Updated 5/30/18. 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 |
|---|---|---|---|---|---|
| Alder Health Services, Inc. | RWII17101 | PA |
No adverse findings |
None |
N/A Audit closure date: August 14, 2014 |
| Allegan General Hospital | CAH231328-00 | MI |
Incorrect 340B database record – Registered contract pharmacies without written contract in place. Diversion – 340B drug dispensed to inpatient at contract pharmacy; not supported by a medical record. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 32 KB) Audit closure date: September 15, 2016 |
| Aspirus Medford Hospital and Clinics, Inc. (formerly Memorial Health Center) | CAH521324-00 | WI |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drug dispensed to inpatients; 340B drugs dispensed at contract pharmacy for prescriptions written by ineligible providers. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 74 KB) Audit closure date: March 30, 2016 |
| Athens Regional Medical Center | DSH110074 | GA |
Diversion – 340B drugs dispensed for prescriptions written at ineligible sites by ineligible providers; 340B drugs were not properly accumulated. Duplicate Discounts – Medicaid billing numbers were incorrect on the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 123 KB) Audit closure date: January 18, 2018 |
| Aurora Health Care Metro, Inc. | DSH520138 | WI |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drug dispensed at covered entity and at contract pharmacies for prescriptions written by ineligible providers. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 118 KB) Audit closure date: May 15, 2015 |
| Avera McKennan Hospital and University Health Center | DSH430016 | SD |
No adverse findings |
None |
N/A Audit closure date: September 8, 2014 |
| Baptist Hospitals of Southeast Texas DBA Memorial Hermann Baptist Orange Hospital | DSH450005 | TX |
Diversion – 340B drug dispensed at contract pharmacies for prescriptions originating at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 96 KB) Audit closure date: October 13, 2015 |
| Baptist Medical Center | DSH100088 | FL |
Incorrect 340B database record – Registered contract pharmacies without written contract in place. |
None |
Contract executed; 340B Program policies and procedures revised to address contract pharmacy registration Audit closure date: June 16, 2015 |
| Baptist Memorial Hospital – Desoto | DSH250141 | MS |
No adverse findings |
None |
N/A Audit closure date: February 14, 2014 |
| Baystate Medical Center | DSH220077 | MA |
Diversion – 340B drug dispensed for prescription written by ineligible provider. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 50 KB) Audit closure date: January 22, 2015 |
| Beacon Christian Community Health Center | CHC12866-00 | NY |
Incorrect 340B database record – Registered contract pharmacies without written contract in place. |
None |
Contracts executed; 340B Program policies and procedures revised to address contract pharmacy registration Audit closure date: September 23, 2014 |
| Boone County Hospital | CAH161372-00 | IA |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drug dispensed to inpatient. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 45 KB) Audit closure date: December 31, 2014 |
| Borrego Community Health Foundation | CH099010 | CA |
Diversion – 340B drug dispensed at contract pharmacy, not supported by a medical record; 340B drugs dispensed for prescriptions written by ineligible providers. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 67 KB) Audit closure date: March 18, 2016 |
| Calhoun–Liberty Hospital | CAH101304-00 | FL |
Entity failed to maintain auditable medical records prior to December 1, 2014. Diversion – Entity did not have a mechanism in place to prevent diversion. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 97 KB) Audit closure date: September 21, 2016 |
| Capital Health System – Hopewell | DSH310044 | NJ |
Entity does not meet 340B eligibility requirements (DSH %). Diversion – 340B drug dispensed for prescriptions originating at ineligible sites. Diversion – 340B drugs were not properly accumulated. |
Covered entity removed from 340B Program*; repayment to manufacturers |
Public letter to manufacturers (PDF - 73 KB) Audit closure date: September 2, 2016 |
| Castle Medical Center | DSH120006 | HI |
Incorrect 340B database record – Offsite outpatient facility was not listed on the 340B database; incorrect entry for shipping address. Duplicate Discounts – Entity was billing Medicaid contrary to information contained in the Medicaid Exclusion File. |
None |
