Updated 2/20/19. The results chart includes audits where the findings have been finalized. 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.
| Entity Sort descending | 340B ID | State | OPA Findings | Sanction | Corrective Action Status |
|---|---|---|---|---|---|
| Albert Einstein Medical Center | DSH390142 | PA |
Diversion – 340B drug dispensed to an inpatient. |
Repayment to Manufacturers |
Public letter to manufacturers (PDF - 30 KB) Audit closure date: September 2, 2016 |
| AltaMed | CH093110 | CA |
Incorrect 340B database record – Offsite outpatient facilities 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: May 15, 2015 |
| Banner Desert Medical Center | DSH030065 | AZ |
Diversion – 340B drugs dispensed at contract pharmacy for prescriptions written at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 82 KB) Audit closure date: January 3, 2017. |
| Banner Estrella Medical Center | DSH030115 | AZ |
Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 85 KB) Audit closure date: January 10, 2017. |
| Banner Good Samaritan Medical Center | DSH030002 | AZ |
Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written by ineligible providers at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 28 KB) Audit closure date: January 5, 2017. |
| Banner Ironwood Medical Center | DSH030130 | AZ |
Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 121 KB) Audit closure date: January 3, 2017. |
| Banner Thunderbird Medical Center | DSH030089 | AZ |
Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 49 KB) Audit closure date: January 10, 2017. |
| Baptist Memorial Hospital – Tipton | DSH440131 | TN |
Incorrect 340B database record – incorrect entry for Primary Contact information. |
None |
Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: June 25, 2015 |
| Bellevue Hospital Center (NYCHHC) | DSH330204 | NY |
No adverse findings |
None |
N/A Audit closure date: November 12, 2015 |
| Beth Israel Deaconess Medical Center | DSH220086 | MA |
Diversion – 340B drugs dispensed to inpatients. Duplicate discounts – Inaccurate information on Medicaid Exclusion File. |
Repayment to manufacturers |
State Medicaid has since determined that duplicate discounts did not occur Public letter to manufacturers (PDF - 12 KB) |
| Biggs Gridley Memorial Hospital | CAH051311-00 | CA |
Incorrect 340B database record – Incorrect listing for entity’s name; orphan drug exclusion election was contrary to practice. Entity did not provide contract pharmacy oversight. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. Duplicate Discounts – Entity did not have controls in place to prevent duplicate discounts. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 14 KB) Audit closure date: September 27, 2016 |
| BMH, Inc. DBA Bingham Memorial Hospital | CAH131325-00 | ID |
Incorrect 340B database record – registered contract pharmacy without a written contract in place. Diversion – 340B drug dispensed at contract pharmacy, not supported by medical record. |
Termination of contract pharmacy from 340B Program* Repayment to manufacturers |
Public letter to manufacturers (PDF - 51 KB) Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: January 28, 2016 |
| Bon Secours Maryview Medical Center | DSH490017 | VA |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to March 12, 2015. Incorrect 340B database record – pharmacies listed as contract pharmacies in error. Diversion – 340B drugs dispensed for prescriptions written at ineligible sites and/or by ineligible providers. Duplicate Discounts – Entity did not have controls in place to prevent duplicate discounts. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 85 KB) Audit closure date: March 15, 2017 |
| Cabell Huntington Hospital | DSH510055 | WV |
Incorrect 340B database record – registered contract pharmacies without a written contract in place. Diversion – 340B drugs dispensed to inpatients; 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites and/or by ineligible providers. |
Termination of contract pharmacies from 340B Program* Repayment to manufacturers |
Public letter to manufacturers (PDF - 19 KB) Audit closure date: May 24, 2016 |
| CAMcare Health Corporation | CH0211280 | NJ |
Incorrect 340B database record – registered contract pharmacy without a written contract in place. |
Termination of contract pharmacy from 340B Program* |
Termination of contract pharmacy from 340B Program* Audit closure date: July 2, 2015 |
| Catholic Health Initiatives, Iowa, Corp. | DSH160083 | IA |
Incorrect 340B database – Ineligible site registered on the 340B database. Diversion – 340B drugs dispensed to inpatients. Duplicate Discounts – Entity did not have controls in place to prevent duplicate discounts. |
Termination of ineligible site from 340B Program* Repayment to manufacturers |
Public letter to manufacturers (PDF - 17 KB) Audit closure date: March 29, 2016 |
