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Pharmacy billing reconciliation is the process of comparing your dispensing and billing records against purchase invoices and PBM remittance data to verify that every prescription was billed correctly, reimbursed at the right amount, and that your purchasing costs align with your dispensing records.

An NDC swap occurs when the same medication is billed under different National Drug Code (NDC) numbers across your billing and purchasing data - often due to manufacturer changes or wholesaler substitutions. NDC swaps create phantom shortages and surpluses in your reports and can silently drain revenue if undetected.

Industry data shows independent pharmacies typically lose 2-5% of prescription revenue to billing discrepancies, PBM underpayments, and undetected errors. For a pharmacy doing $300,000/month in prescription revenue, that's $6,000 to $15,000 per month in lost revenue.

Upload your billing export (CSV) and purchase order data from your pharmacy system. RxDelta automatically matches every NDC code between billing claims and purchases, detects swaps, identifies shortages and overages, and generates a full reconciliation report with insurance-level analytics - all in under 3 minutes.

RxDelta works with any pharmacy management system that exports CSV data, including PrimeRx, Liberty, Pioneer, Rx30, Computer-Rx, and others. Our intelligent header detection automatically recognizes column layouts from different systems.

Manual Excel reconciliation typically takes 4-6 hours and can't detect NDC swaps. RxDelta completes the same work in under 3 minutes with 98%+ accuracy, automatic swap detection, and insurance-level breakdowns by PBM and BIN number that spreadsheets simply can't provide.