State Medicaid has since determined that duplicate discounts did not occur Public letter to manufacturers (PDF - 49 KB) Audit closure date: March 31, 2015 |
| Chadron Community Hospital – Western Community Health Resources | FP693011 | NE |
Incorrect 230B database record – incorrect address listed for offsite outpatient facility. Diversion – 340B drug dispensed for prescription written by ineligible provider at ineligible site. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 208 KB) Audit closure date: December 2, 2015 |
| Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center | PED393302-00 | PA |
Incorrect 340B database record – Offsite outpatient facilities were not listed in the 340B database; registered contract pharmacies without written contract in place. Duplicate discounts – NPI and Medicaid billing numbers were incorrect in the Medicaid Exclusion File. |
None |
State Medicaid has since determined that duplicate discounts did not occur. Public letter to manufacturers (PDF - 35 KB) Audit closure date: October 15, 2015 |
| Christ Community Health Services, Inc. | CH0417140 | TN |
No adverse findings |
None |
N/A Audit closure date: December 12, 2013 |
| Christus Health Shreveport–Bossier (formerly Christus Schumpert Health System) | DSH190041 | LA |
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 - 79 KB) Audit closure date: December 9, 2015 |
| 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 |
| Citizens Memorial Hospital District | DSH260195 | MO |
Incorrect 340B database record – Pharmacy incorrectly registered as child site. Diversion – 340B drug dispensed to ineligible individual, not supported by a medical record. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 12 KB) Audit closure date: May 7, 2015 |
| Clinch River Health Services, Incorporated | CH031230 | VA |
Incorrect 340B database record – Contract pharmacy with written contract in place was not listed on the 340B database. Entity did not provide contract pharmacy oversight. Diversion – 340B drug dispensed at contract pharmacy for prescriptions written by ineligible providers, and to non-patients. Duplicate Discounts – Entity was billing Medicaid contrary to information contained in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 71 KB) Audit closure date: December 9, 2015 |
| Community Medical Center, Inc. | DSH270023 | MT |
Incorrect 340B database record – incorrect names and addresses for offsite outpatient facilities listed. Diversion – 340B drug dispensed for prescription written at an ineligible site. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 16 KB) Audit closure date: February 19, 2016 |
| Community Regional Medical Center | DSH050060 | CA |
Incorrect 340B database record – Inpatient facility incorrectly registered as child site. Diversion – 340B drug dispensed to ineligible individuals. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 70 KB) Audit closure date: December 2, 2015 |
| Contra Costa Regional Medical Center | DSH050276 | CA |
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 |
| Cook Children's Medical Center | PED453300-00 | TX |
No adverse findings |
None |
N/A Audit closure date: June 10, 2014 |
| Crusader's Central Clinic Association | CH052760 | IL |
Incorrect 340B database record – An offsite outpatient facility was not listed on the 340B database. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 18 KB) Audit closure date: March 9, 2015 |
| Cuyuna Regional Medical Center | CAH241353-00 | MN |
No adverse findings |
None |
N/A Audit closure date: November 6, 2014 |
| Dallas County Hospital District Parkland Health and Hospital System | DSH450015 | TX |
Diversion – 340B drug dispensed at contract pharmacies for prescriptions written by ineligible providers at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 79 KB) Audit closure date: August 12, 2016 |
| Dell Children's Medical Center | PED453310-00 | TX |
No adverse findings |
None |
N/A Audit closure date: February 28, 2014 |
| East Central District Health Department | FP686011 | NE |
Duplicate Discounts – Medicaid billing number was incorrect on the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 26 KB) Audit closure date: December 2, 2015 |
| East Orange General Hospital | DSH310083 | NJ |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to August 30, 2013. Incorrect 340B database record – Registered contract pharmacy without written contract in place. Diversion – 340B drug dispensed at contract pharmacies for prescriptions originating from ineligible sites; 340B drugs were not properly accumulated. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 16 KB) Audit closure date: March 29, 2016 |
