TIP: Don’t forget that in a replenishment model, 340B purchases are primarily made after determining eligibility through accumulated eligibility.
It’s important to understand that 340B purchases are primarily made after 340B eligibility has been determined in a replenishment model. Rather than having a separate inventory of “340B drugs” available to dispense to eligible patients, the 340B covered entity pharmacy pulls medications from an established neutral inventory and fills 340B physician orders. Then, if that drug dispensation passes the required eligibility checks, the pharmacy accumulates future purchases that may be made at 340B pricing. 340B orders are then placed to fulfill accumulated eligibility. Depending on the type of entity, any additional inventory is ordered on a wholesaler acquisition cost (WAC) or group purchasing organization (GPO) account.
Ivy Espendez is Director, 340B Compliance & Audit at The Craneware Group. She can be reached at firstname.lastname@example.org