Updated 6/16/22. 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 198 audits.
| Entity | 340B ID | State | OPA Findings | Sanction | Corrective Action Status | Entity Contact Information |
|---|---|---|---|---|---|---|
| AdventHealth Manchester | DSH180043 | KY | Incorrect 340B OPAIS record – Failed to remove a duplicate registration of a contract pharmacy from 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: May 4, 2021 |
|
| Adventist Health Clearlake Hospital, Inc. | CAH051317-00 | CA | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: May 15, 2022 |
Director of Pharmacy Adventist Health Clear Lake 15630 18th Ave Clearlake, CA 95422 SheltoJ1@ah.org 707-994-6486 |
| AIDS Action Coalition of Huntsville – Thrive Alabama | HV358011A | AL | No adverse findings | None | N/A Audit closure date: March 17, 2021 |
|
| AIDS Care Group | HV190131 | PA | No adverse findings | None | N/A Audit closure date: April 27, 2021 |
|
| Aitkin Community Hospital dba Riverwood Healthcare Center | CAH241305-00 | MN | Incorrect 340B OPAIS record - Incorrect Medicare Cost Report filing date and cost reporting period. | None | CAP implemented Audit closure date: May 6, 2021 |
|
| Alegent Health Bergan Mercy Health System dba CHI Health Creighton University Med Center-Bergan Mercy | DSH280060 | NE | No adverse findings | None | N/A Audit closure date: March 5, 2021 |
|
| Allen Parish Hospital | DSH190133 | LA | No adverse findings | None | N/A Audit closure date: May 14, 2021 |
|
| Altoona Regional Health System | DSH390073 | PA | Inaccurate or incomplete information in the HRSA 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 3, 2021 |
|
| Altru Hospital | SCH350019-00 | ND | Incorrect 340B OPAIS record – Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS. | None | CAP implemented Audit closure date: September 23, 2021 |
|
| Ascension Seton d/b/a Ascension Seton Northwest | DSH450867 | TX | Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, and disproportionate share percentage. | None | CAP implemented Audit closure date: March 15, 2022 |
|
| Auburn Community Hospital | SCH330235 | NY | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, and disproportionate share percentage. | None | CAP implemented Audit closure date: July 14, 2021 |
|
| Avera McKennan DBA Avera Flandreau Hospital | CAH431310-00 | SD | No adverse findings | None | N/A Audit closure date: |
|
| Banner Gateway Medical Center | DSH030122 | AZ | Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed on the 340B OPAIS. | None | CAP implemented Audit closure date: March 15, 2022 |
|
| Banner Lassen Medical Center | CAH051320-00 | CA | No adverse findings | None | N/A Audit closure date: April 9, 2021 |
|
| Baptist Hospital of Miami, Inc. | DSH100008 | FL | Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for Medicare Cost Report filing date. | None | CAP implemented Audit closure date: February 15, 2022 |
|
| Behavioral Health Services, Inc. | CHC29048-00 | CA | Incorrect 340B OPAIS record – Failed to remove a contract pharmacy from 340B OPAIS that did not have a written contract in place. Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Termination of contract pharmacy from 340B Program* Repayment to manufacturers |
CAP approved | Chief Compliance Officer 15519 Crenshaw Blvd Gardena, CA 90249 310-679-9126 mballue@bhs-inc.org |
| Benefis Hospitals, Inc. | DSH270012 | MT | Incorrect 340B OPAIS record – Failed to remove contract pharmacies from 340B OPAIS that did not have a written contract in place. | Termination of contract pharmacies from 340B Program* | CAP implemented Audit closure date: January 4, 2022 |
|
| Bennet County Hospital | CAH431314-00 | SD | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. | None | CAP implemented Audit closure date: June 16, 2021 |
|
| Black River Health Services, Inc. | FQHCLA364 | NC | No adverse findings | None | N/A Audit closure date: July 19, 2021 |
|
| Bon Secours Community Hospital | DSH330135 | NY | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date. | None | CAP approved Audit closure date: September 14, 2021 |
|
| Boulder City Hospital | CAH291309-00 | NV | Incorrect 340B OPAIS record – Failed to remove a closed contract pharmacy from 340B OPAIS; Incorrect entries in 340B OPAIS for Authorizing Official phone number and Primary Contact phone number. Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented March 8, 2022 | Chief Financial Officer 901 Adams Blvd Boulder City, NV 89005 dlewis@bchnv.org 702-293-4111 x6509 |
| Brevard Health Alliance Inc., The | CH043823A | FL | No adverse findings | None | N/A Audit closure date: June 25, 2021 |
|
| Brigham and Women’s Hospital | RRC220110-00 | MA | Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for disproportionate share percentage. | None | CAP implemented Audit closure date: November 9, 2021 |
|
| Brodstone Memorial Hospital | CAH281315-00 | NE | No adverse findings | None | N/A Audit closure date: January 26, 2021 |
|
| Butler County Health Department | STD36037 | AL | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for grant number and nature of support. Entity billed Medicaid while not listed on the HRSA 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 7, 2021 |
|
| California Hospital Medical Center | DSH050149 | CA | Incorrect 340B OPAIS record –Incorrect entry in 340B OPAIS for disproportionate share percentage. | None | CAP implemented Audit closure date: February 15, 2022 |
