DIR fees are totally bogus fees implemented by pharmacy insurance companies on individual pharmacies months after the pharmacy sells a prescription. These fees are unpredictable and are causing community pharmacies across the country to go bankrupt or out of business. There is zero transparency in the use and collection of these fees by giant corporations and the Federal government needs to step in before these companies totally destroy the profession of pharmacy. These companies called PBMs claim to save taxpayers money but insurance premiums and copays continue to go up year after year with no end in sight. Soon, all independent pharmacies will go out of business and this will severely limit the practice of medicine in many communities since pharmacists are the most accessible providers.