Groups representing 340B health care providers have asked pharmacy benefit manager Express Scripts (ESI) to stop making 340B providers and their contract pharmacies retrospectively submit and flag 340B claims in a way that has never been done before, and that cannot be done “without a massive investment of financial and human resources.”
The 13 provider associations in the 340B Coalition, in a March 26 letter, told ESI that entities and contract pharmacies “currently lack the systems and processes” to use electronic prescription claims transaction N1 to resubmit previously adjudicated claims that are later determined to be 340B-eligible.
Groups representing 340B health care providers have asked pharmacy benefit manager Express Scripts (ESI) to stop making 340B providers and their contract pharmacies retrospectively submit and flag 340B claims in a way that has never been done before, and that cannot be done “without a massive investment of financial and human resources.”
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