Updated 2/25/20. 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 |
|---|---|---|---|---|---|
| Adventist Medical Center | DSH050121 | CA |
Incorrect 340B database record – Incorrect entry for Primary Contact. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. Duplicate Discounts – Medicaid billing numbers were incorrect on the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 65 KB) Audit closure date: May 10, 2018 |
| AIDS Healthcare Foundation | RWI900481 | CA |
Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 184 KB) Audit closure date: November 8, 2016 |
| AIDS Resource Center Ohio |
HV43212 HV00531A RWII45402 RWII432 |
OH |
Incorrect 340B database record – Incorrect Entries for Primary Contact, billing address and grant numbers. |
None |
Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: November 10, 2015 |
| Alice Peck Day Memorial Hospital | CAH301305-00 | NH |
Entity did not provide contract pharmacy oversight. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible. 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. |
Termination of contract pharmacies from 340B Program* Repayment to manufacturers |
Termination of contract pharmacies from 340B Program* Public letter to manufacturers (PDF - 58 KB) CE self-terminated from 340B Program on July 1, 2015. Audit closure date: June 22, 2018 |
| ARCARE | CH060940 | AR |
Incorrect 340B database record – Incorrect entry for off-site outpatient facility’s address; Registered contract pharmacies without written contract in place. Diversion – 340B drugs dispensed for prescriptions written at 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 - 17 KB) Audit closure date: March 30, 2017 |
| Atlanticare Regional Medical Center | DSH310064 | NJ |
Incorrect 340B database record – Incorrect entries for offsite outpatient facilities addresses. Diversion – 340B drugs dispensed for prescriptions written at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 10 KB) Audit closure date: September 15, 2016 |
| Aurora Health Care Central Inc. DBA Aurora Sheboygan Memorial Medical Center | DSH520035 | WI |
Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 39 KB) Audit closure date: April 18, 2017 |
| Avera Hand County Memorial Hospital | CAH431337 | SD |
No adverse findings |
None |
N/A Audit closure date: July 1, 2015 |
| AxessPointe Community Health Center | CH057270 | OH |
Diversion – 340B drugs dispensed for over-the counter medications, without a prescription. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 66 KB) Audit closure date: January 3, 2017. |
| Bakersfield Memorial Hospital | DSH050036 | CA |
Incorrect 340 database record – Incorrect DSH percentage entry. |
None |
Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: February 17, 2016 |
| Banner - University Medical Center South | DSH030111 | AZ |
Incorrect 340B database record – Registered a contract pharmacy without a contract in place. Diversion – 340B drug dispensed to inpatient; 340B drugs dispensed for prescriptions written at ineligible sites. |
Termination of contract pharmacy from 340B Program * Repayment to manufacturers |
Termination of contract pharmacy from 340B Program* Public letter to manufacturers (PDF - 61 KB) Audit closure date: May 5, 2017 |
| Banner - University Medical Center Tucson | DSH030064 | AZ |
Diversion – 340B drug dispensed for prescription originating from ineligible site. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 63 KB) Audit closure date: May 5, 2017 |
| Baptist Medical Center South | DSH010023 | AL |
Diversion – 340B drugs dispensed at a contract pharmacy for prescriptions written at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 29 KB) Audit closure date: April 6, 2016 |
| Baystate Franklin Medical Center | DSH220016 | MA |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to June 8, 2015. 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 - 92 KB) Audit closure date: March 30, 2017 |
| Bear Lake Community Health Center | CH0811150 | UT |
Incorrect 340B database record – Incorrect billing address entries for off-site outpatient facilities. Diversion – 340B drugs dispensed for prescriptions written by ineligible providers at ineligible sites. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File; NPI number was incorrect on the Medicaid Exclusion File for one offsite outpatient facility. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 39 KB) Audit closure date: October 21, 2016 |
| Belington Community Medical Services Association, Inc. |
CHC12878-00 FP262506 |
WV |
Entity failed to maintain auditable medical records prior to June, 2015. Incorrect 340B database record – Incorrect entries for addresses and site names. Entity did not provide contract pharmacy oversight. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 97 KB) Audit closure date: May 12, 2017 |
| Beth Israel Medical Center | DSH330169 | NY |
No adverse finding |
None |
N/A Audit closure date: March 9, 2015 |
| Boston Medical Center | DSH220031 | MA |
Diversion – 340B drug dispensed at a contract pharmacy for a prescription written at an ineligible site. |
Repayment to manufacturer |
Public letter to manufacturers (PDF - 33 KB) Audit closure date: April 18, 2017 |
| BRFHH Shreveport LLC | DSH190098 | LA |
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: September 15, 2016 |
| Bridgton Hospital | CAH201310-00 | ME |
No adverse findings |
None |
N/A Audit closure date: October 13, 2015 |
| Bronson Methodist Hospital | DSH230017 | MI |
Incorrect 340B database record – Registered contract pharmacies without written contract in place; incorrect entry for contract pharmacy address. |
Termination of contract pharmacies from 340B Program* |
Database entry corrected Termination of contract pharmacies from 340B Program* 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: July 21, 2015 |
| Cambridge Public Health Commission | DSH220011 | MA |
Incorrect 340B database record – Incorrect entries for shipping addresses for outpatient facilities. Incorrect or incomplete information in the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None |
Audit closure date: March 30, 2016 |
| Carle Foundation Hospital | DSH140091 | IL |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to December 3, 2014. Incorrect 340B database record – Ineligible Sites registered on 340B database. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 13 KB) Audit closure date: June 17, 2016 |
| Carson City Health and Human Services |
TB89410 STD89410 FP894234 |
NV |
No adverse findings |
None |
N/A Audit closure date: May 11, 2015 |
| Central Maine Medical Center | DSH200024 | ME |
No adverse findings |
