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In an era of skyrocketing drug costs, changing reimbursement, pharmacist and technician shortages, and a seemingly permanent "do-more-with less' era of hospital and health system management, every management decision that a pharmacy manager makes has financial implications. Success as a manager means understanding and the mastering the basics of finance and accounting as practiced in institutional health care. This work will provide pharmacy managers with a set of fundamental financial management tools as they relate not only to pharmacy department management but to the management of the hospital and health care system as well. Table of contents is attached.