared against submitted claims, with underpayments and denial patterns surfaced in writing rather than discovered late.

  • Documentation ready for regulatory review

    Records maintained as a matter of routine, not assembled under pressure when an inspection is announced.

THE SITUATION · QFLD-P02

General bookkeeping rarely reaches far enough into pharmacy operations

Most accounting practices handle the basics well enough — income, expenses, payroll. But pharmacy accounting involves layers that fall outside their usual scope: reconciling reimbursements across multiple payer programs, documenting controlled substance inventories in a format that satisfies regulators, and tracking margin across a product mix that shifts constantly.

The gap tends to show up when things go wrong — an audit, a discrepancy in the controlled substance log, a payer that's been systematically underpaying for months. By that point, pulling the records together takes time and energy that could have been spent elsewhere.

SPEC-P02

Familiar challenges

  • Reimbursement discrepancies identified months after the payment cycle closes

  • Controlled substance records that require significant effort to reconstruct before an inspection

  • Margin figures that don't distinguish between product lines or reimbursement types

  • Reports formatted for a standard business, not a dispensing operation

THE APPROACH · QFLD-P03

Accounting structured from the ground up for pharmacy

The chart of accounts, the reporting templates, and the reconciliation process are all built around how independent pharmacies and dispensaries actually operate — not adapted from a general-purpose framework.

A-001

Prescription revenue accounting

Revenue is tracked by drug category and reimbursement type. Gross margin analysis by product line is included in each monthly report, giving you the data to evaluate what's actually working financially.

A-002

Insurance reimbursement reconciliation

Payments received from insurance companies, Medicare, Medicaid, and other programs are reconciled against submitted claims each month. Underpayments and denial patterns are identified and reported clearly.

A-003

Regulatory compliance documentation

Financial records are maintained in a format structured for regulatory review. This includes controlled substance-adjacent financial documentation as part of the broader pharmacy accounting scope.

THE ENGAGEMENT · QFLD-P04

What working together looks like

The engagement is structured to fit around your pharmacy's existing workflow, not the other way around.

01

Initial walkthrough

We begin by understanding your pharmacy's structure — dispensing volume, payer mix, current reporting setup, and any particular compliance requirements in your jurisdiction.

02

Structured setup

The chart of accounts and reporting templates are organized around your specific categories and business structure. This takes a few weeks and sets the foundation for every subsequent month.

03

Monthly delivery

Each month you receive a clear financial report — revenue, costs, margins, and payer reconciliation — in a consistent format. Records are maintained and available throughout the month as needed.

04

Ongoing adjustments

As your payer mix, product lines, or regulations shift, the accounting framework is adjusted accordingly. Questions that come up between reports get a direct response.

THE INVESTMENT · QFLD-P05

$580 USD per month

This covers complete monthly accounting for your pharmacy or dispensary — prescription revenue tracking, reimbursement reconciliation across your payer mix, gross margin analysis by product category, and regulatory-ready documentation maintained throughout the month.

For multi-location operations, the fee reflects your specific setup. The initial conversation includes a review of your structure so pricing is clear before any commitment is made.

The two specialized add-on services — controlled substance inventory accounting and a dedicated third-party payer reconciliation track — are available separately if your operation requires that level of detail.

SPEC-INV

What's included

  • Monthly financial statements structured for pharmacy operations

  • Prescription revenue tracking by category and reimbursement type

  • Insurance reimbursement reconciliation with payer-level detail

  • Gross margin analysis by product category, month-over-month

  • Regulatory documentation maintained in inspection-ready format

  • Multi-location consolidated and per-site reporting where applicable

  • Direct responses to accounting questions between monthly reports

THE FRAMEWORK · QFLD-P06

How the work is structured and measured

The accounting methodology is built around three core areas of pharmacy financial management, each with its own reporting output and reconciliation process.

F-001

Revenue layer

Prescription revenue tracking

All prescription revenue is categorized by drug type, dispensing program, and reimbursement source. The monthly report shows which categories are generating margin and where reimbursement rates are trending.

Updated monthly · Category-level detail

F-002

Payer layer

Reimbursement reconciliation

Claims submitted are compared against payments received for each payer and program. Discrepancies, denials, and timing gaps are documented, with an aging summary of outstanding receivables included in each report.

Updated monthly · Payer-level summary

F-003

Compliance layer

Documentation and records

Financial records are maintained in the structure required for regulatory review — not assembled retroactively, but kept current as part of the monthly accounting cycle. Available for inspection without advance notice requirements.

Maintained continuously · Inspection-ready

OUR COMMITMENT · QFLD-P07

We work to earn the engagement, not just retain it

The initial conversation is exploratory — there's no obligation involved. We ask a few questions about your pharmacy's setup and tell you plainly whether this service is a reasonable fit. If it isn't, we'll say so.

Once we're working together, the relationship continues because the work is useful, not because it's complicated to stop. If monthly reports aren't giving you the clarity you expected, that's a conversation worth having — and the kind of issue we'd want to understand and address rather than leave unresolved.

SPEC-G01

What you can count on

  • Initial consultation with no cost and no commitment

  • Clear written agreement before any engagement begins

  • Consistent monthly delivery with no delays in reporting

  • Direct access for questions between monthly cycles

  • Honest assessment if the scope needs to change as your operation grows

NEXT STEPS · QFLD-P08

A straightforward path forward

Getting started doesn't require much from you at this point — just a short message and a willingness to have a brief conversation about your pharmacy's setup.

01

Send a message

Use the contact form on the main page. A few sentences about your pharmacy — type, size, current accounting setup — is enough to get started. There's no formal intake process.

02

A short exchange

We'll follow up within two business days with a few specific questions about your payer mix, dispensing volume, and documentation needs. This shapes what the engagement would actually look like for your operation.

03

A clear next step

After the initial exchange, we'll outline what the setup process looks like, what's covered, and what the monthly rhythm would be — in writing, before anything begins.

GET STARTED · QFLD-P09

Ready to talk about your pharmacy's accounting?

Send a brief message using the contact form — your pharmacy type, location count, and current setup is all we need to make the first conversation useful.

Send a message

OTHER SERVICES · QFLD-P10

Explore related services

The two services below complement this one and are often used alongside it by pharmacies with specialized accounting needs.

SVC-002

Controlled Substance Inventory Accounting

Detailed financial tracking of controlled substance inventories — acquisition cost recording, perpetual inventory maintenance, count reconciliation, and documentation suitable for regulatory inspection. Designed as a specialized add-on.

$300 USD/mo Learn more
SVC-003

Third-Party Payer Reconciliation

Dedicated monthly reconciliation of payments from insurers, government programs, and other third-party payers. Identifies underpayments, denials, and timing issues with a clear aging summary by payer.

$350 USD/mo Learn more