| Eau Claire Cooperative Health Center, Inc. | CH043270 | SC |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database; incorrect names and addresses listed for outpatient facilities. Diversion – 340B drug dispensed for prescriptions originating from ineligible sites, written by ineligible providers, not supported by medical records. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers |
State Medicaid has since determined that duplicate discounts did not occur. Public letter to manufacturers (PDF - 81 KB) Audit closure date: June 21, 2016 |
| Ephraim McDowell Regional Medical Center, Inc. | DSH180048 | KY |
Diversion – 340B drugs dispensed for prescriptions originating from ineligible sites, written by ineligible providers; 340B drugs were not properly accumulated. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 36 KB) Audit closure date: March 17, 2016 |
| Family Health Centers of San Diego |
CH093120 FP92102 |
CA |
Diversion – 340B drugs dispensed, not supported by medical records. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 40 KB) Audit closure date: August 14, 2014 |
| Family Health Services of Cranston | FP029107 | RI |
No adverse findings |
None |
N/A Audit closure date: December 24, 2013 |
| Floyd Valley Hospital | CAH161368-00 | IA |
No adverse findings |
None |
N/A Audit closure date: June 5, 2014 |
| Franciscan St. Anthony Health Michigan City | RRC150015-00 | IN |
Incorrect 340B database record – An outpatient facility was not listed on the 340B database; registered contract pharmacies without written contract in place. |
None |
Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database; contracts executed Audit closure date: December 22, 2014 |
| Georgia Department of Public Health | RWIID303031 | GA |
No adverse findings |
None |
N/A Audit closure date: December 26, 2013 |
| Grady General Hospital | DSH110121 | GA |
Diversion – 340B drugs dispensed for prescription written by ineligible provider; 340B drugs dispensed to non-patients. Duplicate discounts – Medicaid Provider Number was incorrect on the Medicaid Exclusion File. |
Repayment to manufacturers |
State Medicaid has since determined that duplicate discounts did not occur. Public letter to manufacturers (PDF - 54 KB) Audit closure date: May 11, 2015 |
| Hamblen County Health Department | STD378146 | TN |
Incorrect 340B database record – Incorrect entries for authorizing official and shipping address. 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: October 15, 2015 |
| Henry Ford Hospital | DSH230053 | MI |
Diversion – Entity did not have adequate controls in place for proper accumulation and prevention of diversion. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 33 KB) Audit closure date: August 12, 2016 |
| Holmes County General Health District | FP44654 | OH |
No adverse findings |
None |
N/A Audit closure date: June 13, 2014 |
| Holy Cross Hospital | DSH141033 | IL |
Incorrect 340B database record – Incorrect entries for Authorizing Official and Primary Contact. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 87 KB) Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: January 19, 2016 |
| Iraan General Hospital District | CAH451307-00 | TX |
Non-reimbursable facilities incorrectly registered as child site. Incorrect 340B database record – incorrect entries for Primary Contact and Authorizing Official. Diversion – 340 drugs dispensed for prescriptions written at ineligible sites. |
Termination of ineligible sites from 340B Program Repayment to manufacturers |
Covered entity, its outpatient facilities, and its contract pharmacies terminated from 340B Program as of August 11, 2015 for failure to submit Corrective Action Plan Settlement with affected manufacturers has not been finalized. CE will not be permitted to re-enroll in the 340B Program until such time: 1) CE has attested that it has finalized settlement with all affected manufacturers, including completion of any necessary repayment, for all findings listed in the Final Report; and 2) CE has attested that a HRSA-approved CAP has been fully implemented. Audit closure date: May 30, 2018 |
| Lawrence General Hospital | DSH220010 | MA |
Diversion – 340B drugs dispensed to inpatients; 340 drug dispensed not supported by a medical record. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 128 KB) Audit closure date: November 3, 2014 |
| Legacy Emanuel Medical Center | DSH380007 | OR |
Diversion – 340B drugs dispensed for prescriptions originating from ineligible sites. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers |
State Medicaid has since determined that duplicate discounts did not occur Public letter to manufacturers (PDF - 39 KB) Audit closure date: March 17, 2016 |
| Los Angeles County Department of Health Services – USC Medical Center | DSH050373 | CA |
No adverse findings |
None |
N/A Audit closure date: January 10, 2014 |
| Loyola University Medical Center | DSH140276 | IL |
Incorrect 340B database record – Contract pharmacy with a written contract in place was not listed in the 340B database. |
None |
Database entry corrected; 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: November 18, 2014 |
| 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 |
| Mary Rutan Hospital | DSCH360197-00 | OH |
Incorrect 340B database record – Non-reimbursable facilities incorrectly registered as child site. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites, written by ineligible providers at ineligible sites; 340B drugs dispensed at non-reimbursable facilities, for prescriptions originating from non-reimbursable sites. |
Ineligible sites removed from 340B Program Repayment to manufacturers |
Public letter to manufacturers (PDF - 21 KB) Audit closure date: October 13, 2016 |
| Matagorda Regional Medical Center | DSH220010 | TX |
Diversion – 340B drug dispensed, not supported by a medical record. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 13 KB) Audit closure date: August 12, 2016 |
| Medical Center Hospital | DSH450132 | TX |
Entity did not provide contract pharmacy oversight. Diversion – 340B drugs dispensed at contract pharmacy for prescriptions originating from ineligible site. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 71 KB) Audit closure date: March 27, 2017 |
| Memorial Health System | DSH060022 | CO |
Incorrect 340B database record – Closed offsite outpatient facility listed on database. Diversion – 340B drugs dispensed for prescriptions written by ineligible providers an/or at ineligible sites; 340B drugs dispensed to employees for prescriptions written by ineligible providers and/or at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 70 KB) Audit closure date: October 20, 2016 |
| Methodist Healthcare – Memphis Hospitals (TN) | DSH440049 | TN |
Incorrect 340B database record – Outpatient facilities of the hospital were not listed on the 340B database; contract pharmacy with written contract in place was not listed on the 340B database. Diversion – 340B drugs dispensed for prescriptions originating from ineligible sites, written by ineligible providers. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. It was determined duplicate discounts did not occur as a result of the finding. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 171 KB) Audit closure date: October 13, 2015 |
| Mt. Sinai School of Medicine | HM7439 | NY |
Duplicate Discounts – Medicaid billing number was missing on the Medicaid Exclusion File. |
None |
State Medicaid has since determined that duplicate discounts did not occur. Public letter to manufacturers (PDF - 60 KB) Audit closure date: February 14, 2017 |
| Muhlenberg Community Hospital, Inc. | DSH180004 | KY |
Diversion – 340B drug dispensed for prescription written at ineligible site; 340B drugs dispensed to inpatients; 340B drugs were not properly accumulated. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 97 KB) Audit closure date: December 9, 2015 |
| Nemours/Alfred I. Dupont Hospital for Children | PED083300-00 | DE |
Incorrect 340B database record – Registered contract pharmacies without written contract in place. Diversion – 340B drugs dispensed for prescriptions originating from ineligible sites; 340B drugs dispensed at contract pharmacy for prescription written by ineligible provider. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 45 KB) Audit closure date: September 13, 2016 |
| Niagara Falls Memorial Medical Center | DSH330065 | NY |
Incorrect 340B database record – Contract pharmacies registered but entity has terminated its contract. Diversion – 340B drugs dispensed to inpatients; 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites; 340B drugs were not properly accumulated. Duplicate Discounts – Entity was billing medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 12 KB) Audit closure date: September 21, 2016 |
| Northeast Alabama Regional Medical Center | DSH010078 | AL |
No adverse findings |
None |
N/A Audit closure date: August 1, 2013 |
| Oakland Mercy Hospital | CAH281321-00 | NE |
Diversion – 340B drugs dispensed to inpatients. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 66 KB) Audit closure date: October 15, 2015 |
