Updated 1/28/22. 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 |
|---|---|---|---|---|---|---|
| Abbeville County Memorial Hospital | CAH421301-00 | SC | No adverse findings | None | N/A Audit closure date: October 4, 2019 |
|
| Action for Boston Community Development | FP021118 | MA | Incorrect 340B OPAIS record – Incorrect entries for grant number. | None | CAP implemented Audit closure date: April 6, 2021 |
|
| Adams County Memorial Hospital dba Adams Memorial Hospital | CAH151330-00 | IN | Incorrect 340B OPAIS record -Registered contract pharmacies without written contract in place prior to January 25, 2019. | None | CAP implemented Audit closure date: April 24, 2019 |
|
| Adena Regional Medical Center | DSH360159 | OH | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: January 4, 2021 |
AHS Director of Pharmacy Services |
| Alamance Regional Medical Center | DSH340070 | NC | No adverse findings | None | N/A Audit closure date: October 1, 2019 |
|
| Albany Medical Center Hospital | DSH330013 | NY | No adverse findings | None | N/A Audit closure date: December 20, 2019 |
|
| Ammonoosuc Community Health Services Inc. | CH010980 | NH | No adverse findings | None | N/A Audit closure date: March 7, 2019 |
|
| Arkansas Department of Health | FP722051 | AR | Incorrect 340B OPAIS record – Incorrect entry for address for offsite outpatient facility. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
None | CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: September 17, 2020 |
|
| Aroostook Medical Center, The | DSH200018 | ME | No adverse findings | None | N/A Audit closure date: December 6, 2019 |
|
| Athens-Limestone | DSH010079 | AL | Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: June 17, 2020 |
Chief Financial Officer 700 West Market Street Athens, AL 35611 256-233-9172 |
| Avera St. Mary’s | DSH430015 | SD | No adverse findings | None | N/A Audit closure date: January 27, 2020 |
|
| Baptist Health | DSH100093 | FL | 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. |
Repayment to manufacturers | CAP implemented Audit closure date: September 23, 2020 |
Corporate Director of Pharmacy 1000 W Moreno Street Pensacola, FL 32501 850-469-7567 |
| Baptist Health Medical Center – LR | DSH040114 | AR | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | None | CAP implemented Audit closure date: June 9, 2020 State Medicaid has since determined duplicate discounts did not occur. |
|
| Barnesville Hospital Association, Inc. | CAH361321-00 | OH | No adverse findings | None | N/A Audit closure date: May 9, 2019 |
|
| Baton Rouge General Medical Center | DSH190065 | LA | Incorrect 340 OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS. Diversion – 340B drug dispensed to inpatient. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: February 18, 2021 |
Compliance Officer 8490 Picardy Ave Suite 300 Baton Rouge, Louisiana 70809 ken.miller@brgeneral.org 225-237-1588 |
| Beaufort-Jasper-Hampton Comprehensive Health Services, Incorporated | CH041190 | SC | Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS; Incorrect entry for address for offsite outpatient facility. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File; Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: March 3, 2020 |
340B Program Coordinator 721 Okatie Highway Ridgeland, SC 29936 843-987-7545 |
| Big Springs Medical Association, Inc. | CH070430 | MO | Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: October 14, 2020 |
CEO 110 South Second Street Ellington, MO 63638 573-663-2313 kwhite@mohigh.org |
| Brattleboro Memorial Hospital | DSH470011 | VT | No adverse findings | None | N/A Audit closure date: July 9, 2019 |
|
| Bridgeport Hospital | DSH070010 | CT | No adverse findings | None | N/A Audit closure date: October 1, 2019 |
|
| Brockton Hospital, Inc | DSH220052 | MA | Inaccurate or incomplete information on 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: January 26, 2021 |
|
| BronxCare Health System Fulton Division | DSH330009 | NY | Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS; Failed to remove duplicate registration for offsite outpatient facility. Incorrect or incomplete information in the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None | CAP implemented Audit closure date: February 5, 2020 |
|
| Brooklyn Hospital Center, The | DSH330056 | NY | Diversion – 340B drug dispensed at covered entity, not supported by a medical record. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: January 26, 2021 |
VP Revenue Enhancement |
| Cambridge Memorial Hospital, Inc. DBA Tri Valley Health System | CAH281348-00 | NE | No adverse findings | None | N/A Audit closure date: August 27, 2019 |
|
| CAN Community Health, Inc. | STD342372 | FL | No adverse findings | None | N/A Audit closure date: January 7, 2020 |
|
| Canton-Potsdam Hospital | DSH330197 | NY | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: December 8, 2020 |
Authorizing Official, Chief Financial Officer |
| Caring Health Center, Inc. | CH01084B | MA | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | None | CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: June 4, 2020. |
|
| Carthage Area Hospital Inc. | CAH331318-00 | NY | No adverse findings | None | N/A Audit closure date: December 6, 2019 |
|
| Cass Regional Medical Center | CAH261324-00 | MO | No adverse findings | None | N/A Audit closure date: May 29, 2019 |
|
| Centro San Vicente | CH066580 | TX | Diversion - 340B drug dispensed at contract pharmacy for prescription 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: May 18, 2020 |
