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 (200) audits.
| Entity | 340B ID | State | OPA Findings | Sanction | Corrective Action Status | Entity Contact Information |
|---|---|---|---|---|---|---|
| AHRC Health Care, Inc. | CHC10579-00 | NY | No adverse findings |
None | N/A Audit closure date: September 7, 2016 |
|
| Alameda Health System | DSH050320 | CA | Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drugs were not properly accumulated. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. Duplicate Discounts – Entity did not have controls in place to prevent duplicated discounts. |
Repayment to Manufacturers | CAP implemented Audit closure date: July 14, 2017 |
Rick Kibler VP Compliance and Internal Audit |
| Alegent Health-Immanuel Medical Center d/b/a/ CHI Health Immanuel | DSH280081 | NE | No adverse findings |
None | N/A Audit closure date: September 7, 2016 |
|
| Alexandria Neighborhood Health Service Inc. | CH031060A | VA | Incorrect 340B database record – Incorrect entry for a shipping address. Diversion – 340B drug dispensed at contract pharmacy for a prescription written at ineligible site Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: June 18, 2018 |
Pharmacy Program Manager 703-535-5568 x2813 |
| Appling General Hospital | SCH110071-00 | GA | Diversion – 340B drug dispensed at entity for a prescription written at an ineligible site. Duplicate Discounts – Incorrect or incomplete billing information on the 340B Medicaid Exclusion File |
Repayment to manufacturer | CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: July 18, 2018 |
Director of Pharmacy Appling Healthcare System 163 East Tollison Street |
| Armstrong County Memorial Hospital | RRC390163-00 | PA | Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to Manufacturers | CAP approved Audit closure date: August 8, 2017 |
Manager of Budget and Reimbursement; (724) 543-8518 mcculloughi@acmh.org Or Budget and Reimbursement Analyst (724)543-8181 kingcm@acmh.org |
| Baptist Memorial Hospital- Union County | DSH250006 | MS | No adverse findings | None | N/A Audit closure date: December 7, 2016 |
|
| Baylor Scott and White Hospital - Llano | SCH450219-00 | TX | Incorrect 340B database record – Ineligible site registered on 340B database. Entity did not provide contract pharmacy oversight prior to January 2016. |
Termination of offsite outpatient facility from 340B Program | CAP implemented Audit closure date: October 10, 2016 |
|
| Benefis Hospitals, Inc. | SCH270012-00 | MT | Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. |
None | CAP implemented Audit closure date: January 3, 2017. |
|
| Blue Ridge HealthCare Hospitals, Inc. | DSH340075 | NC | 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 | CAP approved |
System Director of Pharmacy Practice 2201 South Sterling Street |
| Boone County Hospital | CAH161372-00 | IA | Diversion – 340B drugs dispensed at the entity and contract pharmacies for prescriptions written at ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: April 19, 2018 |
Director of Pharmacy (515) 433-8271 sdonald@bchmail.org |
| Boone Memorial Hospital | CAH511313-00 | WV | Diversion – 340B drug dispensed at the entity for prescription written by an ineligible provider; 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: April 19, 2018 |
Chief Financial Officer (304)-369-1230 or rfoxx@bmh.org. |
| Bronson Battle Creek Hospital | DSH230075 | MI | Diversion – 340B drugs dispensed at the entity and contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: August 15, 2017 |
340B Pharmacy Specialist Bronson Healthcare Group |
| Brooklyn Hospital Center | DSH330056 | NY | Covered outpatient drugs obtained through a Group Purchasing Organization from April 27, 2015 to January 4, 2016. Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Diversion - 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 and Entity’s contract pharmacy was billing Medicaid without notification to HRSA. |
Repayment to manufacturers | CAP implemented Audit closure date: May 19, 2017 |
Senior Vice President & Chief Financial Officer 15 Metrotech Center, 3rd Floor |
| Brookville Hospital | CAH391312-00 | PA | No adverse findings |
None | N/A Audit closure date: January 27, 2016 |
|
| Brownsville Community Development Corporation | CH021960 | NY | Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Duplicate Discounts – Entity was billing at contract pharmacies and contrary to information included in the Medicaid Exclusion File. |
Repayment to Manufacturers | CAP implemented Audit closure date: June 13, 2017 |
Controller Brownsville Multi-Service Family Health Center 408 Rockaway Avenue |
| C.W. Williams Community Health Center, Inc. | CH047770 | NC | Incorrect 340B database record - closed offsite outpatient facility listed on the 340B database Entity did not provide contract pharmacy oversight. Duplicate Discounts – Incorrect or incomplete billing information on the 340B Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: October 10, 2017 |
Chief Executive Officer (704) 391-0819 |
| Carilion Medical Center | DSH490024 | VA | Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database; ineligible sites registered on the 340B database. Diversion – 340B drug dispensed to an inpatient; 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: April 18, 2017 |
Chief Compliance and Audit Officer 213 S. Jefferson Street Suite 1201 |
| Cedars-Sinai Medical Center | DSH050625 | CA | No adverse findings | None | N/A Audit closure date: February 14, 2017 |
|
| Central Michigan Community Hospital dba McLaren Central Michigan | RRC230080-00 | MI | Diversion - 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites; 340B drugs were not properly accumulated. Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: July 18, 2018 |
Director of Pharmacy McLaren Central Michigan |
| Central North Alabama Health Services, Inc. | CH048190 | AL | Incorrect 340B database record – incorrect entry for primary contact; Registered contract pharmacy without written contract in place. Diversion - 340B drugs dispensed at entity for prescriptions written at ineligible sites. Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File |
Termination of contract pharmacy from 340B Program* Repayment to manufacturers |
CAP implemented Audit closure date: May 16, 2018 |
Compliance Officer 256-534-8659 110 Walker Avenue, Huntsville, AL 35801 |
| Children's Hospital of Los Angeles | PED053302-00 | CA | Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to Manufacturers | CAP implemented Audit closure date: May 19, 2017 |
Pharmacy Director 4650 Sunset Blvd |
