Updated 1/15/21. 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 199 audits.
| Entity | 340B ID | State | OPA Findings | Sanction | Corrective Action Status | Entity Contact Information |
|---|---|---|---|---|---|---|
| Access Community Health Network | CH051750 | IL | Incorrect 340B database record – Entity’s written contract pharmacy agreement listed information inconsistent with the 340B database record. 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: April 5, 2018 |
Program Manager for 340B 600 W. Fulton, 2nd Floor, Chicago, IL 60661 (312) 526-2107 |
| Access Community Health Network | FP60101 | IL | No adverse findings | None | N/A Audit closure date: October 23, 2017 |
|
| Addabbo Joseph Family Health Center, The | CH022110 | NY | Incorrect 340B database record – Incorrect entry for Primary Contact; Entity’s written contract pharmacy agreement listed information inconsistent with the 340B database record. Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: April 13, 2018 |
Chief Financial Officer 6200 Beach Channel Drive Arverne, NY 11692 (718) 945-7150 x1311 |
| Adelante Healthcare, Inc. | CH093030 | AZ | Incorrect 340B database record - Offsite outpatient facilities were not listed on the 340B database; Duplicate registrations of contract pharmacies on database; Registered contract pharmacy without written contract in place. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Termination of contract pharmacy from the 340B Program Repayment to manufacturers |
CAP implemented Audit closure date: November 8, 2018 |
340B Program Coordinator |
| Advocate Christ Medical Center | DSH140208 | IL | No adverse findings | None | N/A Audit closure date: June 21, 2017 |
|
| Advocate North Side Health Network | DSH140182 | IL | No adverse findings | None | N/A Audit closure date: June 28, 2017 |
|
| Allen County Hospital | CAH171373-00 | KS | Incorrect 340B database record - Offsite outpatient facilities were not listed on the 340B database. Diversion - 340B drug dispensed at a contract pharmacy to a patient at entity without a documented provider to patient relationship. |
Repayment to manufacturer | CAP implemented Audit closure date: November 7, 2018 |
Comptroller |
| Amery Regional Medical Center | CAH521308-00 | WI | Incorrect 340B database record - Offsite outpatient facilities were not listed on the 340B database. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: January 25, 2019 |
Director of Pharmacy |
| Appalachian Regional Healthcare dba Morgan County ARH Hospital | CAH181307-00 | KY | No adverse findings | None | N/A Audit closure date: July 25, 2017 |
|
| Aspirus Iron River Hospital and Clinics | CAH231318-00 | MI | Incorrect 340B database record - Offsite outpatient facility was not listed on the 340B database. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File |
Repayment to manufactures | CAP implemented Audit closure date: November 15, 2018 |
Chief Financial Officer 340B Authorizing Official Aspirus Iron River Hospital and Clinics 1400 West Ice Lake Road Iron River, Michigan 49935 (906) 265-0436 Glenn.Dobson@Aspirus.org |
| Aspirus Medford Hospital and Clinics, Inc. | CAH521324-00 | WI | No adverse findings | None | N/A Audit closure date: August 22, 2017 |
|
| AU Medical Center, Inc. | DSH110034 | GA | Entity’s written contract pharmacy agreement listed information inconsistent with the 340B database record. Diversion – 340B drugs were not properly accumulated. |
Repayment to manufacturers | CAP implemented Audit closure date: December 18, 2018 |
340B Program Manager AU Medical Center, Inc. 1120 15th Street, BI-2101 Augusta, GA 30912 (706) 721-0082 |
| Avera St. Benedict Health Center | CAH431330-00 | SD | No adverse findings | None | N/A Audit closure date: September 7, 2017 |
|
| Baptist Health Corbin | DSH180080 | KY | Diversion – 340B drug dispensed to a patient at entity for a prescription written at an ineligible site | Repayment to manufacturer | CAP implemented Audit closure date: December 4, 2018 |
340B Program Manager Baptist Health System Services 2701 Eastpoint Parkway Louisville, KY 40223 (502) 253-4746 quanika.penny@bhsi.com |
| Baptist Health Lagrange | DSH180138 | KY | No adverse findings | None | N/A Audit closure date: October 19, 2017 |
|
| Baptist Health Lexington | DSH180103 |
KY |
Diversion – 340B drugs dispensed to inpatients; 340B drug dispensed at entity for prescriptions written at an ineligible site. |
Repayment to manufacturers |
CAP implemented Audit closure date: August 28, 2018 |
340B Program Manager |
| Baptist Health Medical Center - Arkadelphia | CAH041321-00 | AR | Diversion - 340B drugs dispensed at contract pharmacy for prescriptions written at ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: August 2, 2018 |
Senior Reimbursement Specialist |
| Baptist Hospital of Miami, Inc. | DSH100008 | FL | Covered outpatient drugs obtained through a Group Purchasing Organization prior to March 17, 2017 Diversion - 340B drugs dispensed at entity for prescriptions written at an 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: February 15, 2019 |
Director, Supply Chain Quality Assurance 9001 NW 33 Street Doral, FL 33172 786-595-9023 haleyf@baptisthealth.net |
| Bayhealth Medical Center Inc. | DSH080004 | DE | Incorrect 340B database record – ineligible site registered on 340B database. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at an ineligible sites. |
Termination of ineligible offsite outpatient facilities from the 340B Program* Repayment to manufacturers |
CAP implemented Audit closure date: May 22, 2018 |
Pharmacy Business Manager |
| Baylor University Medical Center | DSH450021 | TX | Entity did not meet eligibility requirements as a DSH hospital as of November 29, 2016. Incorrect 340B database record - Offsite outpatient facilities were not listed on the 340B database; incorrect entry for Primary Contact. Diversion – 340B drugs dispensed to patients at entity without a documented provider to patient relationship. |
Termination of covered entity from the 340B Program* Repayment to manufacturers |
CAP implemented Audit closure date: September 19, 2018 |
Pharmacy Director |
| Belmond Community Hospital | CAH161301-00 | IA | Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at an ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: December 21, 2018 |
Pharmacy Leader 1316 S. Main Street Clarion, IA 50525 (515) 532-9199 |
| Berkshire Medical Center | DSH220046 | MA | 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: August 21, 2018 |
340B Coordinator |
| Bethesda Hospital | DSH100002 |
FL |
Diversion – 340B drug dispensed to a patient at entity for a prescription written at an ineligible site; 340B drug dispensed without a documented provider to patient relationship. |
Repayment to manufacturer |
CAP implemented Audit closure date: August 15, 2018 |
Director of Pharmacy 2815 South Seacrest Blvd. Boynton Beach, FL 33435 (561)737-7733 ext. 84584 |
| Blue Hill Memorial Hospital | CAH201300-00 |
ME |
No adverse findings |
None |
N/A Audit closure date: August 29, 2017 |
|
