The javascript used on this site for creative design effects is not supported by your browser. Please note that this will not affect access to the content on this web site.
Skip Navigation
H H S Department of Health and Human Services
Health Resources and Services Administration
Health Resources and Services Administration

A-Z Index  |  Questions? 

  • Print this
  • Email this

Program Integrity: FY12 Audit Results

Updated 06/26/15. The results chart includes audits where 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.

Results posted for (51) audits.

A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z

Access Community Health Network (IL)

340 ID: CH051750

OPA Findings:

    1. Diversion – 340B drug dispensed to non-patient at contract pharmacy.

Sanctions: Repayment to manufacturers.

Corrective Action: Public Letter to Manufacturers (PDF - 42 KB) Audit closure date: May 7, 2015

Back to top

Charlotte County Health Department (FL)

340 ID: TB339507, FP339509, FP339524, FP342248

OPA Findings:

    1. Incorrect 340B database record – Incorrect Authorizing Official;
    2. Duplicate discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File.

Sanctions: Repayment to manufacturers.

Corrective Action: Public Letter to Manufacturers (PDF - 42 KB)

Back to top

Children’s Healthcare of Atlanta at Egleston (GA)

340 ID: PED113300-00

OPA Findings: No adverse findings.

Sanctions: None.

Corrective Action: N/A

Back to top

CHC of Snohomish County (WA)

340 ID: CH10228B

OPA Findings:

  1. Incorrect 340B database record – Incorrect entries for primary office location and contact information.
  2. Duplicate discounts – Entity was billing Medicaid contrary to information contained in the Medicaid Exclusion File.

Sanctions: Repayment to manufacturers.

Corrective Action: 

  • Database entries corrected; 340B Program policies and procedures revised to address routine review of 340B Program database.
  • Public letter to manufacturers (PDF - 27 KB)
  • Audit closure date: August 14, 2014

Back to top

Community Healthcare Network (NY)

340 ID: CH021630

OPA Findings: Diversion – 340B drug dispensed to non-patient at contract pharmacy.

Sanctions: Repayment to manufacturers.

Corrective Action: 

Back to top

Crouse Hospital (NY)

340 ID: DSH330203

OPA Findings: Diversion – 340B drug dispensed to inpatient; 340B drug dispensed to non-patient at contract pharmacy.

Sanctions: Repayment to manufacturers.

Corrective Action: Public letter to manufacturers (PDF - 38 KB) 

Back to top

Denver Health Medical Center (CO)

340 ID: DSH060011

OPA Findings: No adverse findings.

Sanctions: None.

Corrective Action: N/A

Back to top

El Centro Del Barrio, Inc. dba CentroMed (TX)

340 ID: CH063250

OPA Findings: Incorrect 340B database record – Closed outpatient facilities remained registered on the 340B database; incorrect name listed for an outpatient facility.

Sanctions: None.

Corrective Action: 

  • Database entries corrected; 340B Program policies and procedures revised to address routine review of 340B Program database;
  • Audit closure date: December 26, 2013

Back to top

Faulkner County Health Unit (AR)

340 ID: FP720337

OPA Findings: No adverse findings.

Sanctions: None.

Corrective Action: N/A

Back to top

Fort Logan Hospital (KY)

340 ID: CAH181315-00

OPA Findings: No adverse findings.

Sanctions: None.

Corrective Action: N/A

Back to top

Freeman Health System (MO)

340 ID: DSH260137

OPA Findings:

  1. Incorrect 340B database record – Pharmacy incorrectly registered as child site;
  2. Diversion – 340B drugs dispensed for prescriptions written at ineligible sites; 340B drugs dispensed to non-patients at contract pharmacies.

Sanctions: Repayment to manufacturers.

Corrective Action:

  • Database entries corrected; 340B Program policies and procedures revised to address routine review of 340B Program database.
  • Public Letter to Manufacturers (PDF - 60 KB)

Back to top

Froedtert Memorial Lutheran Hospital (WI)

340 ID: DSH520177

OPA Findings: No adverse findings.

Sanctions: None.

Corrective Action: N/A

Back to top

Good Shepherd Medical Center (TX)

340 ID: DSH450037

OPA Findings: No adverse findings.

Sanctions: None.

Corrective Action: N/A

Back to top

Gordon County Health Department (GA)

340 ID: STD30701

OPA Findings: No adverse findings.

Sanctions: None.

