Most LTC pharmacies are billed per-user or per-device on a flat monthly managed-services plan, which makes budgeting predictable across your fill line, packaging bench, and delivery team. Pricing depends on your headcount, number of servers, how many facility eMAR interfaces you run, and your compliance and disaster-recovery requirements. A pharmacy running FrameworkLTC with a dozen facility interfaces and controlled-substance workflows sits at the higher end because of the security and uptime demands. We scope each pharmacy individually and give a fixed monthly price so there are no surprise bills when something breaks during a cycle fill.