340B Program Administration .

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HRSA’s 340B Prime Vendor Program. 340B Program Administration. The 340B Program Team: HRSA’s Office of Pharmacy Affairs Pharmacy Services Support Center (PSSC/PharmTA) 340B PVP Prime Vendor Program (Apexus Inc.). Apexus – HRSA’s 340B Prime Vendor.
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HRSA\'s 340B Prime Vendor Program

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340B Program Administration The 340B Program Team: HRSA\'s Office of Pharmacy Affairs Pharmacy Services Support Center (PSSC/PharmTA) 340B PVP Prime Vendor Program (Apexus Inc.)

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Apexus – HRSA\'s 340B Prime Vendor Unique government buying program (open private association) Voluntary program for providers and 340b secured substances Mission - To enhance access to reasonable prescriptions for every one of the 340B secured elements by: Lowering members\' supply costs by growing the current PVP arrangement of sub-340B evaluated items Providing secured elements with access to proficient medication dispersion answers for address their patients\' issues Providing access to other esteem included items and administrations meeting secured elements\' one of a kind needs

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Eligibility necessities HRSA Grantee Hospitals Black Lung DSH FQHC Children\'s Hospitals FQHCLA Cancer Hospitals(selected)* Title X Critical Access Hospitals* Ryan White Sole Community Hospitals* TB Rural referral Centers* STD Tribal 638 Hemophilia

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340B Prime Vendor Program Participants by Effective Date (aggregate, as of Mar. 1, 2010)

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PVP Participants by Entity Type (as of Mar. 2010– 9,752 members)

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Current Patient Definition Requirements Three criteria to meet: The secured substance must keep up records of medicinal services administrations for the individual; The individual must get mind from a social insurance proficient who is utilized by or under contract or different courses of action with the secured element; and Responsibility for the care furnished must stay with the secured element.

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Covered medications: Outpatient Prescription medications Over-the-counter medications (if joined by a composed solution) Clinic regulated medications inside qualified offices ER Drugs in other amb mind settings (e.g. day surgery) Non-secured drugs: *Vaccines Drugs given to the patient in inpatient mind settings What Drugs Are Covered? * Aggressive rebates have been consulted for antibodies and other non-secured by the Prime Vendor Program

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340B Service Options In-House Pharmacy Traditional Tele-drug store Management organization worked Contracted Pharmacy Community retail Mail arrange Multiple agreement drug stores (viable April 5, 2010) Prescriber Dispensing

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Benefits of PVP to Covered Entities No hazard or cost to take part No change of merchant required Maximize esteem conveyed through a solitary national program Access to 340B sub-maximum price tags for medications and rebates on different items/benefits Most substances don\'t have the ability, assets, or influence to do autonomously Bypass complex contracting methodology Longer term contracts to base model choices Pricing straightforwardness by means of secure site

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Authorized Distributors PVP members have program access without changing their drug store wholesaler Over 100 requesting destinations covering U.S. Consistent access to Prime Vendor valuing Regional Distributors Burlington Drug Co. Dakota Drug Capital Wholesale Drug Co. H.D. Smith Drug Co. Kinray, Inc. Morris & Dickson, Co., LTD Mutual Drug Co. Rochester Drug Cooperative National Distributors AmerisourceBergen Corp. Cardinal Health McKesson Drug Specialty ANDA R&S Sales Smith Medical Partners GIV/Schein Curascript (Implanon) CVS/Caremark (Implanon)

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Typical Apexus/PVP Contract Sub-340B estimating Steeper sub-roof markdown conceivable by means of proper non-unfair execution levels No refunds Two to three year assention Negotiable administrator charge (reliant on simplicity of agreement organization and showcasing bolster asked for) Posting of roof evaluating and PVP evaluating on secure PVP site

