1. 340B Audit Technician Practice: Drilling for the Data
Renee Duffield, CPhT
Palmetto Health
Columbia, SC

2. OBJECTIVE
Describe the technician’s role in providing Quality Assurance for the 340B Drug Pricing Program.

3. Disclosure Statement
I have nothing to disclose or conflicts of interest regarding the subject matter of this presentation.

4. Pre-Test
What is 340B?
A federal program.
Discount drug program.
A program to help support eligible patients.
All of the above.
What skills are needed by the technician to provide Quality Assurance for the 340B Drug Pricing Program?

5. Quick Overview of 340B 340B Drug Pricing Program
Section 340B of the Public Health Service Act 1992
Participating manufacturers sign a pharmaceutical pricing agreement with the Secretary of Health and Human Services.
Manufacturers agree to limit the price they charge covered entities for covered outpatient drugs.

6. Quick Overview of 340B
Health Resources and Services Administration (HRSA)
Federal agency which increases access to organizations that help support patients who are underserved, underinsured, isolated, or medically eligible.
Center for Medicaid and Medicare (CMS)
CMS Audits: Program Integrity
Assure no diversion of 340B drugs
Eligibility of the Entity/Site
Eligibility of the Patient
Eligibility of the Prescriber
Eligibility of Pharmacy
Office of Pharmacy Affairs (OPA)
OPA Database
Entities, Child Sites, Contract Pharmacies

7. Perform Monthly Audits Export information from different databases
Technicians Role in Providing Quality Assurance for the 340B Drug Pricing Program
Perform Monthly Audits
Document in Excel spreadsheet
Export information from different databases
Hospital patient charts
Hospital privileged prescribers
Contract Pharmacy Vendors

8. Review Criteria to Qualify a Prescription
Technicians Role in Providing Quality Assurance for the 340B Drug Pricing Program
Review Criteria to Qualify a Prescription
Does the patient have an outpatient visit in a site listed in the OPA Database?
Does the patient have a diagnosis related to the medication?
Does the prescriber have privileges at the site listed in the OPA Database?
Is the prescription documented in the patient’s chart?
Is the Contract Pharmacy listed in the OPA Database?

9. Patient’s Chart

10. Self-Audit: Excel Worksheet
Patient Last Name
Patient First Name
DOB
Rx Number
Prescriber Verified
Physician Name
Fill
NDC
Contract RX Verified
Drug Name
Date Of Service
Date Of Approval RX
Child DX
Qualify
Comments
01/31/1951 Y
"0"
ADVAIR
01/02/2016
02/01/2016
Found under medication list
VENTOLIN
01/04/2016
02/03/2016
10/23/1955
"2"
JANUMET
01/05/2016
02/04/2016
Found Documentation/Clinical Summary ED
01/14/1956
PROAIR
01/08/2016
02/07/2016 N
Cannot find a prescription
09/30/1955
LANTUS
01/12/2016
02/11/2016
Found Outpt./medications
02/20/1966
BENICAR
01/15/2016
01/19/2016
08/06/1964
SPIRVA
01/22/2016
02/21/2016
Found Outpt/medications/orders/charges
Found Outpt./medications/orders/charges
06/04/1947
"3"
ELIQUIS
01/23/2016
03/29/2016
Found Inpatient
01/12/1936
"4"
SPIRIVA
01/24/2016
02/23/2016
Found Outpt/medications
07/18/1962
"1"
DEXILANT
01/25/2016
02/24/2016
Cannot find a prescription
12/06/1936
"6"
CRESTOR
01/26/2016
02/25/2016
Docum/Freetext Note/Pt. to see Dr in 2w
01/10/1957
01/30/2016
02/29/2016
Found Inpt/Orders/Medications
10/15/1966
No Physician Privileges

11. Review accuracy of OPA Database
Technician’s Role in Providing Quality Assurance for the 340B Drug Pricing Program
Review accuracy of OPA Database
Verify names and addresses
Entity, Child Sites, Contract Pharmacies
BOP Database; Contract Pharmacy Websites; Visits
Participate in annual audits by outside auditors
Participate in CMS audits

12. Post-Test 1. What is 340B? A federal program. Discount drug program.
A program to help support eligible patients.
All of the above.

13. Post-Test 1. What is 340B? A federal program. Discount drug program.
A program to help support eligible patients.
All of the above.

14. Post-Test
2. What skills are needed by the technician to provide Quality Assurance for the 340B Drug Pricing Program?

15. Skills Used by Technician in Providing Quality Assurance for the 340B Drug Pricing Program
Work with Different Computer Systems & Databases
Hospital system; OPA Database; Third Party Vendors
Database sorting and filing; 400 prescriptions or more
Microsoft Office: Word, Excel
Solve Problems/Work Independently
Perseverance, Patience, and Acceptance
Organize & Prioritize Tasks/Time Management
Deadlines, Other duties (cross-coverage)
Communicate
Read/Participate in HRSA webinars: interpretations of regulations
Prepare reports
Discuss audit process with Director & auditors

16. RESOURCES
Health Resources and Services Administration (HRSA)
Office of Pharmacy Affairs (OPA)
Apexus