Program Integrity: FY14 Audit Results

Updated 2/20/19. The results chart includes audits where the findings have been finalized. Remaining audits are still under review. Information on Corrective Action Plans and Sanctions will be updated once approved by HRSA. HRSA recommends manufacturers do not contact audited entities regarding sanctions until a corrective action plan has been approved by HRSA and posted on this website.

Results Posted for 99 audits.

Entity	340B ID	State	OPA Findings	Sanction	Corrective Action with Audit Closure Date
Albert Einstein Medical Center	DSH390142	PA	Diversion – 340B drug dispensed to an inpatient.	Repayment to Manufacturers	Public letter to manufacturers (PDF – 30 KB) Audit closure date: September 2, 2016
AltaMed	CH093110	CA	Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database.	None	Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: May 15, 2015
Banner Desert Medical Center	DSH030065	AZ	Diversion – 340B drugs dispensed at contract pharmacy for prescriptions written at ineligible sites.	Repayment to manufacturers	Public letter to manufacturers (PDF – 73 KB) Audit closure date: January 3, 2017.
Banner Estrella Medical Center	DSH030115	AZ	Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites.	Repayment to manufacturers	Public letter to manufacturers (PDF – 75 KB) Audit closure date: January 10, 2017.
Banner Good Samaritan Medical Center	DSH030002	AZ	Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written by ineligible providers at ineligible sites.	Repayment to manufacturers	Public letter to manufacturers (PDF – 28 KB) Audit closure date: January 5, 2017.
Banner Ironwood Medical Center	DSH030130	AZ	Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites.	Repayment to manufacturers	Public letter to manufacturers (PDF – 116 KB) Audit closure date: January 3, 2017.
Banner Thunderbird Medical Center	DSH030089	AZ	Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites.	Repayment to manufacturers	Public letter to manufacturers (PDF – 49 KB) Audit closure date: January 10, 2017.
Baptist Memorial Hospital – Tipton	DSH440131	TN	Incorrect 340B database record – incorrect entry for Primary Contact information.	None	Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: June 25, 2015
Bellevue Hospital Center (NYCHHC)	DSH330204	NY	No adverse findings	None	N/A Audit closure date: November 12, 2015
Beth Israel Deaconess Medical Center	DSH220086	MA	Diversion – 340B drugs dispensed to inpatients. Duplicate discounts – Inaccurate information on Medicaid Exclusion File.	Repayment to manufacturers	State Medicaid has since determined that duplicate discounts did not occur Public letter to manufacturers (PDF – 12 KB)
Biggs Gridley Memorial Hospital	CAH051311-00	CA	Incorrect 340B database record – Incorrect listing for entity’s name; orphan drug exclusion election was contrary to practice. Entity did not provide contract pharmacy oversight. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. Duplicate Discounts – Entity did not have controls in place to prevent duplicate discounts.	Repayment to manufacturers	Public letter to manufacturers (PDF – 14 KB) Audit closure date: September 27, 2016
BMH, Inc. DBA Bingham Memorial Hospital	CAH131325-00	ID	Incorrect 340B database record – registered contract pharmacy without a written contract in place. Diversion – 340B drug dispensed at contract pharmacy, not supported by medical record.	Termination of contract pharmacy from 340B Program* Repayment to manufacturers	Public letter to manufacturers (PDF – 42 KB) Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: January 28, 2016
Bon Secours Maryview Medical Center	DSH490017	VA	Covered outpatient drugs obtained through a Group Purchasing Organization prior to March 12, 2015. Incorrect 340B database record – pharmacies listed as contract pharmacies in error. Diversion – 340B drugs dispensed for prescriptions written at ineligible sites and/or by ineligible providers. Duplicate Discounts – Entity did not have controls in place to prevent duplicate discounts.	Repayment to manufacturers	Public letter to manufacturers (PDF – 86 KB) Audit closure date: March 15, 2017
Cabell Huntington Hospital	DSH510055	WV	Incorrect 340B database record – registered contract pharmacies without a written contract in place. Diversion – 340B drugs dispensed to inpatients; 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites and/or by ineligible providers.	Termination of contract pharmacies from 340B Program* Repayment to manufacturers	Public letter to manufacturers (PDF – 75 KB) Audit closure date: May 24, 2016
