Pharmacy

Parent Issue

Urge Representatives to Sign ‘Dear Colleague’ Letter on 340B Drugs

Hospitals participating in the 340B program are being urged to ask their representatives to sign an important Dear Colleague letter to the Department of Health and Human Services (HHS), in response to recent actions taken by several drug companies to limit the distribution of certain 340B drugs to hospitals and health systems.

DHCS Issues Self-Audit Demand of 340B Providers

Last month, the Department of Health Care Services (DHCS) sent a letter to every 340B provider/covered entity (hospitals, clinics, and contracted pharmacies) demanding they conduct a self-audit of paid fee-for-service (FFS) claims data from Dec. 1, 2016, through Dec. 31, 2019. The stated purpose of the self-audit is to ensure the provider billed appropriately in the FFS delivery system at the actual acquisition cost and to disclose any overpayment.

Appeals Court Upholds Payment Cut for 340B Hospitals

On Friday, the U.S. Court of Appeals for the District of Columbia Circuit overturned a 2018 district court decision that found the Department of Health and Human Services (HHS) exceeded its statutory authority when it reduced 2018 and 2019 Medicare payment rates for many hospitals in the 340B Drug Pricing Program by nearly 30%. 

CMS Launches 340B Survey

Despite the COVID-19 pandemic, the Centers for Medicare & Medicaid Services (CMS) is moving forward with its survey of hospitals that participate in the 340B Drug Pricing Program in order to collect actual acquisition costs for specified covered outpatient drugs (SCODs). All 340B hospitals must submit acquisition cost data during the survey response period that runs from April 24 to May 15.