|
| CAN Community Health Inc. | STD333341 | FL | No adverse findings | None | N/A Audit closure date: December 2, 2020 |
|
| Care for the Homeless | CH020020 | NY | Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for address for grant associated site. | None | CAP implemented Audit closure date: June 15, 2021 |
|
| Carle Eureka Hospital | CAH141309-00 | IL | No adverse findings | None | N/A Audit closure date: April 29, 2021 |
|
| Carroll County Memorial Hospital | CAH181310-00 | KY | Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. Diversion – 340B drug dispensed at a contract pharmacy, not supported by a medical record. |
Repayment to manufacturers | CAP approved | Chief Executive Officer khaverly@ccmhosp.com 502-732-3275 |
| Catholic Health Initiatives – Iowa, Corp. | DSH160083 | IA | Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS; Ineligible sites registered on 340B OPAIS; Incorrect entry in 340B OPAIS for address for offsite outpatient facility; Failed to remove contract pharmacies from 340B OPAIS that did not have a written contract in place. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Termination of contract pharmacies from 340B Program* Repayment to manufacturers |
CAP approved | |
| Central Florida Health Care, Inc. | CH040210 | FL | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | None | CAP implemented Audit closure date: March 21, 2022 State Medicaid has since determined duplicate discounts did not occur. |
|
| Central Washington Health Services Association dba Central Washington Hospital | DSH500016 | WA | No adverse findings | None | N/A Audit closure date: June 3, 2021 |
|
| Cheyenne County Hospital Association, Inc. dba Sidney Regional Medical Center |
CAH281357-00 | NE | No adverse findings | None | N/A Audit closure date: February 23, 2021 |
|
| CHI St. Vincent Morrilton | CAH041324-00 | AR | Entity billed Medicaid while not listed in the HRSA 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 30, 2021 |
|
| Children’s Hospital Medical Center | PED363300-00 | OH | Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed in 340B OPAIS; Ineligible sites registered in 340B OPAIS. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Termination of ineligible offsite outpatient facility from the 340B Program* |
CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: May 12, 2022 |
|
| Children’s Mercy Hospital Kansas, The | PED173300-00 | KS | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, and disproportionate share percentage. | None | CAP implemented Audit closure date: November 9, 2021 |
|
| Christus Hospital | RRC450034-00 | TX | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, disproportionate share percentage, and hospital control type. | None | CAP implemented Audit closure date: June 23, 2021 |
|
| Christus Santa Rosa Health System | RRC450237-00 | TX | Diversion – 340B drug dispensed at a contract pharmacy, not supported by a medical record. | Repayment to manufacturers | CAP implemented Audit closure date: February 15, 2022 |
Senior Consultant 7840 Graphics Drive, Suite 100 Tinley Park, IL 60477 708-478-7030 |
| Coastal Family Health Center Inc., The | CH042430 | MS | Incorrect 340B OPAIS record – Entity improperly registered a distribution site in 340B OPAIS as a grant associated site; Incorrect entries in 340B OPAIS for name for grant associated sites. Diversion – 340B drugs dispensed at contract pharmacies, not supported by a medical record. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented State Medicaid agency has since determined duplicate discounts did not occur. Audit closure date: November 9, 2021 |
Chief Executive Officer 1046 Division Street Biloxi, MS 39530 angel_greer@coastalfamilyhealth.org 228-374-2494 |
| Coffey County Hospital | CAH171385-00 | KS | Diversion – 340B drug dispensed to inpatient | Repayment to manufacturers | CAP implemented Audit closure date: April 4, 2022 |
Chief Financial Officer Senior Accountant Coffey County Hospital 801 N. 4th Burlington, KS 66839 620-364-2121 |
| Columbia Lutheran Charities dba Columbia Memorial Hospital | CAH381320-00 | OR | No adverse findings | None | N/A Audit closure date: February 12, 2021 |
|
| Community Clinic, Inc. | CHC10591-00 | MD | Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for site ID for grant associated site. 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 | Pending | |
| Community Health Care Systems Inc | CH045180 | GA | Inaccurate or incomplete information on the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. Entity and grant associated sites billed Medicaid while not listed on the HRSA 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 23, 2021 |
|
| Community Medical Centers Inc. | CH090780 | CA | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: March 29, 2022 |
|
| Community Medical Wellness Centers USA | CHC28986-00 | 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 27, 2021 |
|
| Coon Memorial Hospital | CAH451331-00 | TX | Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period; Failed to remove registration in 340B OPAIS for closed offsite outpatient facility; Incorrect entries in 340B OPAIS for address for offsite outpatient facilities. Diversion – 340B drug dispensed at a contract pharmacy, not supported by a medical record. 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: December 15, 2021 |
