Updated 12/3/20. 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 |
|---|---|---|---|---|---|---|
| Abbeville General Hospital | DSH190034 | LA | No adverse findings | None | N/A Audit closure date: August 14, 2018 |
|
| Abbott Northwestern Hospital | DSH240057 | MN | Duplicate discounts - Incorrect 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: February 13, 2019 |
Pharmacy Services Portfolio Manager 2925 Chicago Avenue Mail Route 10807 Minneapolis, MN 55407 612-262-4785 Tony.collinskwong@allina.com |
| Adventist Health Lodi Memorial | DSH050336 | CA | Duplicate discounts - Incorrect or incomplete information in the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: July 25, 2019 |
Pharmacy Director 975 S Fairmont Ave Lodi, CA 95240 209-334-3411 |
| AIDS Project of the East Bay | STD946121 | CA | Incorrect 340B OPAIS record -Registered contract pharmacies without written contract in place; Incorrect entry for Primary Contact telephone number. | Termination of four contract pharmacies from 340B Program | CE self-terminated. In order to re-enroll in the 340B Program, CE must submit a corrective action plan (CAP) addressing each of the findings outlined in the Final Report. Audit closure date: January 23, 2019 |
|
| Albert Einstein Medical Center | DSH390142 | PA | No adverse findings | None | N/A Audit closure date: July 31, 2018 |
|
| Alcona Citizens for Health, Inc. | CH051980 | MI | Incorrect 340B OPAIS record – Entity owned in-house pharmacies not listed as shipping addresses. Diversion - 340B drugs dispensed at entity for prescriptions written at ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: June 25, 2019 |
Director of Pharmacy 1185 US Highway 23 North Alpena, MI 49707 989-358-3922 |
| Ampla Health | CH090850 | CA | Duplicate Discounts - Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. Duplicate Discounts - Entity did not have controls in place to prevent duplicate discounts. |
Repayment to manufacturers | CAP implemented Audit closure date: June 25, 2019 |
President and CEO 935 Market Street Yuba City, CA 95991 530-751-3755 |
| Appalachian Regional Healthcare Inc. DBA Summers County ARH Hospital | CAH511310-00 | WV | No adverse findings | None | N/A Audit closure date: May 3, 2018 |
|
| Appalachian Regional Healthcare Inc. DBA McDowell ARH Hospital | CAH181331-00 | KY | No adverse findings | None | N/A Audit closure date: February 28, 2019 |
|
| ARH Mary Breckinridge Health Services, Inc. DBA Mary Breckinridge ARH Hospital | CAH181316-00 | KY | Duplicate discounts - Incorrect or incomplete information in the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: April 17, 2019 |
President and Chief Executive Officer Appalachian Regional Healthcare 130 Kate Ireland Drive Hyden, KY 41749 859-226-2450 |
| Ashtabula County Medical Center | SCH360125-00 | OH | Incorrect 340B OPAIS record - Failed to remove closed location registration; Registered contract pharmacies without written contract in place. Duplicate discounts - Incorrect or incomplete information in the Medicaid Exclusion File. |
Termination of contract pharmacy from 340B Program* Repayment to manufacturers |
Pending | |
| Asian Health Services | CH091030 | CA | Incorrect 340B OPAIS record - Failed to remove closed contract pharmacy location registration; Registered contract pharmacy without written contract in place. Duplicate discounts - Incorrect or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers Termination of two contract pharmacies from 340B Program* |
CAP implemented Audit closure date: May 3, 2019 |
Controller 101 8th Street Oakland, CA 94607 510-735-3143 |
| Asian Human Services Family Health Center | CH051827A | IL | Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: January 27, 2020 |
Program Director 2424 W. Peterson Avenue Chicago, IL 60659 773-761-0300 x2453 |
| Aspirus Ironwood Hospital | CAH231333-00 | MI | Incorrect 340B OPAIS record - Registered contract pharmacies without written contract in place prior to January 9, 2019. | None | CAP implemented Audit closure date: March 24, 2020 |
|
| Avera Marshall DBA Avera Marshall Regional Medical Center | CAH241359-00 | MN | No adverse findings | None | N/A Audit closure date: January 16, 2018 |
|
| Baptist Hospitals of Southeast Texas dba Baptist Beaumont Hospital | DSH450346 | TX | Diversion - 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. Duplicate discounts - Incorrect or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: October 31, 2019 |
Director of Revenue Cycle, Oncology 3555 Stagg Dr. Beaumont, TX 77701 409-212-5927 |
| Baylor Scott & White Medical Center - Irving | DSH450079 | TX | Duplicate discounts - Incorrect or incomplete information in the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: April 2, 2019 |
Pharmacy Director System 4004 Worth Street, Suite 200 Dallas, Texas 75246 214-820-6810 |
| Baystate Franklin Medical Center | DSH220016 | MA | Diversion - 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: February 10, 2020 |
Chief Pharmacy Officer 280 Chestnut Street Springfield MA, 01199 413-794-3178 Gary.Kerr@BaystateHealth.org |
| Belington Community Medical Services Association, Inc. | CHC12878-00 | WV | No adverse findings | None | N/A Audit closure date: May 18, 2018 |
|
| Billings Clinic | DSH270004 | MT | Diversion – 340B drugs dispensed to inpatients. | Repayment to manufacturers | CAP implemented Audit closure date: November 19, 2019 |
Director, Pharmacy Services 2800 Tenth Avenue North Billings, Montana 59101 406-657-4811 |
| Bradford Regional Medical Center | DSH390118 | PA | Diversion - 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. | Repayment to manufactures | CAP implemented Audit closure date: October 8, 2019 |
Richard Braun SVP Finance and CFO 130 South Union Street Suite 300 Olean, NY 14760 716-375-6190 rbraun@uahs.org |
| Broaddus Hospital | CAH511300-00 | WV | Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed on the 340B database. 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: June 19, 2019 |
Chief Executive Officer 1 Healthcare Drive Philippi, WV 26416 304-457-8155 |
| Bronson Lakeview Hospital | CAH231332-00 | MI | No adverse findings | None | N/A Audit closure date: March 23, 2018 |
|
| Broward Health Medical Center | DSH100039 | FL | Incorrect 340B OPAIS record - Registered contract pharmacies without written contract in place. Diversion – 340B drug dispensed to inpatient. |
Termination of contract pharmacy from 340B Program Repayment to manufacturers. |
CAP implemented Audit closure date: March 27, 2020 |
Director of Pharmacy Services 1600 South Andrews Avenue Fort Lauderdale, FL 33316 954-355-5559 |
| Calhoun - Liberty Hospital | CAH101304-00 | FL | No adverse findings | None | N/A Audit closure date: June 22, 2018 |
|