| Christus Spohn Hospital Kleberg | DSH450163 | TX |
Diversion – 340B drug dispensed at contract pharmacy, not supported by medical record. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 77 KB) Audit closure date: January 17, 2017. |
| Columbus Community Hospital | DSH450370 | TX |
Incorrect 340B database record – registered contract pharmacy without a written contract in place. Diversion – 340B drug dispensed for prescriptions written by ineligible provider. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 149 KB) Audit closure date: September 22, 2015 |
| Community Action Committee of Pike County | CH052900 | OH |
Incorrect 340B database record – Entity was using contract pharmacies not listed on the 340B database. Diversion – 340B drug dispensed at contract pharmacy for prescription written at ineligible site. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 160 KB) Audit closure date: September 21, 2016 |
| Coney Island Hospital (NYCHHC) | DSH330196 | NY |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to January 1, 2014. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written by ineligible providers at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 50 KB) Audit closure date: February 17, 2016 |
| County of Ventura | CH098480 | CA |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database; incorrectly listed names for registered sites. |
None |
Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: August 21, 2015 |
| Crozer Chester Medical Center | DSH390180 | PA |
Incorrect 340B database – Contract pharmacy with written contract in place was not listed on the 340B database; offsite outpatient facilities were not listed on the 340B database; ineligible sites registered on 340B database. Diversion – 340B drugs dispensed for prescriptions written at ineligible sites. Duplicate Discounts – Entity did not have controls in place to prevent duplicate discounts. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 11 KB) Audit closure date: March 7, 2018 |
| DeKalb Medical Center, Inc. | DSH110076 | GA |
Covered outpatient drugs were obtained through a Group Purchasing Organization. Diversion – 340B drugs dispensed at contract pharmacy for prescription written at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 197 KB) Audit closure date: April 28, 2016 |
| Dickinson College | FP110081 | PA |
Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. Medicaid number was incorrect on Medicaid Exclusion File. NPI number was not listed on Medicaid Exclusion File. |
Repayment to manufacturer |
Public letter to manufacturers (PDF - 15 KB) Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: February 19, 2016 |
| Florida Department of Health | RWIID32304 | FL |
No adverse findings |
None |
N/A Audit closure date: December 22, 2014 |
| Frederick County Health Department | RWI21702, TB21702 | MD |
For RWI21702, incorrect 340B database record – incorrect entry for Primary Contact. |
None |
Covered entity self-terminated from 340B Program Audit closure date: October 6, 2015 |
| Goshen Medical Center, Inc. | CH045800 | NC |
Incorrect 340B database record – registered contract pharmacy without a written contract in place. Entity did not provide contract pharmacy oversight. |
None |
Contract executed 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: November 10, 2015 |
| Greenville Memorial Hospital | DSH420078 | SC |
Incorrect 340B database record – Ineligible site registered on the 340B database. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written by ineligible providers at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 133 KB) Audit closure date: July 18, 2018 |
| Health Department of Northwest Michigan | FP496591, FP497352, FP497206, FP49740 | MI |
No adverse findings |
None |
N/A Audit closure date: December 11, 2014 |
| Healthcare Connection, Inc., The | CH059880 | OH |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Registered contract pharmacies without written contract in place. |
None |
Database entry corrected Contracts executed; 340B Program policies and procedures revised to address routine review of 340B Program database and contract pharmacy registration Audit closure date: May 15, 2015 |
| Heartland Regional Medical Center | SCH260006 | MO |
No adverse findings |
None |
N/A Audit closure date: January 28, 2015 |
| Hermann Area Hospital District | CAH261314-00 | MO |
Entity had inaccurate information in the 340B Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None |
Public letter to manufacturers (PDF - 12 KB) Audit closure date: October 13, 2015 |
| Hilo Medical Center | DSH120005 | HI |
No adverse findings |
None |
N/A Audit closure date: September 19, 2014 |
| Huron Regional Medical Center | CAH431335-00 | SD |