| Ochsner Medical Center – Baton Rouge, LLC | DSH190202 | LA |
No adverse findings |
None |
N/A Audit closure date: June 2, 2014 |
| Orange County Health Department | FP229600 | VA |
Incorrect 340B database record – Incorrect entry for grant number. |
None |
Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: September 23, 2014 |
| Oroville Hospital | DSH050030 | 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: December 22, 2014 |
| Our Lady of the Lake Hospital, Inc. | DSH190064 | LA |
Incorrect 340B database record – Pharmacy incorrectly registered as child site; offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drugs dispensed to inpatients. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 107 KB) Audit closure date: November 13, 2015 |
| Outer Cape Health Services, Inc. | CH011190 | MA |
Diversion – 340B drug dispensed for prescription written by an ineligible provider at an ineligible site. Diversion – 340B drugs dispensed to ineligible individuals due to reverse replenishment. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 39 KB) Audit closure date: July 15, 2016 |
| PeaceHealth Southwest Medical Center | DSH500050 | WA |
Incorrect 340B database record – Pharmacies incorrectly registered as child sites. Diversion – 340B drug dispensed to inpatient. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 5 KB) Audit closure date: December 9, 2015 |
| Pineville Community Hospital Association, Inc. | DSH180021 | KY |
Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites. Duplicate Discounts – NPI number was incorrect on the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 20 KB) CE self-terminated from 340B Program on October 1, 2016 Settlement with affected manufacturers has not been finalized. CE will not be permitted to re-enroll in the 340B Program until such time CE has attested that it has finalized settlements with all affected manufacturers for all findings listed in the Final Report. Audit closure date: May 30, 2018 |
| Planned Parenthood Hudson Peconic, Inc. | FP105322 | NY |
Incorrect 340B database record – Closed outpatient facility remained registered on the 340B database. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 38 KB) Audit closure date: February 2, 2016 |
| Pleasant Valley Hospital | DSH510012 | MA |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. |
None |
Database entries corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: September 25, 2014 |
| Reeves County Hospital District | CAH451377-00 | TX |
No adverse findings |
None |
N/A Audit closure date: January 2, 2014 |
| Regional Medical Center at Memphis | DSH440152 | TN |
Incorrect 340B database record – Registered contract pharmacy without written contract in place. Diversion – 340B drugs dispensed for prescriptions originating from ineligible sites. Duplicate Discounts – medicaid number was incorrect on the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 41 KB) Audit closure date: July 19, 2016 |
| Rochester Primary Care Network, Inc. | CH020560 | NY |
Incorrect 340B database record – Ineligible sites registered on 340B database. |
None |
Database entries corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: September 1, 2015 |
| Rush University Medical Center | DSH140119 | IL |
Diversion – 340B drugs dispensed to inpatients for prescriptions originating from an ineligible site. Duplicate Discounts – Entity was billing Medicaid at contract pharmacies and did not notify HRSA of the arrangement. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 147 KB) Audit closure date: February 1, 2016 |
| Russell Medical Center | DSH010065 | AL |
No adverse findings |
None |
N/A Audit closure date: August 6, 2013 |
| Samaritan North Lincoln Hospital | CAH381302-00 | OR |
Diversion – 340B drugs dispensed for prescription originating from ineligible site. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 90 KB) Audit closure date: September 20, 2016 |
| SeaMar Community Health centers – Mount Vernon | STD982739 | WA |
No adverse findings |
None |
N/A Audit closure date: December 12, 2013 |
| Sheltering Arms Hospital DBA O'Bleness Memorial Hospital | DSH360014 | OH |
No adverse findings |
None |
N/A Audit closure date: June 4, 2014 |
| Siskiyou Community Health Center, Inc. | CH100150 | OR |
Duplicate Discounts – NPI number not listed on the Medicaid Exclusion File. |
None |
State Medicaid has since determined that duplicate discounts did not occur Public letter to manufacturers (PDF - 245 KB) Audit closure date: December 15, 2015 |
| St. Bernard's Hospital Inc. DBA St. Bernard's Medical Center | DSH040020 | AR |