| Boa Vida Hospital of Aberdeen, MS, LLC D/B/A Monroe Regional Hospital formerly: Pioneer Health Services of Monroe County, Inc. dba Pioneer Community Hospital | CAH251302-00 | MS | Incorrect 340B database record – Failed to remove closed location registration; incorrect entry for primary contact information. Diversion – 340B drugs dispensed at contract pharmacy for prescriptions written at ineligible sites; 340B drugs dispensed at contract pharmacy for prescriptions written by an ineligible provider. |
Repayment to manufacturers | CAP implemented Audit closure date: April 10, 2019 |
Director of Pharmacy 400 Chestnut St. Aberdeen, MS 39730 (662) 369-2455 |
| Bon Secours Richmond Community Hospital | DSH490094 | VA | Entity’s written contract pharmacy agreement listed information inconsistent with the 340B database record. Diversion - 340B drug dispensed at contract pharmacy for a prescription written at ineligible sites. |
Repayment to manufacturer | CAP implemented Audit closure date: February 28, 2019 |
340B Program Manager 1500 N. 28th Street Richmond, Virginia 23223 (804) 221-4837 |
| Boyle County Health Department | FP404228 |
KY |
No adverse findings |
None |
N/A Audit closure date: April 20, 2017 |
|
| BRFHH Monroe LLC d/b/a University Health Conway | DSH190011 | LA | Diversion – 340B drugs were not properly accumulated. |
Repayment to manufacturers | CAP implemented Audit closure date: July 24, 2018 |
Director of Pharmacy |
| Care Resource Community Health Centers, Inc. (formerly Community AIDS Resource) | CHC11399-00 | FL | Incorrect 340B database record – Incorrect entries for Authorizing Official and Primary Contact; Incorrect entry for offsite outpatient facility address. Diversion - 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites |
Repayment to manufacturers | CAP approved | Director of Grants, Contract and Pharmacy Services |
| Carolinas HealthCare System University | DSH340166 | NC | No adverse findings | None | N/A Audit closure date: September 12, 2017 |
|
| Carolinas Medical Center | DSH340113 | NC | No adverse findings | None | N/A Audit closure date: September 11, 2017 |
|
| Central Counties Health Centers, Inc. | CH059700 | IL | No adverse findings | None | N/A Audit closure date: June 23, 2017 |
Q2 |
| Central Mississippi Civic Improvement Association, Inc. | CH040750 | MS | 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 24, 2018 |
|
| Chapa-De Indian Health Program Inc. | FQHC638002 | CA | 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: April 5, 2018 |
Primary Contact for 340B Chapa-De Indian Health Program 11670 Atwood Road Auburn, CA 95603 (530) 887-2800 rsingh@chapa-de.org |
| Charleston Area Medical Center | DSH510022 |
WV |
No adverse findings |
None |
N/A Audit closure date: March 13, 2017 |
|
| Children's Medical Center Dallas | PED453302-00 | TX | Incorrect 340B database record – Incorrect entry for offsite facility address. 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: September 24, 2018 |
Director Business Operations, Pharmacy Services 1935 Medical District Drive Dallas, Texas 75235 (214) 456-7437 |
| Children’s Hospital Boston | PED223302-00 | MA | Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: March 5, 2019 |
Chief Pharmacy Officer |
| Children’s Hospital of San Antonio | PED453315-00 |
TX |
No adverse findings |
None |
N/A Audit closure date: August 29, 2017 |
|
| Children’s Hospital Orange County | PED053304-00 |
CA |
Diversion – 340B drugs dispensed at entity for prescriptions written at an ineligible site |
Repayment to manufacturers |
CAP implemented Audit closure date: August 7, 2018 |
340B Compliance Analyst |
| Chinese Hospital | DSH050407 | CA | Incorrect 340B database record – Incorrect entries for off-site outpatient facility address, authorizing official and primary contact information. Diversion - 340B drugs dispensed at entity 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: March 29, 2019 |
Director, Quality/Compliance Officer 845 Jackson St San Francisco, CA 94133 patriciac@chasf.org |
| Chippewa County War Memorial Hospital | SCH230239-00 | MI | Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites; 340B drug dispensed at entity, not supported by a medical record. | Repayment to manufacturers | CAP implemented Audit closure date: September 12, 2018 |
Director of Pharmacy (906)635-4450 500 Osborn Boulevard |
| Christus Spohn Hospital Alice | DSH450828 | TX | Diversion- 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: August 9, 2018 |
Pharmacy Director CHRISTUS Spohn 600 Elizabeth Street 361-881-6491 |
| Christus St. Frances Cabrini Hospital | DSH190019 | LA | Diversion - 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: September 24, 2018 |
Vice President – Advis Group Director of Pharmacy |
| Clara Barton Hospital Association | CAH171333-00 | KS | No adverse findings | None | N/A Audit closure date: November 22, 2017 |
|
| Community Clinic, Inc. | CHC10591-00 |
MD |
Incorrect 340B database record - Offsite outpatient facilities were not listed on the 340B database; Incorrect entries for address for outpatient facilities; Registered two contract pharmacies without written contracts in place. Entity did not provide contract pharmacy oversight prior to November 2017. Diversion – 340B drug dispensed to patient at entity without a documented provider to patient relationship. Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File; Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Termination of contract pharmacy from the 340B Program* Repayment to manufacturers |
CAP implemented Audit closure date: June 27, 2019 |
Associate Chief Medical Officer 8630 Fenton Street, Suite 1204 Silver Spring, MD 20910 Phone: 301-340-7525 Fax: 301-495-0318 |
| Community Health Center of Lubbock, Inc. | CH062910 | TX | No adverse findings | None | N/A Audit closure date: May 19, 2017 |
|
| Community Health Centers of Pinellas, Inc. | CH049070 |
FL |
Inaccurate or incomplete information in Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of this finding. |
None |
Pending |
|
| Community Health Centers of the Central Coast, Inc. | CH090710 |
CA |
Diversion - 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers |
CAP implemented Audit closure date: April 19, 2018 |
Director of 340B Program Email: ayip@chccc.org 805-346-3987 150 Tejas Place, |
| Comprehensive Care Center, Inc. dba Community AIDS Network | RWII34287 | FL | No adverse findings | None | N/A Audit closure date: June 29, 2017 |
|
| County of Lake | CH058870 | IL | Diversion - 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: February 11, 2019 |
Clinical Compliance Manager 847-377-8540 3010 Grand Avenue Waukegan, IL 60085 |
| Crosbyton Clinic Hospital | CAH451345-00 | TX | Diversion - 340B drugs dispensed at contract pharmacy for prescriptions written at ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: July 25, 2018 |
Director 806-675-8700 |
| Dallas County Medical Center | CAH041317-00 | TX | No adverse findings | None | N/A Audit closure date: May 31, 2017 |
|
| DCH Regional Medical Center | DSH010092 | AL | Incorrect 340B database record - Incorrect entry for address for outpatient facilities. Diversion - 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. Inaccurate or incorrect information on the 340B 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: February 11, 2019 |