None |
N/A Audit closure date: October 13, 2015 |
| Charles Cole Memorial Hospital | CAH391313-00 | PA |
Incorrect 340B database record – Incorrect entry for Primary contact. Diversion – 340B drugs were not properly accumulated. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 47 KB) Audit closure date: September 2, 2016 |
| Children's Hospital Medical Center of Akron | PED363303-00 | OH |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drugs dispensed for prescriptions originating from an ineligible site; 340B drugs were not properly accumulated. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 46 KB) Audit closure date: January 10, 2018 |
| Children's Hospital of Wisconsin, Inc. | PED523300-00 | WI |
Incorrect 340B database record – Registered a contract pharmacy without a written contract in place. Duplicate Discounts – Incorrect or incomplete information in the Medicaid Exclusion File. |
Termination of contract pharmacies from 340B Program* Repayment to manufacturers |
Public letter to manufacturers (PDF - 37 KB) Audit closure date: September 15, 2016 |
| Childress Regional Medical Center | DSH450369 | TX |
Incorrect 340B database record - Offsite outpatient facilities were not listed on the 340B database. Entity did not provide contract pharmacy oversight. Diversion – 340B drugs dispensed to inpatients. |
Termination of contract pharmacies from 340B Program* Repayment to manufacturers |
Public letter to manufacturers (PDF - 72 KB) Audit closure date: August 31, 2016 |
| Christus Santa Rosa Health System | DSH450237 | TX |
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. |
Termination of contract pharmacies from 340B Program* Repayment to manufacturers |
Public letter to manufacturers (PDF - 16 KB) Audit closure date: January 3, 2017. |
| Citrus Valley Medical Center | DSH050369 | CA |
Covered outpatient drugs obtained through a Group Purchasing Organization. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Termination from the 340B Program* Repayment to manufacturers |
Public letter to manufacturers (PDF - 39 KB) Audit closure date: May 17, 2017 |
| Clara Maass Medical Center | DSH310009 | NJ |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to March 31, 2015. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. Entity did not have adequate controls in place for proper accumulation and prevention of diversion. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 55 KB) Audit closure date: February 7, 2017 |
| Clarendon Memorial Hospital | DSH420069 | SC |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to April 29, 2015. Diversion – 340B drugs dispensed at the entity and contract pharmacies for prescriptions written at ineligible sites. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 51 KB) Audit closure date: February 10, 2017 |
| Comanche County Memorial Hospital | DSH370056 | OK |
No adverse findings |
None |
N/A Audit closure date: July 31, 2015 |
| Community Hospitals of Indiana, Inc. | DSH150074 | IN |
Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 22 KB) Audit closure date: February 15, 2018 |
| County of Santa Clara, Valley Health Center – East Valley | CH091181A | CA |
Duplicate Discounts – Incorrect or incomplete information in the Medicaid Exclusion File. |
None |
State Medicaid has since determined that duplicate discounts did not occur Public letter to manufacturers (PDF - 23 KB) Audit closure date: November 17, 2017 |
| Covenant Medical Center | DSH160067 | IA |
No adverse findings |
None |
N/A Audit closure date: December 22, 2015 |
| Custer Family Planning Center |
STD58504 FP585543 |
ND |
No adverse findings |
None |
N/A Audit closure date: April 10, 2015 |
| DeKalb Medical Center at Hillandale | DSH110226 | GA |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to July 13, 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 - 105 KB) Audit closure date: June 21, 2016 |
| Dr. Dan C. Trigg Memorial Hospital | CAH321302-00 | NM |
Incorrect 340B database record – Registered contract pharmacy without written contract in place. Violation of Orphan Drug Exclusion – ineligible 340B purchases for orphan drug designations. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 43 KB) Audit closure date: February 8, 2017 |
| DuBois Regional Medical Center | DSH390086 | PA |
No adverse findings |
None |
N/A Audit closure date: July 1, 2015 |
| Dyer County Health Department |
STD380248 FP380247 TB38024 |
TN |
No adverse findings |
None |
N/A Audit closure date: September 10, 2015 |
| East Carolina University | HM27834 | NC |
No adverse findings |
None |
N/A Audit closure date: August 18, 2015 |
| Edward W Sparrow Hospital Association | DSH230230 | MI |
Incorrect 340B database record – Incorrect Entries for addresses for offsite outpatient facility and contract pharmacies. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at an ineligible site. |
Repayment to manufactures |
Public letter to manufacturers (PDF - 77 KB) Audit closure date: March 30, 2017 |
| Effort Inc. | CHC12872-00 | CA |
Incorrect 340B database record – Incorrect Entries for entity’s name; offsite outpatient facilities were not listed on the 340B database; registered contract pharmacy without written contract in place. Entity did not provide contract pharmacy oversight. Diversion – 340B drug dispensed at a contract pharmacy for a prescription written at an ineligible site by an ineligible provider. |
Termination of contract pharmacy from 340B Program* Repayment to manufacturers |
Public letter to manufacturers (PDF - 17 KB) Audit closure date: April 5, 2018 |
| El Centro Regional Medical Center | DSH050045 | CA |
Diversion – 340B drug dispensed to inpatient; 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 - 125 KB) Audit closure date: August 12, 2016 |
| Elizabethtown Community Hospital | CAH331302-00 | NY |
Violation of Orphan Drug Exclusion – Ineligible 340B purchases for orphan drug designations. Duplicate Discounts – Entity had inaccurate information in the 340B Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 113 KB) Audit closure date: February 3, 2017 |
| Emory Midtown Infectious Diseases Clinics | HV30308 | GA |
Diversion – 340B drug dispensed at contract pharmacy for prescription written by ineligible provider at ineligible site. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 16 KB) Audit closure date: May 19, 2017 |
| Erlanger Medical Center |
DSH440104 CH041260 |
TN |
Incorrect 340B database – Offsite outpatient facilities were not separately listed on the 340B database. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at an ineligible sites. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 31 KB) Audit closure date: October 26, 2017 |
