Please use these handouts to highlight the importance of 340B to your region. For many hospital-covered entity types, the Medicare cost report plays an integral role in the 340B Drug Pricing Program by establishing eligibility for the parent and child sites. Learn more about America's biopharmaceutical companies and how they seek to improve patients' lives. endstream endobj startxref hޤ��r����{�O��d;�3�0��z>(L��VS�J%��\=���6m���(���=(��&�c�Yw�H�$L� m��]�B�,LP� X/$2uI1щ��tXp���,H9����������,�B,���\��l,K�`p�����}&�q���93Wh���_��Ci�QY)]�l]���I� �>Lϼ� ��7�O������"����Y/UH���L�EuGEկl��o�2�ʔ=���&o#�{����u��*�&�u� �iR�^cؙ��,���23��K5n. The 340B Prime Vendor Program (PVP), defined by a contract awarded by HRSA, is responsible for supporting the 340B Drug Pricing Program.
endstream endobj 256 0 obj <>>> endobj 257 0 obj <>/Font<>/ProcSet[/PDF/Text]/XObject<>>>/Rotate 0/Thumb 116 0 R/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 258 0 obj <>stream §256b(5)(B). See the full list of eligible organizations/covered entities, Covered entities must recertify their eligibility every year and notify the Office of Pharmacy Affairs whenever there is a change in their eligibility. Specifically, the Medicare statute provides for a disproportionate share adjustment for any hospital that is located in an urban area, has 100 or more beds, and can demonstrate that its net inpatient care revenues (excluding any of such revenues attributable to Medicare or Medicaid) for indigent care from state and local government resources exceed 30 percent of its total of such net inpatient care revenues during the cost reporting period in which the discharges (to which the DSH payment applies) occurred.
... definition of “hospital” under the 340B statute? If a hospital meets the above tests and elects to participate in the 340B program, any pharmacy located at the hospital’s main address and reimbursable on the hospital’s Medicare cost report may purchase and dispense the discounted drugs for outpatient use.
Supports efforts to rescind the Centers for Medicare & Medicaid Services’ (CMS) drastic payment cuts for many hospitals in the 340B program and expand drug manufacturer transparency. • Clarification of hospital eligibility criteria to ensure the 340B program is (1) meeting its intended purpose of helping uninsured indigent patients improve access to prescription medicines and (2) does not further expand because more patients are insured and fewer are uninsured. Nov 10, 2015.
PhRMA supports the original intent of the program and is committed to working with Congress and the administration to reform the 340B program to ensure it reaches the vulnerable or uninsured patients it was intended to help.
These hospitals are often referred to as “Pickle” hospitals in recognition of Congressman J.J. Pickle who sponsored the amendment to include this group of hospitals. (2) PHSA §340B(a)(4)(L)); 42 U.S.C. h��Xmo�6�+�آ��wR@�q����q�l �A��D��`+@��ww"UJ~I���L��;��>%4g� -�ȡ�LyhJC�-��i�Z����o���q��Y~�Q�g����'��\ŤB]���Ôu�c���ހ[n�2�]�.��pxT�� ���U��S����`4f_��̎N���լ�f������0���)�x���}��O��_�:/��e���V��E]f7�-����!������j~�b4)�uU?�����j]�^&���e6�_.���'���o�&���%\+�g�b���n�jL_v\6�R��dZܮ��N���h��S?B(�uEC'Ŭ�>�?̮ӗMW5-%L�h %PDF-1.7 %���� Manufacturers provide steep, mandatory discounts on medicines to certain types of clinics and hospitals as a condition of their drugs being covered by Medicaid. Supports voluntary program integrity efforts already underway to ensure this vital program remains available to safety-net providers.
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