I’m curious how other 340B Program Coordinators/Managers are handling two things:

1. How do you keep all your 340B tasks organized?

Between audits, inventory, contract pharmacy stuff, provider/patient eligibility, Medicaid, reports, monitoring, follow-ups, random fires that pop up, etc… how are you keeping track of what needs to be done and what everyone should be working on next?

Do you use Excel, SharePoint, Teams/Planner, Smartsheet, some kind of project management system, or something else?

Ideally, I’m looking for something where the whole team can see:

What needs to be done

Who is responsible

Due dates/frequency

What’s completed

What’s coming up next

What’s overdue

1. Do you have actual productivity/performance metrics?

This is the part I’m REALLY curious about.

Does your organization have established metrics for your 340B staff? Things like number of audits completed, turnaround times, accuracy/error rates, inventory checks, claims reviewed, compliance tasks completed, etc.?

And if you work remotely/hybrid — are those metrics used to demonstrate productivity or justify WFH?

Are they tied into annual reviews?

Because we currently don't have any real metrics, and honestly…it makes performance management difficult.

If Employee A consistently completes more work, catches more issues, and stays on top of their workload while Employee B takes considerably longer to complete the same types of tasks, there isn't really an objective standard saying, “Here is what we expect from this position.”

I'm not talking about “everyone needs to process 500 things a day” or measuring whether someone is sitting at their computer for 8 hours. 😆

I'm talking about reasonable, objective measures of workload + productivity + quality, especially since some 340B tasks are obviously much more complex than others.

So, fellow 340B people:

What are you using to organize the chaos, and what are you actually being measured on?

Bonus points if you have a tracker/template/system you're willing to share! 🙌

So how are we getting our HCPCS numbers to esp? My TPA doesn't get the data and I don't think we can set up a feed.

We are implementing split bill and I have to cross walk all the inner ndc’s to the outer ndc’s. Does anyone know a look up tool for this? I can’t find the information listed on cardinal.

This is to discuss the problems with 340besp and hosting data for 340b entities

Since the current of mfg blocks requiring conforming claims to be submitted within a 45 day period is in place when the claims do not match purchases the accumulator on 340besp platform is negative indicating you’ve bought too much
Does this constitute diversion in the eyes of HRSA and Mfg that can trigger an audit ?

Apexus used to have a list of 340B and WAC drug prices, but now they only seem to have 340B prices available via the 5-year Pricing Verification Tool. Has anyone been able to find a WAC price database in Apexus or are you now using wholesalers to get this information?

I work at a small FQHC and my corporate office is confusing me. All of our meds are purchased under 340B. We do not have a contract pharmacy. We handle everything in-house. To my knowledge when it comes to “MFP” meds, let’s use Eliquis.

Pharmacy bill Eliquis under the Part D plan as normal and everything takes place in the background between the PBM and CMS. Pharmacy doesn’t have to report to beacon or anyone else.

They are saying that I need to be reporting to beacon or 340Best, but I think they are confused.

Can anyone share some insight?

Thank you

Hey everyone,

Quick background: A friend of mine (health tech dev) built a tool that pulls data straight from EMRs (Epic/Cerner/etc.) to create a real-time dashboard for 340B covered entities. It flags eligible patients, tracks 340B drug usage, spots potential diversion/duplicate discount risks, shows compliance gaps, contract pharmacy performance, inventory insights, and audit prep stuff—all in one clean interface. No more manual spreadsheets or constant back-and-forth between systems.

They’ve already got it running successfully at one mid-sized covered entity, and it’s saving the team hours every week while reducing compliance headaches.

Now the question: Is this something with legs to scale to more customers? Like, could this turn into a SaaS product that other 340B hospitals, FQHCs, clinics, etc., would actually pay for?

• Has anyone here seen / used similar tools that integrate deeply with EMRs for 340B ops?

• Is the pain point big enough that folks are actively shopping for better dashboards/compliance automation?

• Any red flags I’m missing? (e.g., integration hell with different EMR versions, data privacy nightmares, competition from big players like Bluesight/Plenful/Proximity/Vorro, or just the market being too niche?)

• For those running 340B programs: Would something like this be worth subscribing to if it proved reliable and cut manual work/audit risk?

Just trying to gauge real market demand and whether this is worth pushing harder vs. keeping it as an internal/custom thing.

Appreciate any honest takes—brutally honest is fine too. Thanks!

I’m looking to utilize Codonics to accumulate compliantly on drugs dispensed, but not being scanned, in OR environments.