| Espanola Hospital | DSH320011 | NM |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to March 15, 2015. Incorrect 340B database record – Registered contract pharmacy without written contract in place. Diversion – 340B drugs dispensed at contract pharmacy for prescriptions written at an ineligible site. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 53 KB) Audit closure date: March 30, 2017 |
| Family Medical Center of Michigan Inc. | CH052910 | MI |
Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 80 KB) Audit closure date: February 14, 2018 |
| Feather River Hospital | DSH050225 | CA |
Incorrect 340B database record – Incorrect entry for shipping address. Diversion – 340B drug dispensed at a contract pharmacy for a prescription written at an ineligible site. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 37 KB) Audit closure date: February 3, 2017 |
| Flagstaff Medical Center | DSH030023 | AZ |
Incorrect 340B database record – Incorrect entries for Authorizing Official’s contact information; Registered a contract pharmacy without a contract in place. |
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: November 20, 2015 |
| Florida Hospital | DSH100007 | FL |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to April 1, 2015. Incorrect 340B database record - Offsite outpatient facilities were not listed on the 340B database. Duplicate Discounts – Incorrect or incomplete 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 - 50 KB) Audit closure date: November 9, 2017 |
| Floyd Medical Center | DSH110054 | GA |
Diversion – 340B drugs dispensed for prescriptions written at ineligible sites and by ineligible providers. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 35 KB) Audit closure date: September 15, 2016 |
| Forsyth Memorial Hospital, Inc. dba Novant Health Forsyth Medical Center | DSH340014 | NC |
Diversion – 340B drugs dispensed to inpatients. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 103 KB) Audit closure date: August 8, 2017 |
| Glencoe Regional Health Services | CAH241355-00 | MN |
Diversion - 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites. 340B drug dispensed to an inpatient; 340B drugs were not properly accumulated. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 49 KB) Audit closure date: February 3, 2017 |
| Good Samaritan Hospital | DSH330158 | NY |
Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 106 KB) Audit closure date: July 20, 2017 |
| Good Samaritan Hospital of Cincinnati Ohio | DSH360134 | OH |
Inaccurate 340B database record – Registered a contract pharmacy without a contract prior to August 28, 2015. |
None |
Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: February 23, 2016 |
| Graham County Health Department |
STD28771 FP287713 TB28771 |
NC |
Incorrect 340B database record – Entity utilized contract pharmacy prior to its registration in the 340B database; Incorrect entry for Primary Contact. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
None |
State Medicaid has since determined that duplicate discounts did not occur Public letter to manufacturers (PDF - 68 KB) Audit closer date: April 6, 2016 |
| Gulf Coast Health Center, Inc. | CH061730 | TX |
Incorrect 340B database record – Registered a contract pharmacy without a contract in place. |
Termination of contract pharmacy from 340B Program* |
Termination of contract pharmacy from 340B Program* Audit closure date: August 6, 2015 |
| Gulf Health Hospitals, Inc. DBA North Baldwin Infirmary | DSH010129 | AL |
Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 61 KB) Audit closure date: September 27, 2016 |
| Gundersen Lutheran Medical Center, Inc. | DSH520087 | WI |
Diversion – 340B drug dispensed at contract pharmacy for a prescription originating from an ineligible site. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 56 KB) Audit closure date: July 15, 2016 |
| Highlands Hospital of Rochester |
DSH330164 FP14620 |
NY |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Diversion - 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites. Inaccurate or incomplete information in the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 53 KB) Audit closure date: April 4, 2017 |
| Holland Hospital | DSH230072 | MI |
Incorrect 340B database record – Registered contract pharmacy without written contract in place. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites. |
Termination of contract pharmacy from 340B Program* Repayment to manufacturers |
Public letter to manufacturers (PDF - 93 KB) Audit closure date: March 30, 2017 |
| Hudson Headwaters Health Network | CH021790 | NY |
No adverse findings |
None |
N/A Audit closure date: November 18, 2015 |
| Huron Medical Center | SCH230118-00 | MI |
Incorrect 340B database record – Offsite outpatient facilities were not separately 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: February 23, 2016 |
| Indiana University Health Inc. | DSH150056 | IN |
No adverse findings |
None |
N/A Audit closure date: September 10, 2015 |
| Integris Baptist Medical Center | DSH370028 | OK |
Incorrect 340B database record – Incorrect entries for two offsite outpatient facilities; Offsite outpatient facilities were not listed on the 340B database; Registered contract pharmacies without a written contract in place. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 33 KB) Audit closure date: March 30, 2017 |
| Integris Canadian Valley Hospital | DSH370211 | NH |
Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 39 KB) Audit closure date: May 19, 2017 |
| Integris South Oklahoma | DSH370106 | OK |
Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 34 KB) Audit closure date: May 19, 2017 |
| Jackson Health System | DSH100022 | FL |
Incorrect 340B database record – Closed Offsite outpatient facility listed on 340B database; One offsite outpatient facility listed twice on database; Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drug dispensed for a prescription originating from an ineligible site. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 70 KB) Audit closure date: February 7, 2017 |
| Jewish Hospital and St. Mary’s Healthcare (JHSMH) | DSH180040 | KY |
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: January 19, 2016 |
| Johns Hopkins Bayview Medical Center | DSH210029 | MD |
Incorrect 340B database record – Incorrect entries for addresses of off-site outpatient facilities. Diversion – 340B drugs dispensed at the entity and contract pharmacies for prescriptions originating from ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 28 KB) Audit closure date: January 3, 2017. |