CAMcare Health Corporation	CH0211280	NJ	Incorrect 340B database record – registered contract pharmacy without a written contract in place.	Termination of contract pharmacy from 340B Program*	Termination of contract pharmacy from 340B Program* Audit closure date: July 2, 2015
Catholic Health Initiatives, Iowa, Corp.	DSH160083	IA	Incorrect 340B database – Ineligible site registered on the 340B database. Diversion – 340B drugs dispensed to inpatients. Duplicate Discounts – Entity did not have controls in place to prevent duplicate discounts.	Termination of ineligible site from 340B Program* Repayment to manufacturers	Public letter to manufacturers (PDF – 18 KB) Audit closure date: March 29, 2016
Christus Spohn Hospital Kleberg	DSH450163	TX	Diversion – 340B drug dispensed at contract pharmacy, not supported by medical record.	Repayment to manufacturers	Public letter to manufacturers (PDF – 78 KB) Audit closure date: January 17, 2017.
Columbus Community Hospital	DSH450370	TX	Incorrect 340B database record – registered contract pharmacy without a written contract in place. Diversion – 340B drug dispensed for prescriptions written by ineligible provider.	Repayment to manufacturers	Public letter to manufacturers (PDF – 502 KB) Audit closure date: September 22, 2015
Community Action Committee of Pike County	CH052900	OH	Incorrect 340B database record – Entity was using contract pharmacies not listed on the 340B database. Diversion – 340B drug dispensed at contract pharmacy for prescription written at ineligible site. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File.	Repayment to manufacturers	Public letter to manufacturers (PDF – 117 KB) Audit closure date: September 21, 2016
Coney Island Hospital (NYCHHC)	DSH330196	NY	Covered outpatient drugs obtained through a Group Purchasing Organization prior to January 1, 2014. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written by ineligible providers at ineligible sites.	Repayment to manufacturers	Public letter to manufacturers (PDF – 46 KB) Audit closure date: February 17, 2016
County of Ventura	CH098480	CA	Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database; incorrectly listed names for registered sites.	None	Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: August 21, 2015
Crozer Chester Medical Center	DSH390180	PA	Incorrect 340B database – Contract pharmacy with written contract in place was not listed on the 340B database; offsite outpatient facilities were not listed on the 340B database; ineligible sites registered on 340B database. Diversion – 340B drugs dispensed for prescriptions written at ineligible sites. Duplicate Discounts – Entity did not have controls in place to prevent duplicate discounts.	Repayment to manufacturers	Public letter to manufacturers (PDF – 11 KB) Audit closure date: March 7, 2018
DeKalb Medical Center, Inc.	DSH110076	GA	Covered outpatient drugs were obtained through a Group Purchasing Organization. Diversion – 340B drugs dispensed at contract pharmacy for prescription written at ineligible sites.	Repayment to manufacturers	Public letter to manufacturers (PDF – 198 KB) Audit closure date: April 28, 2016
Dickinson College	FP110081	PA	Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. Medicaid number was incorrect on Medicaid Exclusion File. NPI number was not listed on Medicaid Exclusion File.	Repayment to manufacturer	Public letter to manufacturers (PDF – 16 KB) Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: February 19, 2016
Florida Department of Health	RWIID32304	FL	No adverse findings	None	N/A Audit closure date: December 22, 2014
Frederick County Health Department	RWI21702, TB21702	MD	For RWI21702, incorrect 340B database record – incorrect entry for Primary Contact.	None	Covered entity self-terminated from 340B Program Audit closure date: October 6, 2015
Goshen Medical Center, Inc.	CH045800	NC	Incorrect 340B database record – registered contract pharmacy without a written contract in place. Entity did not provide contract pharmacy oversight.	None	Contract executed 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: November 10, 2015