Diversion – 340B drug dispensed to inpatient. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 110 KB) Audit closure date: October 13, 2015 |
| Iberia Medical Center | DSH190054 | LA |
No adverse findings |
None |
N/A Audit closure date: March 9, 2015 |
| ID Consultants and Infusion Care Specialists | RWI28209 | NC |
Diversion – 340B drugs dispensed at contract pharmacies to patients inconsistent with service for which grant funding had been provided. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 40 KB) Audit closure date: September 16, 2016 |
| Jacobi Medical Center | DSH330127 | NY |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to September 2013. Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 45 KB) Audit closure date: March 2, 2017 |
| Jamaica Hospital Medical Center | DSH330014 | NY |
Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites; 340B drugs were not properly accumulated. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 56 KB) Audit closure date: March 8, 2017 |
| Keck Hospital of USC | DSH050696 | CA |
Incorrect 340B database record – duplicate registration for off-site outpatient facility; incorrect entries for Primary Contact, ship to addresses, and bill to addresses. Diversion – Entity did not have adequate controls in place for proper accumulation and prevention of diversion; 340B drug dispensed at a contract pharmacy for a prescription written by an ineligible provider at an ineligible site. Duplicate Discounts – inaccurate or incomplete information in Medicate Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 30 KB) Audit closure date: September 15, 2016 |
| Kossuth Regional Health Center | CAH161353-00 | IA |
Diversion – 340B drugs were not properly accumulated; 340B drug dispensed at a contract pharmacy for a prescription written by an ineligible provider at an ineligible site. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 23 KB) Audit closure date: September 15, 2016 |
| Lakeland Regional Medical Center | DSH100157 | FL |
Incorrect 340B database record – Incorrect entries for Authorizing Official and Primary Contact information. |
None |
Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: April 1, 2015 |
| Lincoln Medical & Mental Health Center (NYCHHC) | DSH330080 | NY |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to February 3, 2014. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written by ineligible providers at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 55 KB) Audit closure date: March 27, 2017 |
| Logan Regional Medical Center | DSH460015 | UT |
Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 40 KB) Audit closure date: September 22, 2015 |
| Long Island Jewish Medical Center | DSH330195 | NY |
Incorrect 340B database – Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drug dispensed to an inpatient. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Removal of contract pharmacy |
Public letter to manufacturers (PDF - 133 KB) Audit closure date: March 21, 2017 |
| Madison County Community Health Center, Incorporated | CH0516760 | IN |
Incorrect 340B database record – registered contract pharmacy without a written contract in place. Entity did not provide contract pharmacy oversight. Diversion – 340B drugs dispensed at contract pharmacy, not supported by a medical record; 340B drug dispensed at a contract pharmacy for a prescription written by an ineligible provider at an ineligible site. |
Termination of contract pharmacies from 340B Program Repayment to manufacturers |
Public letter to manufacturers (PDF - 73 KB) Audit closure date: October 23, 2017 |
| Maine Medical Center | DSH200009 | ME |
Duplicate Discounts – Entity was billing Medicaid contrary to information in the Medicaid Exclusion File. |
None |
State Medicaid has since determined that duplicate discounts did not occur Public letter to manufacturers (PDF - 42 KB) Audit closure date: November 13, 2015 |
| McLeod Regional Medical Center | DSH420051 | SC |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database; closed offsite outpatient facility listed on database. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written by ineligible providers at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 77 KB) Audit closure date: March 30, 2017 |
| Medical University Hospital Authority | DSH420004 | SC |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Entity did not provide contract pharmacy oversight. |
None |
Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database and oversight of contract pharmacies Audit closure date: September 1, 2015 |
| Memorial Hermann Hospital System | DSH450184 | TX |
No adverse findings |
None |
N/A Audit closure date: December 16, 2014 |