Corporate Director of Compliance and Internal Audit 205-759-7715 809 University Blvd. East Tuscaloosa, AL 35401 |
| Delano Regional Medical Center | DSH050608 |
CA |
No adverse findings |
None |
N/A Audit closure date: May 3, 2017 |
|
| Delta Regional Medical Center | DSH250082 |
MS |
No adverse findings |
None |
N/A Audit closure date: May 10, 2017 |
|
| Detroit Community Health Connection | CH052070 | MI | No adverse findings | None | N/A Audit closure date: May 26, 2017 |
|
| Dominican Hospital (formerly Dominican Santa Cruz Hospital) | DSH050242 | CA | No adverse findings | None | N/A Audit closure date: August 8, 2017 |
|
| East Alabama Medical Center | DSH010029 | AL | Diversion – 340B drugs dispensed at entity for prescriptions written at ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: April 2, 2019 |
Manager of Purchasing & 340B Compliance East Alabama Medical Center 2000 Pepperell Parkway Opelika, AL 36801-5422 334-528-2565 Dana.jackson@eamc.org |
| East Liverpool City Hospital | DSH360096 | OH | Diversion - 340B drugs dispensed at contract pharmacy for prescriptions written 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 16, 2019 |
System Director, 340B Program and Ambulatory Care |
| Eau Claire Cooperative Health Center | CH043270 |
SC |
No adverse findings |
None |
N/A Audit closure date: May 22, 2017 |
|
| Ephraim McDowell Regional Medical Center, Inc. | DSH180048 | KY | Diversion - 340B drugs dispensed at entity and contract pharmacies for prescriptions written at ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: April 26, 2019 |
Chief Financial Officer 217 S. Third Street Danville, KY 40422 859-239-2424 |
| Escambia Community Clinics, Inc. | CH0452890 | FL | Incorrect 340B database record – Registered contract pharmacies without written contracts in place. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Termination of two contract pharmacies from 340B Program* Repayment to manufacturers |
CAP implemented Audit closure date: July 31, 2018 |
Chief Administrative Officer |
| Essentia Health St. Mary's Hospital-Superior | CAH521329-00 | WI | No adverse findings | None | N/A Audit closure date: October 11, 2017 |
|
| Family Christian Health Center | CH059300 | IL | Incorrect 340B database record- Registered contract pharmacy without written contract in place | Termination of contract pharmacy from 340B Program | CAP implemented Audit closure date: August 7, 2018 |
|
| Franciscan Health Hammond | DSH150004 | IN | No adverse findings | None | N/A Audit closure date: July 25, 2017 |
|
| Franklin Regional Hospital | CAH301306-00 | NH | No adverse findings | None | N/A Audit closure date: August 30, 2017 |
|
| Franklin Woods Community Hospital | DSH440184 | TN | Entity’s written contract pharmacy agreement listed information inconsistent with the 340B database record. Duplicate Discounts - Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: April 12, 2019 |
Corporate Pharmacy Business Director (423) 302-3535 cindy.tucker@balladhealth.org |
| Fresno Community Hospital & Medical Center dba Clovis Community Medical Center | DSH050492 | CA | Diversion - 340B drugs dispensed at contract pharmacy for prescriptions written at ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: April 25, 2018 |
Chief Audit, Ethics, and Compliance Officer 559-324-4830 789 N. Medical Center Drive East, Clovis, CA 93611 |
| Froedtert Memorial Lutheran Hospital | DSH520177 | WI | Diversion - 340B drug dispensed at entity for a prescription written at an ineligible site. | Repayment to manufacturers | CAP implemented Audit closure date: March 13, 2019 |
Froedtert Hospital 340B Manager Integrated Service Center |
| Grandview Hospital | DSH360133 | OH | Diversion – 340B drugs dispensed at entity and at contract pharmacies for prescriptions written at ineligible sites. Duplicate Discounts – Inaccurate or incorrect information on the 340B Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: February 11, 2019 |
Director of Pharmacy 405 West Grand Avenue 937-723-5816 |
| Granville Medical Center | DSH340127 | NC | Covered outpatient drugs obtained through a Group Purchasing Organization prior to September 29, 2017. Incorrect 340B database record – Duplicate registration off offsite outpatient facility on 340B database record; Ineligible sites registered on 340B database. Diversion – 340B drugs dispensed at entity and contract pharmacies for prescriptions written at ineligible sites. |
Termination of ineligible offsite outpatient facilities from the 340B Program* Repayment to manufacturers |
CAP implemented Audit closure date: March 5, 2019 |
Chief Financial Officer 1010 College Street 919-690-3402 |
| Halifax Health Medical Center | DSH100017 | FL | Incorrect 340B database record - Ineligible site registered on 340B database prior to September 14, 2017 Diversion – 340B drug dispensed at contract pharmacy for a prescription written by an ineligible provider. Inaccurate or incorrect information on the 340B 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, 2019 |
Halifax Health Pharmacy Dept Fountain Bldg, 3rd floor 303 N. Clyde Morris Blvd. Daytona Beach, FL 32114 (386) 425-4531 |
| Hamdard Center for Health and Human Services NFP | CHC26565-00 |
IL |
Incorrect 340B database record - Registered contract pharmacies without written contract in place. Duplicate Discounts - Entity’s contract pharmacy was billing Medicaid without notification to HRSA. |
Termination of two contract pharmacies from 340B Program. |
CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: February 2, 2018 |
|
| Harrison Community Hospital | CAH361311-00 |
OH |
No adverse findings |
None |
N/A Audit closure date: April 27, 2017 |
|
| Heartland Community Health Clinic DBA: Heartland Health Services | CH051833A | IL | Incorrect 340B database record - Registered contract pharmacy without a contract in place. Duplicate Discounts - Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Termination of contract pharmacy from 340B Program* |
CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: May 16, 2018 |
|
| Hennepin County Medical Center | DSH240004 | MN | No adverse findings | None | N/A Audit closure date: June 30, 2017 |
|
| Hiawatha Community Hospital | CAH171341-00 | KS | No adverse findings | None | N/A Audit closure date: June 9, 2017 |
|
| Hospital District #1 of Crawford County Kansas | CAH171376-00 | KS | Incorrect 340B database record - Offsite outpatient facilities were not listed on the 340B database. Diversion - 340B drug dispensed at a contract pharmacy, not supported by a medical record; 340B drugs were not properly accumulated. |
Repayment to manufacturers | CAP implemented Audit closure date: March 13, 2019 |
Chief Executive Officer 620-724-5152 Hospital District #1 of Crawford County dba Girard Medical Center 302 N Hospital Dr Girard, KS 66743-2000 |
| Hospital District #1 of Dickinson | CAH171381-00 | KS | Incorrect 340B database record – Ineligible sites registered on 340B database; Incorrect entry for offsite outpatient facility address. Diversion – 340B drugs dispensed at entity and contract pharmacies for prescriptions written 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. |