Chief Executive Officer 1411 Denver Avenue Dalhart, TX 79022 loreet@dhchd.org 806-244-9267 |
| Cornerstone Family Healthcare | CH020620 | NY | Diversion – 340B drug dispensed at a contract pharmacy, not supported by a medical record. 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 approved | VP of Corporate Compliance and Risk Management 2570 US Route 9W Suite 10 Cornwall, NY 12518 mcalero@cornerstonefh.org 845-220-3188 |
| Crisp Regional Hospital Inc. | DSH110104 | GA | No adverse findings | None | N/A Audit closure date: December 2, 2020 |
|
| Deaconess Medical Center | DSH500044 | WA | No adverse findings | None | N/A Audit closure date: May 25, 2021 |
|
| Desert AIDS Project | CHC28988-00 | CA | Incorrect 340B OPAIS record – Failed to remove contract pharmacies from 340B OPAIS that were registered in error. | None | CAP implemented Audit closure date: June 8, 2021 |
|
| Erlanger Medical Center | DSH440104 | TN | No adverse findings | None | N/A Audit closure date: March 5, 2021 |
|
| Falls Community Hospital and Clinic | SCH450348-00 | TX | No adverse findings | None | N/A Audit closure date: March 3, 2021 |
|
| Family Health Centers of San Diego, Inc. | CH093120 | CA | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for subdivision names for offsite outpatient facilities; Incorrect entries in 340B OPAIS for Site ID and address for offsite outpatient facility; Failed to remove contract pharmacies from 340B OPAIS that did not have a written contract in place. | Termination of contract pharmacies from 340B Program* | CAP implemented Audit closure date: July 14, 2021 |
|
| Family Health Services Corporation | CH101650 | ID | Diversion – 340B drug dispensed, not supported by a medical record. 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: January 27, 2022 |
Operations Manager 794 Eastland Dr. Twin Falls, ID 83301 mavalos@fhsid.org 208-737-6707 |
| Field Memorial Community Hospital | CAH251309-00 | MS | No adverse findings | None | N/A Audit closure date: March 17, 2021 |
|
| Flushing Hospital Medical Center | DSH330193 | NY | No adverse findings | None | N/A Audit closure date: September 9, 2021 |
|
| Fort Madison Community Hospital | DSH160122 | IA | Incorrect 340B OPAIS record – Failed to remove a closed contract pharmacy from 340B OPAIS; Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. | None | CAP implemented Audit closure date: |
|
| Franklin General Hospital | CAH161308-00 | IA | Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. | None | CAP implemented Audit closure date: March 17, 2021 |
|
| Franklin Memorial Hospital | SCH200037-00 | ME | No adverse findings | None | N/A Audit closure date: March 16, 2021 |
|
| Franklin Square Hospital | DSH210015 | MD | Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. | None | CAP implemented Audit closure date: June 8, 2021 |
|
| Friend Family Health Center Inc. | CH059110 | IL | Incorrect 340B OPAIS record – Failed to remove a contract pharmacy from 340B OPAIS that was registered in error. | None | CAP implemented Audit closure date: February 2, 2022 |
|
| Fulton County Medical Center | CAH391303-00 | PA | Incorrect 340B OPAIS record - Failed to remove a contract pharmacy from 340B OPAIS that was registered in error. | None | CAP implemented Audit closure date: |
|
| Geisinger Wyoming Valley Medical Center | DSH390270 | PA | No adverse findings | None | N/A Audit closure date: May 17, 2021 |
|
| Glacial Ridge Health System | CAH241376-00 | MN | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for address for offsite outpatient facilities, Medicare Cost Report filing date, and cost reporting period. | None | CAP implemented Audit closure date: April 28, 2021 |
|
| Good Samaritan Hospital Corvallis | RRC380014-00 | OR | No adverse findings | None | N/A Audit closure date: March 16, 2021 |
|
| Grant County Public Hospital District No. 3 dba Columbia Basin Hospital |
CAH501317-00 | WA | No adverse findings | None | N/A Audit closure date: May 5, 2021 |
|
| Grayson County Hospital Foundation dba Twin Lakes Regional Medical Center |
DSH180070 | KY | No adverse findings | None | N/A Audit closure date: February 9, 2021 |
|
| Greenwood Leflore Hospital | DSH250099 | MS | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: February 17, 2022 |
Director of Pharmacy nmainelli@glh.org 662-459-2633 Chief Financial Officer |
| Guttenberg Municipal Hospital | CAH161312-00 | IA | Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. | None | CAP implemented Audit closure date: April 20, 2021 |
|
| Hampshire Memorial Hospital, Inc. | CAH511311-00 | WV | No adverse findings | None | N/A Audit closure date: January 5, 2021 |
|
| Harbor Health Services, Inc. | CH010170 | MA | No adverse findings | None | N/A Audit closure date: July 15, 2021 |
|
| Health and Life Organization Inc. | FQHCLA247 | CA | Incorrect 340B OPAIS record – Failed to remove contract pharmacies from 340B OPAIS that did not have a written contract in place. Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Termination of contract pharmacies from 340B Program* | CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: March 9, 2022 |
340B Compliance Specialist 3030 Explorer Drive Sacramento, CA 95827 mbradford2@halocares.org |