Chief Financial Officer 8061 Alameda Ave, El Paso, TX 79915 915-859-7545 ext. 1214 |
| Chambers Memorial Hospital | SCH040011-00 | AR | Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: August 7, 2020 |
340B Administrator, 479-495-6264 PO Box 639, Danville, AR 72833 jeffreywoods@chambershospital.com |
| Charles A. Dean Memorial Hospital | CAH201301-00 | ME | No adverse findings | None | N/A Audit closure date: June 23, 2020 |
|
| Children’s National Medical Center | PED093300-00 | DC | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: October 14, 2020 |
Chief of Pharmacy 111 Michigan Avenue, NW Washington, DC 20010 202-476-5553 |
| Childress Regional Medical Center | DSH450369 | TX | Incorrect 340B OPAIS record - Incorrect entry for disproportionate share percentage. | None | CAP implemented Audit closure date: February 7, 2020 |
|
| Christus St. Michael | DSH450801 | TX | Incorrect 340B OPAIS record - Failed to remove closed contract pharmacy location registration. Diversion - 340B drugs dispensed at covered entity for prescriptions written at ineligible sites. |
Repayment to manufacturers | CAP implemented Audit closure date: May 19, 2020 |
Michael French, J.D. Senior Consultant 19065 Hickory Creek Dr., Suite 115 Mokena, IL 60448 708-478-7030 |
| Clara Maass Medical Center | DSH310009 | NJ | No adverse findings | None | N/A Audit closure date: December 17, 2019 |
|
| Clinch River Health Services, Incorporated | CH031230 | VA | Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed on the 340B database; Incorrect entry for authorizing official. | None | CAP implemented Audit closure date: June 25, 2020 |
|
| Community Health Center of Central Wyoming, Inc. | CH086120 | WY | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File; Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: October 31, 2019 |
Director of Pharmacy jbeattie@chccw.org (307) 233-6050 |
| Community Memorial Hospital, Inc. | CAH331316-00 | NY | No adverse findings | None | N/A Audit closure date: December 10, 2019 |
|
| Complete Care Community Health Center, Inc. | CHC28987-00 | CA | No adverse findings | None | N/A Audit closure date: November 29, 2019 |
|
| Coquille Indian Tribe | FQHC638532 | OR | Diversion - 340B drugs dispensed at covered entity and at contract pharmacy, not supported by a medical record. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: January 28, 2021 |
Pharmacy Manager 541-435-7039 carynmickelson@coquilletribe.org |
| D. W. McMillan Memorial Hospital | DSH010099 | AL | No adverse findings | None | N/A Audit closure date: January 17, 2019 |
|
| Daviess Community Hospital | DSH150061 | IN | Incorrect 340B OPAIS record - Ineligible sites registered on 340B OPAIS. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Termination of ineligible offsite outpatient facilities from the 340B Program* | CAP implemented State Medicaid determined no duplicate discounts occurred. Audit closure date: May 7, 2020 |
|
| Davis Street Community Center Inc. | CHC28979-00 | CA | Incorrect 340B OPAIS record – Incorrect entry for primary contact. | None | N/A Audit closure date: May 20, 2020 |
|
| Delaware Valley Hospital, Inc. | CAH331312-00 | NY | No adverse findings | None | N/A Audit closure date: June 26, 2019 |
|
| District of Columbia Department of Health HIV/AIDS, Hepatitis, STD & TB Administration | RWIID72 | DC | No adverse findings | None | N/A Audit closure date: April 12, 2019 |
|
| DOH Okaloosa | FP325481 | FL | Incorrect 340B OPAIS record – Incorrect entry for address for offsite outpatient facility. | None | CAP implemented Audit closure date: April 9, 2019 |
|
| Duke University Hospital | DSH340030 | NC | Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed on the 340B OPAIS. | None | CAP implemented Audit closure date: December 18, 2019 |
|
| East Bay Community Action Program | CH015160 | RI | Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: June 17, 2020 |
Administrative Assistant Health Administration East Bay Community Action Program 100 Bullocks Point Avenue Riverside, RI 02915 401-437-1008 |
| Ellis Hospital | DSH330153 | NY | Diversion – 340B drug dispensed to inpatient | Repayment to manufacturers | CAP implemented Audit closure date: September 15, 2020 |
340B Manager Ellis Hospital 1101 Nott Street Schenectady, NY 12308 518-243-1824 |
| Ellsworth Municipal Hospital | CAH161380-00 | IA | No adverse findings | None | N/A Audit closure date: July 9, 2019 |
|
| Exempla Saint Joseph Hospital | DSH060028 | CO | No adverse findings | None | N/A Audit closure date: May 3, 2019 |
|
| Fairview Hospital | CAH221302-00 | MA | No adverse findings | None | N/A Audit closure date: March 13, 2019 |
|
| Faxton St. Luke’s Healthcare | DSH330044 | NY | No adverse findings | None | N/A Audit closure date: June 17, 2019 |
|
| Ferrell Hospital Community dba Ferrell Hospital Community Foundation | CAH141324-00 | IL | Duplicate Discounts - Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: February 10, 2020 |
Director of Pharmacy/340B primary contact Ferrell Hospital 1201 Pine Street Eldorado, IL 62930 618-297-9627 |
| Forrest General Hospital | DSH250078 | MS | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: January 21, 2021 |
Director of Pharmacy tmcdaniel@forrestgeneral.com 601-288-1485 |
| Franklin Medical Center | DSH190140 | LA | Covered outpatient drugs obtained through a Group Purchasing Organization prior to May 29, 2020. Entity failed to maintain auditable medical records prior to May 29, 2020. |