| California Hospital Medical Center | DSH050149 | CA | Covered outpatient drugs obtained through a Group Purchasing Organization prior to January 1, 2018. Incorrect 340B OPAIS record - Incorrect entry for Primary Contact telephone number. 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: September 16, 2019 |
Director of Pharmacy 1401 S. Grand Ave Los Angeles, CA 90015 213-742-5483 |
| Camden – Clark Memorial Hospital | DSH510058 | WV | No adverse findings | None | N/A Audit closure date: June 29, 2018 |
|
| CAN Community Health, Inc. | RWII32117 | FL | No adverse findings | None | N/A Audit closure date: March 28, 2018 |
|
| CAN Community Health, Inc. | STD336052 | FL | No adverse findings | None | N/A Audit closure date: March 28, 2018 |
|
| Cape Fear Valley Medical Center | DSH340028 | NC | Incorrect 340B OPAIS record - Ineligible site registered on 340B OPAIS. Diversion - 340B drugs dispensed at entity for prescriptions written at ineligible sites. Duplicate Discounts - Incorrect or incomplete information in the Medicaid Exclusion File. |
Termination of ineligible offsite outpatient facility from the 340B Program* Repayment to manufacturers |
CAP implemented Audit closure date: August 26, 2019 |
Director of Hospital Pharmacy 1638 Owen Drive Fayetteville, NC 28304 910-615-6839 tnicholson@capefearvalley.com |
| Carrington Health Center | CAH351318-00 | ND | No adverse findings | None | N/A Audit closure date: July 19, 2018 |
|
| Cavalier County Memorial Hospital | CAH351323-00 | ND | Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed on the 340B OPAIS. Diversion - 340B drugs dispensed at contract pharmacy for prescriptions written at ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: August 6, 2019 |
Director of Pharmacy 909 2nd Street Langdon, ND 58249 701-256-6100 |
| Centra Health, Inc. | SCH490021-00 | VA | No adverse findings | None | N/A Audit closure date: September 10, 2018 |
|
| Centracare Health – Paynesville Hospital | CAH241349-00 | MN | Diversion - 340B drugs dispensed to inpatients. Duplicate Discounts - Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented State Medicaid has since determined that duplicate discounts did not occur. |
Todd Lemke Pharmacist in Charge 200 First St W Paynesville, MN 56362 320-243-7772 |
| Central Vermont Medical Center | SCH470001-00 | VT | Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed on the 340B OPAIS. 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. |
Repayment to manufacturers | CAP implemented Audit closure date: October 4, 2019 |
Attention Department of Pharmacy Director of Pharmacy 130 Fisher Road Berlin, VT 05602 802-371-5938 Frank.Foti@CVMC.org |
| Children’s Health Care DBA Children’s Minnesota | PED243302-00 | MN | 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 8, 2019 |
|
| Children’s Mercy Hospital, The | PED263302-00 | MO | Incorrect 340B OPAIS record - Entity-owned pharmacies were not listed as shipping addresses. | None | CAP implemented Audit closure date: September 21, 2018 |
|
| Choctaw General Hospital | CAH011304-00 | AL | No adverse findings | None | N/A Audit closure date: September 10, 2018 |
|
| Columbia Lutheran Memorial Hospital DBA Columbia Memorial Hospital | CAH381320-00 | OR | Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed on the 340B OPAIS; Entity-owned pharmacy was not listed as shipping address; Registered contract pharmacies without written contract in place. Diversion - 340B drugs dispensed at entity 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: March 29, 2019 |
Director of Pharmacy & Cancer Center Services Columbia Memorial Hospital 2111 Exchange Street Astoria OR 97103 503-338-4665 |
| Columbia Memorial Hospital | RRC330094-00 | NY | Incorrect 340B OPAIS record - Incorrect entry for address for offsite outpatient facility. | None | CAP implemented Audit closure date: July 30, 2018 |
|
| Communicare Health Centers | CHC08216-00 | CA | No adverse findings | None | N/A Audit closure date: August 23, 2018 |
|
| Community Health Care, Inc. | CH021270 | NJ | Incorrect 340B OPAIS record - Registered contract pharmacies without written contract in place prior to February 14, 2018; Failed to remove a duplicate registration of a contract pharmacy. | None | CAP implemented Audit closure date: September 20, 2018 |
|
| Community Health Center, Incorporated | CH012080 | CT | Incorrect 340B OPAIS record - ineligible sites registered on 340B OPAIS; Failed to remove duplicate registrations for offsite outpatient facilities; Registered contract pharmacies without written contract in place. 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 ineligible offsite outpatient facilities from the 340B Program* Termination of two contract pharmacies from 340B Program* State Medicaid has since determined that duplicate discounts did not occur. |
CAP implemented Audit closure date: October 1, 2019 |
|
| Community Healthcare System, Inc. | CAH171354-00 | KS | Incorrect 340B OPAIS record - Registered contract pharmacies without written contract in place prior to August 14, 2018. Diversion - 340B drugs dispensed at contract pharmacies, not supported by a medical record. |
Repayment to manufacturers | CAP implemented Audit closure date: November 6, 2019 |
Chief Financial Officer 120 West 8th Street Onaga, KS 66521 785-889-5036 |
| Conejos County Hospital Corporation | CAH061308-00 | CO | Entity did not provide contract pharmacy oversight. 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. |
Termination of contract pharmacies from 340B Program* Repayment to manufacturers. |
CAP implemented Audit closure date: April 5, 2019. |
Director of Pharmacy 106 Blanca Ave. Alamosa, Colorado 81101 719-587-1260 Lee.Hankins@slvrmc.org |
| Connecticut, State of, Department of Health | STD061345 | CT | Entity failed to maintain auditable medical records prior to December 21, 2018. | Repayment to manufacturers | Covered entity terminated from 340B Program as of July 1, 2020. Audit closure date: July 17, 2020 |
|
| Covenant Hospital – Plainview | SCH450539-00 | TX | Diversion - 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: October 31, 2019 |
Executive Director of 340B Operations 2107 Oxford Ave Lubbock, TX 79410 806-725-6654 |
| Covington County Hospital | CAH251325-00 | MS | Incorrect 340B OPAIS record - Failed to remove closed location registration; Entity’s written contract pharmacy agreement listed information inconsistent with the 340B database record. | None | CAP implemented Audit closure date: September 24, 2018 |
|
| Cumberland County Hospital | CAH181317-00 | KY | Diversion - 340B drug dispensed at a contract pharmacy, not supported by a medical record. Inaccurate or incomplete information in Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of this finding. |
Repayment to manufacturers | CAP implemented Audit closure date: April 17, 2019 |