| Children's Hospital of Philadelphia, The | PED393303-00 | PA | Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drug dispensed to an inpatient. |
Repayment to Manufacturers | CAP implemented Audit closure date: January 29, 2018 |
Director of Pharmacy The Children's Hospital of Philadelphia |
| Children’s Hospital | PED193300-00 | LA | No adverse findings |
None | N/A Audit closure date: January 27, 2016 |
|
| Children’s Hospital Association, The | PED063301-00 | CO | No adverse findings | None | N/A Audit closure date: |
|
| Chippewa County Montevideo Hospital | CAH241325-00 | MN | No adverse findings |
None | N/A. Audit closure date: September 8, 2016 |
|
| Chota Community Health Services | CH0442510 | TN | Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File | None | CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: June 21, 2017 |
|
| Christus Spohn Hospital Beeville | DSH450082 | TX | Incorrect 340B database record – Incorrect entry for off-site outpatient facility address; registered contract pharmacies without written contract in place prior to February 9, 2016. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: July 24, 2017 |
Pharmacy Compliance Officer CHRISTUS Spohn Hospital Region |
| Christus Spohn Hospital Corpus Christi Memorial | DSH450046 | TX | Incorrect 340B database record – Registered Contract Pharmacies without written contract in place prior to February 9, 2016. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers | CAP approved | Pharmacy Compliance Officer CHRISTUS Spohn Hospital Region |
| Citrus Health Network Inc. | CH0438180 | FL | Incorrect 340B database- Offsite outpatient facilities were not listed on the 340B database. Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File. |
None | CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: June 13, 2017 |
|
| Claxton Hepburn Medical Center | SCH330211-00 | NY | Diversion – 340B drugs dispensed at the entity and contract pharmacies for prescriptions written at ineligible sites. Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File |
Repayment to manufacturers | CAP implemented Audit closure date: May 3, 2018 |
Chief Financial Officer (315)713-5350 214 King Street; Ogdensburg, New York 13669 |
| Clinch River Health Services, Incorporated | CH031230 | VA | Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File | Repayment to manufacturers | CAP implemented Audit closure date: May 4, 2018 |
Executive Director (276) 467-7000 17633 Veterans Memorial Hwy. Dungannon, VA 24245 |
| Clinica Sierra Vista | CH090390 HV090390 |
CA | No adverse findings | None | N/A Audit closure date: January 13, 2016 |
|
| Clinicas del Camino Real, Inc. | CH09365A | CA | Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Incorrect or incomplete information in the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None | CAP implemented Audit closure date: April 4, 2017 |
|
| Columbia St. Mary’s Hospital Milwaukee, Inc. | DSH520051 | WI | Incorrect 340B database - registered contract pharmacies without written contract in place. Diversion - 340B drug dispensed at entity for prescription written at an ineligible sites. Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File |
Termination of contract pharmacy from 340B Program* Repayment to manufacturers |
CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: November 14, 2017 |
System Director of Pharmacy 414-585-1071, 2323 N. Lake Drive, Milwaukee, WI 53211 |
| Comanche County Medical Center | CAH451382-00 | TX | Incorrect 340B database record – Incorrect entry for Primary contact. Diversion – 340B drugs dispensed to inpatients. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: March 30, 2017 |
Director of Pharmacy SAbbey@comanchecmc.com |
| Community Health Center of Snohomish County | CH10228A | WA | Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drug dispensed at entity for a prescription written at an ineligible site. Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufactures | CAP implemented Audit closure date: April 19, 2018 |
Pharmacy Manager Pharmacy Lead 425-640-5491 8609 Evergreen Way Everett, WA 98208-2619 |
| Community Hospital of LaGrange County | CAH151323-00 | IN | No adverse findings | None | N/A Audit closure date: November 15, 2016 |
|
| Community Memorial Healthcare, Inc. | CAH171363-00 | KS | No adverse findings | None | N/A Audit closure date: June 1, 2016 |
|
| Comprehensive Care Center, Inc.: DBA Community Aids Network | RWII342371 | FL | No adverse findings | None | N/A Audit closure date: November 4, 2016 |
|
| Conway Medical Center | DSH420049 | SC | Diversion – 340B drugs dispensed for prescriptions written at ineligible sites. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: February 23, 2018 |
Director of Pharmacy (843) 347-8142 |
| Copley Memorial Hospital | DSH140029 | 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. |
Repayment to manufacturers | CAP implemented Audit closure date: April 24, 2017 |
Director of Pharmacy 2000 Ogden Avenue |
| Cornell Scott-Hill Health Corporation | CH010070 | CT | No adverse findings |
None | N/A |
|
| Covenant Medical Center | DSH230070 | MI | Diversion – 340B drug dispensed at a contract pharmacy for a prescription written at an ineligible site. | Repayment to manufacturer | CAP implemented Audit closure date: November 14, 2017 |
Director of Pharmacy (989) 583-4075 1447 N Harrison Saginaw, Michigan 48602 |
| Crete Area Medical Center | CAH281354-00 | NE | Diversion - 340B drugs dispensed at contract pharmacy, not supported by a medical record. | Repayment to manufacturers | CAP implemented Audit closure date: May 12, 2017 |
President and CEO Crete Area Medical Center |
| Cumberland Family Medical Center, Inc. | CH0452070 | KY | No adverse findings | None | N/A Audit closure date: November 8, 2016 |
|
| Decatur Memorial Hospital | RRC140135-00 | IL | Entity did not provide contract pharmacy oversight. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Termination of contract pharmacies from 340B Program Repayment to manufacturers |
CAP implemented Audit closure date: February 8, 2017 |
Tom West, Director Decision Supports 2300 N. Edwards |
| Down East Community Hospital | CAH201311-00 | ME | Incorrect 340B database record – Incorrect entry for offsite facility address. Diversion – 340B drug dispensed at contract pharmacy for a prescription written at an ineligible site. |
Repayment to manufacturer | CAP implemented Audit closure date: June 13, 2017 |
Chief Operating Office at 207-255-0217 or slail@hech.org or Director of pharmacy services at 207-255-0422 or vamon@dech.org |