Repayment to manufacturers | CAP implemented Audit closure date: April 4, 2021 |
Director of Pharmacy/Compliance Officer |
| Freeman Regional Health Services | CAH431313-00 | SD | No adverse findings | None | N/A Audit closure date: August 28, 2019 |
|
| G.A. Carmichael Family Health Center, Inc. | CH040760 | MS | Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed on the 340B OPAIS; Failed to remove a duplicate registration of a contract pharmacy; Diversion - 340B drug dispensed at contract pharmacy, not supported by a medical record. |
Repayment to manufacturers | CAP implemented Audit closure date: September 15, 2020 |
Chief Financial Officer 1668 W. Peace Street Canton, MS 39046 270-245-7239 |
| Galion Community Hospital | CAH361325-00 | OH | Inaccurate or incomplete information on 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: September 15, 2020 |
|
| Georgetown University Hospital | DSH090004 | DC | Diversion - 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: May 12, 2020 |
340B Compliance Specialist MedStar Georgetown University Hospital 3800 Reservoir Road Washington DC 20007 thanhson.t.doan@gunet.georgetown.edu 202-444-0556 |
| Gerald Champion Regional Medical Center | DSH320004 | NM | Covered outpatient drugs obtained through a Group Purchasing Organization prior to July 1, 2019. Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed on the 340B OPAIS. Diversion - 340B drug dispensed at contract pharmacy for prescriptions written at ineligible site.Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers | State Medicaid has since determined duplicate discounts did not occur. CAP implemented Audit closure date: January 5, 2021 |
340B Coordinator 2669 Scenic Drive Alamogordo, NM 88310 575-443-7841 |
| GHS Laurens County Memorial Hospital | SCH420038 | SC | No adverse findings | None | N/A Audit closure date: October 10, 2019 |
|
| Golden Valley Health Centers | CH090470 | CA | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: May 18, 2020 |
Accounting Manager, Primary Contact 1910 Customer Care Way Atwater, CA 95301 209-384-6524 |
| Gonzales Healthcare Systems | DSH450235 | TX | Diversion - 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. Duplicate Discounts – Entity did not have adequate controls to prevent duplicate discounts. |
Repayment to manufacturers | CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: May 20, 2020 |
Compliance Officer GHS P.O. Box 587 Gonzales, Texas 78629 830-672-7581 ext 1011 |
| Good Samaritan Regional Health Center | RRC140046-00 | IL | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File; Entity did not have controls in place to prevent duplicate discounts. |
Repayment to manufacturers | CAP implemented Audit closure date: December 10, 2019 |
Finance Director 1195 Corporate Lake Drive St Louis, MO 63132 314-989-3532 jeff.peine@ssmhealth.com |
| Graham Hospital Association | SCH140001-00 | IL | Incorrect 340B OPAIS Record – Incorrect entry for Primary Contact. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
None | CAP implemented Audit closure date: June 9, 2020 State Medicaid has since determined that duplicate discounts did not occur. |
|
| Halifax Regional Medical Center | DSH340151 | NC | Duplicate Discounts – Entity did not have adequate controls to prevent duplicate discounts. | Repayment to manufacturers | CAP implemented Audit closure date: May 14, 2020 |
Patient Financial Services Manager 250 Smith Church Road Roanoke Rapids, NC 27870 252-535-8147 cferebee@halifaxmrc.org |
| Harbor Beach Community Hospital, Inc. | CAH231313-00 | MI | Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: June 9, 2020 |
Scott Rayl, Pharmacist |
| Hartford Hospital | DSH070025 | CT | No adverse findings | None | N/A Audit closure date: August 7, 2019 |
|
| Healdsburg District Hospital | CAH051321-00 | CA | Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. Duplicate Discounts – Entity was billing Medicaid contrary to information included on the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: March 26, 2020 |
Chief Financial Officer 1375 University Ave. Healdsburg, CA 95448 707-385-2022 staj@nschd.org |
| Higgins General Hospital | CAH111320-00 | GA | Diversion – 340B drug dispensed to inpatient. | Repayment to manufacturers | CAP implemented Audit closure date: May 12, 2020 |
Director of Pharmacy 705 Dixie Street Carrollton, GA 30117 770‐836‐9646 |
| Highland Community Hospital | DSH250117 | MS | No adverse findings | None | N/A Audit closure date: May 14, 2019 |
|
| Highlands Hospital | DSH390184 | PA | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | None | CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: May 12, 2020 |
|
| Holdenville Hospital Authority | CAH371321-00 | OK | Duplicate Discounts – Entity was billing Medicaid contrary to information included on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: April 8, 2020 |
CEO/Administrator 100 McDougal Drive Holdenville, OK 74848 405-379-4287 |
| Hospital Authority of Randolph County DBA Southwest Georgia Regional Medical Center | CAH111300-00 | GA | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: March 27, 2020 |
Chief Financial Officer 361 Randolph St. Cuthbert, GA 39840 229-777-4506 |
| Hospital Service District 1A, Parish of Richland, State of Louisiana DBA Richland Parish Hospital | CAH191323-00 | LA | No adverse findings | None | N/A Audit closure date: March 29, 2019 |
|