Director of Support Services Cumberland County Hospital 299 Glasgow Road Burkesville, KY 42717 270-864-2511 |
| Decatur Memorial Hospital | RRC140135-00 | IL | No adverse findings | None | N/A Audit closure date: April 11, 2018 |
|
| Dell Seton Medical Center at The University of Texas | DSH450124 | TX | Diversion - 340B drug dispensed to inpatients; 340B drug dispensed at contract pharmacy for a prescription written at an ineligible site. | Repayment to manufacturers | CAP implemented Audit closure date: July 9, 2019 |
VP of Pharmacy 1500 Red River Street Austin, TX 78701 512‐324‐7303 |
| Door County Memorial Hospital | CAH521358-00 | WI | Diversion - 340B drug dispensed at entity, not supported by a medical record. | Repayment to manufacturer | CAP implemented Audit closure date: May 3, 2019 |
Chief Administrative Officer 323 South 18th Avenue Sturgeon Bay, WI 54235 920-746-3737 |
| Drew Memorial Hospital, Inc. | DSH040051 | AR | Incorrect 340B OPAIS record - Registered contract pharmacies without written contract in place; Entity did not provide contract pharmacy oversight. Diversion - 340B drugs dispensed at contract pharmacy for prescriptions written at ineligible sites; 340B drug dispensed to inpatient. |
Termination of contract pharmacies from 340B Program* Repayment to manufacturers |
CAP implemented Audit closure date: September 16, 2019 |
Director of Pharmacy Services Drew Memorial Health System 778 Scogin Drive Monticello, AR 71655 870-460-3523 |
| Drexel University College of Medicine/Hahnemann | FP191021 | PA | Diversion - 340B drugs transferred to a separately registered covered entity. | Repayment to manufacturers | CAP implemented Audit closure date: August 15, 2019 |
Associate Vice Provost, Drexel 340B POC 215-895-6080 kdw38@drexel.edu Principal Investigator and Director of Women’s Care Center |
| Dundy County Hospital | CAH281340-00 | NE | Diversion - 340B drug dispensed to inpatient; 340B drugs dispensed at contract pharmacies, not supported by a medical record. | Repayment to manufacturers | CAP implemented Audit closure date: September 16, 2019 |
Chief Executive Officer 1313 North Cheyenne Street Benkelman, NE 69021-3074 308-423-2204 |
| East Alabama Health Services | RWII36830 | AL | No adverse findings | None | N/A Audit closure date: March 23, 2018 |
|
| East Carolina Health d/b/a Vidant Roanoke-Chowan Hospital | DSH340099 | NC | No adverse findings | None | N/A Audit closure date: February 6, 2018 |
|
| East Georgia Healthcare Center, Inc. | CH049010 | GA | No adverse findings | None | N/A Audit closure date: February 27, 2018 |
|
| Fairview Hospital DBA Fairview Regional Medical Center | CAH371329-00 | OK | No adverse findings | None | N/A Audit closure date: June 7, 2018 |
|
| Fort Sanders Regional Medical Center | RRC440125-00 | TN | Incorrect 340B OPAIS record – Pharmacy incorrectly registered as child site. Diversion - 340B drugs dispensed at entity for prescriptions written at ineligible sites. Duplicate Discounts - Incorrect or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: January 27, 2020 |
Director of Pharmacy Fort Sanders Regional Medical Center 1901 Clinch Avenue Knoxville, TN 37916 865-331-4930 Norris@covhith.com |
| Genesis Healthcare System | DSH360039 | OH | Inaccurate or incomplete information in the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of this finding. | None | CAP implemented Audit closure date: January 8, 2019 |
|
| Georgetown Memorial Hospital | DSH420020 | SC | No adverse findings | None | N/A Audit closure date: December 7, 2018 |
|
| Grand River Hospital District | CAH061317-00 | CO | Incorrect 340B OPAIS record - Offsite outpatient facility was not listed on the 340B database. | None | CAP implemented Audit closure date: September 24, 2018 |
|
| Great Plains of Smith County DBA Smith County Memorial Hospital | CAH171377-00 | KS | No adverse findings | None | N/A Audit closure date: April 10, 2018 |
|
| Gritman Medical Center | CAH131327-00 | ID | Incorrect 340B OPAIS record - Registered contract pharmacies without written contract in place prior to January 29, 2018. Diversion - 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: August 28, 2018 |
RPH Director of Pharmacy Gritman Medical Center 700 South Main Street Moscow, ID 83843 208-883-2236 |
| H.C. Watkins Memorial Hospital | CAH251316-00 | MS | No adverse findings | None | N/A Audit closure date: August 9, 2018 |
|
| Health and Hospital Corporation of Marion County | DSH150024 | IN | Diversion - 340B drugs dispensed at entity for prescriptions written at ineligible sites and without a documented provider to patient relationship. | Repayment to manufacturers | CAP implemented Audit closure date: May 8, 2019 |
Pharmacy Manager, Procurement 720 Eskenazi Avenue Indianapolis, IN 46202 317-880-4450 |
| Healthnet, Inc. | CH053200 | IN | No adverse findings |
None |
N/A Audit closure date: November 29, 2017 |
|
| Highlands Regional Medical Center | DSH180005 | KY | Incorrect 340B OPAIS record - Registered contract pharmacy without written contract in place prior to April 23, 2018. | None | CAP implemented Audit closure date: November 14, 2018 |
|
| Holzer | DSH360054 | OH | Incorrect 340B OPAIS record - ineligible sites registered on 340B OPAIS. Duplicate Discounts - Incorrect or incomplete information in the Medicaid Exclusion File; Entity did not have controls in place to prevent duplicate discounts. |
Termination of ineligible offsite outpatient facilities from the 340B Program* Repayment to manufacturers |
CAP implemented Audit closure date October 23, 2019 |
340B Compliance Analyst |
| Hospital District No. 5 of Harper County Kansas | CAH171366-00 | KS | Incorrect 340B OPAIS 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. |
Repayment to manufacturers | CAP implemented Audit closure date: April 10, 2019 |
Chief Financial Officer 700 W. 13th Street Harper, KS 67058 620-896-7324 |
| Housing Works Health Services III, Inc. | CHC26191-00 | NY | No adverse findings | None | N/A Audit closure date: October 5, 2018 |
|
| Hyacinth Foundation | RWI07107 | NJ | Diversion - 340B drug dispensed at contract pharmacy for a prescription written at an ineligible site. | Repayment to manufacturers | CAP implemented Audit closure date: March 13, 2019 |
Senior Director of Program Development 317 George Street, Suite 203 New Brunswick, NJ 08901 732-246-0204 jriccardi@hyacinth.org |
| Inland Hospital | DSH200041 | ME | No adverse findings | None | N/A Audit closure date: December 11, 2018 |
|
| Jane Pauley Community Health Center, Inc. | CHC26566-00 | IN | No adverse findings | None | N/A Audit closure date: January 11, 2018 |
|
| Jessie Trice Community Health System, Inc. | CH040330 | FL | Entity did not provide contract pharmacy oversight prior to August 24, 2018. Incorrect 340B OPAIS record – Incorrect entries for offsite outpatient facility names. Diversion –340B drug dispensed at a contract pharmacy for a prescription written at an ineligible site.Duplicate Discounts - Incorrect or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: March 24, 2020 |