Greenville Memorial Hospital	DSH420078	SC	Incorrect 340B database record – Ineligible site registered on the 340B database. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written by ineligible providers at ineligible sites.	Repayment to manufacturers	Public letter to manufacturers (PDF – 111 KB) Audit closure date: July 18, 2018
Health Department of Northwest Michigan	FP496591, FP497352, FP497206, FP49740	MI	No adverse findings	None	N/A Audit closure date: December 11, 2014
Healthcare Connection, Inc., The	CH059880	OH	Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Registered contract pharmacies without written contract in place.	None	Database entry corrected Contracts executed; 340B Program policies and procedures revised to address routine review of 340B Program database and contract pharmacy registration Audit closure date: May 15, 2015
Heartland Regional Medical Center	SCH260006	MO	No adverse findings	None	N/A Audit closure date: January 28, 2015
Hermann Area Hospital District	CAH261314-00	MO	Entity had inaccurate information in the 340B Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding.	None	Public letter to manufacturers (PDF – 12.5 KB) Audit closure date: October 13, 2015
Hilo Medical Center	DSH120005	HI	No adverse findings	None	N/A Audit closure date: September 19, 2014
Huron Regional Medical Center	CAH431335-00	SD	Diversion – 340B drug dispensed to inpatient.	Repayment to manufacturers	Public letter to manufacturers (PDF – 111 KB) Audit closure date: October 13, 2015
Iberia Medical Center	DSH190054	LA	No adverse findings	None	N/A Audit closure date: March 9, 2015
ID Consultants and Infusion Care Specialists	RWI28209	NC	Diversion – 340B drugs dispensed at contract pharmacies to patients inconsistent with service for which grant funding had been provided.	Repayment to manufacturers	Public letter to manufacturers (PDF – 41 KB) Audit closure date: September 16, 2016
Jacobi Medical Center	DSH330127	NY	Covered outpatient drugs obtained through a Group Purchasing Organization prior to September 2013. Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites.	Repayment to manufacturers	Public letter to manufacturers (PDF – 45 KB) Audit closure date: March 2, 2017
Jamaica Hospital Medical Center	DSH330014	NY	Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites; 340B drugs were not properly accumulated.	Repayment to manufacturers	Public letter to manufacturers (PDF – 57 KB) Audit closure date: March 8, 2017
Keck Hospital of USC	DSH050696	CA	Incorrect 340B database record – duplicate registration for off-site outpatient facility; incorrect entries for Primary Contact, ship to addresses, and bill to addresses. Diversion – Entity did not have adequate controls in place for proper accumulation and prevention of diversion; 340B drug dispensed at a contract pharmacy for a prescription written by an ineligible provider at an ineligible site. Duplicate Discounts – inaccurate or incomplete information in Medicate Exclusion File.	Repayment to manufacturers	Public letter to manufacturers (PDF – 30 KB) Audit closure date: September 15, 2016
Kossuth Regional Health Center	CAH161353-00	IA	Diversion – 340B drugs were not properly accumulated; 340B drug dispensed at a contract pharmacy for a prescription written by an ineligible provider at an ineligible site.	Repayment to manufacturers	Public letter to manufacturers (PDF – 24 KB) Audit closure date: September 15, 2016
Lakeland Regional Medical Center	DSH100157	FL	Incorrect 340B database record – Incorrect entries for Authorizing Official and Primary Contact information.	None	Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: April 1, 2015
Lincoln Medical & Mental Health Center (NYCHHC)	DSH330080	NY	Covered outpatient drugs obtained through a Group Purchasing Organization prior to February 3, 2014. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written by ineligible providers at ineligible sites.	Repayment to manufacturers	Public letter to manufacturers (PDF – 45 KB) Audit closure date: March 27, 2017
Logan Regional Medical Center	DSH460015	UT	Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites.	Repayment to manufacturers	Public letter to manufacturers (PDF – 41 KB) Audit closure date: September 22, 2015
Long Island Jewish Medical Center	DSH330195	NY	Incorrect 340B database – Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drug dispensed to an inpatient. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File.	Removal of contract pharmacy	Public letter to manufacturers (PDF – 134 KB) Audit closure date: March 21, 2017