| Huggins Hospital | CAH301312-00 | NH | Duplicate Discounts – Entity was billing Medicaid contrary to information included on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: November 3, 2020 |
Clinical Services Business Manager Huggins Hospital 240 South Main Street Wolfeboro, NH 03894 (603) 515 – 2065 atheberge@hugginshospital.org |
| Huron Memorial Hospital | DSH230118 | MI | Incorrect 340B OPAIS record -Registered contract pharmacies without written contract in place; Diversion - 340B drugs dispensed to inpatients; 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Termination of contract pharmacy from 340B Program | CAP implemented Audit closure date: June 19, 2020 |
Director of Finance 1100 S. Van Dyke Bad Axe, MI 48413 989-269-1510 |
| Ida County Iowa Community Hospital dba Horn Memorial Hospital | CAH161354-00 | IA | Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites | Repayment to manufacturers | CAP implemented Audit closure date: April 8, 2020 |
Chief Financial Officer or CFO of Horn Memorial Hospital 701 E 2nd St Ida Grove, IA, 51445 712-364-3311 |
| IHC Health Services, Inc. dba Primary Children’s Hospital | PED463301-00 | UT | No adverse findings | None | N/A Audit closure date: November 26, 2019 |
|
| Inova Fairfax Hospital | DSH490063 | VA | Covered outpatient drugs obtained through a Group Purchasing Organization prior to February 12, 2020. | Repayment to manufacturers | CAP implemented Audit closure date: January 26, 2021 |
340B Compliance Pharmacist Inova Fairfax Medical Campus 3300 Gallows Road Falls Church, VA 22042 703-776-1114 |
| Interfaith Medical Center | DSH330397 | NY | Incorrect 340B OPAIS record - Failed to remove duplicate registrations for offsite outpatient facility; Incorrect entry for offsite outpatient facility address. | None | CAP implemented Audit closure date: April 29, 2020 |
|
| Iowa Lutheran Hospital | DSH160024 | IA | No adverse findings | None | N/A Audit closure date: June 21, 2019 |
|
| John C. Lincoln Medical Center | DSH030014 | AZ | No adverse findings | None | N/A Audit closure date: May 17, 2019 |
|
| Johnston Health Services Corporation | DSH340090 | NC | No adverse findings | None | N/A Audit closure date: April 24, 2019 |
|
| Kearney County Health Services | CAH281306-00 | NE | No adverse findings | None | N/A Audit closure date: October 1, 2019 |
|
| Keck Hospital of USC | DSH050696 | CA | Inaccurate or incomplete information on 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 27, 2020 |
|
| Kern Medical Center | DSH050315 | CA | Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed on the 340B OPAIS. Diversion - 340B drug dispensed at entity for a prescription written at an ineligible site. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: September 30, 2020 |
Associate Director of Pharmacy Kern Medical Center 1700 Mount Vernon Avenue Bakersfield, CA 93306 (661) 326-2617 |
| Kossuth Regional Health Center | CAH161353-00 | IA | No adverse findings | None | N/A Audit closure date: June 19, 2019 |
|
| Lake Regional Health System | SCH260186-00 | MO | Diversion - 340B drugs dispensed at contract pharmacy for prescriptions written at ineligible sites. | Repayment to manufacturers | CAP implemented Audit closure date: June 3, 2020 |
Primary Contact 340B Program Lake Regional Health System 54 Hospital Drive Osage Beach, MO 65065 573-348-8190 |
| Lavaca Medical Center | CAH451376-00 | TX | Duplicate Discounts – Entity did not have adequate controls in place to prevent duplicate discounts. | Repayment to manufacturers | CAP implemented Audit closure date: March 27, 2020 |
Chief Financial Officer Lavaca Medical Center 1400 N. Texana Hallettsville, TX 77964 361-798-3671 |
| Legacy Mount Hood Medical Center | DSH380025 | OR | No adverse findings | None | N/A Audit closure date: January 9, 2019 |
|
| Lexington Memorial Hospital, Inc. | DSH340096 | NC | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: March 26, 2020 |
Pharmacy System Manager, 340B Medical Center Blvd Winston-Salem, NC 27157 336-713-3426 |
| Liberty Regional Medical Center | CAH111335-00 | GA | No adverse findings | None | N/A Audit closure date: October 1, 2019 |
|
| Lonesome Pine Hospital | DSH490114 | VA | No adverse findings | None | N/A Audit closure date: March 8, 2019 |
|
| Lost Rivers District Hospital | CAH131324-00 | ID | No adverse findings | None | N/A Audit closure date: February 15, 2019 |
|
| Lowell General Hospital, The | DSH220063 | MA | No adverse findings | None | N/A Audit closure date: October 31, 2019 |
|
| Lutheran Medical Center | DSH060009 | CO | No adverse findings | None | N/A Audit closure date: October 7, 2019 |
|
| Lynn County Hospital | CAH451351-00 | TX | No adverse findings | None | N/A Audit closure date: May 14, 2019 |
|
| Marietta Memorial Hospital | RRC360147-00 | OH | Incorrect 340B OPAIS record – Ineligible sites registered on 340B OPAIS. | Termination of ineligible offsite outpatient facilities from the 340B Program* | CAP implemented Audit closure date: March 11, 2021 |
|
| Marshall Hospital | DSH050254 | CA | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | None | CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: November 20, 2019 |
|
| Mary Bridge Children’s Hospital and Health Center | PED503301-00 | WA | Covered outpatient drugs obtained through a Group Purchasing Organization prior to September 26, 2019. Incorrect 340B OPAIS record – Incorrect entries for offsite outpatient facility addresses. |
Repayment to manufacturers | CAP implemented Audit closure date: December 1, 2020 |