340B Administrator Jessie Trice Community Health Center, Inc. 5361 Northwest 22nd Avenue Miami, FL 33142 HNCyrus@jtchc.org (305) 805-1700 |
| Johnson City Medical Center | DSH440063 | TN | Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: October 31, 2019 |
Corporate Pharmacy Business Director 2 Professional Park Drive Suite 15 Johnson City, TN 37604 423-302-3535 cindy.tucker@balladhealth.org |
| Kalispell Regional Medical Center | SCH270051-00 | MT | Incorrect 340B OPAIS record - ineligible sites registered on 340B OPAIS. Diversion - 340B drug dispensed at a contract pharmacy for a prescription written at an ineligible site. |
Termination of ineligible offsite outpatient facilities from the 340B Program Repayment to manufacturers |
CAP implemented Audit closure date: July 9, 2019 |
Pharmacy Analyst 310 Sunnyview Lane Kalispell, MT 59901 406-751-6560 |
| Karmanos Cancer Center | DSH230297 | MI | Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: November 19, 2019 |
Chief Pharmacy Officer |
| Kootenai Hospital District | DSH130049 | ID | Incorrect 340B OPAIS record - Registered contract pharmacy without written contract in place prior to February 5, 2018. Diversion - 340B drugs were not properly accumulated. |
Repayment to manufacturers | CAP implemented Audit closure date: June 25, 2019 |
Business Manager 2003 Kootenai Health Way Coeur d'Alene, ID 83814 208-625-5651 tchapman@kh.org |
| Lake District Hospital | CAH381309-00 | OR | Diversion - 340B drug dispensed at contract pharmacy, not supported by a medical record. | Repayment to manufacturers | CAP implemented Audit closure date: November 6, 2019 |
Director of Pharmacy 700 S. J St. Lakeview, OR 97630 541-947-2114 ext. 281 |
| Lewis County General Hospital | CAH331317-00 | NY | Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: March 29, 2019 |
Chief Financial Officer 7785 North State Street Lowville, NY 13367 315-376-5597 |
| Lincoln Community Health Center, Inc. | CH040910 | NC | Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File; Entity did not have controls in place to prevent duplicate discounts. | None | Pending State Medicaid has since determined that duplicate discounts did not occur. |
|
| Lincoln County Hospital | CAH171360-00 | KS | Diversion - 340B drugs dispensed at contract pharmacy for prescriptions written at ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: May 8, 2019 |
Chief Financial Officer Lincoln County Hospital 624 N. 2nd Lincoln, Kansas 67455 785-524-4030 ext. 212 |
| Lincoln Health (formerly St. Andrews Hospital) | CAH201302-00 | 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: June 6, 2019 |
|
| Little Falls Hospital | CAH331311-00 | NY | Diversion - 340B drugs dispensed to inpatients | Repayment to manufacturers | CAP implemented Audit closure date: April 17, 2019 |
Chief Financial Officer 10300 Compton Ave. Los Angeles, CA 90002 323-568-3093 |
| Livingston Hospital and Healthcare Services, Inc. | CAH181320-00 | KY | Incorrect 340B OPAIS Record – Incorrect entry for Primary Contact. | None | CAP implemented Audit closure date: April 3, 2019 |
|
| Loma Linda University Medical Center | DSH050327 | 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: September 12, 2019 |
Executive Director of Pharmacy 11234 Anderson Street Loma Linda, CA 92354 909-558-4497 agobin@llu.edu |
| MaineGeneral Medical Center | DSH200039 | ME | No adverse findings | None | N/A Audit closure date: December 7, 2018 |
|
| Maricopa Medical Center | DSH030022 | AZ | Incorrect 340B OPAIS record - ineligible site registered on 340B OPAIS; Registered contract pharmacy without written contract in place. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File; Inaccurate or incomplete information in the Medicaid Exclusion File. |
Termination of one ineligible offsite outpatient facility from the 340B Program* Termination of one contract pharmacy from 340B Program* Repayment to manufacturers. |
CAP implemented Audit closure date: January 13, 2020 |
Director of Pharmacy 2601 E. Roosevelt Street Phoenix, AZ 85008 Anna.Sogard@mihs.org 602-344-5253 |
| Marlborough Hospital | DSH220049 | MA | No adverse findings | None | N/A Audit closure date: February 7, 2018 |
|
| Mayo Clinic Health System – Albert Lea | SCH240043-00 | MN | Incorrect 340B OPAIS record - Failed to include entity owned pharmacy as a shipping address. | None | CAP implemented Audit closure date: November 2, 2018 |
|
| Mayview Community Health Center, Inc. | FQHCLA263 | CA | No adverse findings | None | N/A Audit closure date: February 15, 2018 |
|
| McCulloch County Hospital District DBA Heart of Texas Healthcare System | CAH451348-00 | TX | No adverse findings | None | N/A Audit closure date: December 19, 2018 |
|
| McKay-Dee Hospital Center | DSH460004 | UT | Duplicate Discounts - Inaccurate 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: June 12, 2018 |
|
| Medical Center Hospital | DSH450132 | TX | Incorrect 340B OPAIS record - Registered contract pharmacy without written contract in place. Diversion –340B drug dispensed to an inpatient. |
Termination of one contract pharmacy from 340B Program. Repayment to manufacturer. |
CAP implemented Audit closure date: September 18, 2019 |
340B Coordinator 500 West 4th Street Odessa, TX 79761 432-640-2294 |
| Medical Center of Central Georgia | DSH110107 | GA | Diversion - 340B drugs dispensed at entity for prescriptions written at ineligible sites. Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File; Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented State Medicaid has since determined that duplicate discounts did not occur. |
Department of Pharmacy Services MSC 113 Medical Center-Navicent Health 777 Hemlock Street Macon, GA 31201 478-633-1429 478-796-4890 |
| Memorial Health Care Systems DBA Memorial Hospital | CAH281339-00 | NE | No adverse findings | None | N/A Audit closure date: October 24, 2018 |
|
| Memorial Hospital of Texas County Authority | SCH370138-00 | OK | Duplicate Discounts - Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. | Repayment to manufacturers | CAP approved Covered entity, its outpatient facilities, and its contract pharmacies self-terminated from 340B Program as of April 1, 2018. Settlement with affected manufacturers has not been finalized. CE will not be permitted to re-enroll in the 340B Program until such time: 1) CE has attested that it has finalized settlement with all affected manufacturers, including completion of any necessary repayment, for all findings listed in the Final Report; and 2) CE has attested that a HRSA-approved CAP has been fully implemented. Audit closure date: July 10, 2019. |