Madison County Community Health Center, Incorporated	CH0516760	IN	Incorrect 340B database record – registered contract pharmacy without a written contract in place. Entity did not provide contract pharmacy oversight. Diversion – 340B drugs dispensed at contract pharmacy, not supported by a medical record; 340B drug dispensed at a contract pharmacy for a prescription written by an ineligible provider at an ineligible site.	Termination of contract pharmacies from 340B Program Repayment to manufacturers	Public letter to manufacturers (PDF – 74 KB) Audit closure date: October 23, 2017
Maine Medical Center	DSH200009	ME	Duplicate Discounts – Entity was billing Medicaid contrary to information in the Medicaid Exclusion File.	None	State Medicaid has since determined that duplicate discounts did not occur Public letter to manufacturers (PDF – 37 KB) Audit closure date: November 13, 2015
McLeod Regional Medical Center	DSH420051	SC	Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database; closed offsite outpatient facility listed on database. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written by ineligible providers at ineligible sites.	Repayment to manufacturers	Public letter to manufacturers (PDF – 77 KB) Audit closure date: March 30, 2017
Medical University Hospital Authority	DSH420004	SC	Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Entity did not provide contract pharmacy oversight.	None	Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database and oversight of contract pharmacies Audit closure date: September 1, 2015
Memorial Hermann Hospital System	DSH450184	TX	No adverse findings	None	N/A Audit closure date: December 16, 2014
Memorial Hospital Modesto	DSH050557	CA	Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database, incorrect entries for Authorizing Official, entity name and address information. Diversion – 340B drugs were not properly accumulated; 340B drug dispensed to an inpatient.	Repayment to manufacturers	Public letter to manufacturers (PDF – 49 KB) Audit closure date: September 13, 2016
Miami Children's Hospital	PED103301-00	FL	No adverse findings	None	N/A Audit closure date: December 11, 2014
Mount Sinai Hospital Medical Center	DSH140018	IL	Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites; 340B drugs were not properly accumulated.	Repayment to manufacturers	Public letter to manufacturers (PDF – 93 KB) Audit closure date: March 15, 2017
Nathan Littauer Hospital	DSH330276	NY	Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drug dispensed to an inpatient; 340B drugs dispensed at contract pharmacies for prescriptions written by ineligible providers at ineligible sites.	Repayment to manufacturers	Public letter to manufacturers (PDF – 201 KB) Audit closure date: October 21, 2016
Neighborhood Improvement Project	CH0438590	GA	Covered entity failed to maintain auditable medical records prior to May 2013 for one offsite outpatient facility and for one contract pharmacy. Incorrect 340B database record – Offsite outpatient facility was not listed on the 340B database. Entity did not provide contract pharmacy oversight.	Repayment to manufacturers	Public letter to manufacturers (PDF – 152 KB) Audit closure date: October 21, 2016
New York Presbyterian Hospital	DSH330101	NY	No adverse findings	None	N/A Audit closure date: October 30, 2014
Newark Beth Israel Medical Center	DSH310002	NJ	Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written by ineligible providers at ineligible sites.	Repayment to manufacturer	Public letter to manufacturers (PDF – 40 KB) Audit closure date: September 15, 2016
North Central Bronx Hospital Center (NYHCHHC)	DSH330385	NY	Covered outpatient drugs obtained through a Group Purchasing Organization prior to December 2013. Entity did not provide contract pharmacy oversight. Incorrect 340B database record – ineligible site registered on the 340B database. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites.	Repayment to manufacturers	Contract pharmacy oversight demonstrated Public letter to manufacturers (PDF – 43 KB) Audit closure date: March 30, 2016