Termination of ineligible offsite outpatient facilities from the 340B Program* Repayment to manufacturers |
CAP implemented Audit closure date: January 8, 2019 |
Chief Financial Officer 785-263-6614 511 N.E. 10th Street |
| Hurley Medical Center | DSH230132 | MI | No adverse findings | None | N/A Audit closure date: February 28, 2018 |
|
| Independent Healthcare Management, Inc. dba SE Lackey Memorial Hospital | CAH251300-00 | MS | Diversion – 340B drugs were not properly accumulated. | Repayment to manufacturer | CAP implemented April 17, 2019 |
Pharmacy Director 330 North Broad Street Forest, MS 39074 (601) 469-4151 |
| Integris Miami Hospital | DSH370004 | OK | Diversion – 340B drugs were not properly accumulated. | Repayment to manufacturers | CAP implemented Audit closure date: January 11, 2019 |
System Administrative Director |
| Iowa Specialty Hospital – Clarion | CAH161302-00 | IA | 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. |
Repayment to manufacturers | CAP implemented Audit closure date: September 20, 2018 |
Pharmacy Leader |
| Iroquois Memorial Hospital and Resident Home | SCH140167-00 | IL | Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written 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. Duplicate Discounts - Entity did not have controls in place to prevent duplicate discounts. |
Repayment to manufacturers | CAP implemented Audit closure date: March 26, 2019 |
Chief Financial Officer (815) 432-7929 200 E. Fairman Ave Watseka, IL 60970-1644 |
| J Arthur Dosher Memorial Hospital | CAH341327-00 | NC | Diversion – 340B drugs were not properly accumulated. | Repayment to manufacturers | CAP implemented Audit closure date: October 30, 2018 |
Pharmacy Director |
| Jane Todd Crawford Memorial Hospital, Inc. dba Jane Todd Crawford Hospital | CAH181325-00 | 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: July 18, 2017 |
|
| John H. Stroger, Jr. Hospital of Cook County | DSH140124 | IL | Covered outpatient drugs obtained through a Group Purchasing Organization prior to August 23, 2016. Duplicate Discounts - Incorrect or incomplete information in the Medicaid Exclusion File; Entity’s contract pharmacy was billing Medicaid without notification to HRSA. |
Repayment to manufacturers. | CAP implemented Audit closure date: September 5, 2019 |
Senior Director of Pharmacy |
| Jones Memorial Hospital | SCH330096-00 |
NY |
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: May 3, 2018 |
340B Business Manager Pharmacy Department, University of Rochester Medical Center 120 Corporate Woods, Suite 350 Rochester, NY 14623 (505)-785-5154 |
| Keystone Rural Health Center | CH032700 |
PA |
No adverse findings |
None |
N/A Audit closure date: March 23, 2017 |
|
| Kiowa County Hospital District dba Weisbrod Memorial Hospital | CAH061300-00 |
CO |
Incorrect 340B database record - Registered contract pharmacies without written contract in place prior to August 11, 2017; Entity did not provide contract pharmacy oversight prior to onsite audit. |
None |
CAP implemented Audit closure date: January 2, 2018 |
|
| Knox County Hospital District | SCH450746-00 | TX | Entity did not meet eligibility requirements as a DSH hospital as of March 10, 2017. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Termination of covered entity from the 340B Program* Repayment to manufacturers |
CAP implemented Audit closure date: March 25, 2019 |
CEO Knox County Hospital District 701 South 5th Street P.O. Box 608 Knox City, Texas 79529 940-657-3535 |
| Lafayette General Medical Center | DSH190002 |
LA |
Entity’s written contract pharmacy agreement listed information inconsistent with the 340B database record. Diversion - 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites; 340B drug dispensed at entity to a patient without a documented provider to patient relationship; 340B drugs were not properly accumulated. Duplicate Discounts- Incorrect or incomplete billing information on the 340B Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: August 29, 2018 |
Director of Pharmacy 337-289-7888 1214 Coolidge Blvd |
| Laird Hospital, Inc. | CAH251322-00 |
MS |
No adverse findings |
None |
N/A Audit closure date: May 5, 2017 |
|
| Legacy Emanuel Hospital and Health Center | DSH380007 | OR | No adverse findings | None | N/A Audit closure date: December 21, 2017 |
|
| Los Angeles County | DSH050376 |
CA |
Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufactures |
CAP implemented Audit closure date: August 23, 2018 |
Pharmacy Service Chief |
| Lucile Salter Packard Children’s Hospital | HM6415 | CA | No adverse findings | None | N/A Audit closure date: August 8, 2017 |
|
| Lynn Community Health, Inc. | CH011430 | MA | Incorrect 340B database record – Failed to remove shipping address of closed location; Registered contract pharmacy without a contract in place prior to November 3, 2017. 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: January 18, 2019 |
|
| Manatee County Rural Health Services Inc. | CH044310 | FL | Incorrect 340B database record - Registered contract pharmacies without written contract in place. | Termination of contract pharmacies from 340B Program | CAP implemented Audit closure date: May 23, 2018 |
|
| Marengo Memorial Hospital | CAH161317-00 | IA | Diversion - 340B drugs were not properly accumulated; | Repayment to manufacturers | CAP implemented Audit closure date: April 19, 2018 |
Authorizing Official, Marengo Memorial Hospital 300 W May Street 319-642-8013 |
| Marion General Hospital, Inc. | DSH150011 | IN | No adverse findings | None | N/A Audit closure date: September 1, 2017 |
|
| Medical University Hospital Authority | DSH420004 | SC | Diversion - 340B drug dispensed at entity for prescription written at an ineligible site; 340B drugs were not properly accumulated. | Repayment to manufacturers | CAP implemented Audit closure date: September 5, 2019 |
Manager Pharmacy Supply Chain Medical University of South Carolina 150 Ashley Ave, MSC 584 Charleston, SC 29425 (843) 792-7354 millsja@musc.edu |
| Medina County Hospital District | CAH451330-00 | TX | 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 26, 2018 |
|
| Memorial Hermann Sugar Land Hospital | DSH450848 | TX | Incorrect 340B database record – Incorrect entry for offsite facility address. Diversion – 340B drugs dispensed at contract pharmacy for prescriptions written at ineligible sites; 340B drugs were not properly accumulated. Duplicate Discounts - Incorrect or incomplete billing information on the 340B Medicaid Exclusion File. |
Repayment to manufacturers. | CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: January 18, 2019 |
System Director of Pharmacy Operations 902 Frostwood, Suite 190 713-242-2814 |
| Memorial Medical Center | CAH451356-00 | TX | Incorrect 340B database record - Registered contract pharmacies without written contract in place. Diversion -340B drugs dispensed at entity for prescriptions written at ineligible sites. Duplicate Discounts - Incorrect or incomplete billing information on the 340B Medicaid Exclusion File. |