| Healthsource of Ohio, Inc. | CH050990 | OH | No adverse findings | None | N/A Audit closure date: June 16, 2021 |
|
| Henry Ford Wyandotte Hospital | RRC230146-00 | MI | No adverse findings | None | N/A Audit closure date: April 29, 2021 |
|
| Hillsdale Community Health Center | RRC230037-00 | MI | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, and disproportionate share percentage. Diversion – 340B drug dispensed to inpatient. |
Repayment to manufacturers | CAP implemented Audit closure date: December 16, 2021 |
Director of Pharmacy Jkauffman@hillsdalehospital 517-437-5418 |
| Holston Valley Hospital and Medical Center | RRC440017-00 | TN | No adverse findings | None | N/A Audit closure date: December 10, 2020 |
|
| Holyoke Medical Center | DSH220024 | MA | No adverse findings | None | N/A Audit closure date: July 15, 2021 |
|
| Hope and Help Center of Central Florida, Inc. | STD33150 | FL | No adverse findings | None | N/A Audit closure date: August 9, 2021 |
|
| Hospital District No. 1 of Dickinson | CAH171381-00 | KS | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. | None | CAP implemented Audit closure date: November 16, 2021 |
|
| IHC Health Services Inc. DBA Heber Valley Hospital | CAH461307-00 | UT | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | Repayment to manufacturers | Pending | |
| IHC Health Services, Inc. DBA Utah Valley Hospital | DSH460001 | UT | No adverse findings | None | N/A Audit closure date: July 15, 2021 |
|
| Illini Community Hospital | CAH141315-00 | IL | 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: February 22, 2021 |
|
| Jacobson Memorial Hospital | CAH351314-00 | ND | Incorrect 340B OPAIS record - Entity improperly registered a distribution site as a contract pharmacy in 340B OPAIS; Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS. | None | CAP implemented Audit closure date: September 17, 2021 |
|
| Jefferson Healthcare | CAH501323-00 | WA | Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. | Repayment to manufacturers | CAP approved | Chief Ancillary and Support Services Office 834 Sheridan St. Port Townsend, WA 98368 Jdavidson@jeffersonhealthcare.org 360-385-2200 x2039 |
| JWCH Institute, Inc. | CH0925360 | CA | Incorrect 340B OPAIS record - Failed to remove contract pharmacies from 340B OPAIS that were registered in error; Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS. | None | CAP implemented Audit closure date: April 20, 2021 |
|
| Kalihi-Palama Health Center | CH096010 | HI | Incorrect 340B OPAIS record – Grant associated site was not listed on the 340B OPAIS. Duplicate Discounts – Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. |
None | CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: July 30, 2021 |
|
| Kiowa County Hospital District dba Weisbrod Memorial Hospital |
CAH061300-00 | CO | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. | None | CAP implemented Audit closure date: June 17, 2021 |
|
| Kiowa County Memorial Hospital | CAH171332-00 | KS | No adverse findings | None | N/A Audit closure date: February 12, 2021 |
|
| Klickitat County Public Hospital District No 1 dba Klickitat Valley Health |
CAH501316-00 | WA | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. | None | CAP implemented Audit closure date: November 9, 2021 |
|
| Lakeland Regional Health System, Lakeland Medical Center St. Joseph | DSH230021 | MI | 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. |
None | CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: January 28, 2022 |
|
| Landmann-Jungman Memorial Hospital | CAH431317-00 | SD | No adverse findings | None | N/A Audit closure date: July 15, 2021 |
|
| Lawrence Memorial Health Foundation, Inc. | CAH041309-00 | AR | Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for hospital control type. | None | CAP implemented Audit closure date: September 30, 2021 |
|
| Legacy Good Samaritan Hospital | DSH380017 | OR | No adverse findings | None | N/A Audit closure date: May 11, 2021 |
|
| Lehigh Valley Hospital | RRC390133-00 | PA | Duplicate Discounts – Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. | None | CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: February 17, 2022 |
|
| Lenox Hill Hospital | RRC330119-00 | NY | Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for Medicare Cost Report filing date. Duplicate Discounts – Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers | Pending | |
| Mackinac Straits Hospital and Health Center | CAH231306-00 | MI | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. | None | CAP implemented Audit closure date: March 15, 2022 |
|
| Marshfield Medical Center | SCH520037-00 | WI | Incorrect 340B OPAIS record – Failed to remove duplicate registrations of contract pharmacies in 340B OPAIS. Diversion – 340B drug dispensed to inpatient; 340B drug dispensed at a contract pharmacy, not supported by a medical record. |
Repayment for manufacturer | CAP implemented Audit closure date: March 7, 2022 |
340B Program Manager 1000 North Oak Ave Marshfield, WI 54446 neuendorf.kirstia@marshfieldclinic.org 715-858-4308 |
| Mary Hitchcock Memorial Hospital | RRC300003-00 | NH | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and disproportionate share percentage; Ineligible sites registered in 340B OPAIS. | Termination of ineligible offsite outpatient facilities from the 340B Program.* | CAP approved | |