Corrective Action: N/A

Back to top

Helen Keller Hospital (AL)

340 ID: DSH010019

OPA Findings: No adverse findings.

Sanctions: None.

Corrective Action: N/A

Back to top

Houston Medical Center (GA)

340 ID: DSH110069

OPA Findings:

  1. Incorrect 340B database record – Incorrect entry for Authorizing Official listed for child sites.
  2. Duplicate discounts – Entity was billing Medicaid contrary to information contained in the Medicaid Exclusion File.

Sanctions: Repayment to manufacturers.

Corrective Action:

  • Database entries corrected; 340B Program policies and procedures revised to address routine review of 340B Program database.
  • Public letter to manufacturers (PDF - 70 KB)
  • Audit closure date: May 11, 2015

Back to top

Immanuel Medical Center (NE)

340 ID: DSH280081

OPA Findings:

  1. Diversion – 340B drug dispensed to non-patient at contract pharmacy.\
  2. Duplicate discounts – Entity was billing Medicaid contrary to information contained in the Medicaid Exclusion File; Additionally, 340B drugs dispensed to Medicaid patients by contract pharmacy, absent arrangement to prevent duplicate discounts.

Sanctions: Repayment to manufacturers.

Corrective Action:

Back to top

Jewish Hospital and St. Mary’s Healthcare (JHSMH) (KY)

340 ID: DSH180040

OPA Findings:

  1. Incorrect 340B database record – Entity was shipping 340B drugs to a pharmacy not listed on the 340B database; an outpatient facility of the hospital was not listed on the 340B database.
  2. Duplicate discounts – Claims submitted without state required NPI numbers.

Sanctions: Repayment to manufacturers.

Corrective Action:

  • Database entries corrected; 340B Program policies and procedures revised to address routine review of 340B Program database.
  • Public letter to manufacturers (PDF - 45 KB)
  • Audit closure date: October 7, 2014

Back to top

Kingman Regional Medical Center (AZ)

340 ID: DSH030055

OPA Findings:

  1. Diversion – 340B drug dispensed for prescription written at ineligible site by ineligible provider.
  2. Duplicate discounts – 340B drugs dispensed to Medicaid patients by contract pharmacy, absent arrangement to prevent duplicate discounts.

Sanctions: Repayment to manufacturers.

Corrective Action:

Back to top

Lone Star Circle of Care (formerly Georgetown Community Clinic) (TX)

340 ID: CH0619490

OPA Findings: No adverse findings.

Sanctions: None.

Corrective Action: N/A

Back to top

Lucile Packard Children’s Hospital (CA)

340 ID: PED053305-00

OPA Findings:

  1. Diversion – 340B drugs dispensed to ineligible individuals.
  2. Duplicate discounts – Medicaid claims incorrectly coded when provided to the state.

Sanctions: Repayment to manufacturers.

Corrective Action: Public letter to manufacturers (PDF - 41 KB)

Back to top

Magee-Womens Hospital of UPMC Health System (PA)

340 ID: DSH390114

OPA Findings: No adverse findings.

Sanctions: None.

Corrective Action: N/A

Back to top

McIntosh County Health Department (GA)

340 ID: TB31305

OPA Findings: No adverse findings.

Sanctions: None.

Corrective Action: N/A

Back to top

Mercy Hospital and Medical Center (IL)

340 ID: DSH140158

OPA Findings:

  1. Incorrect 340B database record – Closed outpatient facilities remained registered on the 340B database.

Sanctions: None.

Corrective Action:

  • Database entries corrected; 340B Program policies and procedures revised to address routine review of 340B Program database.
  • Audit closure date: July 18, 2013

Back to top

Methodist Hospital of Southern California (CA)

340 ID: DSH050238

OPA Findings: Duplicate discounts – Claims submitted without state required UD modifier.

Sanctions: Repayment to manufacturers.

Corrective Action: Public letter to manufacturers (PDF - 10 KB)

Back to top

Metropolitan Hospital (MI)

340 ID: DSH230236

OPA Findings: No adverse findings.

Sanctions: None.

Corrective Action: N/A

Back to top

Monroe County Medical Center (KY)

340 ID: DSH180105

OPA Findings: Diversion – 340B drug dispensed for prescription written by ineligible provider.

Sanctions: Repayment to manufacturers.