Termination of contract pharmacy from 340B Program Repayment to manufacturers |
CAP implemented Audit closure date: January 28, 2019 |
Chief Financial Officer Memorial Medical Center 815 N. Virginia Street Port Lavaca, Texas 77979 dmoore@mmcportlavaca.com 361-552-0224 |
| Memorial Medical Center, Inc. | CAH521359-00 | WI | Duplicate Discounts - Incorrect or incomplete billing information on the 340B Medicaid Exclusion File. | None | CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: April 17, 2018 |
|
| Mercy Hospital Berryville | CAH041329-00 | AR | No adverse findings | None | N/A Audit closure date: July 17, 2017 |
|
| Mercy Hospital of Franciscan Sisters | CAH161338-00 | IA | No adverse findings | None | N/A Audit closure date: June 27, 2017 |
|
| Mercy Medical Center | CAH161377-00 | IA | No adverse findings | None | N/A Audit closure date: August 29, 2017 |
|
| Mercy Medical Center | DSH210008 | MD | Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure dated: September 12, 2018 |
Vice President/Chief Pharmacy Officer |
| Mercy San Juan Medical Center | DSH050516 | CA | No adverse findings | None | N/A Audit closure date: June 29, 2017 |
|
| Methodist Hospital of Sacramento | DSH050590 | CA | Diversion – 340B drug dispensed for a prescription written for an inpatient. Duplicate Discounts - Incorrect or incomplete billing information on the 340B Medicaid Exclusion File; Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: December 21, 2018 |
Director of Pharmacy 916-681-1665 6500 Hospital Drive Sacramento, CA 96823 Gurpreet.johal@dignityhealth.org |
| Methodist Hospitals, The | DSH150002 | IN | Incorrect 340B database record - Offsite outpatient facilities were not listed on the 340B database; Entity’s written contract pharmacy agreement listed information inconsistent with the 340B database record. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: July 11, 2018 |
Health System Director of Pharmacy 219-738-5807 600 Grant St. Gary, IN 46402 |
| Methodist Medical Center of Illinois | DSH140209 | IL | Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: July 31, 2018 |
Regional Pharmacy IS Coordinator 221 NE Glen Oak Ave. |
| Mid-Columbia Medical Center | SCH380001-00 | OR | Incorrect 340B database record - Offsite outpatient facilities were not listed on the 340B database; Incorrect entries for Authorizing Official and Primary Contact; Registered contract pharmacies without written contract in place. Diversion - 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites; 340B drug dispensed at entity to a patient without a documented provider to patient relationship; A 340B drug was not properly accumulated. |
Termination of contract pharmacy from 340B Program Repayment to manufacturers |
CAP implemented Audit closure date: July 24, 2018 |
Pharmacy Director 541-296-7526 1700 E. 19th Street |
| Miller County Health Department | TB31737 | GA | Incorrect 340B database record – Incorrect entry for grant number prior to April 29, 2017. | None | CAP implemented Audit closure date: August 17, 2017. |
|
| Mississippi County Health Unit | FP723708 | MS | No adverse findings | None | N/A Audit closure date: August 9, 2017 |
|
| Modoc Medical Center | CAH051330-00 | CA | No adverse findings | None | N/A Audit closure date: August 9, 2017 |
|
| Monroe County Hospital | DSH010120 | AL | Entity’s written contract pharmacy agreement listed information inconsistent with the 340B database record. | None | CAP implemented Audit closure date: |
|
| Montrose Memorial Hospital | SCH060006-00 | CO | Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drug dispensed for a prescription written for an inpatient; 340B drugs dispensed at a contract pharmacy for a prescription written at an ineligible site. Duplicate Discounts – Incorrect or incomplete billing information on the 340B Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: September 7, 2018 |
Director of Pharmacy Services 800 S. 3rd St. Montrose CO 81401 (970) 249-2211 |
| Moore County Hospital District dba Memorial Hospital | DSH450221 | TX | Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Diversion - 340B drug dispensed at a contract pharmacy for a prescription written at an ineligible site. Duplicate Discounts – Incorrect or incomplete billing information on the 340B Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: October 30, 2018 |
Chief Operating Officer |
| Mount Sinai Hospital, The | DSH330024 | NY | Incorrect 340B database record - Offsite outpatient facilities were not listed on the 340B database; Ineligible sites registered on 340B database. Diversion – 340B drugs dispensed at entity and at contract pharmacies for prescriptions written at ineligible sites. |
Termination of ineligible offsite outpatient facilities from the 340B Program Repayment to manufacturers |
CAP implemented Audit closure date: September 7, 2018 |
Senior Director of Pharmacy, 340B Program |
| Neshoba County General Hospital | SCH250043-00 | MS | Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: November 15, 2018 |
Pharmacy Director Neshoba County General Hospital 1001 Holland Avenue, Philadelphia, MS 39250 (601) 781-2310 ricky@neshoba-hospital.com |
| Newberry County Memorial Hospital | SCH420053-00 | SC | Diversion – 340B drug dispensed to an inpatient; 340B drug dispensed at entity and at contract pharmacies for prescriptions written at ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: October 30, 2018 |
Director of Pharmacy |
| Niagara Falls Memorial Medical Center | DSH330065 | NY | Covered outpatient drugs obtained through a Group Purchasing Organization prior to May 18, 2017. Incorrect 340B database record – Offsite outpatient facility was not listed on the 340B database; Incorrect entry for offsite facility address; Registered contract pharmacies without written contract in place. Diversion – 340B drug dispensed at contract pharmacies without a documented provider to patient relationship; 340B drugs were not properly accumulated. |
Termination of four contract pharmacies from the 340B Program. Repayment to manufacturers |
CAP implemented Audit closure date: March 1, 2019 |
340B Program Coordinator 621 10th Street 716-278-4537 |
| Northwest Medical Foundation of Tillamook DBA Tillamook Regional Medical Center | CAH381317-00 | OR | Diversion – 340B drugs were not properly accumulated. | Repayment to manufacturers | CAP implemented Audit closure date: November 15, 2018 |
Pharmacy Director |
| Operation Samahan, Inc. | CHC26623-00 | CA | Incorrect 340B database record - Offsite outpatient facility was not listed on the 340B database; Incorrect entry for offsite facility address. Diversion – 340B drug dispensed at a 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 | CAP implemented Audit closure date: January 25, 2019 |
Director of Grants and Contracts 619.471.5433 1428 Highland Ave., National City, Ca 91950 |
| Orchard Hospital | CAH051311-00 | CA | No adverse findings | None | N/A Audit closure date: October 18, 2017 |
|
| Palo Alto County Hospital | CAH161357-00 | IA | No adverse findings | None | N/A Audit closure date: September 19, 2017 |
|