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PVP Savings by Entity Type

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PVP – Supplier Value Proposition An effective and minimal effort technique for contracting with open segment substances Proven reputation and comprehension of government evaluating Price insurances on marked medications Partner in building up a win-win methodology to enhance deals and marketshare of generics or brands in the 340B market Many makers don\'t have a proactive system for the 340B market Infrastructure to convey exact and straightforward evaluating with accentuation on enhancing 340B program honesty Co-advertising of items and administrations

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Ongoing Work with Authorized Distributors (AD) Validation of quarterly PHS evaluating Receive document from AD Normalize the information and present by NDC Assure the PVP costs are sub-roof Provide record to AD to address estimating inconsistencies Post comes about on the site Monitoring "Lost" Savings Run quarterly reports of value paid versus PVP value Provide an answer to every AD to issue credits and rebills to redress any over charges

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Abbott Labs Abbott Diabetes Care Allendale Pharmaceutical Alliant Pharmaceuticals AMO Astellas Pharma Astra-Zeneca Pharmaceuticals Abraxis Pharmaceutical Akorn Inc. Apothecus Barrier Therapeutics Bayer Pharma Bayer Diagnostics Bedford Labs Can-am Care LLC Caraco Pharmaceutical Labs CSL Behring Eisai Pharma G&W Laboratories Geritrex Corporation GlaxoSmithKline Hawthorne Pharmaceuticals, Inc Home Diagnostics Inc. Early Detect Eli Lilly & Company Major Pharmaceuticals Medicure Merck & Co. Morton Grove Pharm Inc. NitroMed Inc. Novartis Vaccines Okomoto USA Inc. Enclosure Labs PharmaDerm RD Plastics Co Inc. Rx Elite Holdings, Inc. Sandoz Pharmaceutical Sanofi-Pasteur Schering Plow Shire Pharmaceuticals Standard Register Tercica Teva Health Systems Total Pharmacy Supply Tri State Distribution Stratus Pharmaceuticals Trinity Biotech X-Gen Pharmaceuticals Watson Pharma Inc. Wockhardt Pharma Wyeth Pharmaceuticals Supplier Agreements

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Program Enrollment All Entities must be enlisted with HRSA Complete and present the online Participation Agreement to Apexus www.340bpvp.com Apexus checks qualification with OPA and advises your chose drug store distributer to stack PVP valuing Participants are initiated on the 1 st of every month Apexus tells secured element of endorsement and gives guidelines to get to our secured site

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Other PVP Discounted Products and Services Vaccines – Hep A, Hep B, Flu (different sources) Patient Assistance Program Software Auditing and cheat recuperation administrations Dispense prepared/pre-bundled pharmaceuticals Prescription vials/names/printer cartridges Diabetic Supplies – meters, strips and syringes Pharmacy innovation and robotization HIV Rapid Test Kits Medicare Part D bolster Reverse Distribution (drug store returns)

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Market Segment Secure Website

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340B Tutorial at www.340bpvp.com

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PVP Catalog Item Listing

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Informational Tools & Resources Pharmacy Flash Newsletter Contract highlights/provider profiles Government & approach news Industry news Clinical corner – high effect tranquilize briefs Drug deficiency/item review ISMP Medication Safety Alert! Instructive projects for all Stakeholders On-request instructional exercises Monthly instructive preparing online classes to subgroups National presentations

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Informational Tools & Resources Drug value estimates and other planning apparatuses Best Buy by Therapeutic Class Report PHS Selling Price Comparison Reports (Quarterly) Quarterly Price Change Report 340B Selling Price Look-Up & Download

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Contact Information Office of Pharmacy Affairs Phone: 301-594-4353 or 1-800-628-6297 Email: opastaff@hrsa.gov Web: www.hrsa.gov/opa Pharmacy Services Support Center Phone: 1-800-628-6297 Email: pssc@aphanet.org Web: http://pssc.aphanet.org Prime Vendor Program Phone: 1-888-340-2787 Email: 340b_primevendor@340bpvp.com Web: http://www.340bpvp.com

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