| Earl and Lorraine Miller Children’s Hospital of Long Beach | PED053309-00 | CA | Duplicate Discounts – Entity was billing at contract pharmacies without notifying HRSA of an arrangement with contract pharmacy, the entity and the State Medicaid agency. |
Repayment to manufacturers |
CAP approved |
Executive Director, Pharmacy Services 2801 Atlantic Avenue |
| East Texas Medical Center Quitman | CAH451380-00 | TX | Diversion – 340B drug dispensed for prescription written at an ineligible site. |
Repayment to manufacturer | CAP implemented Audit closure date: March 15, 2017 |
Administrator (903) 763-6330 psswindle@etmc.org ETMC Quitman, 117 N. Winnsboro Street, Quitman, Texas 75783 |
| Eastern Maine Medical Center | DSH200033 | ME | Incorrect or incomplete information in the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. | None | CAP implemented Audit closure date: August 11, 2017 |
|
| Elica Health Centers | CHC24113-00 | CA | Incorrect 340B database record – Registered Contract Pharmacies without written contract in place. Entity did not provide contract pharmacy oversight. |
Termination of contract pharmacies from 340B Program* | CAP implemented Audit closure date: March 2, 2016 |
|
| Elmhurst Hospital Center (NYCHHC) | DSH330128 | NY | Diversion – 340B drug dispensed at contract pharmacy for prescription originating from ineligible site, not supported by medical record; Entity did not have adequate controls in place for proper accumulation and prevention of diversion. |
Repayment to manufacturers | CAP implemented Audit closure date: February 8, 2017 |
Vice President, New York City Health and Hospitals |
| Emory University Hospital Midtown | DSH110078 | GA | Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: May 12, 2017 |
Chief Operating Officer Emory University Hospital Midtown |
| Escambia County Health Department | FP36502 | AL | Incorrect 340B database record- Incorrect entry for Authorizing Official. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: June 13, 2017 |
||
| Fenway Community Health Center, Inc. | CH010600 | MA | No adverse findings | None | N/A Audit closure date: December 15, 2015 |
|
| First Choice Community Healthcare | CH060240 | NM | Incorrect 340B database record – Utilized contract pharmacies prior to registering on the 340B database. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites. |
Repayment to Manufacturers | CAP implemented Audit closure date: May 12, 2017 |
Chief Operating Officer 2001 N. Centro Familiar SW, Albuquerque, NM 87105-4592 |
| FirstHealth Moore Regional Hospital | RRC340115-00 | NC | Diversion – 340B drugs were not properly accumulated. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to Manufacturers | CAP implemented Audit closure date: February 23, 2018 |
Chief Operating Officer Administrative Director of Pharmacy |
| FoundCare, Inc. | CHC26626-00 | FL | No adverse findings | None | N/A Audit closure date: April 27, 2016 |
|
| Gaston Memorial Hospital | DSH340032 | NC | Incorrect 340B database record Pharmacy incorrectly registered as child site. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: May 22, 2017 |
Director of Pharmacy mark.chaparro@caromonthealth.org |
| Geisinger Medical Center | DSH390006 | PA | Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating at ineligible sites; 340B drug dispensed, not supported by medical record. | Repayment to manufacturers | CAP implemented Audit closure date: February 10, 2017 |
Program Director 340B Program Geisinger Medical Center |
| George County Hospital | SCH250036-00 | MS | No adverse findings |
None | N/A Audit closure date: September 7, 2016 |
|
| Golden Valley Memorial Hospital District | RRC260175-00 | MO | No adverse findings | None | N/A Audit closure date: September 26, 2016 |
|
| Grossmont Hospital | DSH050026 | CA | Incorrect 340B database record – Incorrect entry for address of offsite outpatient facility. Diversion – 340B drugs were not properly accumulated. |
Repayment to manufacturers | CAP implemented Audit closure date: May 19, 2017 |
Manager of Pharmacoeconomics 8695 Spectrum Center Blvd |
| Harborview Medical Center |
DSH500064 |
WA | No adverse findings |
None |
N/A Audit closure date: April 14, 2016 |
|
| Harlem Hospital (NYCHHC) |
DSH330240 | NY | No adverse findings |
None |
N/A Audit closure date: July 14, 2016 |
|
| Harris County Hospital District dba Harris Health System Ben Taub Hospital | DSH450289 | TX | Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. |
None | CAP implemented Audit closure date: November 22, 2016 |
|
| Hawkins County Memorial Hospital | DSH440032 | TN | No adverse findings | None | N/A Audit closure date: November 2, 2016 |
|
| Healthreach Community Health Centers | CH010460 | ME | Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: January 29, 2018 |
Chief Executive Officer Healthreach Community Health Centers |
| Ho Ola Lahui Hawaii |
CH091290 | HI | No adverse findings |
None | N/A Audit closure date: June 7, 2016 |
|
| Hospital of the University of Pennsylvania, The | DSH390111 | PA | Covered outpatient drugs obtained through a Group Purchasing Organization prior to April 21, 2016. Incorrect 340B database record - Offsite outpatient facilities were not listed on the 340B database; duplicate entry for offsite outpatient facility; Ineligible site registered on 340B database. Diversion – 340B drugs dispensed for prescriptions originating at ineligible sites; 340B drugs dispensed, not supported by medical records; 340B drugs were not properly accumulated. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: May 22, 2018 |
Controller (215) 349-8810 |
| HSHS Holy Family Hospital, Inc. (formerly Greenville Regional Hospital, Inc.) | DSH140137 | IL | Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating at ineligible sites. | Repayment to manufacturers | CAP approved | HSHS Holy Family Greenville Attn: Director of Pharmacy 200 Healthcare Drive Greenville, IL 62246 618-690-3427 Katlyn.obermark@hshs.org |
| Ingalls Memorial Hospital |
DSH140191 | IL | No adverse findings |
None | N/A Audit closure date: July 6, 2016 |
|
| Institute for Family Health, The |
CH02371C | NY | Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Duplicate Discounts – Entity was billing at contract pharmacies and contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: July 31, 2018 |
Sr. Vice President of Regulatory The Institute for Family Health 2006 Madison Ave |
| Jackson County Health Department |
TB324469 |
FL | (FP324461) Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. (TB324469, STD32446) Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: August 21, 2018 |