| Maury Regional Hospital | RRC440073-00 | TN | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, and disproportionate share percentage. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
None | CAP implemented State Medicaid agency has since determined duplicate discounts did not occur. Audit closure date: February 4, 2022 |
|
| Meharry Community Wellness Center | HV01706 | TN | Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for name and address; Failed to remove contract pharmacies from 340B OPAIS that did not have a written contract in place; Failed to remove a closed contract pharmacy from 340B OPAIS. | Termination of contract pharmacies from 340B Program* | CAP implemented Audit closure date: February 15, 2022 |
|
| Memorial Hospital West | DSH100281 | FL | No adverse findings | None | N/A Audit closure date: August 5, 2021 |
|
| Memorial Hospital, The | CAH301307-00 | NH | Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for address for offsite outpatient facility. | None | N/A Audit closure date: March 11, 2021 |
|
| Memorial Regional Hospital | DSH100038 | FL | Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for address for offsite outpatient facility. | None | CAP implemented Audit closure date: April 30, 2021 |
|
| Mena Regional Health System | DSH040015 | AR | 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: March 8, 2022 |
Director of Pharmacy |
| Mendota Community Hospital DBA OSF Saint Paul Medical Center |
CAH141310-00 | IL | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for hospital control type and Medicare Cost Report filing date. Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None | CAP implemented Audit closure date: March 9, 2022 |
|
| Mercy Hospital Springfield | DSH260065 | MO | No adverse findings | None | N/A Audit closure date: March 5, 2021 |
|
| Metro Community Provider Network, Inc. | CH080730 | CO | No adverse findings | None | N/A Audit closure date: July 14, 2021 |
|
| Mid-Columbia Medical Center | SCH380001-00 | OR | Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. | None | CAP approved | |
| Milwaukee Health Services, Inc. | CH052090 | WI | Incorrect 340B OPAIS record – Failed to remove a closed contract pharmacy location from 340B OPAIS. Inaccurate or incomplete information on the HRSA 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 16, 2021 |
|
| Minidoka Memorial Hospital | CAH131319-00 | ID | No adverse findings | None | N/A Audit closure date: June 25, 2021 |
|
| Mitchell County Regional Health Center | CAH161323-00 | IA | No adverse findings | None | N/A Audit closure date: January 7, 2021 |
|
| Montgomery General Hospital, Inc. | CAH511318-00 | WV | Incorrect 340B OPAIS record – Failed to remove a contract pharmacy from 340B OPAIS that did not have a written contract in place; Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. Diversion – 340B drugs dispensed to inpatients; and 340B drugs prescribed by an ineligible provider. |
Repayment to manufacturers Termination of contract pharmacies from 340B Program |
CAP implemented Audit closure date: April 12, 2022 |
|
| Mosaic Medical Center Maryville | SCH260050-00 | MO | Incorrect 340B OPAIS record – Failed to remove contract pharmacies from 340B OPAIS that were registered in error. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: March 9, 2022 |
340B Primary Contact Mosaic Health System 5325 Faraon Street St. Joseph, MO 64506 Craig.gordon@mymlc.com 816-271-6069 |
| Multicare Auburn Medical Center | DSH500015 | WA | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, and disproportionate share percentage; Failed to remove contract pharmacy from 340B OPAIS that did not have a written contract in place. | Termination of contract pharmacy from 340B Program* | CAP approved | |
| Murray County Memorial Hospital | CAH241319-00 | MN | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. | None | CAP implemented Audit closure date: June 8, 2021 |
|
| Nevada City Hospital | DSH260061 | MO | Covered outpatient drugs obtained through a Group Purchasing Organization prior to April 7, 2021. 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: March 15, 2022 |
Director of Pharmacy 800 S. Ash Street Nevada, MO 64772 jmashek@nrmchealth.com 417-448-3649 |
| New York City Health and Hospitals | CHC29018-00 | NY | Incorrect 340B OPAIS record – Failed to remove a duplicate registration for a grant associated site from 340B OPAIS; Grant associated site was not listed in 340B OPAIS; Incorrect entries in 340B OPAIS for name and address for grant associated sites; Ineligible site registered on 340B OPAIS. Duplicate Discounts – Inaccurate or incomplete information on the HRSA Medicaid Exclusion File at entity and grant associated sites. |
None | CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: December 3, 2021 |
|
| North County Health Project, Inc. | CH090720 | CA | Duplicate Discounts – Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. | Repayment to manufacturers | CAP approved | Senior Director of Operations 150 Valpreda Road San Marcos, CA 92069 irene.torres@truecare.org 760-566-1722 |
| North Mississippi Medical Center | DSH250004 | MS | 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 24, 2021 |
|
| Northeast Florida Health Services, Inc. | CH0423770 | FL | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: August 12, 2021 |