| Memorial Hospital Modesto | DSH050557 | CA |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database, incorrect entries for Authorizing Official, entity name and address information. Diversion – 340B drugs were not properly accumulated; 340B drug dispensed to an inpatient. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 48 KB) Audit closure date: September 13, 2016 |
| Miami Children's Hospital | PED103301-00 | FL |
No adverse findings |
None |
N/A Audit closure date: December 11, 2014 |
| Mount Sinai Hospital Medical Center | DSH140018 | IL |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites; 340B drugs were not properly accumulated. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 92 KB) Audit closure date: March 15, 2017 |
| Nathan Littauer Hospital | DSH330276 | NY |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drug dispensed to an inpatient; 340B drugs dispensed at contract pharmacies for prescriptions written by ineligible providers at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 198 KB) Audit closure date: October 21, 2016 |
| Neighborhood Improvement Project | CH0438590 | GA |
Covered entity failed to maintain auditable medical records prior to May 2013 for one offsite outpatient facility and for one contract pharmacy. Incorrect 340B database record – Offsite outpatient facility was not listed on the 340B database. Entity did not provide contract pharmacy oversight. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 151 KB) Audit closure date: October 21, 2016 |
| New York Presbyterian Hospital | DSH330101 | NY |
No adverse findings |
None |
N/A Audit closure date: October 30, 2014 |
| Newark Beth Israel Medical Center | DSH310002 | NJ |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written by ineligible providers at ineligible sites. |
Repayment to manufacturer |
Public letter to manufacturers (PDF - 50 KB) Audit closure date: September 15, 2016 |
| North Central Bronx Hospital Center (NYHCHHC) | DSH330385 | NY |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to December 2013. Entity did not provide contract pharmacy oversight. Incorrect 340B database record – ineligible site registered on the 340B database. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers |
Contract pharmacy oversight demonstrated Public letter to manufacturers (PDF - 48 KB) Audit closure date: March 30, 2016 |
| North Hudson Community Action Corporation | CH024490 | NJ |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database; entity failed to remove contract pharmacies from 340B database after contract was terminated; registered contract pharmacies without signed contracts in place. Diversion – 340B drug dispensed at a contract pharmacy, not supported by a medical record; 340B drugs were not properly accumulated at contract pharmacy. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 89 KB) Audit closure date: March 30, 2016 |
| Norton Hospital | DSH180088 | NY |
No adverse findings |
None |
N/A Audit closure date: March 30, 2015 |
| Oklahoma State Department of Health | FP74074 | OK |
No adverse findings |
None |
N/A Audit closure date: November 6, 2014 |
| Oklahoma State University Medical Center Trust | DSH370078 | OK |
No adverse findings |
None |
N/A Audit closure date: March 9, 2015 |
| Olmsted Medical Center | DSH240006 | MN |
Incorrect 340B database record – registered contract pharmacy without a written contract in place; offsite outpatient facilities were not listed on the 340B database. |
Termination of contract pharmacy from 340B Program* |
Database entry corrected Termination of contract pharmacy from 340B Program* 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: August 31, 2015 |
| Oswego Hospital | SCH330218-00 | NY |
Incorrect 340B database record – Registered outpatient facilities that were no longer part of entity. |
None |
Database entry corrected; 340B Program policies and procedures revised to address routine review of 340B Program database (Pending) Audit closure date: October 13, 2015 |
| Palmetto Health Baptist | DSH420086 | SC |
Non-reimbursable facility incorrectly registered as child site. Incorrect 340B database record – incorrect entries for physical addresses listed for entity and child sites, Entity did not provide contract pharmacy oversight. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Termination of ineligible site from 340B Program* Repayment to manufacturers |
Public letter to manufacturers (PDF - 45 KB) Audit closure date: August 12, 2016 |
| Phelps County Regional Medical Center | DSH260017 | MO |
Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. Duplicate Discounts – Inaccurate or incomplete information in Medicate Exclusion File. |
None |
State Medicaid has since determined that duplicate discounts did not occur Public letter to manufacturers (PDF - 70 KB) Audit closure date: March 18, 2016 |
| Pioneers Memorial Hospital | DSH050342 | CA |
Incorrect 340B database record – Incorrect entries for billing and shipping addresses for offsite outpatient facilities. |