Director of Administration 4025 Bald Cypress Way, Bin A-20, |
| Johns Hopkins Hospital |
DSH210009 | MD | Diversion – 340B drug dispensed at contract pharmacies for prescriptions originating from ineligible site. |
Repayment to manufacturers |
CAP implemented Audit closure date: February 22, 2017 |
Assistant Director, Pharmacy 5901 Holabird Avenue, Suite A-2 |
| Kadlec Regional Medical Center | DSH500058 | WA | No adverse findings | None | N/A Audit closure date: November 23, 2016 |
|
| Kaweah Delta Health Care District | DSH050057 | CA | No adverse findings |
None | N/A Audit closure date: September 15, 2016 |
|
| Kennewick General Hospital | DSH500053 | WA | Incorrect 340B database record - Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: June 13, 2017 |
Pharmacy Director (509) 221-7351 900 S. Auburn Street |
| Kern Medical Center | DSH050315 | CA | Entity did not provide contract pharmacy oversight. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Termination of contract pharmacy from 340B Program* Repayment to manufacturers |
CAP implemented Audit closure date: April 3, 2018 |
Associate Director of Pharmacy Kern Medical (661) 326-5682 / (661) 326-2617 |
| Klamath Health Partners Inc. | CH102910 | OR | Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: May 16, 2018 |
Klamath Health Partnership, Inc. 2074 S. 6th Street Klamath Falls, OR 97601 Contact: CFO 541-851-8110 x2022 sporter@kodfp.org |
| Labette County Medical Center D/B/A Labette Health | SCH170120-00 | KS | Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: January 29, 2018 |
340B Specialist Labette County Medical Center 1902 S HWY 59 Parsons, KS 67357 (620) 421-4881 tgilmore@LabetteHealth.com |
| Legacy Salmon Creek Medical Center | DSH500150 | WA | No adverse findings | None | N/A Audit closure date: December 13, 2016 |
|
| Lester E Cox Medical Centers | DSH260040 | MO | Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: July 20, 2018 |
CoxHealth 340B Coordinator Pharmacy Department (417) 269-6231 |
| LifeLong Medical Care |
CH092880 | CA | Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Ineligible site registered on 340B database; Incorrect entry for address of a contract pharmacy. Diversion – 340B drugs dispensed for prescriptions originating from ineligible sites. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers |
Pending |
|
| Lincoln County Medical Center | CAH321306-00 | NM | Incorrect 340B database record - Offsite outpatient facilities were not listed on the 340B database. | None | CAP implemented Audit closure date: March 15, 2017 |
|
| Long Beach Memorial Medical Center | DSH050485 | CA | Incorrect 340B database record – Incorrect entry for a shipping address. Diversion – 340B drugs purchased on entities account were dispensed to patients of a separate covered entity. Duplicate Discounts – Entity was billing at contract pharmacies without notifying HRSA of an arrangement with contract pharmacy, the entity and the State Medicaid agency; Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayments to manufacturers | CAP implemented Audit closed September 19, 2018 |
Executive Director of Pharmacy (562)933-0282 2801 Atlantic Ave |
| Lucile Packard Children’s Hospital | PED053305-00 | CA | Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. | Repayments to manufacturers | CAP implemented Audit closure date: January 29, 2018 |
Pharmacy Compliance Analyst |
| Madison Health | DSH360189 | OH | Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites. |
Repayment to Manufacturers | CAP implemented Audit closure date: April 18, 2017 |
Director of Pharmacy Madison Health |
| Maimonides Medical Center | DSH330194 | NY | Diversion – 340B drugs were not properly accumulated; 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. |
Repayment to manufacturers | CAP implemented Audit closure date: June 22, 2018 |
Director of Pharmacy, V.P. Pharmaceutical Services Maimonides Medical Center Phone: (718) 283-7205 E-mail: fcassera@maimonidesmed.org |
| Maricopa Integrated Health System |
HCLA225A | AZ | Incorrect 340B database record – Incorrect entries for offsite outpatient facilities names. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: October 5, 2018 |
Director of Pharmacy Maricopa Integrated Health System |
| Marshall Medical Center | CAH441309-00 | TN | No adverse findings | None | N/A Audit closure date: January 25, 2017 |
|
| Marshall Medical Center South | DSH010005 (formerly RRC010005-00) |
AL | Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites; 340B drug dispensed, not supported by medical record. |
Repayment to manufacturers | CAP implemented Audit closure date: November 14, 2017 |
340B Coordinator 256-894-6733 Marshall Medical Centers, Finance Department, 227 Brittany Rd, Guntersville, AL 35976 |
| Mary Hitchcock Memorial Hospital |
RRC30003-00 | NH | Diversion – 340B drug dispensed at contract pharmacy for prescription originating from ineligible site, not supported by medical record. |
Repayment to manufacturers |
CAP implemented Audit closure date: May 5, 2017 |
Director of System Pharmacy Operations One Medical Center Drive |
| Mayers Hospital | CAH051305-00 | CA | Incorrect 340B database record - Registered contract pharmacy without written contract in place. Diversion-340B drugs dispensed at contract pharmacy for prescriptions originating from ineligible sites. Incorrect or incomplete information in the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
Termination of contract pharmacies from the 340B Program* Repayment to manufacturers |
CAP implemented Audit closure date: July 19, 2017 |
Chief Clinical Officer (530) 336-5511 x1153 kearnest@mayersmemorial.com |
| Meade District Hospital |
CAH171321-00 | KS | No adverse findings |
None |
N/A Audit closure date: May 17, 2016 |
|
| Memorial Hermann Northeast Hospital | DSH450684 | TX | No adverse findings | None | N/A Audit closure date: July 18, 2016 |
|
| Memorial Hospital at Gulfport |
DSH250019 | MS | Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: September 27, 2016 |
Manager, Outpatient Pharmacy Services 4500 13th Street |
| Mercy Catholic Medical Center | DSH390156 | PA | Entity did not provide contract pharmacy oversight. Diversion-340B drugs dispensed at contract pharmacy for prescriptions originating from ineligible sites. |
Termination of contract pharmacies from 340B Program. Repayment to manufacturers. |
CAP implemented Audit closure date: October 10, 2017 |
340B Program Manager (610) 237-4062 Mercy Fitzgerald Hospital Pharmacy Department 1500 Lansdowne Avenue Darby, Pennsylvania 19023 |
