@VictorOfHungerGames
I've never worked for an independent so I don't see these chargebacks and fees in the same light as you do. We have a link for a history of view them, mostly Medicare B and immunizations billed to medical, but some of them are reversible, no? Like, you can submit appropriate documentation to show why something should be reimbursed? When I talked to my DM (who isn't a pharmacist) about chargebacks , his face took on a glazed-over appearance and recited that it's just the "nature of the business" and do our best to work with them. So, I guess it's kind of nice that even though corporate can be challenging, I don't have to inspect the numbers just to stay afloat.
Honestly, with so much "NotsogoodRx" running around and plans with uber-high deductibles, a cash only pharmacy has the possibility of succeeding. I'll never open one because I'm so risk-adverse, but if you're in a rich community, docs willing to try stuff, and you have the grey matter to research it all, I can see why people do it.