North Hudson Community Action Corporation	CH024490	NJ	Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database; entity failed to remove contract pharmacies from 340B database after contract was terminated; registered contract pharmacies without signed contracts in place. Diversion – 340B drug dispensed at a contract pharmacy, not supported by a medical record; 340B drugs were not properly accumulated at contract pharmacy. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File.	Repayment to manufacturers	Public letter to manufacturers (PDF – 89.4 KB) Audit closure date: March 30, 2016
Norton Hospital	DSH180088	NY	No adverse findings	None	N/A Audit closure date: March 30, 2015
Oklahoma State Department of Health	FP74074	OK	No adverse findings	None	N/A Audit closure date: November 6, 2014
Oklahoma State University Medical Center Trust	DSH370078	OK	No adverse findings	None	N/A Audit closure date: March 9, 2015
Olmsted Medical Center	DSH240006	MN	Incorrect 340B database record – registered contract pharmacy without a written contract in place; offsite outpatient facilities were not listed on the 340B database.	Termination of contract pharmacy from 340B Program*	Database entry corrected Termination of contract pharmacy from 340B Program* 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: August 31, 2015
Oswego Hospital	SCH330218-00	NY	Incorrect 340B database record – Registered outpatient facilities that were no longer part of entity.	None	Database entry corrected; 340B Program policies and procedures revised to address routine review of 340B Program database (Pending) Audit closure date: October 13, 2015
Palmetto Health Baptist	DSH420086	SC	Non-reimbursable facility incorrectly registered as child site. Incorrect 340B database record – incorrect entries for physical addresses listed for entity and child sites, Entity did not provide contract pharmacy oversight. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites.	Termination of ineligible site from 340B Program* Repayment to manufacturers	Public letter to manufacturers (PDF – 39 KB) Audit closure date: August 12, 2016
Phelps County Regional Medical Center	DSH260017	MO	Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. Duplicate Discounts – Inaccurate or incomplete information in Medicate Exclusion File.	None	State Medicaid has since determined that duplicate discounts did not occur Public letter to manufacturers (PDF – 70 KB) Audit closure date: March 18, 2016
Pioneers Memorial Hospital	DSH050342	CA	Incorrect 340B database record – Incorrect entries for billing and shipping addresses for offsite outpatient facilities.	None	Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: March 31, 2015
Queens Hospital Center (NYCHHC)	DSH330231	NY	Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Covered outpatient drugs obtained through a Group Purchasing Organization prior to September 2013. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites.	Repayment to manufacturers	Public letter to manufacturers (PDF – 46 KB) Audit closure date: March 2, 2017
Regions Hospital	DSH240106	MN	Incorrect 340B database record – duplicate registration for off-site outpatient facility. Diversion – Entity did not have adequate controls in place for prevention of diversion.	Repayment to manufacturers	Public letter to manufacturers (PDF – 55 KB) Audit closure date: August 12, 2016
Saint Agnes Medical Center	DSH050093	NH	Duplicate Discounts – Medicaid billing numbers were incorrect on the Medicaid Exclusion File.	Repayment to manufacturers	Public letter to manufacturers (PDF – 27 KB) Audit closure date: December 9, 2015
Saint Alphonsus Regional Medical Center	DSH130007	ID	Covered outpatient drugs obtained through a Group Purchasing Organization prior to June 17, 2014. Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database; incorrect entries for addresses of off-site outpatient facilities; duplicate registration for off-site. Diversion – 340B drugs dispensed to inpatients; 340B drug dispensed at contract pharmacy for a prescription written at an ineligible site. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File.	Repayment to manufacturers	Public letter to manufacturers (PDF – 38 KB) Audit closure date: July 15, 2016
Salem Hospital	DSH380051	OR	No adverse findings	None	N/A Audit closure date: November 20, 2014
Santa Clara Valley Medical Center	DSH050038	CA	Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Duplicate Discounts – Entity’s contract pharmacy was billing Medicaid without notification to HRSA.	None	State Medicaid has since determined that duplicate discounts did not occur. Public letter to manufacturers (PDF – 80 KB) Audit closure date: January 3, 2017.
