340B Drug Program

What patients can get 340b drugs?

A) Uninsured patients at a 340B facility who are seen by a provider there.

B) Insured patients at a 340B facility who are seen by a provider there.

C) Any patients of a 340B facility who are seen by a provider there.

D) All of the above.

How does the Prescription Center make money for the clinic?

It doesn't

By selling over the counter medications

By selling medications to sliding scale patients

By billing patients insurance

Your facility takes care of many parts of the 340B program already. That includes (select all that apply)

Annual Recertification

Eligibility

Registration

Medicaid Exclusion FIle

Your prescription center can take written prescriptions from other facilities.

When a dispense specialist gets a prescription what must they check before they fill?

That the provider works at their facility

That they have met the patient before

That they know the patient

A prescription can only be filled for a patient who meets the three-step test, written by a provider that works at your facility.

That the provider works at their facility

That they have met the patient before

That they know the patient

If the CVS down the road works with our 340B program we can trade drugs when needed.

That the provider works at their facility

That they have met the patient before

That they know the patient

Carve-in means:

Your facility CAN bill Medicaid plans

Your facility CANNOT bill Medicaid plans

It has nothing to do with Medicaid plans

Carve-out means:

Your facility CAN bill Medicaid plans

Your facility CANNOT bill Medicaid plans

It has nothing to do with Medicaid plans

Submission clarification code 20 means:

You are refilling the medication early

The medication is 340B

The medication is not 340B

The medication needed a PA

What can happen to a facility if the rules for 340B are not followed?

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