| Mercy Medical Center Merced |
DSH050444 | CA | Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. |
None | CAP implemented Audit closure date: March 8, 2017 |
|
| Methodist Dallas Medical Center | DSH450051 | TX | Incorrect 340B database record – Incorrect entry for Primary contact. Diversion – 340B drug dispensed to an inpatient; 340B drug dispensed, not supported by a medical record. |
Repayment to manufacturers | CAP implemented Audit closure date: May 8, 2017 |
Jon Albrecht jonalbrecht@mhd.com |
| Methodist Healthcare – Memphis Hospitals | DSH440049 | TN | Diversion –340B drugs dispensed at the entity and contract pharmacies for prescriptions written at ineligible sites | Repayment to manufacturers | CAP implemented Audit closure date: May 22, 2018 |
340B Program Manager Methodist Le Bonheur Healthcare |
| MetroHealth Medical Center | DSH360059 | OH | Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturer | CAP implemented Audit closure date: February 14, 2017 |
Mario Pisano, Pharm.D., 2500 MetroHealth Dr. |
| Mission Hospitals Inc | DSH340002 | NC | Diversion – 340B drugs dispensed at the entity and contract pharmacies for prescriptions written at ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: April 3, 2018 |
340B Program Pharmacy Specialist alan.knudsen@msj.org Mission Health System 509 Biltmore Avenue Asheville, North Carolina 28801 |
| Nassau Health Care Corporation | DSH330027 | NY | Covered outpatient drugs obtained through a Group Purchasing Organization prior to January 4, 2016. Incorrect 340B database – Offsite outpatient facility was not listed on 340B database. Diversion – 340B drug dispensed at contract pharmacy for prescription originating from ineligible site. Inaccurate or incomplete information in the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
Repayment to manufacturer | CAP implemented Audit closure date: January 28, 2019 |
Director of Pharmacy 2201 Hempstead Turnpike |
| Natchitoches Regional Medical Center | SCH190007-00 | LA | No adverse findings | None | N/A Audit closure date: July 18, 2016 |
|
| National Jewish Medical and Research Center | DSH060107 BL80206X |
CO | Incorrect 340B database record – Registered contract pharmacy without written contract in place. |
Termination of contract pharmacy from the 340B Program* | CAP implemented Audit closure date: April 6, 2016 |
|
| Nebraska Medical Center, The | DSH280013 | NE | Diversion – 340B drugs dispensed at the entity and contract pharmacies for prescriptions originating from ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: August 28, 2018 |
Business Director, Pharmacy 988138 Nebraska Medical Center |
| New York Methodist Hospital | DSH330236 | NY | Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites; 340B drugs dispensed to inpatients. |
Repayment to manufacturers | CAP implemented Audit closure date: May 22, 2017 |
Chief of Pharmacy |
| Newark Community Health Centers, Inc. | CH020500 | NJ | No adverse findings | None | N/A Audit closure date: June 7, 2016 |
|
| North Carolina Baptist Hospital | DSH340047 | NC | Diversion – 340B drug dispensed for prescription originating from ineligible site, not supported by a medical record. |
Repayment to manufacturers | CAP approved |
Pharmacy Manager – Medication Control and Compliance Wake Forest Baptist Hospital |
| North Shore Medical Center | DSH220035 | MA | Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: March 8, 2017 |
|
| Northbay Healthcare Group | DSH050367 | CA | No adverse findings | None | N/A Audit closure date: April 21, 2016 |
|
| Northeast Community Action Corp | FP63334 | MO | No adverse findings |
None | N/A Audit closure date: September 7, 2016 |
|
| Northern Inyo Hospital | CAH051324-00 | CA | Diversion - 340B drugs dispensed at contract pharmacy, not supported by a medical record. |
Repayment to Manufacturers | CAP implemented Audit closeout date: August 14, 2017 |
340B Informatics Pharmacist 150 Pioneer Lane |
| Northridge Hospital Medical Center | DSH050116 | CA | Covered outpatient drugs obtained through a Group Purchasing Organization prior to April 11, 2016. Diversion – 340B drug not supported by a medical record. |
Repayment to manufacturers | CAP implemented Audit closure date: February 23, 2018 |
Director of Pharmacy (818) 885-8500 ext 2606 |
| Northside Hospital, Inc. | DSH110161 | GA | Diversion – 340B drug for a prescription written at an ineligible site. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturer | CAP implemented Audit closure date: February 22, 2017 |
340B Coordinator, Pharmacist, Pharmacy Systems Manager 1000 Johnson Ferry Road |
| Obleness Memorial Hospital | DSH360014 | OH | No adverse findings | None | N/A Audit closure date: March 7, 2017 |
|
| Ochsner Clinic Foundation | DSH190036 | LA | No adverse findings | None | N/A Audit closure date: |
|
| Olean General Hospital | RRC330103-00 | NY | Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: April 3, 2018 |
Senior Vice President Finance and Chief Financial Officer (716) 375-6190 rbraun@uahs.org |
| OneWorld Community Health Centers, Inc. | CH076290 | NE | No adverse findings | None | N/A Audit closure date: May 13, 2016 |
|
| OSF Holy Family Medical Center | CAH141318-00 | IL | Diversion – 340B drugs were not properly accumulated. | Repayment to manufacturers | CAP implemented Audit closure date: October 3, 2017 |
340B Drug Program Manager Josh.r.mccarroll@osfhealthcare.org (309) 308-3295 |
| Ozarks Medical Center | DSH260078 | MO | Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: August 9, 2018 |
Director of Pharmacy (417)257-5837 sherrie.lane@ozarksmedicalcenter.com |
| PeaceHealth St. John Medical Center | DSH500041 | WA | No adverse findings | None | N/A Audit closure date: October 20, 2016 |
|
| Penobscot Bay Medical Center | DSH200063 | ME | Diversion – 340B drug dispensed to inpatient; 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites, not supported by a medical record; Entity did not have adequate controls in place for proper accumulation and prevention of diversion. |
Repayment to manufacturers | CAP approved |
Director of Operational Excellence |
| Planned Parenthood Mohawk Hudson | FP135021 | NY | No adverse findings | None | N/A Audit closure date: December 7, 2015 |
|
| Positive Impact Health Centers, Inc. | HV00799 | GA | No adverse findings | None | N/A Audit closure date: December 15, 2015 |
|
| Presbyterian Medical Services, Inc. | CH063450 | NM | Duplicate Discounts - Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: July 18, 2018 |
Director of Pharmacy and Laboratory Services 1422 Paseo de Peralta 505-820-3491 |
