Updated 3/18/22. 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 200 audits.
| Entity | 340B ID | State | OPA Findings | Sanction | Corrective Action Status | Entity Contact Information |
|---|---|---|---|---|---|---|
| AdventHealth Orlando | DSH100007 | FL | No adverse findings | None | N/A Audit closure date: February 5, 2021 |
|
| Adventist Medical Center – Reedley | DSH050192 | CA | Incorrect 340B OPAIS record – Ineligible sites registered on 340B OPAIS; Incorrect entry in 340B OPAIS for address for offsite facility; Failed to remove a duplicate registration a contract pharmacy from 340B OPAIS. Diversion – 340B drug dispensed at contract pharmacy, not supported by a medical record. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Termination of ineligible offsite outpatient facilities from the 340B Program* Repayment to manufacturers |
CAP implemented Audit closure date: November 10, 2021 |
Director of Pharmacy Adventist Medical Center Reedley 372 W. Cypress Ave Reedley, CA 93654 AbukhaAF@ah.org 559-537-2190 |
| Alegent Health – Community Memorial Hospital DBA CHI Health Missouri Valley | CAH161309-00 | IA | No adverse findings | None | N/A Audit closure date: June 19, 2020 |
|
| Alice Hyde Medical Center | DSH330084 | NY | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: April 13, 2021 |
Director of Pharmacy The University of Vermont Health Network Alice Hyde Medical Center 133 Park Street Malone, NY 12953-0729 mdufort@alicehyde.com 518-481-2404 |
| Anthony L Jordan Health Corp | CH022070 | NY | Incorrect 340B OPAIS record – Failed to terminate contract pharmacy carve-in arrangement from 340B OPAIS. Diversion – 340B drugs dispensed at contract pharmacies, not supported by a medical record. |
Repayment to manufacturers | CAP implemented Audit closure date: July 29, 2021 |
340B Analyst 82 Holland St Rochester NY, 14605-2131 nadirahs@jordanhealth.org 585-423-5886 |
| Arnot Ogden Medical Center | DSH330090 | NY | Incorrect 340B OPAIS record – Failed to remove duplicate registrations for offsite outpatient facilities from 340B OPAIS; Failed to remove a duplicate registration for a contract pharmacy from 340B OPAIS; Incorrect entry in 340B OPAIS for Authorizing Official phone number; Incorrect Primary Contact listed in 340B OPAIS. | None | CAP implemented Audit closure date: October 29, 2020 |
|
| Ascension Seton DBA Ascension Seton Medical Center Austin | DSH450056 | TX | No adverse findings |
None | N/A Audit closure date: April 29, 2020 |
|
| Atrium Health Lincoln | DSH340145 | NC | No adverse findings | None | N/A Audit closure date: March 10, 2020 |
|
| Atrium Health Union | DSH340130 | NC | No adverse findings | None | N/A Audit closure date: June 23, 2020 |
|
| Banner Fort Collins Medical Center | DSH060126 | CO | No adverse findings | None | N/A Audit closure date: June 5, 2020 |
|
| Baptist Memorial Hospital Memphis | DSH440048 | TN | No adverse findings | None | N/A Audit closure date: August 26, 2020 |
|
| Barrio Comprehensive Family Health Care Center, Inc. | CH062360 | TX | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: June 22, 2021 |
President and CEO 3066 East Commerce Street San Antonio, TX 78220 pnguyen@communicaresa.org 210-233-7070 |
| Beverly Hospital | DSH220033 | MA | 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. |
None | CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: March 10, 2021 |
|
| Big Bend Cares | STD323011 | FL | No adverse findings | None | N/A Audit closure date: June 4, 2020 |
|
| Birmingham AIDS Outreach, Inc. | STD35233 | AL | Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for address. | None | CAP implemented Audit closure date: June 18, 2020 |
|
| Bliss Cares | STD328062 | FL | 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: April 9, 2021 |
Executive Director 2901 Curry Ford Road Suite 106 Orlando, FL 32806 jrodriguez@blisscares.org 407-670-9557 |
| Bon Secours Maryview Medical Center | DSH490017 | VA | No adverse findings | None | N/A Audit closure date: May 28, 2020 |
|
| Botsford General Hospital d/b/a Beaumont Hospital – Farmington Hills | DSH230151 | MI | No adverse findings | None | N/A Audit closure date: March 25, 2020 |
|
| Boys Town National Research Hospital | PED283300-00 | NE | No adverse findings | None | N/A Audit closure date: June 24, 2020 |
|
| Braxton County Memorial Hospital | CAH511308-00 | WV | No adverse findings | None | N/A Audit closure date: June 19, 2020 |
|
| Broaddus Hospital | CAH511300-00 | WV | Incorrect 340B OPAIS record - Hospital classification on OPAIS was inconsistent with eligibility documents. | None | CAP implemented Audit closure date: December 14, 2020 |
|
| Brockton Neighborhood Health Center, Inc. | CH010700 | MA | No adverse findings | None | N/A Audit closure date: April 17, 2020 |
|