Seton Highland Lake	CAH451365-00	TX	No adverse findings	None	N/A Audit closure date: October 30, 2014
SF Community Clinic Consortium	CH09107A	CA	Incorrect 340B database record – incorrect entries for names for registered sites and registered an inactive site; registered contract pharmacies without written contract in place. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File.	Termination of contract pharmacies from 340B Program* Repayment to manufacturers	Public letter to manufacturers (PDF – 82 KB) Audit closure date: March 8, 2017
Slidell Memorial Hospital	DSH190040	LA	Incorrect 340B database record – incorrect entries for Authorizing Official and Primary Contact information. Entity did not provide contract pharmacy oversight. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites.	Repayment to manufacturers	Public letter to manufacturers (PDF – 199 KB) Audit closure date: June 8, 2015
Sonoma County Indian Health Project, Inc.	FQHC638018	CA	No adverse findings	None	N/A Audit closure date: December 22, 2014
Southern Illinois Healthcare Foundation	CH053320	IL	No adverse findings	None	N/A Audit closure date: September 25, 2014
Spectrum Health Reed City Hospital	CAH231323-00	TX	No adverse findings	None	N/A Audit closure date: November 13, 2014
St. John Hospital & Medical Center	DSH230165	MI	Incorrect 340B database record – Registered contract pharmacies without written contract in place. Duplicate Discounts – Incomplete information in the Medicaid Exclusion file.	Repayment to manufacturers	Public letter to manufacturers (PDF – 27 KB) Audit closure date: March 15, 2016
St. Joseph Hospital of Orange	DSH050069	CA	Incorrect 340B database record – incorrect entries for billing and shipping addresses for outpatient facilities.	None	Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database (Pending) Audit closure date: October 13, 2015
St. Vincent Health Center	DSH390009	PA	Diversion – 340B drugs dispensed for prescriptions written by ineligible providers at ineligible sites. Duplicate Discounts – Entity was billing Medicaid contrary to information in the Medicaid Exclusion File.	Repayment to manufacturers	State Medicaid has since determined that duplicate discounts did not occur. Public letter to manufacturers (PDF – 76 KB) Audit closure date: March 27, 2017
St. Vincent Hospital and Health Care Center	DSH150084	IN	Incorrect 340B database record – registered contract pharmacies without a written contract in place. Duplicate Discounts – entity was billing Medicaid contrary to information in the Medicaid Exclusion File.	Repayment to manufacturers	Public letter to manufacturers (PDF – 11 KB) Audit closure date: September 27, 2016
Sunset Park Health Council, Inc.	CH0218870	NY	Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database; registered contract pharmacies without written contract in place. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File.; inaccurate or incomplete information in Medicaid Exclusion File.	Repayment to manufacturers	Public letter to manufacturers (PDF – 82 KB) Audit closure date: September 15, 2016
The New London Hospital Association, Inc.	CAH301304 -00	NH	No adverse findings	None	N/A Audit closure date: May 5, 2015
Transylvania Community Hospital dba Transylvania Regional Hospital	CAH341319-00	NC	Covered entity was purchasing orphan drugs through the 340B Drug Pricing Program contrary to its listings on the 340B database. Diversion – 340B drugs dispensed to inpatient.	Repayment to manufacturers	Public letter to manufacturers (PDF – 40 KB) Audit closure date: April 20, 2016
Tucson Medical Center	DSH030006	AZ	Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drugs dispensed at the entity and contract pharmacies for prescriptions written at ineligible sites, not supported by a medical record.	Repayment to manufacturers	Public letter to manufacturers (PDF – 15 KB) Audit closure date: August 12, 2016