| Princeton Community Hospital | DSH510046 | WV | Diversion – 340B drugs dispensed at contract pharmacy for prescriptions originating at ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: January 3, 2017 |
Director of Pharmacy: sdrady@pchonline.org |
| Providence Health and Services - Washington | DSH500014 | WA | Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Diversion - 340B drugs dispensed to inpatients; 340B drugs dispensed for prescriptions originating from ineligible sites. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to Manufacturers | CAP approved Audit closure date: August 8, 2017 |
Regional 340B Program Manager 101 W. 8th Ave |
| River Valley Primary Care Services | CH061202A | AR | Incorrect 340B database record – Registered Contract Pharmacies without written contract in place prior to December 11, 2015. Diversion – 340B drug dispensed at a contract pharmacy for a prescription written at an ineligible site. |
Repayment to manufacturer | CAP implemented Audit closure date: March 1, 2017 |
340B Coordinator/Admin Manager 9755 West State Highway 22 |
| Riverside County Regional Medical Center | DSH050292 | CA | Incorrect 340B database record – Incorrect entry for off-site outpatient facility’s name. Diversions – 340B drugs were not properly accumulated. |
Repayment to manufacturers | CAP approved |
Director of Pharmacy Services Riverside University Health System |
| Riverside Medical Center | CAH191313-00 | LA | No adverse findings | None | N/A Audit closure date:January 21, 2016 |
|
| Robeson Health Care Corp | CH049000 | NC | Diversion – 340B drug dispensed at a contract pharmacy for a prescription written at an ineligible site. Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: October 30, 2018 |
Director of Pharmacy Services (910) 674-3174 402 N.Pine StreetLumberton, NC 28358 |
| Rush Foundation Hospital | DSH250069 | MS | No adverse findings | None | N/A Audit closure date: November 1, 2016 |
|
| Sacred Heart Health System | DSH100025 | FL | No adverse findings | None | N/A Audit closure date: August 24, 2016 |
|
| Saint Francis Hospital and Medical Center | DSH070002 | CT | Incorrect 340B database - Offsite outpatient facilities were not listed on the 340B database. Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File. |
None | CAP implemented State Medicaid has since determined that duplicate discounts did not occur as a result of this finding. Audit closure date: April 3, 2018 |
Pharmacy Director Interim VP Integrity & Compliance |
| Saint Francis Medical Center | DSH140067 | IL | Diversion – 340B drugs dispensed to inpatients, 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. |
Repayment to manufacturers | CAP implemented Audit closure date: March 30, 2017 |
Josh McCarroll 800 N. E. Glen Oak Avenue |
| Saint Mary's Health Care | DSH230059 | MI | Diversion - 340B drugs dispensed at contract pharmacy, not supported by a medical record. Diversion – Entity did not have adequate controls in place for proper accumulation and prevention of diversion. |
Repayment to manufacturers | CAP approved |
Director of Pharmacy Services Mercy Health Saint Mary's |
| Saint Peter’s University Hospital | DSH310070 | NJ | Covered outpatient drugs obtained through a Group Purchasing Organization prior to February 23, 2016. Diversion – 340B drugs were not properly accumulated. Diversion – 340B drug dispensed to an inpatient; 340B drugs dispensed at the entity and contract pharmacies for prescriptions originating from ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: April 3, 2018 |
Chief Financial Officer 254 Easton Avenue |
| Samaritan Pacific Health Systems, Inc. DBA Samaritan Pacific Community Hospital | CAH381314-00 | OR | No adverse findings | None | N/A Audit closure date: November 4, 2016 |
|
| Sanford Bemidji Medical Center | DSH240100 | MN | Diversion - 340B drug dispensed to an inpatient; 340B drug dispensed at contract pharmacy, not supported by medical record | Repayment to manufacturers | CAP implemented Audit closure date: April 18, 2017 |
Director of Pharmacy (218) 333-5543 karla.eischens@sanfordhealth.org 1300 Anne Street NW Bemidji, Minnesota 56601 |
| Sanford Medical Center Fargo | RRC350011-00 | ND | No adverse findings |
None | N/A Audit closure date: September 7, 2016 |
|
| Sanford USD Medical Center | DSH430027 | SD | Incorrect 340B database record – Incorrect entry for grant number prior to December 21, 2015. |
None | CAP implemented Audit closure date: April 6, 2016 |
|
| Scripps Mercy Hospital | DSH050077 | CA | Incorrect 340B database record ineligible sites registered on the 340B database prior to April 1, 2016. Diversion –340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites; Diversion – 340B drugs were not properly accumulated. |
Repayment to manufacturers | CAP implemented Audit closure date: March 8, 2017 |
340B Program Director |
| Seton Edgar. B. Davis Hospital | CAH451371-00 | TX | Incorrect 340B database record – closed offsite outpatient facility listed on the 340B database; incomplete address listing for an offsite outpatient facility. Incorrect or incomplete information in the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None | Pending | |
| Sharp County Health Unit | FP725131 STD722054 TB722057 |
AR | No adverse findings | None | N/A Audit closure date: January 6, 2016 |
|
| Sharp Memorial Hospital | DSH050100 | CA | Incorrect 340B database record Duplicate entry for offsite outpatient facility. Diversion 340B drugs dispensed at the entity and contract pharmacies for prescriptions originating at ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: May 8, 2017 |
Manager of Pharmacoeconomics 8695 Spectrum Center Blvd |
| Sinai Hospital of Baltimore | DSH210012 | MD | Diversion - 340B drug dispensed to an inpatient; 340B drugs dispensed at the entity and contract pharmacies for prescriptions originating at ineligible sites. Incorrect or incomplete information in the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
Repayment to manufacturers | CAP implemented Audit closure date: May 8, 2017 |
Executive Director of Outpatient Pharmacy 5401 Old Court Rd. |
| Singing River Health System | DSH250040 | MS | Diversion 340B drugs dispensed at the entity and contract pharmacies for prescriptions originating at ineligible sites; 340B drugs dispensed, not supported by medical records. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: April 10, 2017 |
Administrator of Ancillary Services |