| Brookdale Hospital Medical Center | DSH330233 | NY | No adverse findings | None | N/A Audit closure date: May 15, 2020 |
|
| Cabun Rural Health Services, Inc. | CHC00342-00 | AR | Incorrect entries in 340B OPAIS for address, site ID, and name for offsite outpatient facilities. Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: December 15, 2020 |
Chief Executive Officer 402 South Lee Street Hampton, AR 71744 melanies@cabun.org 870-798-4064 |
| Cahaba Medical Care Foundation | CHC24177-00 | AL | Diversion – 340B drugs dispensed at contract pharmacies, not supported by a medical record. Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File; Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: May 5, 2021 |
CCO 405 Belcher St. Centreville, AL 35042 kay.cox@cahabamedicalcare.com 205-277-2384 |
| Calais Regional Hospital - Amended | CAH201305-00 | ME | Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: May 27, 2021 |
VP HR/Quality, Compliance Officer |
| CAN Community Health, Inc. – Daytona | STD32114 | FL | No adverse findings | None | N/A Audit closure date: May 19, 2020 |
|
| Capital Health Med Center – Hopewell | DSH310044 | NJ | No adverse findings | None | N/A Audit closure date: July 16, 2020 |
|
| Carle Hoopeston Regional Health Center | CAH141316-00 | IL | No adverse findings | None | N/A Audit closure date: March 24, 2020 |
|
| Central Maine Medical Center | RRC200024-00 | ME | Incorrect 340B OPAIS record – Ineligible site registered on 340B OPAIS; Failed to remove contract pharmacy from 340B OPAIS that did not have a written contract in place. | Termination of ineligible offsite outpatient facility from the 340B Program* Termination of contract pharmacies from 340B Program* |
CAP implemented Audit closure date: December 14, 2020 |
|
| Central Mississippi Health Services, Inc. | CH046080 | MS | No adverse findings | None | N/A Audit closure date: June 3, 2020 |
|
| Children’s Medical Center Plano | PED453316-00 | TX | No adverse findings | None | N/A Audit closure date: June 5, 2020 |
|
| Choctaw Regional Medical Center | CAH251334-00 | MS | No adverse findings | None | N/A Audit closure date: April 30, 2020 |
|
| Christ Community Health Services Augusta Inc. | CHC24172-00 | GA | No adverse findings | None | N/A Audit closure date: July 16, 2020 |
|
| Clackamas, County of | CH101310 | OR | No adverse findings | None | N/A Audit closure date: August 7, 2020 |
|
| Community Health Service Agency, Inc. of Hunt County, The | CH060820 | TX | Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: September 20, 2021 |
Chief Executive Officer 4500 Wesley Street Greenville, TX 75401 mcarter@carevide.org 903-455-5986 |
| Community Hospital Anderson | DSH150113 | IN | No adverse findings | None | N/A Audit closure date: August 6, 2020 |
|
| Community Hospital of Indiana, Inc. | DSH150169 | IN | No adverse findings | None | N/A Audit closure date: July 14, 2020 |
|
| Community Howard Regional Health | DSH150007 | IN | No adverse findings | None | N/A Audit closure date: July 8, 2020 |
|
| County of Lane | CH107920 | OR | Incorrect 340B OPAIS record – Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS. Diversion – 340B drug dispensed at contract pharmacy, not supported by a medical record. |
Repayment to manufacturers |
CAP implemented Audit closure date: October 28, 2020 |
Program Services Coordinator 151 West 7th Ave #520 Eugene, OR 97401 Juan.Rivera@lanecountyor.gov 541-731-4439 |
| Deer Valley Medical Center | RRC030092-00 | AZ | No adverse findings | None | N/A Audit closure date: April 29, 2020 |
|
| Dickinson County Healthcare System | SCH230055-00 | MI | Incorrect 340B OPAIS record – Offsite outpatient facilities and a shipping address were not listed on the 340B OPAIS. | None | CAP implemented Audit closure date: June 23, 2020 |
|
| Driscoll Children’s Hospital | PED453301-00 | 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: April 1, 2021 |
Pharmacy Department 3533 S. Alameda Street Corpus Christi, TX 78411 Jessy.thomas@dchstx.org |
| Eastern Iowa Health Center | CH0718570 | IA | 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: December 14, 2020 |
|
| Effingham Health System | CAH111306-00 | GA | No adverse findings | None | N/A Audit closure date: June 9, 2020 |
|
| Einstein Medical Center Montgomery | DSH390329 | PA | No adverse findings | None | N/A Audit closure date: April 7, 2020 |
|
| Episcopal Health Services, Inc. | DSH330395 | NY | Diversion – 340B drugs dispensed at contract pharmacies, not supported by medical records. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: April 1, 2021 |
Director of Pharmacy 327 Beach 19th Street Far Rockaway, NY 11691 kmuir@ehs.org 718-869-7180 |
| Espanola Hospital | DSH320011 | NM | No adverse findings | None | N/A Audit closure date: August 4, 2020 |
|
