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Add one school and pay the base fee only on initial submission to AMCAS. Later add more schools, recertify the application, and pay per school fees for those added. The cost will be the same as if you'd included all the schools originally.For those doing the throwaway school option: do you only add 1 school and then submit your app? AACOMAS is a bit different, you can pay for each individual application or pay all together but that option does not seem to be present for AMCAS.