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:

 

• Identify and facilitate strategic partnerships between programs and providers

• Develop a clear way to validate patient eligibility

• Review a report of health care professionals’ NPIs to determine only professionals meeting all aspects outlined in the patient definition write for 340B drugs

• Regularly verify referrals for care provided outside the entity

• Review billing practices for Medicaid and Medicaid managed care to ensure consistency with state policy and the entity’s 340B database information

• Maintain updated Policies & Procedures on all aspects of 340B purchasing and operations

• Ensure all information in the 340B database is current

• Implement and maintain 340B Compliance

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Entities are Responsible for Ensuring:

1. Only eligible patients receive 340B drugs

2. A Medicaid rebate is not paid on a 340B purchased drug

3. All entity eligibility requirements are met

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