| Sisters of Charity | DSH330078 | NY | Covered outpatient drugs obtained through a Group Purchasing Organization prior to October 19, 2016. Diversion – 340B drugs dispensed to inpatients; 340B drugs dispensed at contract pharmacies for prescriptions originating at ineligible sites. Inaccurate or incomplete information in the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
Repayment to manufacturers | CAP implemented Audit closure date: December 11, 2018 |
Sisters of Charity Hospital c/o Catholic Health System 340B Program Business Manager Administrative Regional Training Center- 4th Floor West144 Genesee Street Buffalo, New York 14203 (716) 923-2920 |
| SMDC Medical Center | DSH240019 | MN | No adverse findings | None | N/A Audit closure date: April 24, 2017 |
|
| South Georgia Medical Center | DSH110122 | GA | Diversion – 340B drugs were not properly accumulated. | Repayment to manufacturers | CAP approved | Director of Pharmacy South GA Medical Center |
| Southwest Georgia Health Care, Inc. | CH043340 | GA | No adverse findings | None | N/A Audit closure date: October 4, 2016 |
|
| Spartanburg Medical Center | DSH420007 | SC | Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: September 11, 2018 |
Manager SRHS Pharmacy Business Operations Spartanburg Medical Center |
| SSM St. Anthony Hospital | DSH370037 | OK | Incorrect 340B database record – incorrect entry for shipping address. Diversion – 340B drugs dispensed to inpatients; 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites. |
Repayment to Manufacturers | CAP implemented Audit closure date: October 13, 2016 |
System Vice President Finance – Oklahoma 1000 N. Lee Street PO Box205 Oklahoma City, OK 73101 405.272.7279 |
| St. Bernardine Medical Center | DSH050129 | CA | Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: October 10, 2017 |
Director of Pharmacy (909) 881-4473 |
| St. Claire Medical Center, Inc. | DSH180018 | KY | Incorrect or incomplete information in the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. | None | CAP implemented Audit closure date: February 23, 2018 |
|
| St. Francis Memorial Hospital | CAH281322-00 | NE | Entity did not provide contract pharmacy oversight prior to November 2016. | None | Pending | |
| St. Johns Riverside Hospital | DSH330208 | NY | Covered outpatient drugs obtained through a Group Purchasing Organization prior to November 16, 2015. Diversion – 340B drugs were not properly accumulated. Diversion – 340B drugs dispensed to inpatients. |
Repayment to manufacturers | CAP implemented Audit closure date: February 22, 2017 |
Janine O’Donnell 967 N. Broadway |
| St. Joseph’s Health Services, Inc. dba St. Joseph’s Health Services-Gundersen Lutheran | CAH521304-00 | WI | No adverse findings | None | N/A Audit closure date: January 6, 2016 |
|
| St. Joseph’s Medical Center | DSH050084 | CA | Incorrect 340B database record – Registered contract pharmacies without written contracts in place. |
Termination of contract pharmacies from the 340B Program* | CAP implemented Audit closure date: February 8, 2017 |
|
| St. Vincent Charity Medical Center | DSH360037 | OH | Incorrect 340B database record – Registered Contract Pharmacies without written contract in place. Diversion 340B drugs dispensed at the entity and contract pharmacies for prescriptions originating at ineligible sites. |
Termination of contract pharmacies from the 340B Program* Repayment to manufacturers |
CAP implemented Audit closure date: October 3, 2017 |
Chief Financial Officer 2351 East 22nd Street |
| Sterling Area Health Center | CH052250 | MI | Duplicate Discounts - Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File | Repayment to manufacturers | CAP implemented Audit closure date: November 2, 2017 |
Patient Assistant Coordinator 725 East State Street |
| Stillwater Medical Center Authority |
SCH370049-00 | OK | No adverse findings |
None |
N/A Audit closure date: April 20, 2016 |
|
| Stormont-Vail Healthcare Inc. | DSH170086 | KS | No adverse findings | None | N/A Audit closure date: |
|
| Summersville Memorial Hospital | DSH510082 | WV | Covered outpatient drugs obtained through a Group Purchasing Organization prior to April 4, 2016. Offsite outpatient facility failed to maintain auditable records. Incorrect 340B database records – Offsite outpatient facilities were not listed on the 340B database; incorrect listing for Authorizing Official Diversion- 340B drugs dispensed to inpatients; 340B drugs dispensed at the entity and contract pharmacies for prescriptions originating from ineligible sites. Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File. |
Termination of covered entity from the 340B Program* Repayment to manufacturers |
CAP implemented Audit closure date: January 3, 2018 |
|
| Summit Healthcare Association DBA Summit Healthcare Regional Medical Center |
DSH030062 | AZ | No adverse findings |
None |
N/A Audit closure date: April 1, 2016 |
|
| Sun Life Family Health Center, Inc. | CH090030 | AZ | Incorrect 340B database record – Incorrect listing for shipping addresses; and inaccurate entries for names of offsite facilities. Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File |
Repayment to manufacturers | CAP implemented Audit closure date: September 12, 2018 |
Director of Pharmacy CEO 865 N. Arizola Rd. |
| Sutter Medical Center Sacramento | DSH050108 | CA | Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database; closed offsite outpatient facility listed on the 340B database; pharmacy incorrectly registered as a child site. |
None | CAP implemented Audit closure date: July 15, 2016 |
|
| Sutton County Hospital District | CAH451324-00 | TX | Diversion – 340B drugs dispensed at contract pharmacy for prescription originating from ineligible site. Incorrect or incomplete information in the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
Repayment to manufacturers | CAP implemented Audit closure date: May 3, 2018 |
Director of Pharmacy Services 325-387-1220 |
| Tacoma General/ Allenmore Hospital | DSH500129 | WA | Diversion – 340B drugs dispensed at the covered entity for prescriptions originating from ineligible sites | Repayment to manufacturers | CAP implemented Audit closure date: January 10, 2018 |
Pharmacy Purchasing Manager (253) 403-2082 vafa.aflatooni@multicare.org PO Box 5299, Mailstop 315-C2-RX, 315 Martin Luther King Jr Way, Tacoma, WA, 98415-0299 |
| Thayer County Memorial Hospital dba Thayer County Health Services | CAH281304-00 | NE | No adverse findings |
None | N/A. Audit closure date: September 7, 2016 |
|
| The Cooper Health System dba Cooper University Hospital | DSH310014 | NJ | Incorrect 340B database record – Incorrect entry for DSH percentage | None | CAP implemented Audit closure date: April 19, 2018 |
