This paper analyzes the effects of the revision of medical repayment standards in April 2000 on pharmaceutical care and economics. The total number of sessions of counseling that can be claimed in 1 month has apparently improved at the Pediatrics Department of Kanazawa University Hospital. On the other hand, actual repayment for said services has not necessarily risen accordingly. This was shown by adopting new calculation modalities for actual claims before revision. We believe that this discrepancy occurs because the charge for each service has decreased from 480 points to 350 points, while maximum number of effective claims per month has risen from twice to four times.