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TIP: For sites submitting data to 340B ESP, the option exists within the 340B ESP portal to “Attest” for several manufacturers which will help to enable 340B pricing in advance of receiving any claims for these manufacturers.
To perform the attestation, you must be logged into your 340B ESP portal, and click the Entity Profile option in the menu. The “Make Attestations” button will be available under the following manufacturers: Bausch, Gilead, GSK, Johnson & Johnson, Novo Nordisk, and Sanofi. By clicking the “Make Attestations” button, you are attesting that you will submit transaction data for these manufacturers when the data becomes available. This action can be performed for each covered entity that you have registered in 340B ESP.
Dennis Killian, Senior Consultant – 340B Solutions at CPS, can be reached at: Dennis.Killian@cps.com
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TIP: Accurately tracking and loading drug prices into the ESP system can be the difference maker when it comes to maintaining compliance and ensuring maximum savings.
If you’re a covered entity who contracts with outside pharmacies, it’s important to start with the basics. Equip yourself with these tips to troubleshoot any price loading roadblocks you may encounter, and ensure pricing is loaded as quickly and efficiently as possible.
First, if pricing has not been loaded, it may cause a claim to be ineligible when using “winners only” logic. Be sure to send these ineligible claims to 340B ESP so pricing can be loaded. Second, the HIN number can be another problem area to watch out for. The HIN number is required by manufacturers for each contract pharmacy location. If there’s no HIN number, the manufacturer may forgo loading the price.
Lastly, different manufacturers have different policies and load prices based on varying criteria. For example, Eli Lilly and Pfizer claims must be uploaded on a store-by-store basis. Pricing is restored one contract pharmacy location at a time as a claim with one of their NDCs gets uploaded to 340B ESP. Know your manufacturer’s policy to avoid any hiccups!
Larry Crowder, Vice President of 340B Solutions at Cervey, can be reached at lcrowder@cervey.com