| Faith Community Hospital | SCH450241-00 | TX | No adverse findings | None | N/A Audit closure date: June 1, 2020 |
|
| Finger Lakes Migrant Health Care Project, Inc. | CH028210 | NY | Incorrect 340B OPAIS record - Failed to remove a closed contract pharmacy from 340B OPAIS. Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: August 12, 2021 |
Chief Financial Officer |
| Firelands Regional Medical Center | DSH360025 | OH | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: May 6, 2021 |
Pharmacy Services Director 1111 Hayes Avenue Sandusky, OH 44870 WallerD@Firelands.com |
| Florida Department of Health | FP323993 | FL | Incorrect 340B OPAIS record – Incorrect entry for address; Shipping addresses were not listed on the 340B OPAIS; Incorrect entries for grant number for grant associated sites. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File at grant associated sites; Grant associated sites billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: December 9, 2021 |
Bureau Chief of Public Health Pharmacy 4042 Bald Cypress Way Tallahassee, Florida 32399 niaz.siddiqui@flhealth.gov 850-922-9036 |
| Gibson General Hospital | CAH151319-00 | IN | No adverse findings | None | N/A Audit closure date: July 24, 2020 |
|
| Glendale Adventist Medical Center | DSH050239 | CA | No adverse findings | None | N/A Audit closure date: March 19, 2020 |
|
| GraceMed Health Clinic, Inc. | CHC08772-00 | KS | Incorrect 340B OPAIS record – Incorrect entry for address for offsite outpatient facility; Incorrect entries for authorizing official and primary contact; Failed to remove closed contract pharmacies from 340B OPAIS. | None | CAP implemented Audit closure date: December 18, 2020 |
|
| Grande Ronde Hospital, Inc. | CAH381321-00 | OR | Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for address for offsite outpatient facility. | None | CAP implemented Audit closure date: July 9, 2020 |
|
| Greene County General Hospital | CAH151317-00 | IN | Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. | None | CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: October 27, 2020 |
|
| Hardin Memorial Hospital | DSH180012 | KY | Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for disproportionate share percentage. 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: February 17, 2021 |
|
| Harrisburg Medical Center, Inc. | SCH140210-00 | IL | Duplicate Discounts – Offsite outpatient facilities billed Medicaid while not listed on the HRSA Medicaid Exclusion File; Inaccurate or incomplete information on the Medicaid Exclusion File at offsite outpatient facilities. | Repayment to manufacturers | CAP implemented Audit closure date: July 21, 2021 |
Cody Sandusky, PharmD, Primary Contact |
| Health Access Network | CH015110 | ME | No adverse findings | None | N/A Audit closure date: June 24, 2020 |
|
| HealthAlliance Hospital Marys Avenue Campus | DSH330224 | NY | No adverse findings | None | N/A Audit closure date: February 19, 2020 |
|
| Heart of America Medical Center | CAH351332-00 | ND | No adverse findings | None | N/A Audit closure date: July 2, 2020 |
|
| Henry District Hospital | CAH141319-00 | IL | No adverse findings | None | N/A Audit closure date: February 19, 2020 |
|
| Highland Hospital of Rochester | RRC330164-00 | NY | Inacurate 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 11, 2021 |
|
| Horizon Health Care, Inc. | CH081030 | SD | Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for address for offsite outpatient facility. Duplicate Discounts – Entity and grant associated sites were billing Medicaid contrary to information included on the Medicaid Exclusion File. |
None | CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: June 10, 2021 |
Chief Financial Officer P.O. Box 99 Howard, SD 57349 werickson@horizonhealthcare.org www.horizonhealthcare.org  605-772-4525 |
| Hospital & Medical Foundation of Paris, Inc. | CAH141320-00 | IL | No adverse findings | None | N/A Audit closure date: July 2, 2020 |
|
| Hospital Authority of Miller County DBA Miller County Hospital | CAH111305-00 | GA | No adverse findings | None | N/A Audit closure date: June 16, 2020 |
|
| Hospital of Central Connecticut, The | DSH070035 | CT | 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: October 14, 2020 |
|
| Hospital of the University of Pennsylvania, The | DSH390111 | PA | Incorrect 340B OPAIS record - Ineligible sites registered on 340B OPAIS; Failed to remove registrations for closed offsite outpatient facilities from 340B OPAIS; Failed to remove a duplicate registration for an offsite outpatient facility from 340B OPAIS; Offsite outpatient facilities were not listed on 340B OPAIS; Incorrect address listed for offsite outpatient facility. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Termination of ineligible offsite outpatient facilities from the 340B Program* | CAP implemented Audit closure date: |