| Pearl River County Hospital | CAH251333-00 | MS | Incorrect 340B database record – Incorrect entries for Authorizing Official and Primary Contact; Registered contract pharmacies without written contract in place. Diversion – 340B drugs dispensed to patients at entity without a documented provider to patient relationship; 340B drug dispensed at entity, not supported by a medical record. Duplicate Discounts - Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Termination of two contract pharmacies from the 340B Program Repayment to manufacturers |
CAP implemented Audit closure date: February 28, 2019 |
Authorizing Official 601-795-4543, ext 2142 Gerald.vance@prc-med.com |
| Perry County Memorial Hospital | CAH151322-00 | IN | Incorrect 340B database record – Incorrect entries for Authorizing Official and Primary Contact. Diversion – 340B drugs were not properly accumulated. |
Repayment to manufacturers | CAP implemented Audit closure date: May 8, 2019 |
Director of Pharmacy 8885 State Road 237 Tell City, IN 47586 (812) 847-0329 |
| Perry County Memorial Hospital | CAH261311-00 | MO | Incorrect 340B database record - Offsite outpatient facility was not listed on the 340B database; Incorrect address listed for offsite outpatient facility. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: August 15, 2018 |
CEO & Authorizing Official or 340B Program Manager |
| Philadelphia Health & Education Corp. dba Drexel University College of Medicine | FP191045 | PA | Incorrect 340B database record – Incorrect entry for address prior to April 11, 2017. | None | CAP implemented Audit closure date: August 7, 2018 |
|
| Phoenix Children’s Hospital | PED033302-00 | AZ | Incorrect 340B database record - Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drugs dispensed at the entity and at contract pharmacy for prescriptions originating from ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: July 25, 2017 |
Manager Pharmacy Business Services 1919 East Thomas Road (602) 933-4033 |
| Pipestone County Medical Center | CAH241374-00 | MN | No adverse findings. | None | N/A Audit closure date: December 27, 2017 |
|
| Presence Mercy Medical Center | DSH140174 | IL | Entity’s written contract pharmacy agreement listed information inconsistent with the 340B database record. Diversion – 340B drugs dispensed at contract pharmacy for prescriptions written at ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: December 19, 2018 |
System Director, 340B Program and Ambulatory Care |
| Presence Saint Francis Hospital | DSH140080 | IL | Entity’s written contract pharmacy agreement listed information inconsistent with the 340B database record. Diversion - 340B drugs dispensed at contract pharmacy for prescriptions written at ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: May 22, 2018 |
System Director, 340B Program and Ambulatory Care 630.914.2872 1000 Remington Blvd., Suite 100Bolingbrook, IL 60440 |
| Providence Health and Services – Washington | DSH500054 | WA | Duplicate Discounts – Incorrect or incomplete billing information on the 340B Medicaid Exclusion File. | None | CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: July 19, 2018 |
|
| Public Hospital District No. 1 of King County DBA Valley Medical Center | DSH500088 | WA | Diversion – 340B drugs dispensed to patients at contract pharmacy without a documented provider to patient relationship. | Repayment to manufacturers | CAP implemented Audit closure date: May 29, 2019 |
Director of Pharmacy Valley Medical Center 400 South 43rd St. Box 50010 Renton, WA 98055 (425) 228-3400, x5855 |
| Ripon Medical Center, Inc. | CAH521321-00 | WI | No adverse findings | None | N/A Audit closure date: June 27, 2017 |
|
| Rockford Memorial Hospital | DSH140239 | IL | Incorrect 340B database record – Utilized contract pharmacies prior to July 1, 2017 registration date; Entity’s written contract pharmacy agreement listed information inconsistent with the 340B database record. Diversion - 340B drugs dispensed at contract pharmacy for prescriptions written at ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: October 15, 2018 |
Pharmacy Business Coordinator 2400 North Rockton Ave Rockford, IL 61103 (815) 971-2394 |
| Rome Memorial Hospital, Inc. | DSH330215 | NY | Incorrect 340B database record - Offsite outpatient facility was not listed on the 340B database; Listed duplicate record for an outpatient facility | None | CAP implemented Audit closure date: June 21, 2017 |
|
| Rush University Medical Center | DSH140119 | IL | Diversion - 340B drugs dispensed at contract pharmacy for prescriptions written at ineligible sites; 340B drugs were not properly accumulated. Duplicate Discounts – Incorrect or incomplete billing information on the 340B Medicaid Exclusion File; Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: August 26, 2019 |
Director, Clinical Operations 1725 W Harrison St, Suite 418 Chicago, IL 60612 (312) 563-2326 |
| Saint Anthony Hospital | DSH140095 | IL | Diversion- 340B drugs were not properly accumulated. | Repayment to manufacturers | CAP implemented Audit closure date: December 21, 2018 |
Pharmacy Director Saint Anthony Hospital 2875 W 19th St Chicago, IL 60623 (773) 484-1317 |
| Saint Joseph East | DSH180143 |
KY |
No adverse findings |
None |
N/A Audit closure date: March 16, 2017 |
|
| Saint Mary’s Healthcare | DSH070016 | CT | No adverse findings | None | N/A Audit closure date: |
|
| Samaritan Hospital | DSH500033 | WA | Covered outpatient drugs obtained through a Group Purchasing Organization from October 3, 2016 to March 28, 2017. Incorrect 340B database record - Offsite outpatient facility was not listed on the 340B database; Incorrect entry for primary contact; Registered contract pharmacies without written contract in place. Diversion – 340B drugs dispensed at entity for inpatient; 340B drug dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufactures Termination of contract pharmacy from 340B Program* |
CAP implemented Audit closure date: April 3, 2019 |
Chief Financial Officer 801 E. Wheeler Road Moses Lake, WA 98837 (509) 793-9710 |
| San Joaquin Community Hospital | DSH050455 | CA | Entity’s written contract pharmacy agreement listed information inconsistent with the 340B database record. Diversion - 340B drugs were not properly accumulated. |
Repayment to manufacturers | CAP implemented Audit closure date: August 2, 2018 |
Director of Pharmacy 661-869-6280 2615 Chester Ave. |
| San Juan Basin Health Dept. | STD81303 |
CO |
No adverse findings |
None |
N/A Audit closure date: April 13, 2017 |
|
| San Mateo Medical Center | DSH050113 | CA | Diversion – 340B drugs purchased for separately registered 340B covered entities with no reimbursable outpatient costs; 340B drugs were not properly accumulated at contract pharmacy. Duplicate Discounts – Incorrect or incomplete billing information on the 340B Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: January 25, 2019 |
Director of Pharmacy |
| San Ysidro Health Center | CH091080 | CA | Incorrect 340B database record – Inaccurate entries for billing addresses. Diversion - 340B drugs dispensed at contract pharmacy for prescriptions written at ineligible sites. Duplicate Discounts – Incorrect or incomplete billing information on the 340B Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: September 12, 2018 |
