How 340B Covered Entities are Disrupting the PBM and Preferred Pharmacy Landscape for Community Health Plans

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The 340B drug pricing program, which allows eligible healthcare providers known as covered entities to purchase medications at a reduced price, has been an incredibly valuable tool for providing affordable healthcare to underserved populations. However, the benefits of the 340B program

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3 Tips for Navigating the Current 340B Environment

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Many people have been losing sleep thinking about how they should move forward in the current 340B environment. Over the last 18 months, it has felt like an external force is around every corner, pushing or pulling covered entities into new areas of discomfort.

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340B PROVIDER LEADER SPOTLIGHT

Maria Kossilos, Associate Chief Pharmacy Officer, Cambridge Health Alliance

Maria Kossilos

Q: Where did you complete your professional training?

I graduated with an Honours Bachelor’s of Science from York University in Toronto, Canada in 1997 and a Bachelor of Science

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Expert Tip From Alinea Group

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TIP: When it comes to duplicate discount prevention, don’t assume that all 340B drugs are billed to Medicaid using the same NPI. Routine

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340B INDUSTRY LEADER SPOTLIGHT

Minh Hoang, Director of 340B Hospital Operations, Cloudmed

Minh Hoang
Q: Where did you grow up?

Ho Chi Minh City, Vietnam

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Expert Tip From RxStrategies

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TIP: The key to unlocking the full potential of your program starts with complete understanding of your data.


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340B INDUSTRY LEADER SPOTLIGHT

Jamila (“Jam”) Seibel, Director, Alinea Group

Jam Seibel
Q: Where did you grow up?

Clifton Park, New York, a small suburb upstate, between Albany and Saratoga Springs, NY.

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340B INDUSTRY LEADER SPOTLIGHT

Anthony Esgro, Director of 340B Programs, Signify Health

Anthony Esgro
Q: Where did you grow up?

I was born, raised and still reside in Glassboro NJ. It’s about 20 minutes east of Philadelphia in southern New Jersey.

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Expert Tip From Avita Care Solutions

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TIP: If your entity engages a firm to independently audit your 340B Program, follow through on the auditor’s recommendations in a timely manner.

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Do it Yourself: 340B Referral Prescription Capture Made Easy

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Many covered entities are not aware of the opportunity to capture referral prescriptions. This includes ones that were initially determined to be non-eligible by your TPA but after a closer look in your EMR are deemed to be eligible. Don’t miss out

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