The Patient Definition, Eligibility & Required Documentation

This white paper provides an overview of the U.S. Department of Health and Human Services (HHS) Health Resources and Services Administration’s (HRSA) 340B Drug Discount Pricing Program with a particular focus on aspects of legislation and regulation that impact patient definition and referral prescriptions.

340B Recovery Compliance Whitepaper

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Features in-depth analysis of patient definition by describing:

  • HHS and Apexus positions with respect to patient and provider eligibility.
  • Current and historical guidelines on patient definition with an emphasis on referral prescriptions.
  • An exclusive data analysis from eight 340B CE contract pharmacies and vendor partners revealing overall referral prescription capture rate at 2% and specialty capture nearly absent.
  • Operational and technical challenges involved in capturing referral prescriptions in a manner that satisfies HRSA audits.
  • How 340B Recovery solves current challenges.