Director of Contracts |
| Sanford Health Network | CAH161321-00 | IA | No adverse findings | None | N/A Audit closure date: August 9, 2017 |
|
| Seton Health System | DSH330232 |
NY |
No adverse findings |
None |
N/A Audit closure date: March 7, 2017 |
|
| Shasta Community Health Center | CH092240 | CA | No adverse findings | None | N/A Audit closure date: August 9, 2017 |
|
| Skagit County Health Department | STD982738 |
WA |
Incorrect 340B database record – entity improperly registered a repackager as a contract pharmacy. |
None |
Pending |
|
| South Florida Baptist Hospital | DSH100132 | FL | Incorrect 340B database record - Registered contract pharmacies without written contract in place prior to August 25, 2017; Entity’s written contract pharmacy agreement listed information inconsistent with the 340B database record. Diversion - 340B drugs dispensed at contract pharmacy for prescriptions written at ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: January 11, 2019 |
Manager of Pharmacy Supply Chain BayCare Health System 813-888-1920 |
| Southcoast Hospitals Group Inc. | DSH220074 | MA | Incorrect 340B database record - Offsite outpatient facilities were not listed on the 340B database. Duplicate Discounts – Incorrect or incomplete billing information on the 340B Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: August 29, 2018 |
Sr Vice President & Chief Operating Officer 101 Page Street, New Bedford, MA 02740 508-973-5872 |
| Southern Monterey County Memorial Hospital DBA George L. Mee Memorial Hospital | DSH050189 | CA | Covered outpatient drugs obtained through a Group Purchasing Organization prior to December 31, 2016. Duplicate Discounts – Incorrect or incomplete billing information on the 340B Medicaid Exclusion File; Entity did not have controls in place to prevent duplicate discounts. |
Repayment to manufacturers | CAP implemented Audit closure date: December 18, 2018 |
Quality Assurance Director 300 Canal Street King City, CA 93930 831-386-7375 |
| Southwest Memorial Hospital | CAH061327-00 | CO | Entity did not provide contract pharmacy oversight. Diversion – 340B drugs dispensed at at entity and at contract pharmacies for prescriptions written 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. |
Termination of contract pharmacies from 340B Program Repayment to manufacturers |
CAP implemented Audit closure date: April 19, 2018 |
Chief Financial Officer 1311 N. Mildred Road 970-564-2153 |
| Spectrum Health United Hospital | DSH230035 | MI | Incorrect 340B database record – Registered one contract pharmacy without written contract in place. | Termination of contract pharmacy from 340B Program | CAP implemented Audit closure date: June 14, 2018 |
|
| SSM Cardinal Glennon Children’s Medical Center | HM13100 | MO | No adverse findings | None | N/A Audit closure date: September 21, 2017 |
|
| St. Barnabas Hospital | DSH330399 | NY | Incorrect 340B database record - Offsite outpatient facilities were not listed on the 340B database. Duplicate Discounts – Incorrect or incomplete billing information on the 340B Medicaid Exclusion File. |
None | CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: January 11, 2019 |
|
| St. Dominic - Jackson Memorial Hospital | DSH250048 |
MS |
No adverse findings |
None |
N/A Audit closure date: March 30, 2017 |
|
| St. Elizabeth’s Hospital of Wabasha, Inc. | CAH241335-00 | MN | No adverse findings | None | N/A Audit closure date: July 18, 2017 |
|
| St. Francis Memorial Hospital | DSH050152 |
CA |
No adverse findings |
None |
N/A Audit closure date: April 24, 2017 |
|
| St. Joseph’s Hospital | DSH100075 | FL | Incorrect 340B database record - Offsite outpatient facilities were not listed on the 340B database; Duplicate registration of offsite outpatient facility on database; Registered contract pharmacies without written contract in place prior to June 29, 2017; Entity’s written contract pharmacy agreement listed information inconsistent with the 340B database record. Diversion - 340B drugs dispensed at contract pharmacy for prescriptions written at ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: January 11, 2019 |
Manager of Pharmacy Supply Chain BayCare Health System 813-888-1920 |
| St. Joseph’s Hospital and Medical Center | DSH030024 | AZ | Diversion – 340B drugs dispensed to patients at entity without a documented provider to patient relationship. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: July 24, 2018 |
Director of Pharmacy St. Joseph’s Hospital and Medical Center (602) 406-4744 |
| St. Joseph’s University Medical Center | DSH310019 | NJ | Incorrect 340B database record - Registered contract pharmacy without written contract in place. Diversion – 340B drug dispensed at the entity for prescriptions written at an ineligible sites; 340B drugs dispensed at entity for inpatients; 340B drugs were not properly accumulated. |
Termination of one contract pharmacy from 340B Program* Repayment to manufacturers |
CAP implemented Audit closure date: June 19, 2019 |
Chief Financial Officer 703 Main Street Paterson, NJ 07503 (973) 754-2023 |
| St. Luke’s Magic Valley Regional Medical Center, LTD | SCH130002-00 | ID | No adverse findings | None | N/A Audit closure date: June 1, 2017 |
|
| St. Mary’s Hospital and Medical Center | HV00593 | CO | No adverse findings | None | N/A Audit closure date: June 21, 2017 |
|
| Tarzana Treatment Centers, Inc. | HV00791B |
CA |
Incorrect 340B database record – Registered contract pharmacy without written contract in place; Utilized contract pharmacies prior to registering on the 340B database. |
Termination of five contract pharmacies from 340B Program |
CAP implemented Audit closure date: July 12, 2017 |
|
| Tennessee Department of Health | FPTN000 | TN | Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File. | None | CAP implemented Audit closure date: June 13, 2018 State Medicaid has since determined that duplicate discounts did not occur. |
|
| Texas County Memorial Hospital | DSH260024 | MO | Incorrect 340B database record - Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drug dispensed at the entity for a prescription written at an ineligible site; 340B drugs were not properly accumulated. |
Repayment to manufacturers | CAP implemented Audit closure date: April 20, 2018 |
340B Coordinator 417-967-1246 1333 S. Sam Houston Blvd, Houston. MO 65483 |
| ThedaCare Medical Center Berlin, Inc. | CAH521355-00 | WI | Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: November 15, 2018 |
Pharmacy Director Robert.probasco@thedacare.org 715-584-8045 |
| Thomas Jefferson University Hospital | DSH390174 | PA | No adverse findings | None | N/A Audit closure date: April 5, 2017 |
|
| Thomas Memorial Hospital | DSH510029 | WV | Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: July 24, 2018 |
340B Coordinator 304-766-4320 4605 MacCorkle Ave., SW |
| Three Lower Counties Community Services, Inc. | CH03301H | MD | No adverse findings | None | N/A Audit closure date: September 14, 2017 |
|
