Glycopyrrolste comes in quantity of 25 vials and has an AWP of $135.the store has an agreement with the contractor to purchase that chemical at the AWP minus 10% the insurer is willing to pay the AWP plus 3 % plus a $4 dispensing fee. a patient on this ensures plan purchases 5 vials for $22.50. how much profit does the store make on this prescription? (Prescription=AWP+percentage+dispensing fee)

store pays .90 * 135/25 = 4.86 each

assuming the $4 fee is per vial, the
insurer pays (135+4)/25 * 1.03 = 9.56 each

Not sure how the patient and insurer connect, but if the patient spent 22.50 for 5, and the insurer paid 5*9.56=47.80, then the store made 47.80 + 22.50 - 5*4.86 = $46.00 on the deal.