Pharmacy Tech 520 Medical Drive Guymon, OK 73942 580-338-3113 ext 2261 |
| Methodist Charlton Medical Center | DSH450723 | TX | Diversion - 340B drugs were not properly accumulated. | Repayment to manufacturers | CAP implemented Audit closure date: August 29, 2018 |
Director of Pharmacy Services 3500 W. Wheatland Rd. Dallas, TX 75237 214-947-7581 |
| Mid-Valley Healthcare Inc. DBA Samaritan Lebanon Community Hospital | CAH381323-00 | OR | Inaccurate or incomplete information in the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of this finding. | None | CAP implemented Audit closure date: January 23, 2019 |
|
| Mississippi State Dept of Health | RWIID392133 | MS | Incorrect 340B OPAIS record - Incorrect entry for grant number prior to January 29, 2018. | None | CAP implemented Audit closure date: April 17, 2018 |
|
| Monroe County Hospital | CAH161342-00 | IA | No adverse findings | None | N/A Audit closure date: January 26, 2018 |
|
| Morris Heights Health Center Inc. | CH021610 | NY | Incorrect 340B OPAIS record - Offsite outpatient facility was not listed on the 340B OPAIS. Duplicate Discounts - Entity’s contract pharmacies were billing Medicaid without notification to HRSA. |
Repayment to manufacturers | CAP implemented Audit closure date: September 13, 2019 |
Vice President Planning and Development Morris Heights Health Center, Inc. 85 West Burnside Avenue Bronx, New York 10453-4015 718-483-1270 |
| Morton Comprehensive Health | CH063890 | OK | Incorrect 340B OPAIS record - Failed to include entity owned pharmacy as a shipping address; Registered contract pharmacies without written contract in place. Duplicate Discounts - Inaccurate or incomplete information 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: June 19, 2019 |
|
| Mountainview Medical Center | CAH271306-00 | MT | 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: May 24, 2019 |
|
| Neighborhood Healthcare | CH093540 | CA | 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, 2019 |
Senior Financial Analyst 425 North Date Street Escondido, CA 92025 760-737-6905 |
| New Mexico Department of Health | STD87502 | NM | Incorrect 340B OPAIS record - Incorrect entry for address prior to December 4, 2018. Entity did not have adequate controls in place to prevent duplicate discounts. However, since the time of audit, covered entity demonstrated that duplicate discounts did not occur as a result of the finding. |
None | CAP implemented Audit closure date: March 23, 2020 |
|
| New York – Presbyterian / Queens | DSH330055 | NY | Incorrect 340B database record - ineligible site registered on 340B database. | None | CAP implemented Audit closure date: November 7, 2018 |
|
| North Central Bronx Hospital Center (NYCHHC) | DSH330385 | NY | No adverse findings | None | N/A Audit closure date: December 11, 2018 |
|
| North Mississippi Primary Health Care, Inc. | CH049100 | MS | Diversion - 340B drug dispensed at a contract pharmacy, not supported by a medical record. Duplicate Discounts - Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: May 15, 2019 |
Chief Quality Officer PO Box 92 Ashland, MS 38603 662-502-3156 |
| North Valley Hospital | CAH271336-00 | MT | 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 17, 2019 |
Pharmacy Director 1600 Hospital Way Whitefish, MT 59937-2990 406-863-3510 |
| Northeast Washington County Community Health, Inc. | CHC08230-00 | VT | Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed on the 340B OPAIS; Registered contract pharmacy without written contract in place prior to December 2018. CE did not comply with HRSA’s conditions and requirements of the alternative methods demonstration project (AMDP). Diversion –340B drugs dispensed at contract pharmacy to ineligible patients.Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File; Entity did not have adequate controls in place to prevent duplicate discounts. |
Repayment to manufacturers | CAP implemented Audit closure date: October 19, 2020 |
Chief Operations Officer PO Box 320 157 Towne Avenue Plainfield, Vermont 05667 (802) 322-0711 |
| Northern Maine Medical Center | SCH200052-00 | ME | Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed on the 340B OPAIS. Diversion - 340B drug dispensed to an inpatient; 340B drug dispensed at contract pharmacy for prescriptions written at an ineligible site. |
Repayment to manufacturers | CAP implemented Audit closure date: September 13, 2019 |
Chief Financial Officer Northern Maine Medical Center 194 East Main Street Fort Kent, ME 04743 207-834-1820 |
| NYU Langone Hospitals | DSH330214 | NY | 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 25, 2019 |
Director of Pharmacy, 340B Program 215 Lexington Avenue, 14th Floor New York, NY 10016 646-754-9356 |
| OhioHealth Corporation DBA Doctors Hospital | DSH360152 | OH | Diversion – 340B drug dispensed at contract pharmacy for prescription written at ineligible site. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: January 27, 2020 |
Vice President of Finance OhioHealth Doctors Hospital 5100 West Broad St Columbus, OH 43228 614-544-2062 |
| Orange Coast Memorial Medical Center | DSH050678 | CA | No adverse findings | None | N/A Audit closure date: March 7, 2018 |
|
| Palmetto Health Baptist | DSH420086 | SC | Diversion - 340B drugs were not properly accumulated. | Repayment to manufacturers | CAP implemented Audit closure date: September 18, 2019 |
System Director of Pharmacy Dept of Pharmaceutical Services 5 Richland Medical Park Drive Columbia SC 29203 803-434-3769 |
| Parkview Hospital | DSH150021 | IN | Incorrect 340B OPAIS record - Failed to remove duplicate registrations for offsite outpatient facilities. Diversion - 340B drugs dispensed at entity for prescriptions written at ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: April 17, 2019 |
340B Program Supervisor P.O. Box 5600 Fort Wayne, IN 46895 260-266-4408 |
| Parkview Wabash Hospital, Inc. | CAH151310-00 | IN | Incorrect 340B OPAIS record - Registered contract pharmacy without written contract in place prior to October 23, 2017. | None | CAP implemented Audit closure date: March 14, 2018 |
|
| Parmer County Community Hospital, Inc. | CAH451300-00 | TX | No adverse findings | None | N/A Audit closure date: February 23, 2018. |
|
| Paulding County Hospital | CAH361300-00 | OH | Diversion – 340B drugs dispensed to inpatients. Duplicate Discounts - Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: February 10, 2020 |
VP Pharmacy/ Radiology 1035 West Wayne Street Paulding, Ohio 45879 419-399-4080, Ext 320 bhoersten@pauldingcountyhospital.com |
| Peacehealth DBA St. Joseph Medical Center | SCH500030-00 | WA | Incorrect 340B OPAIS record - Incorrect entry for address 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: March 7, 2019 |
Director of Pharmacy |
