OBJECTIVES: This study was done to assess: 1) To determine the level of ambulatory-care pharmacists at US Schools of Pharmacy are getting reimbursed for providing pharmaceutical care services (PCS); 2) To determine factors hindering PCS reimbursement; and 3) to determine what disease states pharmacists are providing PCS for and the billing method. METHODS: A survey instrument was constructed for this study. The survey was pre-tested by pharmacy faculty for clarity and time required for completion. The survey was sent via email to all 85 US Schools of Pharmacy during the month of July 2002. RESULTS: The total response rate was 34 (40%) of 85 schools, represented by 46 respondents. Forty (87%) respondents provide PCS and 17(37%) are reimbursed for PCS. Seven (15%) respondents reported billing for less than one year and 7 (15%) reported billing for 1-3 years. Nine (20%) reported billing Third Party Payers and 5(11%) reported providing patients an invoice to bill their insurance carrier. Thirteen (28%) responded that they charge a flat fee and 11(24%) documented how their intervention saves the patients and insurance companies money. Twenty-eight(61%) responded that their workload limits the amount of PCS that can be provided. Five (11%) reported that provision of PCS is not recognized by their state. Thirty-four (73%) were not given any incentives for providing PCS and 30(65%) spend over 60 minutes per day on providing PCS. Thirty-five (76%) strongly agree that PCS enhances their relationship with patients, 20(43%) strongly agree that it is easy to contact prescribers, 19(41%) strongly agree that providing PCS enhances their relationship with their patients' prescribers, and 28(61%) strongly disagree that providing PCS interferes with the pharmacist-prescriber relationship. CONCLUSION: The above response rates are indicative of the issues that Ambulatory Care Pharmacists at US Schools of Pharmacy deal with. Further surveys should be taken to study the trends of reimbursement to ambulatory-care Pharmacists at US Schools of Pharmacy.