None |
Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: March 31, 2015 |
| Queens Hospital Center (NYCHHC) | DSH330231 | NY |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Covered outpatient drugs obtained through a Group Purchasing Organization prior to September 2013. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 50 KB) Audit closure date: March 2, 2017 |
| Regions Hospital | DSH240106 | MN |
Incorrect 340B database record – duplicate registration for off-site outpatient facility. Diversion – Entity did not have adequate controls in place for prevention of diversion. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 54 KB) Audit closure date: August 12, 2016 |
| Saint Agnes Medical Center | DSH050093 | NH |
Duplicate Discounts – Medicaid billing numbers were incorrect on the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 26 KB) Audit closure date: December 9, 2015 |
| Saint Alphonsus Regional Medical Center | DSH130007 | ID |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to June 17, 2014. Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database; incorrect entries for addresses of off-site outpatient facilities; duplicate registration for off-site. Diversion – 340B drugs dispensed to inpatients; 340B drug dispensed at contract pharmacy for a prescription written at an ineligible site. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 37 KB) Audit closure date: July 15, 2016 |
| Salem Hospital | DSH380051 | OR |
No adverse findings |
None |
N/A Audit closure date: November 20, 2014 |
| Santa Clara Valley Medical Center | DSH050038 | CA |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Duplicate Discounts – Entity’s contract pharmacy was billing Medicaid without notification to HRSA. |
None |
State Medicaid has since determined that duplicate discounts did not occur. Public letter to manufacturers (PDF - 79 KB) Audit closure date: January 3, 2017. |
| Seton Highland Lake | CAH451365-00 | TX |
No adverse findings |
None |
N/A Audit closure date: October 30, 2014 |
| SF Community Clinic Consortium | CH09107A | CA |
Incorrect 340B database record – incorrect entries for names for registered sites and registered an inactive site; registered contract pharmacies without written contract in place. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Termination of contract pharmacies from 340B Program* Repayment to manufacturers |
Public letter to manufacturers (PDF - 81 KB) Audit closure date: March 8, 2017 |
| Slidell Memorial Hospital | DSH190040 | LA |
Incorrect 340B database record – incorrect entries for Authorizing Official and Primary Contact information. Entity did not provide contract pharmacy oversight. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 198 KB) Audit closure date: June 8, 2015 |
| Sonoma County Indian Health Project, Inc. | FQHC638018 | CA |
No adverse findings |
None |
N/A Audit closure date: December 22, 2014 |
| Southern Illinois Healthcare Foundation | CH053320 | IL |
No adverse findings |
None |
N/A Audit closure date: September 25, 2014 |
| Spectrum Health Reed City Hospital | CAH231323-00 | TX |
No adverse findings |
None |
N/A Audit closure date: November 13, 2014 |
| St. John Hospital & Medical Center | DSH230165 | MI |
Incorrect 340B database record – Registered contract pharmacies without written contract in place. Duplicate Discounts – Incomplete information in the Medicaid Exclusion file. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 27 KB) Audit closure date: March 15, 2016 |
| St. Joseph Hospital of Orange | DSH050069 | CA |
Incorrect 340B database record – incorrect entries for billing and shipping addresses for outpatient facilities. |
None |
Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database (Pending) Audit closure date: October 13, 2015 |
| St. Vincent Health Center | DSH390009 | PA |
Diversion – 340B drugs dispensed for prescriptions written by ineligible providers at ineligible sites. Duplicate Discounts – Entity was billing Medicaid contrary to information in the Medicaid Exclusion File. |
Repayment to manufacturers |
State Medicaid has since determined that duplicate discounts did not occur. Public letter to manufacturers (PDF - 75 KB) Audit closure date: March 27, 2017 |
| St. Vincent Hospital and Health Care Center | DSH150084 | IN |
Incorrect 340B database record – registered contract pharmacies without a written contract in place. Duplicate Discounts – entity was billing Medicaid contrary to information in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 10 KB) Audit closure date: September 27, 2016 |
| Sunset Park Health Council, Inc. | CH0218870 | NY |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database; registered contract pharmacies without written contract in place. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File.; inaccurate or incomplete information in Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 82 KB) Audit closure date: September 15, 2016 |
