Lilly Asks Covered Entity to Promptly Repay “Duplicate 340B/Medicaid Discounts”

Lilly
Eli Lilly is conducting government approved 340B provider audits that for the first time look for certain Medicaid health plan duplicate discounts.

Drug manufacturer Eli Lilly asked a 340B covered entity last week to promptly repay it for “duplicate 340B/Medicaid discounts” and evaluate all Lilly prescriptions that it or its contract pharmacies dispensed for the last three years.

Consultants and attorneys with

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340B Compliance Issues Requiring Repayment to Manufacturers

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Resolving 340B noncompliance can be a time-consuming task for 340B participants — and one of the greatest challenges in managing a 340B program. This guide outlines the five steps to successfully navigate resolving compliance issues requiring repayment to manufacturers, from discovery to resolution, and includes

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New Group 340B Truth Seeks Provider Consensus on Federal Legislation

340B Truth
A new group, 340B Truth, is seeking a covered entity consensus position on 340B reform to take to Congress for quick action.

About a dozen people who advise, help run, or work at 340B covered entities are launching a nonprofit group, 340B Truth, to try to hammer out a covered entity consensus position on 340B reform and urge Congress to pass it

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Louisiana Lawmakers to Address Drug Makers’ and PBMs’ 340B Policies in Thursday Hearing

Louisiana state capitol
A Louisiana House committee is considering a bill to stop drug manufacturers from impeding 340B covered entities’ use of contract pharmacies.

A hearing is set for Thursday in the Louisiana House on a bill to stop drug manufacturers from impeding 340B covered entities’ use of contract pharmacies.

State Rep. Chris Turner (R) introduced House Bill 548, the Defending Affordable Prescription

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Calif. Senate Committee to Hold Hearing on 340B Anti-Discrimination Bill Tomorrow

California state capitol
A bill in the California Senate would bar PBMs from employing practices that 340B covered entities view as discriminatory.

A California Senate health committee has scheduled a hearing for tomorrow on a bill to prohibit pharmacy benefit managers from employing practices that 340B covered entities view as discriminatory.

SB-786 would prohibit PBMs from imposing conditions and exclusions that

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HHS OIG and HRSA Are Mum About 340B Manufacturer Civil Monetary Penalties and Violation Notices

screenshot of HRSA correspondence to stakeholders web page
HRSA and OIG have no comment on the status of drug manufacturer civil monetary penalties and violation letters stemming from denials of 340B pricing to covered entities that use contract pharmacies.

The U.S. Department of Health and Human Services Office of Inspector General said yesterday it has no comment on the status of referrals from the U.S. Health Resources and Services Administration to fine eight drug manufacturers for failing to offer

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New York State Allots $9 Million in Relief for RWCs Hurt by Medicaid Drug Benefit Transfer but No Funding So Far For Other 340B Entities

Mike Lee gesturing in a meeting
Mike Lee (center) of Evergreen Health says the unexplained inclusion of $9 million in supplemental aid for Ryan White clinics in New York state interim budget legislation "just shows the chaos" of New York's transfer of Medicaid managed care drug benefits to Medicaid fee for service.

The New York legislature on Monday passed a short-term state funding bill with $9 million in supplemental aid for Ryan White clinics that are losing 340B revenue due to the April 1 transfer of the state’s Medicaid managed care drug

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340B Policies and Procedures: The Keys to Compliant Savings

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For 340B covered entities (CEs), a Health Resources and Services Administration (HRSA) audit is an inevitability. While you won’t be able to predict when HRSA comes calling, you can bank on sooner or later being one of the 200

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New Mexico Governor Signs Bill Protecting 340B Providers from PBM and Payer Discrimination

New Mexico state flag
New Mexico Gov. Michelle Lujan Grisham (D) has signed a law to prevent PBMs and insurers from discriminating against 340B providers.

New Mexico Gov. Michelle Lujan Grisham (D) signed a law April 7 to prevent pharmacy benefit managers and insurers from discriminating against 340B providers.  The bill includes language that prohibits payers from reimbursing 340B covered entities at a lower rate

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Calif. Contract Pharmacy Overbilled Medicaid for 340B Drugs, State Appeals Court Holds

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A California state appeals court affirmed a lower ruling that 340B contract pharmacy PharmBlue overbilled the state for 340B drugs it obtained from manufacturers on its clients' behalf.

A California state appeals court has affirmed a lower state court’s judgement that a 340B contract pharmacy overcharged the state Medicaid agency, Medi-Cal, nearly $2.5 million more than the pharmacy was entitled to receive for 340B drugs between May 2015

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