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roadmap to applying to participate in the 340b program david garbarino director of government financ children s hospit

Agenda. Introduction Getting started Preparing the Application/ Meeting the Requirements Where are we now/Next Steps. Introduction. Institutional background Children's Hospital Boston is a 395 bed independent free standing facility offering a full range of pediatric services from community level to quaternary care Operate one main pharmacy department, four satellites locations and one remote site that services all outpatient departments and clinics 16,000 disch140

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roadmap to applying to participate in the 340b program david garbarino director of government financ children s hospit

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Presentation Transcript

    1. Roadmap to Applying to Participate in the 340B Program

    3. Introduction

    4. Getting Started

    5. Getting Started Potential Savings Determine if the potential savings are worth the effort necessary to meet the requirements Childrens Hospital Boston does not operate a retail pharmacy so the potential savings are limited Performed the analysis looked at O/P drug volume by type of drug and the current cost and determined that the potential savings, based on our estimated discount, could be substantial Estimated potential savings in year 1 of program participation to be worthwhile with anticipated growth over several years For my discussion, I have avoided details on drug type, volumes and discounts- so I would not get myself into trouble.For my discussion, I have avoided details on drug type, volumes and discounts- so I would not get myself into trouble.

    6. Getting started There are 5 eligibility criteria that must be met to participate in the 340B program Organization types: Federally qualified Health centers Family Planning project Ryan White Grantees State operated AIDS drug program Black lung clinic Hemophilia treatment center Native Hawaiian Health Center Urban Indian organization An entity receiving assistance under title XXVI An entity receiving assistance under section 318 A disproportionate share hospital There are 5 eligibility criteria that must be met to participate in the 340B program Organization types: Federally qualified Health centers Family Planning project Ryan White Grantees State operated AIDS drug program Black lung clinic Hemophilia treatment center Native Hawaiian Health Center Urban Indian organization An entity receiving assistance under title XXVI An entity receiving assistance under section 318 A disproportionate share hospital

    7. Preparing the Application-continued

    8. Operational Considerations and Challenges

    9. Operational Considerations and Challenges

    10. Operational Considerations and Challenges There is federal law that forbids providers from purchasing drugs at 340B prices and charging the state Medicaid program more then the state approved rate (acquisition price + dispensing fee-approved by the state)There is federal law that forbids providers from purchasing drugs at 340B prices and charging the state Medicaid program more then the state approved rate (acquisition price + dispensing fee-approved by the state)

    11. Compliance and Regulatory Issues

    12. Compliance Plan

    13. Preparing the Application-continued

    14. Where we are now

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