Diversion – 340B drugs dispensed at contract pharmacy for prescriptions originating from ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 226 KB) Audit closure date: February 23, 2017 |
| St. Clare Hospital | DSH500021 | WA |
Incorrect 340B database record – Incorrect contact information for Authorizing Official. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites, and written by ineligible providers. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 113 KB) Audit closure date: March 30, 2016 |
| St. John's Regional Medical Center | DSH050082 | CA |
No adverse findings |
None |
N/A Audit closure date: October 28, 2014 |
| St. Joseph Medical Center | DSH500801 | WA |
Incorrect 340B database record – incorrect contact information for Authorizing Official; registered contract pharmacies without written contract in place. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites written by ineligible providers. Duplicate Discounts – NPI number was incorrect in the Medicaid Exclusion File. |
Repayment to manufacturers |
State Medicaid has since determined that duplicate discounts did not occur. Public letter to manufacturers (PDF - 117 KB) Audit closure date: March 30, 2016 |
| St. Mary's Hospital and Medical Center, Inc. | SCH060023-00 | CO |
Incorrect 340B database record – Outpatient facilities of the hospital were incorrectly registered as a single entity; incorrect billing address for outpatient facilities. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written by ineligible provider; lack of controls to prevent 340B drugs from being dispensed to inpatients. Duplicate Discounts – lack of controls to prevent duplicate discounts. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 55 KB) Audit closure date: March 2, 2016 |
| St. Vincent Hospital | DSH320002 | NM |
Incorrect 340B database record – Ineligible sites registered on 340B database; 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 - 15 KB) Audit closure date: October 21, 2016 |
| 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 |
| Sutter Lakeside Hospital | CAH051329-00 | CA |
Incorrect 340B database record – offsite outpatient facilities were not accurately listed, incorrect entries for Authorizing Official information. Entity did not provide contract pharmacy oversight. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. Entity did not have a mechanism in place to prevent diversion. 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. |
Repayment to manufacturer; removal of contract pharmacies |
Public letter to manufacturers (PDF - 114 KB) Audit closure date: September 2, 2016 |
| Taylor County Hospital District | DSH180087 | KY |
Incorrect 340B database record – Registered contract pharmacy without written contract in place. Diversion – 340B drugs dispensed at covered entity and at contract pharmacies for prescriptions originating from ineligible sites; 340B drugs dispensed, not supported by a medical record. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 17 KB) Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: January 19, 2016 |
| Trinitas Regional Medical Center | DSH310027 | NJ |
Incorrect 340B database record – Closed contract pharmacy remained registered on the 340B database. Diversion – 340B drugs dispensed to inpatients; 340B drugs dispensed for prescriptions originating from ineligible sites; 340B drugs were not properly accumulated. Duplicate Discounts – Medicaid number was incorrect on the medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 77 KB) Audit closure date: February 3, 2016 |
| Truman Medical center Hospital Hill, Truman Medical Center Lakewood | DSH2600048 DSH260102 | MO |
Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written by ineligible providers; 340B drugs dispensed for prescriptions written at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 12 KB) Audit closure date: September 16, 2016 |
| Uniontown Hospital | DSH390041 | PA |
No adverse findings |
None |
N/A Audit closure date: September 10, 2014 |
| United Hospital Center | SCH510006-00 (formerly DSH510006) | WV |
Incorrect 340B database record – offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drug dispensed to an inpatient, 340B drugs dispensed for prescriptions written at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 31 KB) Audit closure date: March 27, 2017 |
| University of Michigan Hospital and Health Centers | DSH230046 | MI |
No adverse findings |
None |
N/A Audit closure date: June 18, 2014 |
*Note: Covered entity self-terminated cited facilities prior to termination of facilities by OPA.