Chief Executive Officer lasbury@familyhealthsource.org 386-202-6025 Pharmacy Director |
| Northeastern Vermont Regional Hospital | CAH471303-00 | VT | No adverse findings | None | N/A Audit closure date: June 9, 2021 |
|
| Northern Pines Medical Center | CAH241340-00 | MN | No adverse findings | None | N/A Audit closure date: May 17, 2021 |
|
| Northern Valley Indian Health | FQHC638012 | CA | 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 |
|
| Northwest Health Services, Inc. | CH072130 | MO | Incorrect 340B OPAIS record – Ineligible site registered on 340B OPAIS; Incorrect entry in 340B OPAIS for grant associated site name. Diversion – 340B drugs dispensed at a contract pharmacy, not supported by a medical record. |
Termination of ineligible offsite outpatient facility from the 340B Program | Pending | |
| Northwest Hospital Center, Inc. | DSH210040 | MD | No adverse findings | None | N/A Audit closure date: May 5, 2021 |
|
| NY Community Hospital of Brooklyn | DSH330019 | NY | No adverse findings | None | N/A Audit closure date: August 17, 2021 |
|
| Oak Valley District Hospital | DSH050067 | CA | No adverse findings | None | N/A Audit closure date: March 16, 2021 |
|
| Oaklawn Hospital | DSH230217 | MI | No adverse findings | None | N/A Audit closure date: February 9, 2021 |
|
| Oakwood Healthcare, Inc. dba Beaumont Hospital – Wayne |
DSH230142 | MI | Incorrect 340B OPAIS record – A shipping address was not listed in 340B OPAIS. | None | CAP implemented Audit closure date: October 4, 2021 |
|
| Ocean Beach Hospital | CAH501314-00 | WA | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, and Primary Contact email address. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers | CAP approved | |
| Okanogan County Public Hospital District No. 3 DBA Mid-Valley Hospital | CAH501328-00 | WA | No adverse findings | None | N/A Audit closure date: January 24, 2022 |
|
| OSF Little Company of Mary Medical Center | RRC140179-00 | IL | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, and disproportionate share percentage. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented Audit closure date: December 7, 2021 |
340B Drug Program Manager 5901 West War Memorial Drive Peoria, IL 61615 309-308-0413 |
| OU Medical Center | DSH370093 | OK | No adverse findings | None | N/A Audit closure date: April 1, 2021 |
|
| Palo Pinto General Hospital | DSH450565 | TX | Diversion – 340B drugs dispensed to inpatients. Duplicate Discounts – Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers | CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: December 9, 2021 |
Chief Pharmacy Technician TCROSS@ppgh.com 940-328-6375 |
| Paul Oliver Memorial Hospital | CAH231300-00 | MI | No adverse findings | None | N/A Audit closure date: April 28, 2021 |
|
| Pella Regional Health Center | CAH161367-00 | IA | Incorrect 340B OPAIS record – Failed to remove contract pharmacies from 340B OPAIS that did not have a written contract in place. | Termination of contract pharmacy from 340B Program* | CAP implemented Audit closure date: June 8, 2021 |
|
| Pemiscot County Memorial Hospital | DSH260070 | MO | Diversion – 340B drug dispensed to inpatient | Repayment to manufacturers | CAP implemented Audit closure date: January 7, 2022 |
Director of Pharmacy Services 946 E Reed Street Hayti, MO 63581 dketchum@pemiscot.org 573-359-1372 |
| Peninsula Regional Medical Center | DSH210019 | MD | No adverse findings | None | N/A Audit closure date: April 9, 2021 |
|
| Pinckneyville Community Hospital District | CAH141307-00 | IL | No adverse findings | None | N/A Audit closure date: December 18, 2020 |
|
| Pioneers Medical Center | CAH061325-00 | CO | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. | None | CAP implemented Audit closure date: October 4, 2021 |
|
| Platte Valley Medical Center | DSH060004 | CO | No adverse findings | None | N/A Audit closure date: January 29, 2021 |
|
| Portsmouth Community Health Center, Inc. DBA Hampton Roads Community Health Center |
CH034100 | VA | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for shipping addresses and names for grant associated sites. Incorrect 340B OPAIS record – Failed to remove contract pharmacies from 340B OPAIS that did not have a written contract in place. |
Termination of contract pharmacy from 340B Program | CAP implemented Audit closure date: August 5, 2021 |
|
| Positively Living, Inc. | RWII37917 | TN | Incorrect 340B OPAIS record - Failed to remove contract pharmacies from 340B OPAIS that were registered in error. Diversion – 340B drugs dispensed at contract pharmacies, not supported by a medical record. 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: November 5, 2021 |
Client Services Director 290 E Hill Ave, Ste. 290 Knoxville, TN 37915 865-525-1540 x201 |
| Prairie Ridge Health, Inc. | CAH521338-00 | WI | No adverse findings | None | N/A Audit closure date: April 29, 2021 |
|
| Presence St. Mary’s Hospital | DSH140155 | IL | No adverse findings | None | N/A Audit closure date: April 6, 2021 |
|
| Providence Willamette Falls Medical Center | DSH380038 | OR | Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for hospital control type. | None | CAP implemented Audit closure date: December 7, 2021 |
|