Pharmacy 340B Analyst MultiCare Health System PO Box 5299, 315-C2-RX 315 Martin Luther King Jr. Way Tacoma, WA 98415 jkim@multicare.org 253.403.5541 |
| Mason General Hospital | CAH501336-00 | WA | No adverse findings | None | N/A Audit closure date: June 6, 2019 |
|
| Massac County Hospital District | CAH141323-00 | IL | Incorrect 340B OPAIS record - Registered contract pharmacy without written contract in place. | Termination of contract pharmacy from 340B Program* | CAP implemented Audit closure date: October 31, 2019 |
|
| McCloud Healthcare Clinic, Inc | CHC24112-00 | CA | Incorrect 340B OPAIS record -Registered contract pharmacies without written contract in place. | Termination of contract pharmacies from 340B Program* | CAP implemented May 27, 2020 |
|
| MedStar Southern Maryland Hospital Center | DSH210062 | MD | Diversion – 340B drug dispensed to inpatient | Repayment to manufacturers | CAP implemented Audit closure date: March 10, 2021 |
Corporate 340B Manager MedStar Health 7375 Washington Blvd, Suite 103 Elkridge, MD 21075 Anna.y.rosenfeld@medstar.net 410-540-4406 |
| MedStar Washington Hospital Center | DSH090011 | DC | No adverse findings | None | N/A Audit closure date: October 24, 2019 |
|
| Memorial Hospital dba Memorial Healthcare, The | DSH230121 | MI | Incorrect 340B OPAIS record - Incorrect entry for address for an offsite outpatient facility; Failed to remove duplicate registration for contract pharmacy. 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 Audit closure date: June 24, 2020 |
340B Manager 826 W. King Street Owosso, MI 48867 989-729-4793 |
| Memorial Hospital of Boscobel | CAH521344-00 | WI | Diversion - 340B drug dispensed at contract pharmacy for a prescription written at an ineligible site. | Repayment to manufacturers | CAP implemented Audit closure date: February 10, 2020 |
Pharmacy Director MHB 205 Parker Street Boscobel, WI 53805 608-375-6307 |
| Mercy Catholic Medical Center | DSH390156 | PA | Incorrect 340B OPAIS record - Failed to remove duplicate registrations for offsite outpatient facilities. | None | CAP implemented Audit closure date: May 13, 2020 |
|
| Mercy Health Lourdes Hospital LLC | RRC180102-00 | KY | No adverse findings | None | N/A Audit closure date: May 24, 2019 |
|
| Mercy Medical Center – North Iowa | SCH160064-00 | IA | No adverse findings | None | N/A Audit closure date: February 7, 2020 |
|
| MetroHealth | HV01713 | DC | No adverse findings | None | N/A Audit closure date: February 19, 2020 |
|
| Metropolitan Charities, Inc. | STD33713 | FL | No adverse findings | None | Audit closure date: February 25, 2020 |
|
| MGH Chelsea Student Health Center | FP021501 | MA | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: June 9, 2020 |
Director, MGH Community Health Associates 300 Ocean Avenue 5th Floor Revere, MA 02151 781-485-6135 aduffy-keane@partners.org |
| Minnie Hamilton Health Care Center, Inc. | CAH511303-00 | WV | Incorrect 340B OPAIS record - Hospital classification on OPAIS was inconsistent with eligibility documents. | None | CAP implemented Audit closure date: October 8, 2020 |
|
| Missouri Baptist Hospital of Sullivan dba Missouri Baptist Sullivan Hospital | CAH261337-00 | MO | No adverse findings | None | N/A Audit closure date: June 27, 2019 |
|
| Montefiore Medical Center | DSH330059 | NY | Incorrect 340B OPAIS record – Offsite outpatient facilities and a shipping address were not listed on the 340B OPAIS. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: December 9, 2021 |
Vice President of Finance dmenashy@montefiore.org 917-280-2722 |
| Montefiore Nyack Hospital | DSH330104 | NY | No adverse findings | None | N/A Audit closure date: June 12, 2019 |
|
| Mosaic Medical | CH105600 | OR | Incorrect 340B OPAIS record – Incorrect entries for offsite outpatient facility names and addresses. 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: July 21, 2020 |
|
| Mount St. Mary’s Hospital and Health Center | DSH330188 | NY | Incorrect 340B OPAIS record – Failed to remove a duplicate registration of a contract pharmacy. | None | CAP implemented Audit closure date: April 14, 2020 |
|
| Mountain Comprehensive Health Corp., Inc. | CH040600 | KY | 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: May 12, 2020 |
|
| Munson Healthcare Charlevoix Hospital | CAH231322-00 | MI | Incorrect 340B OPAIS record – Offsite outpatient facility was not listed on the 340B OPAIS. | None | CAP implemented Audit closure date: January 26, 2021 |
|
| Nanticoke Memorial Hospital | DSH080006 | DE | No adverse findings | None | N/A Audit closure date: June 12, 2019 |
|
| Nationwide Children’s Hospital | PED363305-00 | OH | No adverse findings | None | N/A Audit closure date: October 1, 2019 |
|
| New Mexico Department of Health Title X Family Planning Program | FP875036 | NM | No adverse findings | None | N/A Audit closure date: April 10, 2020 |
|
| Northeast Georgia Medical Center | RRC110029-00 | GA | Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS; Incorrect entries for addresses for offsite outpatient facilities. Diversion – 340B drugs dispensed to inpatients Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: May 25, 2021 |
Director of Pharmacy 743 Spring St. NE Gainesville, GA 30501 770-219-7573 |
| Oakwood Healthcare Inc. dba Beaumont Hospital - Taylor | DSH230270 | MI | No adverse findings | None | N/A Audit closure date: August 26, 2019 |
|
| Ohio State University Hospital, The | DSH360085 | OH | No adverse findings | None | N/A Audit closure date: June 6, 2019 |
|