| Kaleida Health | DSH330005 FP14208 | NY |
Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written by ineligible providers at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 68 KB) Audit closure date: October 20, 2016 |
| Kansas University Hospital | DSH170040 | KS |
No adverse findings |
None |
N/A Audit closure date: March 9, 2015 |
| Kings County Hospital Center (NYCHHC) | DSH330202 | NY |
Diversion – 340B drugs dispensed at contract pharmacy for prescription originating from ineligible site. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 49 KB) Audit closure date: March 29, 2016 |
| King’s Daughters Medical Center | DSH180009 | KY |
Diversion – 340B drugs dispensed at contract pharmacy for prescription originating from ineligible site. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 56 KB) Audit closure date: September 21, 2016 |
| La Clinica de la Raza, Inc. | CH091230 | CA |
Diversion – 340B drug dispensed for prescription that was not supported by a medical record. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 61 KB) Audit closure date: September 21, 2016 |
| Lafourche Hospital Service District #1 DBA Lady of the Sea General Hospital | CAH191325-00 | LA |
Incorrect 340B database record – Ineligible site registered on 340B database. |
Termination of ineligible site from 340B Program* |
Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: September 1, 2015 |
| Lake Charles Memorial | DSH190060 | LA |
No adverse findings |
None |
N/A Audit closure date: July 29, 2015 |
| Legacy Community Health Services, Inc. | CHC07502-00 | TX |
No adverse findings |
None |
N/A Audit closure date: September 22, 2015 |
| Lincoln County Public Hospital District No. 3 | CAH501305-00 | WA |
No adverse findings |
None |
N/A Audit closure date: October 13, 2015 |
| Madison PHU | FP712823 | LA |
Incorrect 340B database record – Incorrect entries for Authorizing Official, Primary Contact, grant number and address. |
None |
Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: July 21, 2015 |
| Marana Health Center, Inc. | CH090080 | AZ |
Incorrect 340B database record – Incorrect entries for addresses. Diversion – 340B drug dispensed at contract pharmacy for a prescription written by an ineligible provider. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 42 KB) Audit closure date: October 11, 2016 |
| Marillac CHC | CHC24198-00 | LA |
Incorrect 340B database record – Incorrect entries for Primary Contact; Registered a contract pharmacy without a contract prior to March 24, 2015. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File and 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 - 71 KB) Audit closure date: July 11, 2017 |
| Massena Memorial Hospital | DSH330223 | NY |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drug dispensed at contract pharmacy for prescription originating from ineligible site. Duplicate Discount – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 64 KB) Audit closure date: May 8, 2017 |
| McAlester Regional Health Center | SCH370034-00 | OK |
Entity had inaccurate information in 340B Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None |
Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: March 17, 2016 |
| McLaren Oakland | DSH230207 | MI |
Incorrect 340B database record – Incorrect entries for Primary contact. Diversion – 340B drug dispensed for prescriptions originating from ineligible sites. Inaccurate or incomplete information in the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 77 KB) Audit closure date: September 15, 2016 |
| McNairy County Health Department | STD383758, FP383755, TB38375 | TN |
No adverse findings |
None |
N/A Audit closure date: September 10, 2015 |
| Medical Center Bowling Green | DSH180013 | KY |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database; ineligible site registered on the 340B database. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 45 KB) Audit closure date: August 8, 2017 |
| Medical Center, Inc. | DSH110064 | GA |
Duplicate Discount – Inaccurate or incomplete information in the Medicaid Exclusion File. |
None |
State Medicaid has since determined that duplicate discounts did not occur Public letter to manufacturers (PDF - 66 KB) Audit closure date: August 12, 2016 |
| Memorial Health University Medical Center | DSH110036 | GA |
Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites; 340B drugs dispensed to inpatients. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 268 KB) Audit closure date: August 30, 2017 |
| Memorial Hermann Hospital | DSH450068 | TX |
No adverse findings |
None |
N/A Audit closure date: April 10, 2015 |
| Memorial Hospital of South Bend | DSH150058 | IN |
Incorrect 340B database record – entity failed to remove a closed contract pharmacy from the 340B database. Diversion – 340B drugs dispensed for prescriptions originating from ineligible sites; 340B drug dispensed to an inpatient. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 22 KB) Audit closure date: April 27, 2017 |
| Mercy General Hospital | DSH050017 | CA |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to October 2014. Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database, contract pharmacies not terminated from the 340B database whose contracts were terminated, incorrect entries for shipping address and Primary Contact. Diversion – 340B drugs dispensed at contract pharmacy for prescription originating from ineligible site. Duplicate Discounts – Medicaid billing numbers were incorrect on the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufactures (PDF - 52 KB) Audit closure date: February 7, 2017 |
| Mercy Hospital of Valley City | CAH351324-00 | ND |
No adverse findings |
None |
N/A Audit closure date: April 22, 2015 |
| Mercy Hospital Tishomingo, Inc. | CAH371304-00 | OK |
No adverse findings |
None |
N/A Audit closure date: June 30, 2015 |
| Mercy Medical Center | CAH351334-00 | ND |
Incorrect 340B database record |
None |
Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: February 23, 2016 |
| Mercy Medical Center | DSH220066 | MA |
Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 434 KB) Audit closure date: May 12, 2017 |
| Mercy St. Vincent Medical Center | DSH360112 | OH |
Duplicate Discount – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 58 KB) Audit closure date: January 30, 2018 |
| Meriter Health Services | DSH520089 | WI |
Incorrect 340B database record – Incorrect address and name entries for offsite outpatient facilities; one offsite outpatient facility was not separately listed on the 340B database. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 43 KB) Audit closure date: April 27, 2017 |