|
| Indiana University Health Ball Memorial Hospital, Inc. | DSH150089 | IN | Diversion – 340B drug dispensed to inpatient. | Repayment to manufacturers | CAP implemented Audit closure date: June 10, 2021 |
Director - 340B Program 950 N. Meridian St., Ste 1200 Indianapolis, IN 46204 Lstewar1@iuhealth.org 317-962-3540 |
| Inova Health Care Services dba Inova Juniper Program | HV220311 | VA | 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 18, 2020 |
|
| Iowa Methodist Medical Center | DSH160082 | IA | No adverse findings | None | N/A Audit closure date: July 30, 2020 |
|
| IU Health Bloomington Hospital | DSH150051 | IN | No adverse findings | None | N/A Audit closure date: July 24, 2020 |
|
| Jackson County Memorial Hospital | SCH370022-00 | OK | No adverse findings | None | N/A Audit closure date: May 29, 2020 |
|
| Jackson Hospital and Clinic Inc. | RRC010024-00 | AL | No adverse findings | None | N/A Audit closure date: April 7, 2020 |
|
| Jefferson Community Health Care Centers, Inc. | CH0623760 | LA | Duplicate Discounts – Entity and grant associated sites billed Medicaid while not listed on the HRSA Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: June 17, 2021 |
Chief Operating Officer |
| Jefferson County Department of Health | FP352129 | AL | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: July 20, 2021 |
Pharmacy Manager Jefferson County Department of Health 1400 6th Ave. S Birmingham, AL 35233 Pharmacy.jcdh@jcdh.org 205-930-1987 |
| Jerold Phelps Community Hospital | CAH051309-00 | CA | No adverse findings | None | N/A Audit closure date: February 28, 2020 |
|
| Jersey City Medical Center | DSH310074 | NJ | No adverse findings | None | N/A Audit closure date: April 9, 2020 |
|
| Kemper CAH, Inc. d/b/a John C. Stennis Memorial Hospital | CAH251335-00 | MS | No adverse findings | None | N/A Audit closure date: May 29, 2020 |
|
| Kiamichi Family Medical Center | CH0611930 | OK | Duplicate Discounts – Entity and grant associated sites billed Medicaid while not listed on the HRSA Medicaid Exclusion File. | None | CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: October 15, 2020 |
|
| Klickitat County Public Hospital District #2 dba Skyline Hospital | CAH501315-00 | WA | No adverse findings | None | N/A Audit closure date: July 16, 2020 |
|
| Lallie Kemp Regional Medical Center | CAH191321-00 | LA | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: December 15, 2020 |
Chief Financial Officer 52579 Highway 51 South Independence, LA 70443 Cthom5@lsuhsc.edu 985-878-1350 |
| Langlade Hospital Hotel Dieu of St. Joseph, of Antigo, WI | CAH521350-00 | WI | No adverse findings | None | N/A Audit closure date: August 10, 2020 |
|
| Lee Memorial Health System dba Lee Memorial Hospital | DSH100012 | FL | Incorrect 340B OPAIS record – Failed to remove duplicate registrations for offsite outpatient facilities from 340B OPAIS. Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File |
Repayment to manufacturers | CAP implemented Audit closure date: April 19, 2021 |
Pharmacy & 340B Compliance Officer 4211 Metro Parkway, 1st Floor Fort Myers, FL 33916 Joseph.bitner@leememorial.org 239-343-8602 |
| Lexington Regional Health Center | CAH281361-00 | NE | No adverse findings | None | N/A Audit closure date: August 21, 2020 |
|
| Lincoln Medical Center | DSH440102 | TN | No adverse findings | None | N/A Audit closure date: March 9, 2020 |
|
| Loma Linda University Children's Hospital | DSH050778 | CA | No adverse findings | None | N/A Audit closure date: March 18, 2020 |
|
| Mahaska County Hospital | CAH161379-00 | IA | No adverse findings | None | N/A Audit closure date: June 30, 2020 |
|
| Marin Community Clinic | CH095380 | CA | Incorrect 340B OPAIS record – Offsite outpatient facility was not listed on the 340B OPAIS. 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: March 22, 2021 |
|
| Marin General Hospital | DSH050360 | CA | No adverse findings | None | N/A Audit closure date: May 15, 2020 |
|
| Mary Imogene Bassett Hospital | SCH330136-00 | NY | Incorrect 340B OPAIS record – Incorrect entry for disproportionate share percentage. | None | CAP implemented Audit closure date: October 15, 2020 |
|
| Massachusetts General Hospital | DSH220071 | MA | No adverse findings | None | N/A Audit closure date: April 22, 2020 |
|
| Massena Hospital | SCH330223-00 | NY | Diversion – 340B drug dispensed at contract pharmacy, not supported by a medical record. | Repayment to manufacturers | CAP implemented Audit closure date: January 20, 2021 |
Director of Pharmacy 1 Hospital Drive Massena, NY 13662 emiller@massenahospital.org 315-769-4216 |
| McKee Medical Center | DSH060030 | CO | No adverse findings | None | N/A Audit closure date: June 4, 2020 |