| Olean General Hospital | RRC330103-00 | NY | Incorrect 340B OPAIS record – Ineligible sites registered on 340B OPAIS; Offsite outpatient facilities were not listed on the 340B OPAIS. | Termination of ineligible offsite outpatient facilities from the 340B Program* | CAP implemented Audit closure date: December 8, 2020 |
|
| Olympic Medical Center | RRC500072-00 | WA | Diversion – 340B drugs dispensed to inpatients | Repayment to manufacturers | CAP implemented Audit closure date: November 3, 2020 |
Director of Pharmacy Olympic Medical Center 939 Caroline Street Port Angeles, WA 98362 kbright@olympicmedical.org |
| Oneida Healthcare Center | DSH330115 | NY | No adverse findings | None | N/A Audit closure date: November 1, 2019 |
|
| Open Door Health Services, Inc. | CH0510700 | IN | Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File | Repayment to manufacturers | CAP implemented Audit closure date: June 26, 2020 |
Compliance Officer PO Box 1676 Muncie, IN 47308 765-747-2973 |
| Orlando Health | DSH100006 | FL | Incorrect 340B OPAIS record – Failed to remove duplicate registrations for offsite outpatient facilities. Failed to include repackaging location as a shipping address. | None | CAP implemented Audit closure date: April 29, 2020 |
|
| Ozarks Resource Group | CHC24137-00 | MO | Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File | Repayment to manufacturers | CAP implemented Audit closure date: December 10, 2019 |
Chief Executive Officer or Chief Financial Officer PO Box 125 Hermitage, MO 65668 417-745-0103 |
| Pediatric & Family Medical Center | CH0921340 | CA | Inaccurate or incomplete information on 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: October 8, 2020 |
|
| Pender Community Hospital | CAH281349-00 | NE | No adverse findings | None | N/A Audit closure date: December 4, 2019 |
|
| Peninsula Community Health Services | CH101540 | WA | No adverse findings | None | N/A Audit closure date: October 1, 2019 |
|
| Phelps Memorial Hospital Center | DSH330261 | NY | No adverse findings | None | N/A Audit closure date: November 20, 2019 |
|
| Piedmont Henry Hospital, Inc. | DSH110191 | GA | No adverse findings | None | N/A Audit closure date: November 19, 2019 |
|
| Piedmont Newnan Hospital, Inc. | DSH110229 | GA | No adverse findings | None | N/A Audit closure date: February 4, 2019 |
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| Piggott Community Hospital | CAH041330-00 | AR | No adverse findings | None | N/A Audit closure date: May 16, 2019 |
|
| Pikeville Medical Center, Inc. | DSH180044 | KY | No adverse findings | None | N/A Audit closure date: March 13, 2019 |
|
| Planned Parenthood of the Rocky Mountains, Inc. | STD80203 | CO | No adverse findings | None | N/A Audit closure date: December 17, 2019 |
|
| Primary Health Network, Inc. | CH03406AE | OH | Incorrect 340B OPAIS record –Incorrect entry for site ID for offsite outpatient facility; Failed to remove a duplicate registration of a contract pharmacy. | None | CAP implemented Audit closure date: February 10, 2020 |
|
| Providence Portland Medical Center | DSH380061 | OR | No adverse findings | None | N/A Audit closure date: May 23, 2019 |
|
| Rancho Los Amigos National Rehabilitation Center | DSH050717 | CA | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | None | Pending State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: September 18, 2019 |
|
| Range Regional Health Services | DSH240040 | MN | No adverse findings | None | N/A Audit closure date: October 8, 2019 |
|
| Regional Health Care Affiliates, Inc. | CHC17157-00 | KY | Diversion - 340B drug dispensed at contract pharmacy for a prescription written at an ineligible site. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: August 20, 2019 |
CPO 121 E. Main St. Providence, KY 42450 270-667-7017 |
| Regional Health Custer Hospital | CAH431323-00 | SD | No adverse findings | None | N/A Audit closure date March 7, 2019 |
|
| Renown Regional Medical Center | DSH290001 | NV | No adverse findings | None | N/A Audit closure date: November 21, 2019 |
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| Sacred Heart Hospital | DSH390197 | PA | No adverse findings | None | N/A Audit closure date: August 28, 2019 |
|
| San Bernardino Mountains Community Hospital District | CAH051312-00 | CA | No adverse findings | None | N/A Audit closure date: August 27, 2019 |
|
| Sanford Bismarck | DSH350015 | ND | No adverse findings | None | N/A Audit closure date: January 16, 2019 |
|
| Sanford Health Westbrook Medical Center | CAH241302-00 | MN | No adverse findings | None | N/A Audit closure date: January 25, 2019 |
|
| Sierra View Medical Center | DSH050261 | CA | Incorrect 340B OPAIS record - Incorrect entries for addresses for offsite outpatient facilities. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
None | CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: March 26, 2020 |
|
| Someone Cares, Inc. of Atlanta Early Detection Intervention Clinic | STD303036 | GA | Incorrect 340B OPAIS record – Registered contract pharmacy without written contract in place; Incorrect grant number entry. Diversion – 340B drugs dispensed at contract pharmacy for prescription written at ineligible sites. |
Termination of contract pharmacies from 340B Program Repayment to manufacturers |
CAP implemented Audit closure date: June 9, 2020 |
Chief Executive Officer 236 Forsyth Street, SW, Ste. 201 Atlanta, Georgia 30303-3700 678-921-2706 Ext: 3 |