| Metropolitan Hospital Center (NYCHHC) | DSH330199 | NY |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to November 2014. Diversion – 340B drug dispensed at contract pharmacy for prescription originating from ineligible site. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 50 KB) Audit closure date: November 8, 2016 |
| Miami Valley Hospital | DSH360051 | OH |
Incorrect 340B database record – Offsite outpatient facilities were not separately listed on the 340B database. Diversion – 340B drugs were not properly accumulated; 340B drugs dispensed at the entity and contract pharmacies for prescriptions written by ineligible providers at ineligible sites. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 86 KB) Audit closure date: June 27, 2018 |
| Ministry Saint Mary's Hospital | SCH520019-00 | WI |
Incorrect 340B database record – Incorrect authorizing official and primary contact information for offsite outpatient facilities; entity failed to remove a contract pharmacy from the 340B database whose contract was terminated. |
Termination of contract pharmacies from 340B Program* |
Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Termination of contract pharmacies from 340B Program* Audit closure date: June 17, 2016 |
| Missouri Delta Medical Center | DSH260113 | MO |
Diversion – 340B drugs dispensed to inpatients; 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 |
Public letter to manufacturers (PDF - 70 KB) Audit closure date: November 16, 2017 |
| Mitchell County Hospital District | CAH451342-00 | TX |
No adverse findings |
None |
N/A Audit closure date: January 4, 2016 |
| Monadnock Community Hospital | CAH301309-00 | NH |
Violation of Orphan Drug Exclusion – ineligible 340B purchase for orphan drug designation. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 13 KB) Audit closure date: July 15, 2016 |
| Monmouth Medical Center | DSH310075 | NJ |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to March 26, 2015. 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 - 43 KB) Audit closure date April 4, 2017 |
| Montefiore Medical Center | DSH330059 | NY |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to June 15, 2015. 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 manufacturers |
Public letter to manufacturers (PDF - 11 KB) Audit closure date: April 9, 2018 |
| Mosaic Medical | CH105600 | OR |
Incorrect 340B database record – incorrect entries for Authorizing Official and shipping address; Registered contract pharmacies without written contract in place. Entity did not provide contract pharmacy oversight prior to November 11, 2015. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File and Entity’s contract pharmacy was billing Medicaid without notification to HRSA. |
Repayment to manufacturer Termination of contract pharmacies from 340B Program* |
Public letter to manufacturers (PDF - 131 KB) Audit closure date: September 15, 2016 |
| Moses H. Cone Memorial Hospital Operating Corporation | DSH340091 | NC |
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. Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturer |
Public letter to manufacturers (PDF - 34 KB) Audit closure date: April 18, 2017 |
| Mount Sinai Medical Center | DSH100034 | FL |
Incorrect 340B database record – incorrect entry for address. Diversion – 340B drug dispensed to an inpatient. |
Repayment to manufacturer |
Public letter to manufacturers (PDF - 190 KB) Audit closure date: May 12, 2017 |
| Municipal Hospital Dr. Rafael Lopez Nussa | DSH400015 | PR |
Incorrect 340B database record – Incorrect entries for Authorizing Official and Primary Contact. Diversion – 340B drugs dispensed for prescriptions written by ineligible providers at ineligible sites. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 121 KB) Audit closure date: August 8, 2017 |
| North County Health Project, Inc. | CH090720 | CA |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database; incorrect entries for address and Primary Contact; terminated site registered on the 340B database; registered contract pharmacies without a written contract in place. Duplicate Discounts – Medicaid billing numbers and NPI numbers were incorrect on the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 58 KB) Audit closure date: August 31, 2016 |
| Northeast Montana Health Services, Inc. DBA Poplar Community Hospital | CAH271300-00 | MT |
Incorrect 340B database record – Registered contract pharmacies without a written contract in place. |
Termination of contract pharmacies from 340B Program* |
Termination of contract pharmacies from 340B Program* Audit closure date: January 20, 2016 |
| NYU Lutheran Medical Center | DSH330306 | NY |
Diversion – 340B drugs were not properly accumulated. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 124 KB) Audit closure date: June 13, 2017 |
| Olive View – UCLA Medical Center | DSH050040 | CA |
Incorrect 340B database record – Registered contract pharmacy without a written contract in place. |
Termination of contract pharmacies from 340B Program* |
Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Termination of contract pharmacies from 340B Program* Audit closure date: June 17, 2016 |
| Omni Family Health | CH091600 | CA |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database; ineligible site registered on the 340B database. Entity did not provide contract pharmacy oversight. Duplicate Discount – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 84 KB) Audit closure date: March 30, 2016 |
| Oregon Health Science Center | DSH380009 | OR |
No adverse findings |
None |
N/A Audit closure date: March 30, 2015 |
| Palmetto Richland | DSH420018 | SC |
Incorrect 340B database record – Ineligible site registered on 340B database. |
Termination of offsite outpatient facility from 340B Program |
Audit closure date: April 18, 2017 |
| Palomar Medical Center | DSH050115 | CA |
Incorrect 340B database record – Registered contract pharmacy without a written contract in place; Offsite outpatient facilities were not listed on the 340B database. Entity did not provide contract pharmacy oversight. 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 manufactures (PDF - 104 KB) Audit closure date: April 14, 2016 |
| Park Ridge Health | DSH340023 | NC |
No adverse findings |
None |
N/A Audit closure date: November 20, 2015 |
| Parkview Huntington Hospital | DSH150091 | IN |
Incorrect 340B database record – Incorrect entry for billing address. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites; 340B drug dispensed to an inpatient. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 41 KB) Audit closure date: January 18, 2017. |
