340B SOLUTION FROM RXPARADIGM
Q: What is the primary problem RxParadigm’s Tungsten+PLUS solves?
Tungsten+PLUS™ is a transparent platform designed to eliminate 340B duplicate discounts, reconcile Inflation Reduction Act (IRA)-driven financial adjustments, and administer end-to-end rebate workflows across stakeholders. It supports Medicare Maximum Fair Price (MFP) effectuation, 340B rebate models, claims validation, and wholesaler price facilitation within a Centers for Medicare and Medicaid Services (CMS)-aligned framework. The platform standardizes data submission, enables auditable dispute resolution, and ensures accurate financial reconciliation. By improving transparency and streamlining complex rebate transactions, Tungsten+PLUS™ protects patient access while strengthening program integrity and long-term sustainability.
Key features:
- Identify and classify 340B-eligible and MFP-impacted transactions using validated, CMS-aligned claims logic
- Provide a “single pane of glass” dashboard to monitor eligibility determinations, reimbursement status, and drug-level restrictions in a centralized, auditable view. Serves as a single source of record for receiving and reconciling claims transmitted by CMS at the point of MFP processing.
- Deliver comprehensive purchasing analytics, including accumulation of eligible purchases across all accounts and validation of accurate billing.
- Automate good-faith dispute initiation and management, supported by complete documentation, version control, and end-to-end auditability.
- End to end rebate management system: supports administration of end-to-end rebate workflows across stakeholders.
Key facts:
- Tungsten+PLUS™ is RxParadigm’s flagship product, designed for agility in evolving market conditions and flexibility across regulatory and business variations.
- Tungsten+PLUS™ integrates wholesaler, pharmacy, and medical claims data to reconcile utilization and purchasing, improving operational efficiency while reducing administrative burden.
- Tungsten+PLUS™ automates and standardizes claims submission to manufacturer-designated third-party service vendors (e.g., ESP, Truzo), providing real-time reporting and full visibility into submission status and outcomes.
- Tungsten+PLUS™ offers optional forward-inventory purchase management to mitigate Wholesale Acquisition Cost (WAC)-based purchasing challenges while preserving patient access and compliance integrity.
- Tungsten+PLUS™ is purpose-built to support Medicare Part B MFP effectuation beginning in 2028.
Q: How does Tungsten+PLUS improve your clients’ 340B program?
Tungsten+PLUS helps clients run their 340B programs more smoothly and confidently. It provides a clear, organized way to manage situations where Medicare’s MFP rules overlap with 340B claims.
The platform cuts down on manual work, reduces errors, and helps prevent duplicate discounts that can create financial risk. It gives clients full visibility into their transactions, making audits easier and improving overall financial accuracy.
Tungsten+PLUS also helps protect patient access and prepares organizations for future changes, including possible 340B rebate models, by improving purchasing flexibility and cash-flow management.
Q: How is Tungsten+PLUS unique?
Tungsten+PLUS is the only platform on the market that delivers a true “single pane of glass” dashboard, allowing clients to monitor all 340B and Medicare MFP activity, reimbursement status, and dispute resolution processes in one centralized view.
340B clearinghouse architecture uniquely positions Tungsten+PLUS to effectuate Medicare MFP and administer rebates with accuracy and accountability. Beyond addressing today’s challenges, the platform adapts to future rebate pilots or regulatory changes—giving clients confidence and peace of mind.
As the 340B landscape continues to evolve, Tungsten+PLUS provides a stable, comprehensive solution that minimizes operational disruption while ensuring ongoing compliance and financial clarity.
Carlo Cioffi is Senior Sales Executive at RxParadigm. He can be reached at carlo.cioffi@rxparadigm.com