|
| McLaren Greater Lansing | DSH230167 | MI | No adverse findings | None | N/A Audit closure date: July 10, 200 |
|
| Meadville Medical Center | DSH390113 | PA | 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: January 15, 2021 |
|
| Memorial Hospital of South Bend, Inc. | DSH150058 | IN | No adverse findings | None | N/A Audit closure date: July 23, 2020 |
|
| Memorial Medical Center | CAH521323-00 | WI | Incorrect 340B OPAIS record - Failed to remove closed contract pharmacy from 340B OPAIS. | None | CAP implemented Audit closure date: October 30, 2020 |
|
| Mercy General Hospital | DSH050017 | CA | No adverse findings | None | N/A Audit closure date: July 16, 2020 |
|
| Mercy Health Hackley Campus | DSH230066 | MI | Incorrect 340B OPAIS record – Ineligible sites registered in 340B OPAIS; Failed to remove a duplicate registration for an offsite outpatient facility from 340B OPAIS. | Termination of ineligible offsite outpatient facility from the 340B Program* | CAP implemented Audit closure date: April 8, 2021 |
|
| Mercy Hospital Lebanon | DSH260059 | MO | No adverse findings | None | N/A Audit closure date: June 26, 2020 |
|
| Mercy Hospital – St. Louis | DSH260020 | MO | 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 18, 2020 |
|
| Middlesboro ARH Hospital | DSH180020 | KY | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: July 21, 2021 |
System Director of Pharmacy |
| MidMichigan Medical Center | SCH230222-00 | MI | No adverse findings | None | N/A Audit closure date: February 19, 2020 |
|
| Midwest Medical Center | CAH141302-00 | IL | No adverse findings | None | N/A Audit closure date: April 3, 2020 |
|
| Monmouth Medical Center Southern Campus | DSH310084 | NJ | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | None | CAP implemented Audit closure date: July 13, 2020 |
|
| Morton Plant North Bay Hospital | DSH100063 | FL | No adverse findings | None | N/A Audit closure date: May 20, 2020 |
|
| Mount Carmel Health | DSH360035 | OH | 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: January 21, 2021 |
|
| Mountainlands Community Health Center, Inc | CH083950 | UT | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closeout date: November 5, 2020 |
340B Coordinator mleavitt1@mchc.org 801-429-2000 |
| MRH Corp. DBA Northern Light Mayo Hospital | CAH201309-00 | ME | No adverse findings | None | N/A Audit closure date: August 6, 2020 |
|
| Munson Healthcare Cadillac Hospital | SCH230081-00 | MI | Incorrect 340B OPAIS record – Offsite outpatient facility was not listed on the 340B OPAIS. | None | CAP implemented Audit closure date: July 29, 2020 |
|
| Munson Healthcare Manistee Hospital | SCH230303-00 | MI | No adverse findings | None | N/A Audit closure date: June 5, 2020 |
|
| Munson Medical Center | SCH230097-00 | MI | Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for offsite outpatient facility address. | None | CAP implemented Audit closure date: January 21, 2021 |
|
| MyCareHealth Center | CHC26572-00 | MI | Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for offsite outpatient facility address. | None | CAP implemented Audit closure date: August 20, 2020 |
|
| Neighborhood Improvement Project, Inc. | CH0438590 | GA | No adverse findings | None | N/A Audit closure date: |
|
| Nemaha County Hospital | CAH281324-00 | NE | No adverse findings | None | N/A Audit closure date: June 18, 2020 |
|
| Niagara Falls Memorial Medical Center | DSH330065 | NY | Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for Primary Contact. Diversion – 340B drug dispensed to inpatients |
Repayment to manufacturers | CAP implemented Audit closure date: September 14, 2021 |
340B Program Coordinator 621 10th St Niagara Falls, NY 14301 716-278-4537 |
| Nicholas H. Noyes Memorial Hospital | DSH330238 | NY | No adverse findings | None | N/A Audit closure date: April 3, 2020 |
|
| North Caddo Medical Center | CAH191304-00 | LA | No adverse findings | None | N/A Audit closure date: June 12, 2020 |
|
| North Country Family Health Center, Inc. | CHC24165-00 | NY | No adverse findings | None | N/A Audit closure date: February 25, 2020 |
|
| North Country Health System | CAH471304-00 | VT | Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. | None | CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: May 27, 2021 |
|
| North Oaks Medical Center LLC | DSH190015 | LA | Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS. 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: December 1, 2020 |
|
| Northern Montana Hospital | DSH270032 | MT | Incorrect 340B OPAIS record - entity improperly registered a distribution site as a contract pharmacy in 340B OPAIS. Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: November 10, 2021 |
Vice President Regulatory & Community Services Northern Montana Hospital Compliance Office 30 W 13th St Havre, MT 59501 obrechrm@nmhcare.org 406-262-1420 |