| Peak Vista Community Health Centers | CH081460 | CO | Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: October 5, 2018 |
Pharmacy Director 719-344-6269 preilly@peakvista.org |
| Penn Presbyterian Medical Center | DSH390223 | PA | Diversion - 340B drugs dispensed at entity for prescriptions written at ineligible site. Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: June 28, 2019 |
Director of Pharmacy Penn Presbyterian Medical Center 51 North 39th Street Philadelphia PA 19104 215-662-8213 |
| Pennsylvania Hospital, The | DSH390226 | PA | Diversion - 340B drugs dispensed at entity for prescriptions written at ineligible site. Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: October 4, 2019 |
Suzanne Brown Director of Pharmacy Services Pennsylvania Hospital 800 Spruce St. Philadelphia, PA 19107 215-829-5847 |
| Phoebe Putney Memorial Hospital | DSH110007 | GA | Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: November 26, 2019 |
Pharmacy Informatics & Technology Manager 417 Third Ave Albany, GA 31701 229-312-0115 |
| Piedmont Mountainside Hospital, Inc. | DSH110225 | GA | Inaccurate or incomplete information in Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of this finding. | None | CAP implemented Audit closure date: December 31, 2018 |
|
| Planned Parenthood Association of Utah – South Jordan | FP84095 | UT | Incorrect 340B OPAIS record - Utilized contract pharmacies that were not listed on OPAIS; Failed to remove two terminated contract pharmacies from OPAIS. Duplicate Discounts - Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Termination of contract pharmacies from 340B Program Repayment to manufacturers |
CAP implemented Audit closure date: June 11, 2019 |
VP of Clinical Services Planned Parenthood Association of Utah 654 South 900 East Salt Lake City, UT 84102 801-532-1586 Penny.davies@ppau.org |
| Planned Parenthood St. Louis Region and Southwest Missouri | STD65807 | MO | No adverse findings | None | N/A Audit closure date: April 3, 2018 |
|
| Pomona Valley Hospital Medical Center | DSH050231 | CA | Duplicate Discounts - Entity did not have controls in place to prevent duplicate discounts. | Repayment to manufacturers | CAP implemented Audit closure date: June 17, 2019 |
Director of Pharmacy Pomona Valley Hospital Medical Center 1798 Noth Garey Avenue Pomona, CA 91767 909-865-9501 |
| Positive Impact Health Centers, Inc. | RWI30309 | GA | Diversion – 340B drugs dispensed at entity and 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: January 27, 2020 |
Director of Pharmacy 523 Church Street Decatur, GA 30030 404-977-5206 |
| Prairie Ridge Hospital and Health Services | CAH241379-00 | MN | Diversion – 340B drug dispensed at contract pharmacy for prescription written at ineligible site; 340B drug dispensed at contract pharmacy, not supported by a medical record. Duplicate Discounts - Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: October 21, 2019 |
Pharmacy Director and 340B Program Manager Prairie Ridge Hospital & Health Services 1411 Hwy 79 E Elbow Lake, MN 56531 218-685-7376 rlien@prairiehealth.org |
| Presbyterian Hospital dba Novant Health Presbyterian Medical Center | DSH340053 | NC | Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: December 10, 2019 |
340B Supervisor 3334 Healy Drive Winston-Salem, NC 27103 336-277-0301 echansen@novanthealth.org |
| Providence Hood River Memorial Hospital | CAH381318-00 | OR | No adverse findings | None | N/A Audit closure date: December 27, 2018 |
|
| Providence St. Joseph’s Hospital of Chewelah | CAH501309-00 | WA | No adverse findings | None | N/A Audit closure date: September 19, 2018 |
|
| Providence St. Vincent Medical Center | DSH380004 | OR | No adverse findings | None | N/A Audit closure date: October 2, 2018 |
|
| Public Hospital District No 1-A DBA Pullman Regional Hospital | CAH501331-00 | WA | 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: October 1, 2019 |
Chief Financial Officer 835 SE Bishop Blvd Pullman, WA 99163 877-446-0473 steve.febus@pullmanregional.org |
| Regional Health Sturgis Hospital | CAH431321-00 | SD | No adverse findings | None | N/A Audit closure date: June 14, 2018 |
|
| Rhode Island Hospital | DSH410007 | RI | Diversion - 340B drug dispensed at contract pharmacy for prescription written at ineligible site. | Repayment to manufacturers | CAP implemented Audit closure date: October 2, 2019 |
Director of Pharmacy 593 Eddy St. Providence, RI 02903 401-444-4434 |
| Richardson Medical Center | DSH190151 | LA | Diversion –340B drugs dispensed to inpatients; 340B drugs were not properly accumulated. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: October 1, 2019 |
Director of Pharmacy Richardson Medical Center 254 Hwy 3048 Rayville, LA 71269 318-728-8352 reneec@richardsonmed.org |
| Riverside Regional Medical Center | DSH490052 | VA | 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 12, 2019 |
Vice President/Chief Pharmacy Officer 856 J Clyde Morris Blvd, Suite C Newport News, VA 23601 757-316-5707 cynthia.williams2@rivhs.com |
| Ronald Reagan UCLA Medical Center | DSH050262 | CA | Incorrect 340B OPAIS record - Incorrect entry for billing address. Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: April 2, 2019 |
Director of Inpatient Pharmacy Ronald Reagan UCLA Medical Center 757 Westwood Plaza Room B531 Los Angeles, CA 90095 310-267-8503 |
| Rumford Hospital | CAH201306-00 | ME | No adverse findings | None | N/A Audit closure date: December 12, 2018 |
|
| Rural Health Group, Inc. | CH046680 | NC | Diversion - 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: December 21, 2018 |
Pharmacy Director Rural Health Group, Inc. 252-536-5885 dawn.rush@rhgnc.org |
| Rush Memorial Hospital | CAH151304-00 | IN | No adverse findings | None | N/A Audit closure date: November 16, 2017 |
|
| Saint Francis Hospital | DSH370091 | OK | No adverse findings | None | N/A Audit closure date: June 13, 2018 |
|
| Saint Joseph – Martin | CAH181305-00 | KY | No adverse findings | None | N/A Audit closure date: April 10, 2018 |
|
| Salem Township Hospital | CAH141345-00 | IL | Diversion - 340B drugs dispensed at the entity and contract pharmacies for prescriptions written at ineligible sites. Inaccurate or incomplete information in Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of this finding. Duplicate Discounts - Entity did not have controls in place to prevent duplicate discounts. |
Repayment to manufacturers | CAP implemented Audit closure date: July 25, 2019 |
Chief Executive Officer 1201 Ricker Drive Salem, IL 62881-4263 618-548-3194 |
| San Miguel County Department of Health and Environment | FP814352 | CO | Incorrect 340B OPAIS record - Incorrect entry for billing address; Incorrect entry for grant number. Duplicate Discounts - Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented | Director, San Miguel County Department of Health and Environment PO Box 949 333 West Colorado Ave. Telluride, CO 81435-00949 970-728-4289 |