| South Central Kansas Regional Medical Center | SCH170150-00 | KS | No adverse findings | None | N/A Audit closure date: October 4, 2019 |
|
| Southern Illinois University | CHC24098-00 | IL | No adverse findings | None | N/A Audit closure date: February 12, 2020 |
|
| Southern Ohio Medical Center | DSH360008 | OH | Inaccurate or incomplete information on 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 8, 2020 |
|
| Southwest Boulevard Family Health Care | HV00140 | KS | No adverse findings | None | N/A Audit closure date: February 5, 2020 |
|
| Southwest Health Center | CAH521354-00 | WI | Incorrect 340B OPAIS record - Failed to remove closed contract pharmacy location registration; Registered contract pharmacy without written contract in place. | Termination of contract pharmacies from 340B Program* | CAP implemented Audit closure date: June 25, 2019 |
|
| Southwest Memorial Hospital | CAH061327-00 | CO | No adverse findings | None | N/A Audit closure date: January 8, 2020 |
|
| Sparrow Ionia Hospital | CAH231331-00 | MI | Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed on the 340B OPAIS. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: May 6, 2020 |
Chief Financial Officer of Community Hospitals 3565 S. State Road Ionia, MI 48846 616-523-4186 |
| SSM Health Saint Louis University Hospital | DSH260105 | MO | Incorrect 340B OPAIS record – Offsite outpatient facility was not listed on the 340B OPAIS; Failed to include repackaging location as a shipping address. | None | CAP implemented Audit closure date: April 16, 2020 |
|
| SSM St. Joseph Health Center | DSH260005 | MO | Incorrect 340B OPAIS record - Ineligible sites registered on 340B OPAIS; Failed to remove closed location registrations; Failed to remove duplicate registrations for offsite outpatient facilities. | Termination of ineligible offsite outpatient facility from the 340B Program | Pending | |
| St. Anthony Shawnee Hospital | DSH370149 | OK | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | None | CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: May 12, 2020 |
|
| St. Charles Community Health Center, Inc. | CH061335A | LA | No adverse findings | None | N/A Audit closure date: June 6, 2019 |
|
| St. Charles Health System, Inc. DBA St. Charles Bend | DSH380047 | OR | No adverse findings | None | N/A Audit closure date: August 28, 2019 |
|
| St. Francis Hospital | CAH231337-00 | MI | Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed on the 340B OPAIS; Incorrect entry for address for an offsite outpatient facility. Diversion - 340B drugs were not properly accumulated. |
Repayment to manufacturers | CAP implemented Audit closure date: May 12, 2020 |
340B Drug Program Manager 5901 West War Memorial Drive Peoria, IL 61615 309-308-0413 |
| St. Helena Hospital dba Adventist Health St. Helena | DSH050013 | CA | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: November 13, 2020 |
Director of Pharmacy 10 Woodland Road St. Helena, CA 94574 AhmadAU@ah.org 707-963-6584 |
| St. Mary Medical Center | DSH050191 | CA | Inaccurate or incomplete information on the Medicaid Exclusion File. | None | CAP implemented Audit closure date: September 29, 2020 |
Director of Pharmacy St. Mary Medical Center 1050 Linden Avenue Long Beach, CA 90813-3393 562-491-9773 |
| St. Mary Medical Center | DSH050300 | CA | Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed on the 340B OPAIS; Incorrect entries for shipping address for offsite outpatient facilities. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
None | CAP approved State Medicaid has since determined duplicate discounts did not occur. |
|
| St. Marys Healthcare | DSH330047 | NY | Incorrect 340B OPAIS record -Registered contract pharmacies without written contract in place. Duplicate Discounts – Inaccurate or incomplete information on 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* | CAP implemented Audit closure date: June 9, 2020 |
Chief Finance Officer St. Mary's Healthcare 427 Guy Park Ave Amsterdam, NY 12010 518-841-7435 Rick.Henze@ascension.org |
| St. Vincent Healthcare | DSH270049 | MT | No adverse findings | None | N/A Audit closure date: December 4, 2019 |
|
| Ste. Genevieve County Memorial Hospital | CAH261330-00 | MO | No adverse findings | None | N/A Audit closure date: October 1, 2019 |
|
| Sturgis Hospital | DSH230096 | MI | Covered outpatient drugs obtained through a Group Purchasing Organization prior to April 30, 2019. Diversion – 340B drugs dispensed to inpatients; 340B drug dispensed at contract pharmacy for prescription written at ineligible sites. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Covered entity, its outpatient facilities, and its contract pharmacies terminated from 340B Program as of July 1, 2019. Settlement with affected manufacturers has not been finalized. SH will not be permitted to re-enroll in the 340B Program until such time: 1) SH has attested that it has contacted and offered settlement to all affected manufacturers, for all findings listed in the Final Report; and 2) SH has attested that a HRSA-approved CAP has been fully implemented. Audit closure date: June 16, 2020 |
VP Quality Management & Support Services 916 Myrtle Avenue Sturgis, MI 49091 269-659-4403 |
| Texas Children’s Hospital | PED453304-00 | TX | Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS; Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: June 24, 2020 |
Texas Children’s Hospital 6621 Fannin Street, Suite WB1-120 Houston, TX 77030 832-824-6091 jlwagner@texaschildrens.org |