| The New London Hospital Association, Inc. | CAH301304 -00 | NH |
No adverse findings |
None |
N/A Audit closure date: May 5, 2015 |
| Transylvania Community Hospital dba Transylvania Regional Hospital | CAH341319-00 | NC |
Covered entity was purchasing orphan drugs through the 340B Drug Pricing Program contrary to its listings on the 340B database. Diversion – 340B drugs dispensed to inpatient. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 40 KB) Audit closure date: April 20, 2016 |
| Tucson Medical Center | DSH030006 | AZ |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drugs dispensed at the entity and contract pharmacies for prescriptions written at ineligible sites, not supported by a medical record. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 15 KB) Audit closure date: August 12, 2016 |
| UCI Medical Center | DSH050348 | CA |
Incorrect 340B database record – Incorrect entries for DSH percentage and shipping address. |
None |
Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: May 15, 2015 |
| UCSD Medical Center | DSH050025 | CA |
Duplicate Discounts – Incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 101 KB) Audit closure date: August 12, 2016 |
| UCSF Medical Center | DSH50454 | CA |
Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. Duplicate Discounts – Inaccurate or incomplete information in Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 19 KB) Audit closure date: September 15, 2016 |
| United Community Health Center – Maria Auxiliadora, Inc. | CH093590 | AZ |
Incorrect 340B database record – offsite outpatient facilities were not listed on the 340B database; entity failed to remove contract pharmacies from 340B database after contract was terminated. Entity did not provide contract pharmacy oversight. Diversion – 340B drugs dispensed at contract pharmacy for prescriptions written at ineligible sites. |
Repayment to manufacturers |
340B Program policies and procedures revised to address oversight of contract pharmacies Public letter to manufacturers (PDF - 11 KB) Audit closure date: May 24, 2016 |
| University Health System | DSH450213 | TX |
Incorrect 340B database record – registered contract pharmacy without a written contract in place. Diversion – 340B drugs dispensed to inpatients; 340B drugs dispensed at entity and contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers |
Contract executed Public letter to manufacturers (PDF - 137 KB) Audit closure date: January 10, 2017. |
| University of California Davis Medical Center | DSH050599 | CA |
Incorrect 340B database record – Ineligible sites registered on the 340B database; offsite outpatient facility was not listed on the 340B database. |
None |
Public letter to manufacturers (PDF - 96 KB) Audit closure date: September 15, 2016 |
| University of Chicago Medical Center | DSH140088 | IL |
Diversion – 340B drugs dispensed for prescriptions written at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 11 KB) Audit closure date: August 12, 2016 |
| University of Kentucky | DSH180067 | KY |
Diversion – 340B drug dispensed at contract pharmacy, not supported by medical record; 340B drugs dispensed at contract pharmacy for prescription written at ineligible site. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 30 KB) Audit closure date: October 15, 2015 |
| University of Missouri Health Care | DSH260141 | MO |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database; ineligible site registered on the 340B database. Diversion – 340B drugs were not properly accumulated. |
Termination of ineligible sites from 340B Program* Repayment to manufacturers |
Public letter to manufacturers (PDF - 157 KB) Audit closure date: February 14, 2018 |
| University of Texas Medical Branch | DSH450018 | TX |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to August 9, 2013. Diversion – 340B drugs dispensed for prescriptions written at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 88 KB) Audit closure date: January 17, 2017. |
| UPMC Mercy | DSH390028 | PA |
Incorrect 340B database record – Incorrect entries for offsite outpatient facilities addresses. Diversion – 340B drugs were not properly accumulated. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 24 KB) Audit closure date: April 14, 2016 |
| Vanderbilt University Hospital and Clinic | DSH440039 | TN |
Duplicate Discounts – Inaccurate or incomplete information in Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 35 KB) Audit closure date: October 21, 2016 |
| West Jefferson Medical Center | DSH190039 | LA |
No adverse findings |
None |
N/A Audit closure date: July 1, 2014 |
*Note: Covered entity self-terminated cited facilities prior to termination of facilities by OPA.