| Northside Hospital Gwinnett | DSH110087 | GA | Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for authorizing official. | None | CAP implemented Audit closure date: September 10, 2020 |
|
| Oakbend Medical Center | DSH450330 | TX | Incorrect 340B OPAIS record – Failed to remove a closed contract pharmacy from 340B OPAIS. | None | CAP implemented Audit closure date: |
|
| Oakwood Healthcare, Inc. dba Beaumont Hospital - Dearborn | DSH230020 | MI | No adverse findings | None | N/A Audit closure date: October 5, 2020 |
|
| Ochsner Bayou LLC | CAH191324-00 | LA | No adverse findings | None | N/A Audit closure date: April 2, 2020 |
|
| Onslow Memorial Hospital | SCH340042-00 | NC | Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for hospital control type. | None | CAP implemented Audit closure date: July 29, 2020 |
|
| Opelousas General Hospital | DSH190017 | LA | Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for hospital control type; Offsite outpatient facilities were not listed on the 340B OPAIS. | None | CAP implemented Audit closure date: April 2, 2021 |
|
| Osborne County Memorial Hospital | CAH171364-00 | KS | No adverse findings | None | N/A Audit closure date: April 15, 2020 |
|
| Our Lady of Lourdes Memorial Hosp | RRC330011-00 | NY | Incorrect 340B OPAIS record - Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS. | None | CAP implemented Audit closure date: October 30, 2020 |
|
| Pana Community Hospital | CAH141341-00 | IL | No adverse findings | None | N/A Audit closure date: July 16, 2020 |
|
| PeaceHealth dba Peace Harbor Medical Center | CAH381316-00 | OR | Incorrect 340B OPAIS record – Ineligible sites registered on 340B OPAIS. | Termination of ineligible offsite outpatient facility from the 340B Program* | CAP implemented Audit closure date: August 12, 2020 |
|
| Peoples Community Health Clinic, Inc. | CH071410 | IA | No adverse findings | None | N/A Audit closure date: September 15, 2020 |
|
| Perkins County Health Services | CAH281356-00 | NE | No adverse findings | None | N/A Audit closure date: July 23, 2020 |
|
| Philadelphia Fight | CHC26634-00 | PA | Incorrect 340B OPAIS record – Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS. | None | CAP implemented Audit closure date: September 10, 2020 |
|
| Piedmont Newton Hospital, Inc. | DSH110018 | GA | 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: September 30, 2020 |
|
| Plains Regional Medical Center – Clovis | DSH320022 | NM | Incorrect 340B OPAIS record – Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS. | None | CAP implemented Audit closure date: |
|
| Planned Parenthood Association of Utah | STD841021 | UT | Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: March 17, 2021 |
Chief Financial Officer 654 South 900 East Salt Lake City, UT 84102 Lesley.bailey@ppau.org 801-532-1586 |
| Power County Hospital District | CAH131304-00 | ID | No adverse findings | None | N/A Audit closure date: March 5, 2020 |
|
| Premier Community Healthcare Group, Inc. | CH045500 | FL | Incorrect 340B OPAIS record – Failed to remove a duplicate registration for an offsite outpatient facility from 340B OPAIS. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: December 1, 2020 |
Chief Executive Officer PO Box 232 Dade City, FL 33526 jresnick@hcnetwork.org 352-518-2000 |
| Preston Memorial Hospital | CAH511312-00 | WV | No adverse findings | None | N/A Audit closure date: June 15, 2020 |
|
| Project Vida Health Center | CH067960 | TX | Incorrect 340B OPAIS record – Failed to remove a closed contract pharmacy from 340B OPAIS. | None | CAP implemented Audit closure date: October 30, 2020 |
|
| Providence Health DBA Providence Seaside Hospital | CAH381303-00 | OR | No adverse findings | None | N/A Audit closure date: May 13, 2020 |
|
| Providence Medford Medical Center | DSH380075 | OR | Incorrect 340B OPAIS record – Offsite outpatient facility was not listed on the 340B OPAIS; Incorrect entry in 340B OPAIS for an offsite outpatient facility address. | None | CAP implemented Audit closure date: October 21, 2020 |
|
| Regional Health Rapid City Hospital | DSH430077 | SD | No adverse findings | None | N/A Audit closure date: May 15, 2020 |
|
| Regional Health Services of Howard County | CAH161328-00 | IA | No adverse findings | None | N/A Audit closure date: June 23, 2020 |
|
| Richmond University Medical Center | DSH330028 | NY | Diversion – 340B drug dispensed at covered entity, not supported by a medical record. | Repayment to manufacturer | CAP implemented Audit closure date: April 8, 2021 |
340B Manager 355 Bard Avenue Inpatient Pharmacy Department Staten Island, NY 10310 zparnas@rumcsi.org 718-818-3272 |