| Sanford Medical Center Luverne | CAH241371-00 | MN | Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: November 26, 2019 |
340B Program Coordinator 1305 W. 18th St. Sioux Falls, South Dakota 57117 605-333-4298 |
| Sanford Worthington Medical Center | DSH240022 | MN | No adverse findings | None | N/A Audit closure date: January 23, 2018 |
|
| SC DHEC Lowcountry Region Charleston County North Area FP | FP294055 | SC | No adverse finding | None | N/A Audit closure date: November 15, 2018 |
|
| Scott and White Memorial Hospital | DSH450054 | TX | Covered outpatient drugs obtained through a Group Purchasing Organization prior to December 4, 2018. Incorrect 340B OPAIS record - Ineligible sites registered on 340B OPAIS; - Offsite outpatient facilities were not listed on the 340B OPAIS; Failed to include entity owned pharmacies as shipping addresses. Diversion –340B drug dispensed to an inpatient. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers Termination of ineligible offsite outpatient facility from the 340B Program* |
CAP implemented Audit closure date: March 23, 2020 |
Pharmacy Specialist, Scott & White Memorial Hospital 2401 S. 31st Street Temple, TX 76502 254-724-3811 |
| Scott Regional Hospital | CAH251323-00 | MS | Diversion - 340B drugs were not properly accumulated. | Repayment to manufacturers | CAP implemented Audit closure date: December 20, 2018 |
Compliance Officer Scott Regional Hospital 317 Highway 13 South Morton, MS 39117 601-703-4437 |
| SE Alabama Rural Health Associates (SARHA) | CH048950 | AL | Incorrect 340B OPAIS record - Registered contract pharmacy without written contract in place prior to August 22, 2018. | None | CAP implemented Audit closure date: August 20, 2019 |
|
| Seattle Children’s Hospital | PED503300-00 | WA | Incorrect 340B OPAIS record - Incorrect entry for off-site outpatient facility billing address. 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: August 20, 2019 |
|
| Shady Grove Adventist Hospital | DSH210057 | MD | Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: May 29, 2019 |
Rockville Campus Director of Pharmacy 9901 Medical Center Drive Rockville, MD 28050 240-826-6156 |
| Shelby Co Chris A Myrtue Memorial Hospital | CAH161374-00 | IA | Diversion - 340B drugs dispensed at contract pharmacies, not supported by a medical record. | Repayment to manufacturers | CAP implemented Audit closure date: August 6, 2019 |
340B Coordinator 1213 Garfield Avenue Harlan, IA 51537 712-755-4411 |
| Shenandoah Medical Center | CAH161366-00 | IA | No adverse findings | None | N/A Audit closure date: January 31, 2018 |
|
| Skagit Valley Hospital | DSH500003 | WA | Diversion - 340B drugs dispensed at entity 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: August 6, 2019 |
340B Coordinator Skagit Valley Hospital 1415 East Kincaid Street Mount Vernon, WA 98274 |
| South Lincoln Hospital District | CAH531315-00 | WY | Entity did not provide contract pharmacy oversight. Diversion - 340B drugs dispensed at contract pharmacy for prescriptions written at ineligible site. |
Termination of contract pharmacies from 340B Program* Repayment to manufacturers |
CAP implemented Audit closure date: October 2, 2019 |
IT / Revenue Cycle Manager 711 Onyx Street Kemmerer, WY 83101 307-877-5574 |
| Southeast Community Health Systems | CH063710 | LA | Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: September 13, 2019 |
340B Coordinator Skagit Valley Hospital 1415 East Kincaid Street Mount Vernon, WA 98274 |
| Southeast Health Medical Center | DSH010001 | AL | Incorrect 340B OPAIS record - Registered contract pharmacy without written contract in place prior to June 6, 2018. Diversion - 340B drug dispensed to an inpatient; 340B drugs dispensed at entity for prescriptions written at ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: September 5, 2019 |
340B Program Coordinator 1108 Ross Clark Circle Dothan, AL 36301 334-793-8113 |
| Spectrum Health Big Rapids Hospital | SCH230093-00 | MI | Incorrect 340B OPAIS record - Registered contract pharmacies without written contract in place; Hospital classification on OPAIS was inconsistent with eligibility documents prior to September 7, 2018. | Termination of three contract pharmacies from 340B Program* | CAP implemented Audit closure date: February 28, 2019 |
|
| St. David’s Healthcare Partnership, L.P., LLP DBA St. David’s Medical Center | DSH450431 | TX | 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 16, 2019 |
Chief Financial Officer 1025 E. 32nd Street Austin, TX 78705 512-544-5030 |
| St. Francis Medical Center | DSH310021 | NJ | No adverse findings | None | N/A Audit closure date: March 16, 2018 |
|
| St. Francis Medical Center Inc. | DSH190125 | LA | Diversion - 340B drugs were not properly accumulated; 340B drugs dispensed at 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 6, 2019 |
Divisional Director Clinical Ancillary Operations 309 Jackson St. Monroe, LA 71201 318-966-4957 |
| St. Gabriel’s Hospital | CAH241370-00 | MN | No adverse findings | None | N/A Audit closure date: May 29, 2018 |
|
| St. Joseph’s Medical Center | DSH240075; SCH240075-00 |
MN | No adverse findings | None | N/A Audit closure date: August 8, 2018 |
|
| St. Luke’s Hospital of Duluth | DSH240047 | MN | Incorrect 340B OPAIS record – Incorrect entries for offsite outpatient facilities’ addresses. Diversion - 340B drugs dispensed at entity and contract pharmacy for prescriptions written at ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: July 29, 2019 |
Vice President/CFO 915 East First Street Duluth, MN 55805-2107 218-249-5475 |
| St. Luke’s Wood River Medical Center | CAH131323-00 | ID | No adverse findings | None | N/A Audit closure date: October 15, 2018 |
|
| St. Mary’s Hospital and Medical Center, Inc. | DSH060023 | CO | No adverse findings | None | N/A Audit closure date: May 23, 2018 |
|
| St. Mary’s Regional Health Center | DSH240101 | MN | No adverse findings | None | N/A Audit closure date: August 10, 2018 |
|
| Stanford Health Care | DSH050441 | CA | No adverse findings | None | N/A Audit closure date: February 1, 2018 |
|
| Sterling Regional MedCenter | RRC060076-00 | CO | Incorrect 340B OPAIS record - Entity registered as an incorrect hospital type. | None | CAP implemented Audit closure date: May 29, 2019 |
|
| Sunset Park Health Council, Inc. | CH0218870 | NY | Duplicate Discounts - Incorrect or incomplete information in the Medicaid Exclusion File. Duplicate Discounts - Entity did not have controls in place to prevent duplicate discounts. |
Repayment to manufacturers | CAP implemented Audit closure date: October 16, 2019 |
Compliance Officer Callen-Lorde Community Health Center 356 West 18th Street New York, NY 10011 212-271-7149 lmazzola@callen-lorde.org |