| Penn State – Milton S. Hershey Medical Center | DSH390256 | PA |
Incorrect 340B database record – incorrect entries for Primary Contact and Authorizing Official name, title and phone numbers. |
None |
Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: January 20, 2016 |
| Plains Regional Medical Center - Clovis | DSH320022 | NM |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to April 1, 2015. Incorrect 340B database – Offsite outpatient facilities were not listed on the 340B database; registered contract pharmacies without written contract in place; incorrect entry for off-site outpatient facility address. 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 - 57 KB) Audit closure date: March 30, 2017 |
| Planned Parenthood of Illinois | FP606049, STD60610 | IL |
Incorrect 340B database record – Registered contract pharmacy without written contract in place. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 17 KB) Audit closure date: February 3, 2017 |
| Planned Parenthood of the Heartland | STD50314C; STD50314K; FP52246 | IA |
No adverse findings |
None |
N/A Audit closure date: October 22, 2015 |
| Planned Parenthood of Western PA | FP155015 | PA |
No adverse findings |
None |
N/A Audit closure date: July 30, 2015 |
| Platte County Memorial Hospital | CAH531305-00 | WY |
No adverse findings |
None |
N/A Audit closure date: June 8, 2015 |
| Porter Hospital | CAH471307-00 | VT |
No adverse findings |
None |
N/A Audit closure date: August 18, 2015 |
| Presence Saints Mary and Elizabeth Medical Center | DSH140180 | IL |
Incorrect 340B database record – Registered contract pharmacies without written contract in place prior to March 27, 2015. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. Duplicate Discounts – Incorrect or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 40 KB) Audit closure date: October 20, 2017 |
| Richardson Medical Center | DSH190151 | LA |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to March 26, 2015. Entity did not provide contract pharmacy oversight. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers Termination of contract pharmacies from 340B Program* |
Public letter to manufacturers (PDF - 57 KB) Audit closure date: March 15, 2017 |
| Rosedale Infectious Diseases, PLLC | RWI28078 | NC |
No adverse findings |
None |
N/A Audit closure date: December 21, 2015 |
| Rural Health Services Consortium | CH0412790 | TN |
Incorrect 340B database record – Registered contract pharmacies without written contract in place. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. Duplicate Discounts – Incorrect or incomplete information in the Medicaid Exclusion File. |
Termination of contract pharmacy from 340B Program * Repayment to manufacturers |
Public letter to manufacturers (PDF - 111 KB) Audit closure date: September 15, 2016 |
| Rutland Regional Medical Center | SCH470005-00 | VT |
Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 28 KB) Audit closure date: August 31, 2016 |
| Sacred Heart Health Services DBA Avera Sacred Heart Hospital | SCH430012-00 | SD |
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: September 15, 2015 |
| Saint Joseph Health System | DSH180011 | KY |
No adverse findings |
None |
N/A Audit closure date: November 15, 2015 |
| San Francisco General Hospital | DSH050228 | CA |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drugs dispensed for prescriptions written at ineligible sites. Duplicate Discounts – Incorrect or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 80 KB) Audit closure date: January 10, 2019 |
| SC DHEC Midlands Region Lancaster Co FP | FP297213 | SC |
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: June 17, 2016 |
| Sentara Albemarle Regional Medical Center | SCH340109-00 | NC |
No adverse findings |
None |
N/A Audit closure date: July 10, 2015 |
| Shalom Health Care Center | CH051741 | IN |
Entity did not provide contract pharmacy oversight. |
None |
340B Program policies and procedures revised to address contract pharmacy oversight Audit closure date: March 2, 2016 |
| Shands Teaching Hospital and Clinics, Inc. | DSH100113 | FL |
Diversion – 340B drugs dispensed at the entity and contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 56 KB) Audit closure date: September 27, 2016 |
| Shawnee Health Service and Development Corporation | CH050040 | IL |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database; incorrect entry for name of one offsite outpatient facility; registered contract pharmacies without written contracts in place. |
None |
Database entry corrected; 340B Program policies and procedures revised to address routine review of 340B Program database. Audit closure date: October 26, 2015. |
| Sierra View District Hospital | DSH050261 | CA |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to April 15, 2015. Incorrect 340B database record - Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drugs dispensed for prescriptions written at an ineligible site; Entity did not have adequate controls in place for proper accumulation and prevention of diversion. Duplicate Discounts – Incorrect or incomplete 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 - 111 KB) Audit closure date: September 27, 2016 |
| Sioux Center Health | CAH161346 | IA |
Incorrect 340B database record – registered contract pharmacies without written contract in place prior to June, 2014. |
None |
Contract executed 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: January 6, 2016 |
| Sonora Community Hospital dba Sonora Regional Medical Center | SCH050335-00 | CA |
Diversion – 340B drug dispensed for prescription that was, not supported by a medical record. |
Repayment to manufacturer |
Public letter to manufacturers (PDF - 89 KB) Audit closure date: March 30, 2017 |
| South Bay Family Health Care Center, Inc. | CH0910260 | CA |
Incorrect 340B database record – Registered contract pharmacies without written contract in place. |
Termination of contract pharmacies from 340B Program.* |
Database entry corrected Termination of contract pharmacies from 340B Program* 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: November 3, 2015 |
| Speare Memorial | CAH301311-00 | NH |
No adverse findings |
None |
N/A Audit closure date: October 16, 2015 |
| Spectrum Health Hospitals | DSH230038 | MI |
Incorrect 340B database record – Incorrect entry for Primary contact; duplicate entry for offsite outpatient facility. Diversion – 340B drugs dispensed for prescriptions originating from ineligible sites. Incorrect or incomplete information in the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 32 KB) Audit closure date: February 14, 2017 |
