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HRSA’s 340B Prime Vendor Program. 340B Program Administration. The 340B Program Team: HRSA’s Office of Pharmacy Affairs Pharmacy Services Support Center (PSSC/PharmTA) 340B PVP Prime Vendor Program (Apexus Inc.). Apexus – HRSA’s 340B Prime Vendor.

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340b program administration
340B Program Administration
  • The 340B Program Team:
    • HRSA’s Office of Pharmacy Affairs
    • Pharmacy Services

Support Center

(PSSC/PharmTA)

    • 340B PVP Prime Vendor

Program (Apexus Inc.)

apexus hrsa s 340b prime vendor
Apexus – HRSA’s 340B Prime Vendor
  • Unique federal purchasing program (public-private partnership)
  • Voluntary program for suppliers and 340b covered entities
  • Mission - To improve access to affordable medications for all 340B covered entities by:
    • Lowering participants’ supply costs by expanding the current PVP portfolio of sub-340B priced products
    • Providing covered entities with access to efficient drug distribution solutions to meet their patients’ needs
    • Providing access to other value added products and services meeting covered entities’ unique needs
eligibility requirements
Eligibility requirements
  • HRSA Grantee Hospitals
    • Black Lung DSH
    • FQHC Children’s Hospitals
    • FQHCLA Cancer Hospitals(selected)*
    • Title X Critical Access Hospitals*
    • Ryan White Sole Community Hospitals*
    • TB Rural referral Centers*
    • STD
    • Tribal 638
    • Hemophilia
current patient definition requirements
Current Patient Definition Requirements

Three criteria to meet:

  • The covered entity must maintain records of health care services for the individual;
  • The individual must receive care from a health care professional who is employed by or under contract or other arrangements with the covered entity; and
  • Responsibility for the care provided must remain with the covered entity.
what drugs are covered
Covered drugs:

Outpatient Prescription drugs

Over-the-counter drugs (if accompanied by a written prescription)

Clinic administered drugs within eligible facilities

ER drugs

Drugs in other amb care settings (e.g. day surgery)

Non-covered drugs:

*Vaccines

Drugs given to the patient in inpatient care settings

What Drugs Are Covered?

*Aggressive discounts have been negotiated for vaccines and other non-covered

by the Prime Vendor Program

340b service options
340B Service Options
  • In-House Pharmacy
    • Traditional
    • Tele-pharmacy
    • Management company operated
  • Contracted Pharmacy
    • Community retail
    • Mail order
    • Multiple contract pharmacies (effective April 5, 2010)
  • Prescriber Dispensing
benefits of pvp to covered entities
Benefits of PVP to Covered Entities
  • No risk or cost to participate
  • No change of distributor required
  • Maximize value delivered through a single national program
  • Access to 340B sub-ceiling prices for drugs and discounts on other products/services
    • Most entities do not have the expertise, resources, or leverage to do independently
    • Bypass complex contracting procedures
  • Longer term contracts to base formulary decisions
  • Pricing transparency via secure website
authorized distributors
Authorized Distributors
  • PVP participants have program access without changing their pharmacy distributor
  • Over 100 ordering sites covering U.S.
  • Seamless access to Prime Vendor pricing

Regional Distributors

  • Burlington Drug Co.
  • Dakota Drug
  • Capital Wholesale Drug Co.
  • H.D. Smith Drug Co.
  • Kinray, Inc.
  • Morris & Dickson, Co., LTD
  • Mutual Drug Co.
  • Rochester Drug Cooperative
  • National Distributors
  • AmerisourceBergen Corp.
  • Cardinal Health
  • McKesson Drug
  • Specialty
  • ANDA
  • R&S Sales
  • Smith Medical Partners
  • GIV/Schein
  • Curascript (Implanon)
  • CVS/Caremark (Implanon)
typical apexus pvp contract
Typical Apexus/PVP Contract
  • Sub-340B pricing
    • Steeper sub-ceiling discount possible via appropriate non-discriminatory performance tiers
  • No rebates
  • Two to three year agreement
  • Negotiable admin fee (dependent on ease of contract administration and marketing support requested)
  • Posting of ceiling pricing and PVP pricing on secure PVP website
pvp supplier value proposition
PVP – Supplier Value Proposition
  • An efficient and low cost method of contracting with public sector entities
  • Proven track record and understanding of government pricing
  • Price protections on branded drugs
  • Partner in developing a win-win strategy to improve sales and marketshare of generics or brands in the 340B market
    • Many manufacturers do not have a proactive strategy for the 340B market
  • Infrastructure to deliver accurate and transparent pricing with emphasis on improving 340B program integrity
  • Co-marketing of products and services
ongoing work with authorized distributors ad
Ongoing Work with Authorized Distributors (AD)
  • Validation of quarterly PHS pricing
    • Receive file from AD
    • Normalize the data and present by NDC
    • Assure the PVP prices are sub-ceiling
    • Provide file to AD to address pricing discrepancies
    • Post results on the website
  • Monitoring “Lost” Savings
    • Run quarterly reports of price paid vs. PVP price
    • Provide a report to each AD to issue credits and rebills to correct any over charges
supplier agreements
Abbott Labs