|
| Touro Infirmary | DSH190046 | LA | Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: May 5, 2017 |
340B Program Coordinator; Touro Infirmary 1401 Foucher St. |
| Tuality Healthcare | DSH380021 | OR | Covered outpatient drugs obtained through a Group Purchasing Organization from August 7, 2013 to July 30, 2016. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: August 21, 2018 |
Director of Pharmacy 503-681-1041 Kevin.declercque@tuality.org |
| Uintah Basin Medical Center | SCH460019-00 | UT | No adverse findings | None | N/A Audit closure date: June 14, 2016 |
|
| Umpqua Community Health Center, Inc. | CH103100 | OR | Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File. State Medicaid has since determined that duplicate discounts did not occur as a result of this finding. Duplicate Discounts - Entity was billing at contract pharmacies and contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers. | CAP implemented Audit closure date: June 13, 2017 |
Chief Compliance Officer 150 Kenneth Ford Drive |
| Unconditional Love, Inc. | HV32935 | FL | No adverse findings |
None | N/A Audit closure date: September 23, 2016 |
|
| United Hospital | DSH240038 | MN | Diversion – 340B drug dispensed at contract pharmacy for prescription originating from ineligible site. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: May 19, 2017 |
Pharmacy Portfolio Manager 2925 Chicago Avenue |
| University Hospital | DSH110028 | GA | Diversion - 340B drugs dispensed at the entity for prescriptions originating at ineligible sites. | Repayment to manufacturers | CAP approved | Director of Pharmacy University Hospital (706) 774-2718 |
| University Hospital | DSH330241 | NY | Diversion – 340B drug dispensed to an inpatient. | Repayment to manufacturers | CAP implemented Audit closure date: February 23, 2018 |
340B Program Coordinator (315) 464-4212 750 E. Adams St. Pharmacy Department, 3rd Floor Syracuse, NY 13114 |
| University Hospitals and Clinics | DSH250001 | MS | Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database; Registered contract pharmacy without written contract in place. Diversion – 340B drugs dispensed at the entity and at contract pharmacies for prescriptions originating from ineligible sites. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Termination of contract pharmacy from 340B Program* Repayment to manufacturers |
CAP implemented Audit closure date: November 2, 2017 |
Chief Integrity and Compliance Officer University of Mississippi Medical Center |
| University Medical Center Management Corporation d/b/a University Medical Center New Orleans | DSH190005 | LA | Diversion – 340B drug dispensed to an inpatient. | Repayment to manufacturer | CAP implemented Audit closure date: May 18, 2017 |
Pharmacy Director 2000 Canal Street |
| University of Illinois Hospital | DSH140150 | IL | No adverse findings | None | N/A Audit closure date: May 20, 2016 |
|
| University of Iowa Hospitals & Clinics | DSH160058 | IA | Incorrect 340B database record – Offsite outpatient facility was not listed on the 340B database; Incorrect entry for grant number. |
None | CAP implemented Audit closure date: September 27, 2016 |
|
| University of Maryland Medical Center | DSH210002 | MD | Diversion – 340B drugs dispensed to inpatients. | Repayment to manufacturers | CAP implemented Audit closure date: September 15, 2016 |
Senior Director of Pharmacy 29 S. Greene St. |
| University of Minnesota Medical Center | DSH240080 | MN | Incorrect 340B database record – Incorrect entry for offsite facility address. |
None | CAP implemented Audit closure date: February 22, 2017 |
|
| University of Tennessee Medical Center | DSH440015 | TN | Diversion – 340B drug dispensed to an inpatient; 340B drug dispensed at the entity for a prescription originating from ineligible site. | Repayment to manufacturers | CAP implemented Audit closure date: May 12, 2017 |
340B Pharmacist (865) 305-8174 vshelton@utmck.edu |
| University of Utah Hospital | DSH460009 | UT | No adverse findings |
None |
N/A Audit closure date: March 29, 2016 |
|
| University of Washington Medical Center | DSH500008 | WA | No adverse findings | None | N/A Audit closure date: September 27, 2016 |
|
| Valley Health Systems | CH030880 | WV | Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites |
Repayment to manufacturers | CAP implemented Audit closure date: August 14, 2018 |
Associate CFP (304) 525-3334 (ext. 5110) |
| VNA Health Care | CH0526100 | IL | Incorrect 340B database record – Registered contract pharmacy without written contract in place. Diversion – 340B drug dispensed at the entity for a prescription originating from ineligible site. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Termination of contract pharmacies from the 340B Program* Repayment to manufacturers |
CAP approved State Medicaid has since determined that duplicate discounts did not occur |
Vice President of Specialty Care and Wellness Services 400 N. Highland Avenue |
| Webster County Health Department | FP397443 | MS | No adverse findings. | None | N/A Audit closure date: November 15, 2016 |
|
| West Penn Hospital | DSH390090 | PA | Incorrect 340B database record - Offsite outpatient facility was not listed on the 340B database. Diversion – 340B drug dispensed at a contract pharmacy for a prescription originating from ineligible site. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to Manufacturers | CAP approved Audit closure date: August 8, 2017 |
Director, Outpatient Pharmacy Services: 412-578-4050 or Jdavis@wpahs.org |
| Westside Family Healthcare, Inc. | CH032960 | DE | No adverse findings | None | N/A Audit closure date: October 4, 2016 |
|
| Winter Haven Hospital | DSH100052 | FL | Incorrect 340B database record – Duplicate listing of a facility on the 340B database. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP approved |
Manager of BayCare Pharmacy Supply Chain Winter Haven Hospital |
| WomenCare, Inc. | CH038440 | WV | No adverse findings | None | N/A Audit closure date: November 8, 2016 |
|
| Woodland Memorial Hospital | DSH050127 | CA | Incorrect 340B database record - Offsite outpatient facility was not listed on the 340B database. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufactures | CAP implemented Audit closure date: May 16, 2018 |
Director of Pharmacy 1325 Cottonwood St. Woodland, CA 95695 530-669-5506 |
| Yale New Haven Hospital | DSH070022 | CT | No adverse findings | None | N/A Audit closure date: |
* Note: Covered entity self-terminated cited facilities prior to termination of facilities by OPA.
