7 Steps For Overcoming 340B ESP & Other Pricing Restrictions

December 20, 2022340B, 340B ESP, Contract Pharmacy, Covered Entities, Requirements, Specialty Drugs, Specialty Pharmacy

POST OUTLINE 1) Our process for recovering savings lost to 340B ESP Introduction / Overview Brief history of 340B-related manufacturer restrictions List of manufacturers currently imposing restrictions 2) How VytlOne overcomes 340B ESP restrictions on 340B pricing Establishing communications protocols Ensuring 340B ESP restores prices on schedule Recommendations for further reading Ensuring 340B ESP restores … Read More

Which TPAs Are The Best At Optimizing 340B Savings And Revenue?

December 8, 2022340B, Audit, Compliance, Contract Pharmacy, Covered Entities, TPA / TPAs

A covered entity’s guide to selecting TPAs for its 340B program TPAs play a critical role in any covered entity’s 340B program. It’s their job to match contract pharmacies’ prescription claims with patient data provided by the health systems they serve, to determine 340B eligibility — and generate entity savings. Without those matches, no prescriptions … Read More

How To Manage Your 340B Program Without Hiring More Staff

November 9, 2022340B, 340B ESP, Bedside Prescription Delivery, Compliance, Contract Pharmacy, Meds To Beds, Outpatient Tracking, Patient Eligibility, Retail / Outpatient Pharmacy, Specialty Pharmacy

Two DOPs Deal With Operations, The 340B Program, And Drug Manufacturers’ Restrictions VytlOne recently organized an introductory Zoom meeting between the DOPs of two health systems we serve. Southwest Mississippi Regional Medical Center’s (SMRMC) Tiffany Poole earned her Doctorate of Pharmacy degree from the University of Mississippi in 2006. A VytlOne pharmacist since 2018, she … Read More

What Is Your ROI Potential With An Optimized 340B Program?

October 24, 2022340B, 340B ESP, Contract Pharmacy, Overview, Patient Eligibility, Specialty Drugs, Specialty Pharmacy

Introducing VytlOne’s 340B Program ROI Calculator The 340B program has often been described, and with good reason, as a black box. There are dozens of factors impacting an individual hospital’s relative success or failure in generating positive returns from a program. VytlOne has optimized dozens of 340B programs — generating over $500 million in savings … Read More

Specialized Software Can Only Do So Much For 340B Programs

October 6, 2022340B, 340B ESP, Compliance, Requirements

Why specialized software is essential for successful 340B programs As we’ve mentioned in several previous posts, many hospitals taking full advantage of 340B programs’ discounts save millions of dollars a year on prescription costs. However, 340B programs cover thousands of discounted drugs, and, for most eligible entities, thousands — if not tens of thousands — … Read More

Use Your Hospital’s Retail Pharmacy 340B Drug Savings To Build A Specialty Pharmacy

September 12, 2022340B, Compliance, Covered Entities, Specialty Drugs, Specialty Pharmacy

For 340B-eligible hospitals dealing with increasingly tight bottom lines (which essentially means all 340B-eligible hospitals), an in-house specialty pharmacy offers enormous savings and revenue potential. Some covered entities generate as much as 600% in specialty pharmacy revenue from 340B drugs as they do in traditional retail / outpatient or contract pharmacy 340B revenue. What is … Read More

340B ESP Terms Of Use Set Tone For Demands On Covered Entities

August 18, 2022Uncategorized

What does it mean for 340B entities’ diminished savings & revenue? As we noted in a previous post, 340B ESP is nothing less than an unlawful ploy by the drug manufacturers to evade the discounts they are legally obligated to offer eligible entities — by placing unnecessary reporting burdens on hospitals submitting claims for 340B … Read More

How To Avoid 30-Day Readmission Medicare/Medicaid Penalties

July 26, 2022CMS Star Ratings, Medicare, Medication Compliance, Outpatient Tracking, Readmissions, Readmissions Reduction, Retail / Outpatient Pharmacy, Value-Based Care

What is the Hospital Readmissions Reduction Program? HRRP is a value-based Medicare purchasing program that encourages hospitals to improve communication and care coordination to better engage patients and caregivers in discharge plans and, in turn, prevent avoidable readmissions. According to the Centers for Medicare & Medicaid Services, “Value-based programs reward health care providers with incentive … Read More