| SSM DePaul Health Center | DSH260104 | MO |
Incorrect 340B database – Ineligible site registered on the 340B database. Diversion – 340B drug dispensed at the entity and contract pharmacies for prescription originating from an ineligible site; 340B drug dispensed to inpatient; 340B drugs were not properly accumulated. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 59 KB) Audit closure date: September 15, 2016 |
| SSM St. Mary’s Health Center | DSH260091, HM13100 | 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 dispensed at the entity and contract pharmacy for prescriptions originating from ineligible sites. Duplicate Discounts – Entity’s contract pharmacy was billing Medicaid without notification to HRSA. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 62 KB) Audit closure date: September 15, 2016 |
| St. Cloud Hospital | SCH240036-00 | MN |
Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 38 KB) Audit closure date: June 17, 2016 |
| St. Croix Regional Medical Center | CAH521337-00 | WI |
Incorrect 340B database record – Registered contract pharmacies without written contract in place; incorrect entries for addresses. |
Termination of contract pharmacy from 340B Program |
Termination of contract pharmacy from 340B Program 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: July 12, 2016 |
| St. Elizabeth Hospital | CAH501335-00 | WA |
No adverse findings |
None |
N/A Audit closure date: January 28, 2016 |
| St. Elizabeth Hospital | DSH520009 | WI |
Diversion – 340B drug dispensed at a contract pharmacy for a prescription written at an ineligible site; 340B drug dispensed to an inpatient. Duplicate Discount – Entity did not have controls in place to prevent duplicate discounts. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 26 KB) Audit closure date: June 13, 2017 |
| St. Francis Medical Center | CAH241377-00 | MN |
Incorrect 340B database record – Ineligible site registered on 340B database. Diversion – 340B drugs dispensed for prescriptions written at ineligible site. |
Termination of ineligible site from 340B Program Repayment to manufacturers |
Public letter to manufacturers (PDF - 51 KB) Audit closure date: October 23, 2017 |
| St. Helena Hospital Clearlake | CAH051317-00 | CA |
Incorrect 340B database record – Incorrect entries for Authorizing Official contact information and billing addresses for offsite outpatient facilities. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 149 KB) Audit closure date: March 15, 2017 |
| St. Joseph Health System | SCH230100-00 | MI |
Incorrect 340B database – incorrect entry for address for offsite outpatient facility; Registered contract pharmacy without written contract in place. Inaccurate or incomplete information in the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
Termination of contract pharmacy from 340B Program* |
State Medicaid has since determined that duplicate discounts did not occur Public letter to manufacturers (PDF - 98 KB) Audit closure date: September 21, 2016 |
| St. Joseph’s Area Health Services | CAH241380-00 | MN |
Incorrect 340B database – 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: February 23, 2016 |
| St. Luke’s Roosevelt Hospital Center | DSH330046 | NY |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database; closed offsite outpatient facility listed on the database. |
None |
Audit closure date: October 12, 2016 |
| St. Mary Medical Center | DSH050191 | CA |
Covered outpatient drugs were obtained through a Group Purchasing Organization. Incorrect 340B database record – Incorrect entries for addresses for offsite outpatient facilities. Diversion – 340B drug dispensed, not supported by a medical record. Entity had inaccurate information in on the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
Termination of covered entity from 340B Program* Repayment to manufacturers. |
Public letter to manufacturers (PDF - 58 KB) Audit closure date: December 7, 2016 |
| St. Mary's Medical Center | DSH050457 | CA |
Incorrect 340B database record – Incorrect entries for Authorizing Official telephone number and Primary Contact; Offsite outpatient facilities were not listed on the 340B database. Diversion – 340B drugs were not properly accumulated. Inaccurate or incomplete information in the Medicaid Exclusion File.It was determined that duplicate discounts did not occur as a result of the finding. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 143 KB) Audit closure date: September 13, 2016 |
| Stonewall Jackson Memorial Hospital | DSH510038 | WV |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database; incorrect entry for address of one contract pharmacy. Diversion – 340B drug dispensed to inpatient; 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 58 KB) Audit closure date: June 21, 2016 |
| Stony Brook University | DSH330393 | NY |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to February 26, 2015. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 44 KB) Audit closure date: August 12, 2016 |
| Strong Memorial Hospital | DSH330285 | NY |
Diversion – 340B drugs were not properly accumulated; 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. Duplicate Discount – Inaccurate or incomplete information in theMedicaid Exclusion File. |
Repayment to manufacturer |
Public letter to manufacturers (PDF - 30 KB) Audit closure date: October 30, 2017 |
| Swedish American Hospital | DSH140228 | IL |
Diversion – 340B drug dispensed for prescription originating from ineligible site. |
Repayment to manufacturer |
Public letter to manufacturers (PDF - 16 KB) Audit closure date: August 31, 2016 |
| Swedish Covenant Hospital | DSH140114 | IL |
Incorrect 340B database record – Incorrect entries for off-site outpatient facility address. Duplicate Discounts – Incorrect or incomplete in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 22 KB) Audit closure date: January 29, 2018 |
| Swedish Medical Center | DSH500027 | WA |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. |
None |
Audit closure date: July 16, 2015 |
| Triangle AIDS Network | HV00684A | TX |
Diversion – 340B drugs dispensed at contract pharmacies for prescriptions originating from ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 76 KB) Audit closure date: February 27, 2018 |
| Tufts Medical Center | DSH220116 | MA |
Diversion – 340B drugs dispensed for prescription originating from ineligible site. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 50 KB) Audit closure date: September 15, 2016 |
| UMASS Memorial Medical Center | DSH220163 | MA |