| Pueblo Community Health Center, Inc. | CH080170A | CO | 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 3, 2021 |
|
| Raritan Bay Medical Center / HMH Hospitals Corporation | DSH310039 | NJ | Incorrect 340B OPAIS record – Ineligible site registered on 340B OPAIS; Offsite outpatient facilities were not listed in 340B OPAIS. | Termination of ineligible offsite outpatient facility from the 340B Program | CAP implemented Audit closure date: March 29, 2022 |
|
| Richland, Parish of | CHC24167-00 | LA | No adverse findings | None | N/A Audit closure date: July 14, 2021 | |
| Rural Medical Services, Inc. | CH046810 | TN | Incorrect 340B OPAIS record – Failed to remove a duplicate registration of a contract pharmacy in 340B OPAIS. | None | CAP implemented Audit closure date: June 11, 2021 |
|
| Rutland Regional Medical Center | DSH470005 | VT | Entity billed Medicaid while not listed on the HRSA 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 25, 2021 |
|
| Saint Mary’s Hospital dba CHI Health St. Mary’s | CAH281342-00 | NE | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
None | CAP implemented State Medicaid agencies have since determined duplicate discounts did not occur. Audit closure date: August 31, 2021 |
Pharmacy Supervisor Apekny@stez.org 402-873-8938 |
| Salem Township Hospital | CAH141345-00 | IL | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. | None | CAP approved Audit closure date: May 13, 2021 |
|
| Sanford Bagley Medical Center | CAH241328-00 | MN | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. | None | CAP implemented Audit closure date: March 29, 2022 |
|
| Schneck Medical Center | DSH150065 | IN | No adverse findings | None | N/A Audit closure date: June 24, 2021 |
|
| Scotland County Hospital | CAH261310-00 | MO | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. | None | CAP implemented Audit closure date: May 25, 2021 |
|
| Shenandoah Memorial Hospital | CAH491305-00 | VA | No adverse findings | None | N/A Audit closure date: February 2, 2021 |
|
| Sheridan Community Hospital | CAH231312-00 | MI | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. 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 16, 2021 |
|
| Slidell Memorial Hospital | DSH190040 | LA | Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for Medicare Cost Report filing date. | None | Pending | |
| South Miami Hospital | DSH100154 | FL | No adverse findings | None | N/A Audit closure date: May 11, 2021 |
|
| South Sunflower County Hospital | SCH250095-00 | MS | Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for Medicare Cost Report filing date | None | CAP implemented Audit closure date: November 16, 2021 |
|
| South Texas Rural Health Services, Inc. | CH062120 | TX | No adverse findings | None | N/A Audit closure date: February 22, 2021 |
|
| Sparta Community Hospital District | CAH141349-00 | IL | No adverse findings | None | N/A Audit closure date: December 11, 2020 |
|
| St. Agnes Hospital | DSH210011 | MD | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for disproportionate share percentage, Medicare Cost Report filing date, and cost reporting period. Diversion – 340B drugs dispensed at contract pharmacies and at covered entity, not supported by a medical record. |
Repayment to manufacturers |
CAP approved | 340B Program Manager 900 Canton Avenue Baltimore, MD 21229 Kelsey.Fiser@ascension.org 615-222-5190 |
| St. Elizabeth Healthcare | DSH180035 | KY | Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date; Ineligible site registered on 340B OPAIS. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Termination of ineligible offsite outpatient facility from the 340B Program* Repayment to manufacturers. |
CAP approved | |
| St. Joseph Health Center | DSH360161 | OH | No adverse findings | None | N/A Audit closure date: January 21, 2021 |
|
| St. Joseph Regional Health Center | RRC450011-00 | TX | No adverse findings | None | N/A Audit closure date: April 30, 2021 |
|
| St. Luke's Jones Regional Medical Center | CAH161306-00 | IA | No adverse findings | None | N/A Audit closure date: December 10, 2020 |
|
| St. Mary’s Health Care System Inc. | RRC110006-00 | GA | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for primary contact. Duplicate Discounts – Entity billed Medicaid while not listed in the HRSA Medicaid Exclusion File. |
Repayment to manufacturers | Pending | |
| St. Mary’s Medical Center, Inc. | DSH510007 | WV | No adverse findings | None | N/A Audit closure date: February 11, 2021 |
|
| St. Mary’s Regional Medical Center | DSH200034 | ME | No adverse findings | None | N/A Audit closure date: March 30, 2021 |
|
| St. Peter's Hospital | SCH270003-00 | MT | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, and disproportionate share percentage. | None | Pending | |
| St. Tammany Parish Hospital | DSH190045 | LA | Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. 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 30, 2021 |
|
| St. Vincent Salem Hospital, Inc. Dba Ascension St. Vincent Salem |
CAH151314-00 | IN | Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for hospital control type. | None | CAP implemented Audit closure date: March 23, 2021 |
|
| Stephens Memorial Hospital | CAH201315-00 | ME | No adverse findings | None | N/A Audit closure date: April 14, 2021 |
|