Abbott Diabetes Care

Allendale Pharmaceutical

Alliant Pharmaceuticals

AMO

Astellas Pharma

Astra-Zeneca Pharmaceuticals

Abraxis Pharmaceutical

Akorn Inc.

Apothecus

Barrier Therapeutics

Bayer Pharma

Bayer Diagnostics

Bedford Labs

Can-am Care LLC

Caraco Pharmaceutical Labs

CSL Behring

Eisai Pharma

G&W Laboratories

Geritrex Corporation

GlaxoSmithKline

Hawthorne Pharmaceuticals, Inc

Home Diagnostics Inc.

Early Detect

Eli Lilly & Company

Major Pharmaceuticals

Medicure

Merck & Co.

Morton Grove Pharm Inc.

NitroMed Inc.

Novartis Vaccines

Okomoto USA Inc.

Paddock Labs

PharmaDerm

RD Plastics Co Inc.

Rx Elite Holdings, Inc.

Sandoz Pharmaceutical

Sanofi-Pasteur

Schering Plough

Shire Pharmaceuticals

Standard Register

Tercica

Teva Health Systems

Total Pharmacy Supply

Tri State Distribution

Stratus Pharmaceuticals

Trinity Biotech

X-Gen Pharmaceuticals

Watson Pharma Inc.

Wockhardt Pharma

Wyeth Pharmaceuticals

Supplier Agreements
program enrollment
Program Enrollment
  • All Entities must be registered with HRSA
  • Complete and submit the online Participation Agreement to Apexus
    • www.340bpvp.com
  • Apexus verifies eligibility with OPA and notifies your selected pharmacy wholesaler to load PVP pricing
    • Participants are activated on the 1st of each month
  • Apexus notifies covered entity of approval and provides instructions to access our secured website
other pvp discounted products and services
Other PVP Discounted Products and Services
  • Vaccines – Hep A, Hep B, Flu (multiple sources)
  • Patient Assistance Program Software
  • Auditing and overcharge recovery services
  • Dispense ready/pre-packaged pharmaceuticals
  • Prescription vials/labels/printer cartridges
  • Diabetic Supplies – meters, strips and syringes
  • Pharmacy technology and automation
  • HIV Rapid Test Kits
  • Medicare Part D support
  • Reverse Distribution (pharmacy returns)
informational tools resources
Informational Tools & Resources
  • Pharmacy Flash Newsletter
    • Contract highlights/supplier profiles
    • Government & policy news
    • Industry news
    • Clinical corner – high impact drug briefs
    • Drug shortage/product recall
  • ISMP Medication Safety Alert!
  • Educational programs for all Stakeholders
    • On-demand tutorials
    • Monthly educational training webinars to subgroups
    • National presentations
informational tools resources23
Informational Tools & Resources
  • Drug price forecasts and other budgeting tools
    • Best Buy by Therapeutic Class Report
    • PHS Selling Price Comparison Reports (Quarterly)
    • Quarterly Price Change Report
    • 340B Selling Price Look-Up & Download
contact information
Contact Information
  • Office of Pharmacy Affairs
    • Phone: 301-594-4353 or 1-800-628-6297
    • Email: opastaff@hrsa.gov
    • Web: www.hrsa.gov/opa
  • Pharmacy Services Support Center
    • Phone: 1-800-628-6297
    • Email: pssc@aphanet.org
    • Web: http://pssc.aphanet.org
  • Prime Vendor Program
    • Phone: 1-888-340-2787
    • Email: 340b_primevendor@340bpvp.com
    • Web: http://www.340bpvp.com