| Three Rivers Health | DSH230015 | MI | Incorrect 340B database record - Offsite outpatient facilities were not listed on the 340B database; Registered contract pharmacy without written contract in place prior to December 27, 2017. Diversion – 340B drugs dispensed at entity for inpatient; 340B drug dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: August 8, 2019 |
Interim Director of Pharmacy Three Rivers Health 701 S Health Pkwy Three Rivers, MI 49093 (269) 278-1145, x742 |
| Trinitas Regional Medical Center | DSH310027 | NJ | Covered outpatient drugs obtained through a Group Purchasing Organization prior to January 3, 2018. Incorrect 340B database record - Offsite outpatient facilities were not listed on the 340B database; Ineligible sites registered on the 340B database; Entity did not provide contract pharmacy oversight prior to January 3, 2018. Diversion – 340B drugs dispensed at entity and contract pharmacies for prescriptions written at ineligible sites; Duplicate Discounts – Incorrect or incomplete billing information on the 340B Medicaid Exclusion File. |
Termination of ineligible offsite outpatient facilities from the 340B Program* Repayment to manufacturers. |
CAP implemented Audit closure date: May 3, 2019 |
Director of Pharmacy |
| Ukiah Valley Medical Center | DSH050301 | CA | No adverse findings | None | N/A Audit closure date: November 2, 2017 |
|
| UNC Hospitals | DSH340061 |
NC |
No adverse findings |
None |
N/A Audit closure date: March 1, 2017 |
|
| Union County Health Foundation | CH080890 | SD | Diversion -340B drugs dispensed at contract pharmacies, not supported by a medical record. | Repayment to manufacturers | CAP implemented Audit closure date: August 28, 2018 |
Chief Financial Officer or 340B Program Manager PO Box 99 109 N. Main Street Howard, SD 57349 (605) 772-4525 |
| United Health Services Hospitals, Inc. | DSH330394 |
NY |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. |
None |
CAP implemented Audit closure date: May 22, 2018 |
|
| Univ of Colorado Hemophilia Center School of Medicine | HM11980 | CO | No adverse findings | None | N/A Audit closure date: October 23, 2017 |
|
| University of Miami Hospital | DSH100009 | FL | Incorrect 340B database record - Offsite outpatient facilities were not listed on the 340B database; Incorrect entry for Authorizing Official. Diversion - 340B drugs dispensed at contract pharmacy for prescriptions written at ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: November 15, 2018. |
Executive Pharmacy Director 1400 NW 12th Ave Miami, FL 33136 (305) 689-5630 |
| University of Mississippi Medical Center Grenada | DSH250015 |
MS |
No adverse findings |
None |
N/A Audit closure date: May 22, 2017 |
|
| University of North Carolina – Chapel Hill | HM11947 | NC | Incorrect 340B database record - Offsite outpatient facilities were not listed on the 340B database; Entity’s written contract pharmacy agreement listed information inconsistent with the 340B database record. | None | CAP implemented Audit closure date: January 30, 2018 |
|
| University of South Alabama Children’s and Women’s Hospital | PED013301-00 |
AL |
No adverse findings |
None |
N/A Audit closure date: May 12, 2017 |
|
| UPMC Mercy | DSH390028 | PA | Incorrect 340B database record - Offsite outpatient facilities were not listed on the 340B database; Entity had a duplicate registration for an offsite outpatient facility. Diversion – 340B drugs were not properly accumulated. |
Repayment to manufacturers | CAP implemented Audit closure date: March 5, 2019 |
Chief Finance Officer |
| W.A. Foote Memorial Hospital DBA Henry Ford Allegiance Health | DSH230092 |
MI |
Diversion – 340B drugs dispensed at entity and at contract pharmacies for prescriptions written at ineligible sites; 340B drug dispensed at entity to a patient without a documented provider to patient relationship; 340B drugs were not properly accumulated. Duplicate Discounts – Incorrect or incomplete billing information on the 340B Medicaid Exclusion File |
Repayment to manufacturers |
CAP implemented Audit closure date: September 12, 2018 |
340B Program Coordinator 205 N. East Ave. Jackson, MI 49201 (517) 205-7557 |
| Wabash General Hospital District | CAH141327-00 | IL | Incorrect 340B database record - Offsite outpatient facilities were not listed on the 340B database. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File; Entity did not have adequate controls to prevent duplicate discounts. |
Repayment to manufacturers | CAP implemented Audit closure date: December 19, 2018 |
Pharmacy Director Wabash General Hospital District 1418 College Drive Mt. Carmel, IL 62863 (618) 263-6316 mlockard@wabashgeneral.com |
| Wake Health Services, Inc. | CH041000 |
NC |
No adverse findings |
None |
N/A Audit closure date: May 9, 2017 |
|
| Waldo County General Hospital | CAH201312-00 |
ME |
No adverse findings |
None |
N/A Audit closure date: August 29, 2017 |
|
| War Memorial Hospital Inc. | CAH511309-00 |
WV |
No adverse findings |
None |
N/A Audit closure date: June 9, 2017 |
|
| Weatherford Hospital Authority | CAH371323-00 | OK | Incorrect 340B database record - Offsite outpatient facilities were not listed on the 340B database; Entity did not provide contract pharmacy oversight. Diversion – 340B drugs dispensed at entity and at contract pharmacies for prescriptions written 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. |
Termination of contract pharmacies from the 340B Program Repayment to manufacturers |
CAP implemented Audit closure date: February 8, 2019 |
CEO (580) 772-5551 Ext: 750 dhowe@weatherfordhospital.com or Director of Pharmacy (580) 772-5551 Ext: 747 msauer@weatherfordhospital.com |
| Weeks Medical Center | CAH301303-00 | NH | No adverse findings | None | N/A Audit closure date: January 9, 2018 |
|
| Wheaton Franciscan Healthcare – All Saints | DSH520096 | WI | Incorrect 340B database record – ineligible site registered on 340B database; Entity failed to remove duplicate registration for off-site outpatient facility. Duplicate Discounts – Incorrect or incomplete billing information on the 340B Medicaid Exclusion File. |
Termination of ineligible offsite outpatient facilities from the 340B Program* Repayment to manufacturers |
CAP approved | Regional Director, 340B Pharmacy 3801 Spring Street Racine WI 53405 (414) 874-6268 |
| White Memorial Medical Center | DSH050103 |
CA |
No adverse findings |
None |
N/A Audit closure date: February 28, 2017 |
|
| William Newton Memorial Hospital | CAH171383-00 | KS | Diversion – 340B drugs dispensed at entity for inpatients; 340B drugs dispensed at contract pharmacy for prescriptions written at ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: February 26, 2019 |
Director of Pharmacy (620) 222-6206 pharmacy@wnmh.org |
| Women and Infants Hospital of Rhode Island | DSH410010 |
RI |
Duplicate Discounts – Incorrect or incomplete billing information on the 340B Medicaid Exclusion File |
None |
CAP implemented Audit closure date: October 10, 2018 State Medicaid has since determined that duplicate discounts did not occur. |
340B Program Manager |
*Note: Covered entity self-terminated cited facilities prior to termination of facilities by OPA.