Corrective Action: 

Back to top

New Hanover Regional Medical Center (NC)

340 ID: DSH340141

OPA Findings: Duplicate discounts - Entity was billing Medicaid contrary to information contained in the Medicaid Exclusion File.

Sanctions: To be determined.

Corrective Action: 

Back to top

Pecos County Memorial Hospital (TX)

340 ID: DSH450178

OPA Findings: No adverse findings.

Sanctions: None.

Corrective Action: N/A

Back to top

Planned Parenthood of Northern New England (VT)

340 ID: STD05495

OPA Findings: No adverse findings.

Sanctions: None.

Corrective Action: N/A

Back to top

Planned Parenthood of Western Pennsylvania, Inc. (PA)

340 ID: FP155015

OPA Findings: Duplicate discounts – Medicaid Provider Numbers for two sites were incorrect on the Medicaid Exclusion File.

Sanctions: Repayment to manufacturers.

Corrective Action: 

Back to top

Presbyterian Hospital (NM)

340 ID: DSH320021

OPA Findings:

  1. Diversion –340B drug dispensed for prescription written at ineligible site; 340B drug dispensed not supported by a medical record; 340B drugs dispensed to non-patients at contract pharmacy for prescriptions written by ineligible providers;
  2. Duplicate discounts – Claims submitted without state required UD modifier.

Sanctions: Repayment to manufacturers.

Corrective Action: Public Letter to Manufacturers (PDF - 45 KB)

Back to top

Primary Health Services Center (LA)

340 ID: CH068480

OPA Findings:

  1. Incorrect 340B database record –Parent location listed on the 340B database was closed; incorrect address for a sub-grantee clinic site.
  2. Duplicate discounts – Entity was billing Medicaid contrary to information contained in the Medicaid Exclusion File

Sanctions: None.

Corrective Action:

  • Database entries corrected; 340B Program policies and procedures revised to address routine review of 340B Program database.
  • Medicaid Exclusion File entry corrected; Internal audit conducted by the covered entity and communication with State Medicaid Agency concluded that duplicate discounts did not occur as a result of the finding; 340B
  • Program policies and procedures revised to address routine review of Medicaid Exclusion File.
  • Public letter to manufacturers (PDF - 46 KB)
  • Audit closure date: November 29, 2013

Back to top

Providence Health and Services – Washington Providence Centralia (WA)

340 ID: DSH500019

OPA Findings: No adverse findings.

Sanctions: None.

Corrective Action: N/A

Back to top

Riverside Medical Center (IL)

340 ID: DSH140186

OPA Findings: No adverse findings.

Sanctions: None.

Corrective Action: N/A

Back to top

Robeson Health Care Corporation (NC)

340 ID: CH049000A

OPA Findings:

  1. Incorrect 340B database record - Closed outpatient facilities remained registered on the 340B database;
  2. Diversion – 340B drug dispensed to non-patient at contract pharmacy;
  3. Duplicate discount – Entity billed Medicaid for a patient at a contract pharmacy contrary to information contained in the Medicaid

Sanctions: Repayment to manufacturers.

Corrective Action:

  • Database entry corrected; 340B Program policies and procedures revised to address routine review of 340B Program database.
  • Public letter to manufacturers (PDF - 13 KB)

Back to top

Rutherford County Health Department (NC)

340 ID: STD28160, FP281604, TB28160

OPA Findings: Incorrect 340B database record – Entity was using a contract pharmacy not listed on the 340B database even though there was a written contract in place.

Sanctions: None.

Corrective Action: 

  • Database entry corrected; 340B Program policies and procedures revised to address contract pharmacy registration and routine review of 340B Program database.
  • Audit closure date: November 29, 2013

Back to top

Scott and White Memorial Hospital (TX)

340 ID: DSH450054

OPA Findings: 

  1. Incorrect 340B database record - Site inappropriately listed on 340B database.
  2. Diversion – 340B drugs dispensed to inpatients.
  3. Duplicate discounts – Entity was billing Medicaid contrary to information contained in the Medicaid Exclusion File.

Sanctions: Repayment to manufacturers.

Corrective Action:

  • Database entry corrected; 340B Program policies and procedures revised to address routine review of 340B Program database.
  • Public letter to manufacturers (PDF - 64 KB)

Back to top

Shands Jacksonville Medical Center (FL)

340 ID: DSH100001

OPA Findings: No adverse findings.

Sanctions: None.