| Riverside Shore Memorial Hospital | DSH490037 | VA | No adverse findings | None | N/A Audit closure date: April 21, 2020 |
|
| Rowan Regional Hospital | RRC340015-00 | NC | No adverse findings | None | N/A Audit closure date: |
|
| Saint Alphonsus Medical Center Nampa | DSH130013 | ID | No adverse findings | None | N/A Audit closure date: September 8, 2020 |
|
| Saint Alphonsus Regional Medical Center | DSH130007 | ID | No adverse findings | None | N/A Audit closure date: June 12, 2020 |
|
| San Francisco AIDS Foundation | STD94114 | CA | No adverse findings | None | N/A Audit closure date: April 17, 2020 |
|
| Sanford Thief River Falls | CAH241381-00 | MN | No adverse findings | None | N/A Audit closure date: March 3, 2020 |
|
| Santa Monica UCLAMC and Orthopaedic Hospital | DSH050112 | CA | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: February 17, 2021 |
Director of Pharmacy 757 Westwood Plaza B531 Los Angeles, CA 90095 kmenmuir@mednet.ucla.edu 310-267-8500 |
| Scotland Memorial Hospital | DSH340008 | NC | 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 13, 2020 |
|
| Seton Medical Center | DSH050289 | CA | Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for disproportionate share percentage. 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: June 26, 2020 |
|
| Sharp Chula Vista Medical Center | DSH050222 | CA | No adverse findings | None | N/A Audit closure date: April 28, 2020 |
|
| Sheridan County Hospital | CAH171347-00 | KS | No adverse findings | None | N/A Audit closure date: March 17, 2020 |
|
| Sioux Valley Memorial Hospital Association dba Cherokee Regional Medical Center | CAH161362-00 | IA | No adverse findings | None | N/A Audit closure date: June 24, 2020 |
|
| Sisters of Charity Hospital | DSH330078 | NY | Diversion – 340B drugs dispensed to inpatients. Inaccurate or incomplete information on 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: February 9, 2022 |
340B Program Business Manager 144 Genesee St ARTC - 6th Floor West Buffalo, NY 14203 tgreer@chsbuffalo.org 716-923-2920 |
| Sonora Community Hospital dba Adventist Health Sonora | DSH050335 | 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: July 28, 2020 |
|
| Southeast Mississippi Rural Health Initiative, Inc. | CH045770 | MS | Duplicate Discounts – Grant associated sites were billing Medicaid contrary to information included on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: May 14, 2021 |
340B Coordinator 64 Old Airport Road Hattiesburg, MS 39401 lellis@semrhi.com 601-544-4163 x3908 |
| Southeast Missouri Health Network | CH071370 | MO | Incorrect 340B OPAIS record - Failed to remove a contract pharmacy from 340B OPAIS that did not have a written contract in place; Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS; Incorrect entry in 340B OPAIS for address for grant associated site. | Termination of ineligible contract pharmacy from the 340B Program* | CAP implemented Audit closure date: January 8, 2021 |
|
| Southwest Mississippi Regional Medical Center | DSH250097 | MS | No adverse findings | None | N/A Audit closure date: June 11, 2020 |
|
| Southwestern Vermont Medical Center | RRC470012-00 | VT | No adverse findings | None | N/A Audit closure date: August 6, 2020 |
|
| Sparrow Clinton Hospital | CAH231326-00 | MI | No adverse findings | None | N/A Audit closure date: July 14, 2020 |
|
| St. Anthony Regional Hospital | SCH160005-00 | IA | No adverse findings | None | N/A Audit closure date: June 17, 2020 |
|
| St. Catherine Hospital | SCH170023-00 | KS | No adverse findings | None | N/A Audit closure date: July 23, 2020 |
|
| St. Cloud Hospital | DSH240036 | MN | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: August 4, 2020 |
|
| St. Jude Medical Center Fullerton | DSH050168 | CA | No adverse findings | None | N/A Audit closure date: March 5, 2020 |
|
| St. Louis Children’s | PED263301-00 | MO | 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: September 8, 2021 |
Director of Pharmacy St. Louis Children’s Hospital 11E36 One Children’s Place St. Louis, MO 63110 melissa.heigham@bjc.org 314-497-9450 |
| St. Luke’s Methodist Hospital | DSH160045 | IA | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: May 6, 2021 |
Director Pharmacy St. Luke's Methodist Hospital 1026 A Avenue NE Cedar Rapids, IA 52402 Patrick.Thies@UnityPoint.org 319-368-5861 |
| St. Mary’s Hospital, Centralia, Illinois | RRC140034-00 | IL | No adverse findings | None | N/A Audit closure date: June 11, 2020 |
|
| Stacy McKay Health and Education Center | CH0518280 | IN | Diversion – 340B drug dispensed at covered entity, not supported by a medical record. Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: July 27, 2021 |
Pharmacy Director 6050 Sterling Creek Rd. Portage, IN 46368 mwichlinski@northshorehealth.org 219-763-8112 |