| Sutter Bay Hospital DBA Alta Bates Summit Medical Center | DSH050043 | CA | Incorrect 340B OPAIS record - Ineligible site registered on 340B OPAIS; Incorrect entry for off-site outpatient facility address; Incorrect entry for billing address; Incorrect entry for authorizing official telephone number. | None | CAP implemented Audit closure date: April 30, 2019 |
|
| Swedish Medical Center | DSH500027 | WA | Incorrect 340B OPAIS record – Failed to remove duplicate registrations for offsite outpatient facilities. | None | CAP implemented Audit closure date: July 23, 2019 |
|
| Tarrant County Hospital District, John Peter Smith Hospital | DSH450039 | TX | Incorrect 340B OPAIS record - Incorrect entries for name and address of offsite outpatient location. Diversion - 340B drug dispensed at contract pharmacy for a prescription written at an 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: January 27, 2020 |
Chief Pharmacy Officer (817) 702-6718 1500 S. Main Street Fort Worth, TX 76104 |
| Temple University Hospital | DSH390027 | PA | Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed on the 340B OPAIS. Diversion - 340B drugs dispensed at entity and at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: April 1, 2020 |
Chief Financial Officer 2450 West Hunting Park Avenue Philadelphia, PA 19129 TUH340Program@tuhs.temple.edu |
| Three Rivers Medical Center | DSH380002 | OR | Incorrect 340B OPAIS record - Failed to include entity owned pharmacy as a shipping address. Diversion -340B drug dispensed at entity for a prescription written at an ineligible site. |
Repayment to manufacturers | CAP implemented Audit closure date: March 29, 2019 |
Chief Administrative and Financial Officer Three Rivers Medical Center 500 SW Ramsey Avenue Grants Pass, Oregon 97527 541-789- 4549 |
| Trinity Hospital Twin City | CAH361302-00 | OH | No adverse findings | None | N/A Audit closure date: February 8, 2018 |
|
| Tyrone Hospital | CAH391307-00 | PA | Incorrect 340B OPAIS record - Failed to remove closed location’s registration; Incorrect entry for address. Diversion - 340B drugs dispensed at contract pharmacies for a prescriptions written at ineligible sites. Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: April 12, 2019 |
Chief Executive Officer Tyrone Hospital 187 Hospital Drive Tyrone, PA 16686 814-684-1255, ext 2101 |
| UCSF - Medical Center | DSH050454 | CA | Incorrect 340B OPAIS record - Registered contract pharmacies without written contract in place; Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File. |
Termination of three contract pharmacies from 340B Program Repayment to manufacturers |
CAP implemented Audit closure date: November 19, 2019 |
340B Manager UCSF Medical Center 505 Parnassus Avenue San Francisco, CA 94143 415-514-8398 |
| United Community Services, Inc. | CHC29000-00 | CT | No adverse findings | None | N/A Audit closure date: January 24, 2018 |
|
| United Regional Health Care System | SCH450010-00 | TX | Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed on the 340B OPAIS. 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 duplicate discounts. |
Repayment to manufacturers | CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: October 3, 2019 |
Robert Pert, Chief Financial Officer 1617 11th Street Wichita Falls, TX 76301 940-764-3023 |
| University Hospitals Rainbow and Babies Children’s Hospital | PED363302-00 | OH | Diversion - 340B drugs dispensed at entity for prescriptions written at an ineligible site. | Repayment to manufacturers | CAP implemented Audit closure date: March 13, 2019 |
Vice President & Corporate Controller 3605 Warrensville Center Rd. Room: 1110 Mail Stop: MSC8100 Shaker Heights, OH 44122-5203 216-767-8729 Michael.Vehovec@UHhospitals.org |
| Urban Health Plan, Inc. | CH023600 | NY | 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 17, 2019 |
|
| USC Norris Cancer Hospital | CAN050660-00 | CA | Incorrect 340B OPAIS record - Incorrect entry for address | None | CAP implemented Audit closure date: July 18, 2018 |
|
| Valley AIDS Council | RWII70 | TX | Incorrect 340B OPAIS record –Incorrect grant number entry. Entity did not provide contract pharmacy oversight. |
Termination of contract pharmacies from 340B Program | CAP implemented Audit closure date: November 20, 2019 |
|
| Virginia Commonwealth University Health System | DSH490032 | VA | No adverse findings | None | N/A Audit closure date: October 17, 2018 |
|
| Waikiki Health | CH092060 | HI | Incorrect 340B OPAIS record – Incorrect entry for entity name; incorrect entry for primary contact information. | None | CAP implemented Audit closure date: August 20, 2019 |
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| Wakemed | DSH340069 | NC | Diversion - 340B drugs dispensed at entity for prescription written at an ineligible site. | Repayment to manufacturers | CAP implemented Audit closure date: August 6, 2019 |
Executive Director of Clinical Services 919-350-8021 vbarlow@wakemed.org |
| Watts Healthcare Corporation | CHC00850-00 | CA | Entity did not provide contract pharmacy oversight. Duplicate Discounts - Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Termination of contract pharmacies from 340B Program Repayment to manufacturers |
CAP implemented Audit closure date: April 17, 2019 |
Chief Financial Officer 10300 Compton Ave. Los Angeles, CA 90002 323-568-3093 |
| Westchester Medical Center | DSH330234 | NY | Incorrect 340B OPAIS record - ineligible site registered on 340B OPAIS; Incorrect entry for offsite outpatient location zip code. | Termination of ineligible offsite outpatient facility from the 340B Program* | CAP implemented Audit closure date: June 12, 2019 |
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| West Allis Memorial Hospital Inc. DBA Aurora West Allis Medical Center | DSH520139 | WI | Entity was billing Medicaid contrary to information included 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 10, 2019 |
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| Whitesburg ARH Hospital | DSH180002 | KY | No adverse findings | None | N/A Audit closure date: June 6, 2018 |
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| Whitley Memorial Hospital | DSH150101 | IN | No adverse findings | None | N/A Audit closure date: December 12, 2017 |
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| Yuma Regional Medical Center | DSH030013 | AZ | Diversion - 340B drugs dispensed at contract pharmacy for a prescriptions written at ineligible site. Duplicate Discounts - Entity did not have controls in place to prevent duplicate discounts. |
Repayment to manufacturers | CAP implemented Audit closure date: October 23, 2019 |
340B Program Manager 2400 S Avenue A Yuma, AZ 85364 928-336-7721 |
*Note: Covered entity self-terminated cited facilities prior to termination of facilities by OPA.