| Trinity Hospitals | SCH350006-00 | ND | Incorrect 340B OPAIS record - Ineligible sites registered on 340B OPAIS. | Termination of ineligible offsite outpatient facilities from the 340B Program* Repayment to manufacturers |
CAP implemented Audit closure date: April 30, 2019 |
|
| Unity Care Northwest | CHC08773-00 | WA | No adverse findings | None | N/A Audit closure date: November 14, 2019 |
|
| Unity Hospital of Rochester | DSH330226 | NY | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | None | CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: September 26, 2019 |
|
| University Hospital of Brooklyn | DSH330350 | NY | Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS; Ineligible sites registered on 340B OPAIS prior to October 1, 2019; Incorrect entry for disproportionate share percentage. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: October 16, 2019 |
Pharmacy 340B Manager 445 Lenox Road Attn: Pharmacy Box 36 Brooklyn, NY 11203 718-270-7648 Hossameldin.Ghanem@downstate.edu |
| University of Alabama Hospital | DSH010033 | AL | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. | None | CAP implemented Audit closure date: August 27, 2019 |
|
| University of Missouri Health Care | DSH260141 | MO | Diversion - 340B drug dispensed at entity for a prescription written at an ineligible site. | Repayment to manufacturers | CAP implemented Audit closure date: May 27, 2020 |
Pharmacy Business Administrator – 340B Program 573-884-4614 simonsjp@health.missouri.edu |
| University of South Carolina | RWII29203; RWII292030 | SC | Incorrect 340B OPAIS record - Failed to remove duplicate registration for service location. | None | CAP implemented Audit closure date: May 19, 2020 |
|
| UNM Sandoval Regional Medical Center | DSH320089 | NM | No adverse findings | None | N/A Audit closure date: October 24, 2019 |
|
| Washington County Hospital | CAH161344-00 | IA | No adverse findings | None | N/A Audit closure date: February 5, 2019 |
|
| Washington State Department of Health | STD98504 | WA | Incorrect 340B database record – entity improperly registered a distribution site as a contract pharmacy. Registered contract pharmacies without written contract in place | Termination of contract pharmacies from 340B Program | CAP implemented Audit closure date: January 6, 2021 |
|
| Wellstar Cobb Hospital | DSH110143 | GA | No adverse findings | None | N/A Audit closure date: May 10, 2019 |
|
| West Holt Memorial Hospital | CAH281343-00 | NE | No adverse findings | None | N/A Audit closure date: December 31, 2019 |
|
| West Oakland Health Council, Inc. | CH090540 | CA | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: May 6, 2020 |
Director of Pharmacy Services 700 Adeline St Oakland, CA 94607 510-835-9610 x2076 jmccabe@wohc.org |
| West Virginia Department of Health and Human Resources | FP253015 | WV | Incorrect 340B OPAIS record – Incorrect entries for grant number. | None | CAP implemented Audit closure date: March 24, 2020 |
|
| Western Missouri Medical Center | SCH260097-00 | MO | No adverse findings | None | N/A Audit closure date: October 1, 2019 |
|
| Whatley Health Services, Inc. | CH042450 | AL | Incorrect 340B OPAIS record - Failed to remove closed locations registration; Failed to remove duplicate registration for offsite outpatient facility; Incorrect entry for address for offsite outpatient facility; Registered contract pharmacies without written contract in place. Diversion – 340B drugs dispensed at contract pharmacies, not supported by medical records; 340B drugs dispensed at entity for prescriptions written at ineligible sites. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File; Inaccurate or incomplete information on the Medicaid Exclusion File. |
Termination of contract pharmacies from 340B Program Repayment to manufacturers |
CAP implemented Audit closure date: March 3, 2020 |
Chief Executive Officer 2731 Martin Luther King Jr Boulevard Tuscaloosa, AL 35401-5235 205-349-3250 |
| White County Medical Center | DSH040014 | AR | Incorrect 340B OPAIS record - Failed to remove closed location registrations | None | CAP implemented Audit closure date: December 18, 2019 |
|
| Will County Community Health Center | CH057880 | IL | Duplicate Discounts – Entity was billing Medicaid contrary to information included on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: January 13, 2020 |
Chief Executive Officer Will County Community Health Center 1106 Neal Ave. Joliet, IL 60433 815-740-7635 |
| Willits Hospital Inc., dba Adventist Health Howard Memorial | CAH051310-00 | CA | No adverse findings | None | N/A Audit closure date: May 14, 2019 |
|
| Winslow Memorial Hospital dba Little Colorado Medical Center | CAH031311-00 | AZ | Incorrect 340B OPAIS record - Registered contract pharmacies without written contract in place prior to September 26, 2019. Diversion – 340B drug dispensed to inpatient; 340B drugs dispensed at entity for prescriptions written at ineligible sites. Duplicate discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: June 4, 2020 |
Assistant Director of Pharmacy 1501 N. Williamson Ave. Winslow, AZ 86047 928-289-6325 |
| Witham Memorial Hospital | DSH150104 | IN | Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS; Incorrect entry for disproportionate share percentage; Registered contract pharmacies without written contract in place. | Termination of contract pharmacies from 340B Program* | CAP implemented Audit closure date: April 23, 2020 |
*Note: Covered entity self-terminated cited facilities prior to termination of facilities by OPA.