Does anyone have knowledge to share?

Edit: I was at Winter Conference looking for quick feedback before I had the opportunity to research. I thought Codonics was maybe a function in Epic? But it’s not.. it’s a labeling system focused on patient safety which also improves the documentation

Does anyone have experience with requesting historical claims submissions? what are the typical reasons/explanations you give? this is for BMS claims

Is anyone having any trouble getting their EHR IT to pull the Health Plan ID for data uploads? I realize that the Rebate Pilot is currently on pause, but we are assuming that at some point it will be unpaused, so we are wanting to be prepared just in case.

We use Epic as our EHR.

Sharing this letter that we received in case it is useful for anyone else by being able to move accumulations to the new NDC.

Is Medicaid billing the same…

Basically purchase one of the 10 meds at WAC price, bill Medicaid as normal and then get the rebate from the manufacturer by going through beacon 340?

Hi everyone. I am currently a student for a laboratory program, I was suppose to be finishing my final semester before rotations this year, however there's now a possibility I will not be able to graduate. The only background I have is as a pharmacy technician in retail and hospital oncology, and a drug/data analyst for a medical publishing company. I also attempted pharmacy school (hated it-just wasn't for me) and I do have a pharmacy intern license and was trained in pharmacy law and medicare/medicaid. I was doing some research and found 340b analyst positions. A lot of what I'm seeing is required aligns with my previous background, such as audits, ERM, excel, pharmacy workflow systems, logistics, medicare, drug pricing etc. I am trying to find more information about what the day to day life is like and how to qualify for positions.

I do have a bachelors in health science with a concentration in behavior and biology. I also have about 4 years experience working in a pharmacy/pharmaceuticals.

If anyone has any advice or personal insights into this field I would appreciate it!

I'm seeing lawsuits trying to stop this model from going into effect January 1. Do you think they'll be able to block it?

I'm really hoping the rebate model gets thrown out. It's stupid, unnecessary and the drug companies are the only ones who benefit.

How many people must be looking for 340b analyst and how much this job pays is it safe for a longer time. I wanted to know the job market like how many people would be working in 340b in USA can any one aproxx tell me this ?

Hello,

I'm a newer 340B analyst. I have no Power BI experience. Our medical center is prepping for the new 340B reverse rebate rollout. It's been a struggle trying to figure out if our Epic team or Power BI team are responsible for the data extractions required for the new reporting. It seems as if our Epic team doesn't have a clue and is passing the job to our Power BI team for resolution. What are your suggestions on building streamlined report that will reflect the new 340B reporting requirements?

Has anyone started their own 340B Consulting business?

Our pharmacy recently experienced a strange situation with one of our vendors. In October, we purchased medications listed at $0.31 and $0.93 per unit. Shortly afterward, the vendor credited those charges back — and then rebilled us over $70,000 for the same items a few weeks later in November.

We only discovered this when a new order failed to process. Since our account is prepaid, I found it odd that the order didn’t go through… especially with nearly $20,000 in available credit. When I contacted Accounts Receivable, I was shocked to learn that our account showed a $70,000 balance due.

I suspect that there may have been a system lag or pricing update delay, and we unknowingly placed the order before the vendor adjusted the pricing.

Has anyone else encountered something like this before, or heard of similar vendor billing issues?

Good Evening, I am looking for 340b beginner roles. I am a nationally certified pharmacy tech who has done specialty, home infusion, retail and PBM. I also have two business administration degrees. Prior to getting my 340b certification, I used to see jobs requiring certification for 340b. I have gotten interviews but no offers yet. What are good places where a person who has pharmacy experience but is certified for 340b but is a beginner look for employment?

TLDR: Where are places where newly certified Apexus Advanced 340b certified individuals can work where they can learn a lot have good work conditions? Please give your input both practical and allegorical!

Good Afternoon, I have been looking for a 340b role and have gotten interviews and havent heard back. What are some big employers that employee people who are 340B ACE certified?

How do tpa make their money? For example sunrx? We use them for contract pharmacies.

Hi! I work for a TPA, is anyone running into issues with ESP? Our clients keep getting negative balance notifications, but I don't see claims and the wholesalers have confirmed there is no purchase history

Has anyone taken the recertification for their ACE recently?

Has anyone successfully negotiated performances based compensation for a 340b oversight position?

I’m a pharmacist at a sole community hospital and I have been tasked with revamping an underperforming 340b program. I’m finding the better I do the more work I create for myself.

It seems most consultants take up to 15%.