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 Home > 340B Resources > 340B Survival Kit
340B Survival Kit

SNHPA is pleased to announce the release of it's updated 340B Survival Kit.  The Survival Kit is a comprehensive resource on the 340B program that contains vital information to help 340B hospitals ensure compliance with 340B laws while maximizing discounts.

Below are links to the available chapters and appendices.  In an effort to reduce paper waste, this site is set up so that you can download just the sections you need or simply read the Survival Kit online. If you choose to print the entire Survival Kit, as sections are updated in the future, you will be able to replace just the sections that have been updated rather than the entire document.

Please contact Mike Hess at mike.hess@safetynetrx.org or 202-552-5869 if you have any questions or problems.



REPORT COVER
TABLE OF CONTENTS
1.    OVERVIEW OF THE 340B DRUG DISCOUNT PROGRAM (Rev. June 2008)
 
1.1 Background
1.2 Program Eligibility
1.3 How Does the 340B Program Operate?
1.4 Program Restrictions
1.5 Savings
1.6 Information Resources
2.    HOSPITAL ELIGIBILITY (Rev. June 2008)
 
2.1 Criterion One: Government Function
2.2 Criterion Two: Medicare DSH Adjustment Percentage Above 11.75
2.3 Criterion Three: Purchase No Covered Outpatient Drugs Through GPOs
2.4 DSH Hospital Enrollment Process
2.5 Children's Hospitals
[The following chapters are available to SNHPA members only.  Members click here to view additional chapters.]
3.    DEFINING THE SCOPE OF AN ELIGIBLE DSH HOSPITAL (Members Only)
 
3.1 Medicare Cost Report Test
3.2 Medicare Provider-Based Test
3.3 Home Health Agencies, Long-Term Care Facilities, Etc.
3.4 Enrollment Process For New Outpatient Sites
4.    WHAT DRUGS MAY BE PURCHASED THROUGH 340B? (Members Only)
5.    WHO MAY RECEIVE THE DISCOUNTED DRUGS? (Members Only)
6.    MEDICAID BILLING REQUIREMENTS (Members Only)
7.    MEDICARE PRESCRIPTION DRUG BENEFIT AND 340B (Members Only)
8.    INVENTORY MANAGEMENT (Members Only)
 
8.1 Relevant 340B Standards
8.2 Stock Replacement
 
8.2.1 NDC-by-NDC Substitution
8.2.2 Reverse Substitution
8.3 Meeting the Challenge of NDC-by-NDC Substitution
 
8.3.1 Inadequate Tracking Systems
8.3.2 Unavailability of Replacement Product
8.3.3 Generic Substitution
8.4 Emergency Room Drugs
8.5 Cherry Picking
8.6 Future Considerations
9.    CONTRACT PHARMACIES (Members Only)
10.  ALTERNATIVE METHODS DEMONSTRATION PROJECTS (Members Only)
11.  NEGOTIATING ADDITIONAL DISCOUNTS (Members Only)
12.  MANUFACTURER NON-COMPLIANCE (Members Only)
13.  COVERED ENTITY COMPLIANCE (Members Only)
APPENDIX

 
 
Federal Drug Discount and Compliance Monitor Learn more about The Monitor, a monthly publication covering the latest news in the 340B program and other federal drug discount programs.
Untitled Document
AmerisourceBergen Drug Company
McKesson Talyst
Pharmacy Healthcare Solutions
NEChealth Network
AmerisourceBergen Solutions Group
Wellpartner
Sentry Data Systems
Ernst & Young
Comprehensive Pharmacy Services
Cardinal Health
PDX-Rx.com
Global Pharmaceutical Solutions
Child Health Corporation of America
Premier, Inc.
Coordinated Care Network Health Management Associates RelayHealth
National Association of Children's Hospitals and Related Institutions
American Society of Health-System Pharmacists

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