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Program Integrity: FY13 Audit Results

Updated 09/15/2014. The results chart includes audits where the entity has agreed to the HRSA Final Report. 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.

No.

Entity

340B ID

State

OPA Findings

Sanction

Corrective Action with Audit Closure Date

1Alder Health Services, Inc.RWII17101PANo adverse findings.None.N/A

2

Allegan General Hospital

CAH231328-00

MI

  1. Incorrect 340B database record - Registered contract pharmacies without written contract in place;
  2. Diversion – 340B drug dispensed to inpatient; 340B drug dispensed at contract pharmacy, not supported by a medical record.

Repayment to manufacturers.

Pending

3Avera McKennan Hospital and University Health CenterDSH430016SDNo adverse findings.None.N/A

4

Baptist Memorial Hospital – Desoto

DSH250141

MS

No adverse findings.

None.

N/A

5

BayState Medical Center

DSH220077

MA

Diversion – 340B drug dispensed for prescription written by ineligible provider.

Repayment to manufacturers.

Pending

6

Borrego Community Health Foundation

CH099010

CA

  1. Diversion – 340B drugs dispensed at contract pharmacy, not supported by a medical record; 340B drugs dispensed for prescriptions written by ineligible providers;
  2. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File.

Repayment to manufacturers.

Pending.

7

Christ Community Health Services, Inc.

CH0417140

TN

No adverse findings.

None.

N/A

8

Citizen’s Baptist Medical Center

DSH010101

AL

Incorrect 340B database record – Incorrect Authorizing Official;

 

None.

Database entry corrected; 340B Program policies and procedures revised to address routine review of 340B Program database.

 

Audit closure date:  July 25, 2014

9

Citizens Memorial Hospital District

DSH260195

MO

  1. Incorrect 340B database record – Pharmacy incorrectly registered as child site;
  2. Diversion – 340B drugs dispensed to ineligible individual, not supported by a medical record.

Repayment to manufacturers.

Public Letter to Manufacturers (PDF - 17 KB)

10Contra Costa Regional Medical CenterDSH050276CA
  1. Incorrect 340B database record - incorrect name listed for outpatient facility.
None

Database entry corrected; 340B Program policies and procedures revised to address routine review of 340B Program database.

Audit closure date: September 11, 2014.

11

Cook Children’s Medical Center

PED453300-00

TX

No adverse findings.

None.

N/A

12

Dell Children’s Medical Center

PED453310-00

TX

No adverse findings.

None.

N/A

13

Family Health Services of Cranston

FP029107

RI

No adverse findings.

None.

N/A

14

Floyd Valley Hospital

CAH161368-00

IA

No adverse findings

None.

N/A

15

Georgia Dept of Public Health

RWIID303031

GA

No adverse findings.

None.

N/A

16

Grady General Hospital

DSH110121

GA

  1. Diversion – 340B drugs dispensed for prescription written by ineligible provider; 340B drugs dispensed to non-patients.
  2. Duplicate Discounts – Medicaid Provider Number was incorrect on the Medicaid Exclusion File.

Repayment to manufacturers.

Pending

17

Hamblen County Health Department

STD378146

TN

  1. Incorrect 340B database record – Incorrect entries for authorizing official and shipping address;
  2. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File.

Repayment to manufacturers.

Pending

18

Holmes County General Health District

FP44654

OH

No adverse findings.

None.

N/A

19

Lawrence General Hospital

DSH220010

MA

Diversion – 340B drugs dispensed to inpatients; 340B drug dispensed not supported by a medical record.

Repayment to manufacturers.

Public Letter to Manufacturers (PDF - 129 KB)

20

Los Angeles County Department of Health Services – USC Medical Center

DSH050373

CA

No adverse findings.

None.

N/A

21

Madera Community Hospital

DSH050568

CA

Incorrect 340B database record – Outpatient facilities of the hospital were not listed on the 340B database

None.

Database entry corrected; 340B Program policies and procedures revised to address routine review of 340B Program database.

 

Audit closure date: July 25, 2014.

22

Northeast Alabama Regional Medical Center

DSH010078

AL

No adverse findings.

None.

N/A

23

Ochsner Medical Center – Baton Rouge, LLC

DSH190202

LA

No adverse findings.

None.

N/A

24

Reeves County Hospital District

CAH451377-00

TX

No adverse findings.

None.

N/A

25

Russell Medical Center

DSH010065

AL

No adverse findings.

None.

N/A

26

SeaMar Community Health Centers – Mount Vernon

STD982739

WA

No adverse findings.

None.

N/A

27

Sheltering Arms Hospital DBA O'Bleness Memorial Hospital

DSH360014

OH

No adverse findings.

None.

N/A

28

St. Mary’s Hospital and Medical Center, Inc.

SCH060023-00

CO

  1. Incorrect 340B database record - Outpatient facilities of the hospital were incorrectly registered as a single entity; Incorrect billing address for outpatient facilities;
  2. Diversion – 340B drugs dispensed for prescriptions written by ineligible provider; lack of controls to prevent 340B drugs from being dispensed to inpatients.

Repayment to manufacturers.

Pending

29

Stokes County Health Department

STD27016

NC

Incorrect 340B database record – Entity was using contract pharmacies not listed on the 340B database; Incorrect primary contact information.

None.

Database entry corrected; 340B Program policies and procedures revised to address routine review of 340B Program database.

Audit closure date: August 4, 2014.

30Uniontown HospitalDSH390041PANo adverse findings.None.N/A

31

University of Michigan Hospitals and Health Centers

DSH230046

MI

No adverse findings.

None.

N/A