| Stamford Hospital, The | DSH070006 | CT | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: February 18, 2021 |
Pharmacy Business Manager One Hospital Plaza Stamford, CT 06902 PManirakiza@stamhealth.org 203-276-4232 |
| Stokes Family Health Center | FP270168 | NC | No adverse findings | None | N/A Audit closure date: July 9, 2020 |
|
| Tallahatchie General Hospital | CAH251304-00 | MS | No adverse findings | None | N/A Audit closure date: May 29, 2020 |
|
| Trigg County Hospital Inc. | CAH181304-00 | KY | No adverse findings | None | N/A Audit closure date: April 14, 2020 |
|
| Trinitas Regional Medical Center | DSH310027 | NJ | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: December 14, 2020 |
|
| Trinity Regional Medical Center | SCH160016-00 | IA | No adverse findings | None | N/A Audit closure date: June 11, 2020 |
|
| University of Cincinnati Medical Center LLC | DSH360003 | OH | No adverse findings | None | N/A Audit closure date: July 23, 2020 |
|
| UPMC Horizon Hospital | DSH390178 | PA | 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: November 10, 2020 |
|
| UPMC McKeesport | DSH390002 | PA | 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 27, 2021 |
|
| Upson County Hospital, Inc. | SCH110002-00 | GA | No adverse findings | None | N/A Audit closure date: May 12, 2020 |
|
| Val Verde Regional Medical Center | DSH450154 | TX | Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS. | None | CAP implemented Audit closure date: April 2, 2021 |
|
| Ventura County Medical Center | DSH050159 | CA | Incorrect 340 OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS. | None | CAP implemented Audit closure date: November 19, 2020 |
|
| Verde Valley Medical Center | SCH030007-00 | AZ | Incorrect 340B OPAIS record – Failed to remove a closed contract pharmacy from 340B OPAIS. | None | CAP implemented Audit closure date: December 11, 2020 |
|
| Walter Knox Memorial Hospital | CAH131318-00 | ID | No adverse findings | None | N/A Audit closure date: July 23, 2020 |
|
| Weatherford Hospital Authority | CAH371323-00 | OK | No adverse findings | None | N/A Audit closure date: July 23, 2020 |
|
| Weiser Valley Hospital District, dba Weiser Memorial Hospital | CAH131307-00 | ID | No adverse findings | None | N/A Audit closure date: August 4, 2020 |
|
| Welia Health | CAH241367-00 | MN | Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: January 15, 2021 |
340B Coordinator ckordiak@welia.org 320-225-3999 |
| WellStar Atlanta Medical Center | DSH110115 | GA | No adverse findings | None | N/A Audit closure date: August 4, 2020 |
|
| Western Sierra Medical Clinic | CH0921760 | CA | Incorrect 340B OPAIS record – Incorrect Authorizing Official listed; Incorrect Primary Contact listed; Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS. Diversion – 340B drug dispensed at a contract pharmacy, not supported by a medical record. |
Repayment to manufacturers | CAP implemented Audit closure date: July 20, 2021 |
Senior Director of Operations 844 Old Tunnel Road Grass Valley, CA 95945 francine@wsmcmed.org 530-273-4984 x102 |
| Wickenburg Community Hospital Association Inc. | CAH031300-00 | AZ | Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS; Incorrect entry in 340B OPAIS for address for an offsite outpatient facility. Diversion – 340B drugs dispensed to inpatients |
Repayment to manufacturers | CAP implemented Audit closure date: April 13, 2021 |
Director of Pharmacy Services and 340B Program 520 Rose Lane Wickenburg, AZ 85390 928-684-4380 |
| William Beaumont Hospital DBA Beaumont Hospital - Grosse Pointe | DSH230089 | MI | No adverse findings | None | N/A Audit closure date: August 21, 2020 |
|
| Willis Knighton Medical Center, Inc. | DSH190111 | LA | No adverse findings | None | N/A Audit closure date: June 11, 2020 |
|
| Windsor Hospital Corporation dba Mt. Ascutney Hospital and Health Center |
CAH471302-00 | VT | Incorrect 340B OPAIS record – Incorrect Primary Contact listed. Diversion – 340B drugs dispensed at contract pharmacy, not supported by medical records. |
Repayment to manufacturers | CAP implemented Audit closure date: November 4, 2021 |
Chief Financial Officer Windsor Hospital Corporation d/b/a Mt. Ascutney Hospital and Health Center 289 County Road Windsor, VT 05089 david.sanville@mahhc.org 802-674-7240 |
| Wyckoff Heights Medical Center | DSH330221 | NY | Covered outpatient drugs obtained through a Group Purchasing Organization prior to October 2019. Diversion – 340B drugs dispensed at contract pharmacy, not supported by medical records. |
Repayment to manufacturers | CAP implemented Audit closure date: March 17, 2021 |
Director of Pharmacy Wyckoff Heights Medical Center 374 Stockholm Street Brooklyn, NY 11237 jrumore@wyckoffhospital.org 718-963-7141 |
*Note: Covered entity self-terminated cited facilities prior to termination of facilities by OPA.