No adverse findings |
None |
N/A Audit closure date: July 1, 2015 |
| University Medical Center of Southern Nevada | DSH290007 | NV |
Diversion – 340B drug dispensed at a contract pharmacy for a prescription written at an ineligible site. Duplicate Discount – Incorrect or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 69 KB) Audit closure date: November 2, 2017 |
| University of Arkansas Hospital | DSH040016 | AR |
No adverse findings |
None |
N/A Audit closure date: May 19, 2015 |
| University of Colorado Hospital | DSH060024 | CO |
Diversion – 340B drug dispensed for prescription originating from ineligible site. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 56 KB) Audit closure date: August 31, 2016 |
| University of Connecticut Health Center | DSH070036 | CT |
Incorrect 340B database record – Incorrect entry for Authorizing Official. |
None |
Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: December 2, 2015 |
| University of New Mexico Hospital | DSH320001 | NM |
Incorrect 340B database record – Incorrect entries for offsite outpatient facility addresses; 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 2, 2015 |
| University of South Alabama Medical Center | DSH010087 | AL |
Incorrect or incomplete billing information on the 340B Medicaid Exclusion File. |
None |
Audit closure date: September 13, 2016 |
| University of Vermont Medical Center | DSH470003 | VT |
Incorrect 340B database record – Incorrect entry for Authorizing Official. Diversion – 340B drug dispensed for prescription originating from ineligible site. Duplicate Discounts – Incorrect or incomplete in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 36 KB) Audit closure date: March 15, 2017 |
| University of Virginia Medical Center | DSH490009 | VA |
No adverse findings |
None |
N/A Audit closure date: March 25, 2015 |
| Ventura County Medical Center | DSH050159 | CA |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to December 4, 2015. Incorrect 340B database record – Ineligible site registered on 340B database; entity failed to remove a closed facility from the 340B database. Diversion – 340B drug dispensed to inpatient; 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites; 340B drugs were not properly accumulated. Duplicate Discount – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 51 KB) Audit closure date: August 15, 2018 |
| Vernon Memorial Hospital | CAH521348-00 | WI |
No adverse findings |
None |
N/A Audit closure date: August 19, 2015 |
| Via Christi Hospitals Wichita, Inc. | DSH170122 | KS |
No adverse findings |
None |
N/A Audit closure date: September 14, 2015 |
| Wake Forest University Health Sciences | HM27157 | NC |
No adverse findings |
None |
N/A Audit closure date: August 7, 2015 |
| Walker Baptist Medical Center | DSH010089 | AL |
Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturer (PDF - 643 KB) Audit closure date: March 28, 2017 |
| Waupun Memorial Hospital | CAH521327-00 | WI |
Incorrect 340B database record - Registered a contract pharmacy without a contract prior to August 6, 2015; incorrect entry for offsite outpatient facility address. Diversion – 340B drugs dispensed at contract pharmacy for prescriptions written at ineligible sites. Duplicate Discount – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 56 KB) Audit closure date: June 13, 2017 |
| Wayne County Hospital, Inc. | CAH181321-00 | KY |
No adverse findings |
None |
N/A Audit closure date: January 19, 2016 |
| West County Health Center | CH09035A | CA |
No adverse findings |
None |
N/A Audit closure date: September 24, 2015 |
| West River Health Services | CAH351330-00 | ND |
No adverse findings |
None |
N/A Audit closure date: October 6, 2015 |
| West Virginia University Hospitals, Inc. | DSH510001 | WV |
Incorrect 340B database record – Incorrect entries for Primary Contact phone numbers. |
None |
Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: September 1, 2015 |
| Western Wyoming Family Planning | FP82930 | WY |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database; Incorrect entries for address, billing address, and shipping address for offsite outpatient facilities. Duplicate Discount – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 50 KB) Audit closure date: May 12, 2017 |
| Westlake Regional Hospital | DSH180149 | KY |
Incorrect 340B database record – Offsite outpatient facilities were 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 - 54 KB) Audit closure date: June 2, 2017 |
| Whatcom County | STD982278; TB982275 | WA |
Incorrect 340B database record – Incorrect entries for billing and physical addresses; Registered a contract pharmacy without a contract in place. 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 |
Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: February 16, 2016. |
| Wheaton Franciscan Healthcare – St. Francis | DSH520078 | WI |
Diversion – 340B drugs dispensed at contract pharmacy for prescriptions written at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 56 KB) Audit closure date: February 7, 2017 |
| Wheaton Franciscan, Inc. | DSH520136 | WI |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database. Contract pharmacy was not listed on 340B database prior to January 1, 2016. Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 56 KB) Audit closure date: March 30, 2017 |
| White County Health Department | STD30528, TB30528 | GA |
Inaccurate information in the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None |
Database entry corrected 340B Program policies and procedures revised to address routine review of 340B Program database Audit closure date: February 9, 2016 |
| Windom Area Hospital | CAH241332-00 | MN |
No adverse findings |
None |
N/A Audit closure date: September 9, 2015 |
| Woodhull Medical & Mental Health Center (NYCHHC) | DSH330396 | NY |
Incorrect 340B database record – Offsite outpatient facilities were not listed on the 340B database; ineligible site registered on the 340B database. Diversion – 340B drugs dispensed at contract pharmacy for prescription not supported by medical record. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 44 KB) Audit closure date: April 14, 2016 |
| Yakima Neighborhood Health Services, Inc. | CH101340 | WA |
Duplicate Discount – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers |
Public letter to manufacturers (PDF - 96 KB) Audit closure date: February 23, 2017 |
| Yakima Valley Farm Workers Clinic | CH101030 | WA |
No adverse findings |
None |
N/A Audit closure date: June 8, 2015 |
*Note: Covered entity self-terminated cited facilities prior to termination of facilities by OPA.