| Sullivan County Memorial Hospital | CAH261306-00 | MO | Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period; Ineligible sites registered on 340B OPAIS. | Termination of ineligible offsite outpatient facilities from the 340B Program | CAP implemented Audit closure date: May 4, 2021 |
|
| Sutter Bay Hospitals, dba Alta Bates Summit Medical Center | DSH050305 | CA | Covered outpatient drugs obtained through a Group Purchasing Organization prior to July 21, 2021. | Repayment to manufacturers | CAP approved | |
| Sutter Bay Hospitals, dba Sutter Lakeside Hospital | CAH051329-00 | CA | No adverse findings | None | N/A Audit closure date: August 4, 2021 |
|
| Sweeny Hospital District | CAH451311-00 | TX | Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date. Diversion – 340B drug dispensed to inpatient; 340B drugs dispensed at contract pharmacy, not supported by a medical record. Duplicate Discounts – Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers | Pending State Medicaid determined duplicate discounts did not occur. |
|
| Tahoe Forest Hospital | CAH051328-00 | CA | Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. | Repayment to manufacturers | CAP implemented Audit closure date: February 17, 2022 |
Director of Pharmacy Tahoe Forest Hospital District PO Box 759 Truckee, CA 96160 tmather@tfhd.com 530-582-6465 |
| Thomas H Boyd Critical ACC Hospital | CAH141300-00 | IL | 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, 2022 |
|
| Toledo Hospital, The | DSH360068 | OH | Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, and disproportionate share percentage; Failed to remove contract pharmacy from 340B OPAIS that did not have a written contract in place. 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 pharmacy from 340B Program* | Pending | |
| Tri-County Hospital | CAH241354 | MN | No adverse findings | None | N/A Audit closure date: May 14, 2021 |
|
| Tucson Medical Center | DSH030006 | AZ | Incorrect 340B OPAIS record – Ineligible sites registered in 340B OPAIS. Diversion – 340B drug dispensed to inpatient. |
Termination of ineligible offsite outpatient facilities from the 340B Program Repayment to manufacturers |
CAP approved | |
| University Hospitals of Cleveland | DSH360137 | OH | Covered outpatient drugs obtained through a Group Purchasing Organization prior to February 22, 2021. Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS. Duplicate Discounts – Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. |
None | CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: March 15, 2022 |
|
| University Medical Center of El Paso | DSH450024 | TX | Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for disproportionate share percentage | None | CAP implemented Audit closure date: February 9, 2021 |
|
| University of Toledo Medical Center | DSH360048 | OH | Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS; Failed to remove registration in 340B OPAIS for closed offsite outpatient facility; Incorrect entry in 340B OPAIS for shipping address. | None | CAP implemented Audit closure date: April 5, 2022 |
|
| Urban Health Solutions Inc. | RWI19146 and FP19146 | PA | Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for grant number. Inaccurate or incomplete information in the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None | CAP approved | |
| Van Buren County Hospital | CAH161337-00 | IA | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. | None | CAP implemented Audit closure date: February 22, 2021 |
|
| Virginia Gay Hospital | CAH161349-00 | IA | Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. | None | CAP implemented Audit closure date: March 26, 2021 |
|
| Virtua Our Lady of Lourdes Hospital | DSH310029 | NJ | Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. | None | CAP implemented Audit closure date: |
|
| Watts Healthcare Corporation | CHC00850-00 | CA | Incorrect 340B OPAIS record – Failed to remove a contract pharmacy from 340B OPAIS that did not have a written contract in place; Incorrect entry in 340B OPAIS for Authorizing Official. Duplicate Discounts – Grant associated site billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Termination of ineligible contract pharmacy from the 340B Program* | CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: May 25, 2022 |
Chief Medical Officer 10300 Compton Ave Los Angeles, CA 90002 oliver.brooks@wattshealth.org 323-564-4331 x3141 |
| West Alabama AIDS Outreach | RWII354011 | AL | No adverse findings | None | N/A Audit closure date: |
|
| West Calcasieu-Cameron Hospital | DSH190013 | LA | Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. Diversion – 340B drugs dispensed at contract pharmacies, 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: February 17, 2022 |
Director of Pharmacy 701 Cypress Street Sulphur, LA 70663 gforeman@wcch.com 337-527-4290 |
| White River Medical Center | DSH040119 | AR | 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 25, 2021 |
|
| William Beaumont Hospital DBA Beaumont Hospital – Royal Oak | RRC230130-00 | MI | Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, and disproportionate share percentage. | None | CAP implemented Audit closure date: January 27, 2022 |
|
| William W. Backus Hospital, The | RRC070024-00 | CT | No adverse findings | None | N/A Audit closure date: April 29, 2021 |
*Note: Covered entity self-terminated cited facilities prior to termination of facilities by OPA.