Corrective Action: N/A

Back to top

Spartanburg Regional Health Services District, Inc. (SC)

340 ID: HV00818

OPA Findings: Diversion – 340B drug dispensed for prescription written at ineligible site by ineligible provider.

Sanctions: Repayment to manufacturers.

Corrective Action: 

Back to top

St. Charles Health Council/Stone Mountain Health Services (VA)

340 ID: CH030740

OPA Findings:

  1. Incorrect 340B database record – Closed sites inappropriately listed on 340B database; no written contract in place for contract pharmacy listed.
  2. Duplicate discounts – Entity was billing Medicaid contrary to information contained in the Medicaid Exclusion File; Additionally, claims submitted without state required modifier.

Sanctions: To be determined.

Corrective Action:

  • Database entries corrected; Contract pharmacy removed from database; 340B Program policies and procedures revised to address routine review of 340B Program database.
  • Public Letter to Manufacturers (PDF - 21 KB)
  • Audit closure date: April 27, 2015

Back to top

St. Luke’s Hospital of Kansas City (MO)

340 ID: DSH260138

OPA Findings: Incorrect 340B database record – Registered contract pharmacies without written contract in place.

Sanctions: None.

Corrective Action:

  • Contract executed; no 340B activity at contract pharmacies prior to execution of contract; 340B Program policies and procedures revised to address contract pharmacy registration.
  • Audit closure date: November 29, 2013

Back to top

St. Luke’s Regional Medical Center, Ltd. (ID)

340 ID: DSH130006

OPA Findings: Diversion – 340B drugs dispensed to inpatients.

Sanctions: Repayment to manufacturers.

Corrective Action: Public letter to manufacturers (PDF - 21 KB)

Back to top

St. Vincent Infirmary (AR)

340 ID: DSH040007

OPA Findings: Diversion – 340B drugs dispensed to ineligible individuals.

Sanctions: Repayment to manufacturers.

Corrective Action: Public letter to manufacturers (PDF - 39 KB)

Back to top

Swedish Covenant Hospital (IL)

340 ID: DSH140114

OPA Findings:

  1. Incorrect 340B database record –Contract pharmacies registered but entity has terminated its contract.
  2. Diversion – 340B drugs dispensed to non-patients at contract pharmacy.

Sanctions: Repayment to manufacturers.

Corrective Action:

  • Contract pharmacies removed from database; 340B Program policies and procedures revised to address routine review of 340B Program database.
  • Public letter to manufacturers (PDF - 57 KB)
  • Audit closure date: September 5, 2014

Back to top

Travis County Health Care District Central Texas Community Health Centers (TX)

340 ID: CHC11298-00

OPA Findings: Duplicate discounts – Offsite outpatient facilities incorrectly listed on Medicaid Exclusion File.  

Sanctions: None.

Corrective Action:

  • Medicaid Exclusion File corrected; 340B Program policies and procedures revised to address routine review of 340B Program database.  It was determined that duplicate discounts did not occur as a result of the finding.
  • Audit closure date: June 26, 2013

Back to top

University of Louisville Hospital (KY)

340 ID: DSH180141

OPA Findings: No adverse findings.

Sanctions: None.

Corrective Action: N/A

Back to top

University of Miami Hospital and Clinics (FL)

340 ID: CAN100079-00

OPA Findings: Incorrect 340B database record – incorrect entry for primary contact.

Sanctions: None.

Corrective Action:

  • Database entry corrected; 340B Program policies and procedures revised to address routine validation of 340B Program database.
  • Audit closure date: March 28, 2013.

Back to top

Wheaton Franciscan Healthcare – All Saints (WI)

340 ID: DSH520096

OPA Findings: No adverse findings.

Sanctions: None.

Corrective Action: N/A

Back to top

White Memorial Medical Center (CA)

340 ID: DSH050103

OPA Findings: Duplicate discounts - Entity was billing Medicaid contrary to information contained in the Medicaid Exclusion File.

Sanctions: Repayment to manufacturers.

Corrective Action:

Back to top

WomenCare, Inc. dba FamilyCare (WV)

340 ID: CH038440

OPA Findings: 

  1. Diversion – 340B drugs dispensed to non-patient at a contract pharmacy;
  2. Duplicate discounts – Entity was billing Medicaid contrary to information contained in the Medicaid Exclusion File.

Sanctions: Repayment to manufacturers.

Corrective Action: Public letter to manufacturers (PDF - 534 KB)