
340B Drug Discount Program & Contract Pharmacy Management
Why is 340B Compliance Important?
Covered Entities can face sanctions for non-compliance, including being removed from the 340B program and/or repayment to manufacturers for the time period for which the violation occurred.
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We work with clients to:
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Identify and facilitate strategic partnerships between programs and providers
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Develop a clear way to validate patient eligibility
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Review a report of health care professionals’ NPIs to determine only professionals meeting all aspects outlined in the patient definition write for 340B drugs
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Regularly verify referrals for care provided outside the entity
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Review billing practices for Medicaid and Medicaid managed care to ensure consistency with state policy and the entity’s 340B database information
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Maintain updated Policies & Procedures on all aspects of 340B purchasing and operations
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Ensure all information in the 340B database is current
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Implement and maintain 340B Compliance
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Entities are Responsible for Ensuring:
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Only eligible patients receive 340B drugs
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A Medicaid rebate is not paid on a 340B purchased drug
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All entity eligibility requirements are met
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