UCI Medical Center	DSH050348	CA	Incorrect 340B database record – Incorrect entries for DSH percentage and shipping address.	None	Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: May 15, 2015
UCSD Medical Center	DSH050025	CA	Duplicate Discounts – Incomplete information on the Medicaid Exclusion File.	Repayment to manufacturers	Public letter to manufacturers (PDF 101 KB) Audit closure date: August 12, 2016
UCSF Medical Center	DSH50454	CA	Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. Duplicate Discounts – Inaccurate or incomplete information in Medicaid Exclusion File.	Repayment to manufacturers	Public letter to manufacturers (PDF – 19.9 KB) Audit closure date: September 15, 2016
United Community Health Center – Maria Auxiliadora, Inc.	CH093590	AZ	Incorrect 340B database record – offsite outpatient facilities were not listed on the 340B database; entity failed to remove contract pharmacies from 340B database after contract was terminated. Entity did not provide contract pharmacy oversight. Diversion – 340B drugs dispensed at contract pharmacy for prescriptions written at ineligible sites.	Repayment to manufacturers	340B Program policies and procedures revised to address oversight of contract pharmacies Public letter to manufacturers (PDF – 11.4 KB) Audit closure date: May 24, 2016
University Health System	DSH450213	TX	Incorrect 340B database record – registered contract pharmacy without a written contract in place. Diversion – 340B drugs dispensed to inpatients; 340B drugs dispensed at entity and contract pharmacies for prescriptions written at ineligible sites.	Repayment to manufacturers	Contract executed Public letter to manufacturers (PDF – 138 KB) Audit closure date: January 10, 2017.
University of California Davis Medical Center	DSH050599	CA	Incorrect 340B database record – Ineligible sites registered on the 340B database; offsite outpatient facility was not listed on the 340B database.	None	Public letter to manufacturers (PDF – 97 KB) Audit closure date: September 15, 2016
University of Chicago Medical Center	DSH140088	IL	Diversion – 340B drugs dispensed for prescriptions written at ineligible sites.	Repayment to manufacturers	Public letter to manufacturers (PDF – 11 KB) Audit closure date: August 12, 2016
University of Kentucky	DSH180067	KY	Diversion – 340B drug dispensed at contract pharmacy, not supported by medical record; 340B drugs dispensed at contract pharmacy for prescription written at ineligible site.	Repayment to manufacturers	Public letter to manufacturers (PDF – 31 KB) Audit closure date: October 15, 2015
University of Missouri Health Care	DSH260141	MO	Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database; ineligible site registered on the 340B database. Diversion – 340B drugs were not properly accumulated.	Termination of ineligible sites from 340B Program* Repayment to manufacturers	Public letter to manufacturers (PDF – 158 KB) Audit closure date: February 14, 2018
University of Texas Medical Branch	DSH450018	TX	Covered outpatient drugs obtained through a Group Purchasing Organization prior to August 9, 2013. Diversion – 340B drugs dispensed for prescriptions written at ineligible sites.	Repayment to manufacturers	Public letter to manufacturers (PDF – 89 KB) Audit closure date: January 17, 2017.
UPMC Mercy	DSH390028	PA	Incorrect 340B database record – Incorrect entries for offsite outpatient facilities addresses. Diversion – 340B drugs were not properly accumulated.	Repayment to manufacturers	Public letter to manufacturers (PDF – 24 KB) Audit closure date: April 14, 2016
Vanderbilt University Hospital and Clinic	DSH440039	TN	Duplicate Discounts – Inaccurate or incomplete information in Medicaid Exclusion File.	Repayment to manufacturers	Public letter to manufacturers (PDF – 39.2 KB) Audit closure date: October 21, 2016
West Jefferson Medical Center	DSH190039	LA	No adverse findings	None	N/A Audit closure date: July 1, 2014