Program Integrity: FY25 Audit Results

Updated 1/27/26. 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.

Results posted for 96 audits.
Entity Sort descending 340B ID State OPA Findings Sanction Corrective Action Status
AdventHealth Ocala RRC100062-00 FL

No adverse findings

None

N/A

Audit closure date: June 27, 2025

AIDS Action Coalition of Huntsville CHC33642-00 AL

Incorrect 340B OPAIS record – Failed to remove duplicate registrations of a contract pharmacy from 340B OPAIS; Incorrect entry in 340B OPAIS for grant associated site name; Failed to remove a contract pharmacy from 340B OPAIS that was registered in error.

None

Pending

ARH Tug Valley Health Services, Inc. dba Paintsville ARH Hospital DSH180078 KY

No adverse findings

None

N/A

Audit closure date: July 28, 2025

Ascension St. John Hospital dba Henry Ford St. John Hospital DSH230165 MI

No adverse findings

None

N/A

Audit closure date: September 25, 2025

Atrium Medical Center DSH360076 OH

No adverse findings

None

N/A

Audit closure date: July 17, 2025

Ballinger Memorial Hospital CAH451310-00 TX

No adverse findings

None

N/A

Audit closure date: May 22, 2025

Banner - University Medical Center Phoenix DSH030002 AZ

Duplicate Discounts – Inaccurate or incomplete information on the HRSA Medicaid Exclusion File.

Repayment to manufacturers

Pending

Banner Estrella Medical Center DSH030115 AZ

No adverse findings

None

N/A

Audit closure date: July 8, 2025

Banner Thunderbird Medical Center DSH030089 AZ

Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for EIN and shipping address.

None

Pending

Baptist Health Paducah RRC180104-00 KY

No adverse findings

None

N/A

Audit closure date: December 12, 2025

Baptist Health Richmond DSH180049 KY

No adverse findings

None

N/A

Audit closure date: June 27, 2025

Baptist Medical Center DSH100088 FL

No adverse findings

None

N/A

Audit closure date: December 12, 2025

Baptist Memorial Hospital - Crittenden, Inc. DSH040156 AR

No adverse findings

None

N/A

Audit closure date: September 8, 2025

Baxter Regional Medical Center RRC040027-00 AR

Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File.

Repayment to manufacturers

Pending

Bellevue Hospital Center (NYCHHC) DSH330204 NY

No adverse findings

None

N/A

Audit closure date: May 9, 2025

Bucyrus Community Hospital CAH361316-00 OH

Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period; Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS; Failed to remove closed contract pharmacy from 340B OPAIS.

Termination of contract pharmacy from 340B Program*

Pending

Cameron Memorial Community Hospital CAH151315-00 IN

No adverse findings

None

N/A

Audit closure date: April 7, 2025

Christus Spohn Hospital Kleberg DSH450163 TX

Diversion – 340B drugs dispensed at contract pharmacy for prescription written at ineligible sites.

Duplicate Discounts – Inaccurate or incomplete information on the HRSA Medicaid Exclusion File.

Repayment to manufacturers

Pending

Clearwater Valley Hospital CAH131320-00 ID

No adverse findings

None

N/A

Audit closure date: November 21, 2025

Cleveland Clinic Mercy Hospital RRC360070-00 OH

No adverse findings

None

N/A

Audit closure date: May 5, 2025

Clifton Springs Hospital DSH330265 NY

Incorrect 340B OPAIS record – Offsite outpatient facility was not listed in 340B OPAIS.

None

Pending

Community Health and Emergency Services, Inc. CHC00680-00 IL

Incorrect 340B OPAIS record – Failed to remove closed contract pharmacies from 340B OPAIS; Registered contract pharmacies that did not have a written contract in place.

Termination of contract pharmacies from 340B Program

Pending

Franciscan Health Michigan City DSH150015 IN

Incorrect 340B OPAIS record – Entity improperly registered contract pharmacies as shipping addresses in 340B OPAIS.

None

Pending

George E. Weems Memorial Hospital CAH101305-00 FL

No adverse findings

None

N/A

Audit closure date: May 9, 2025

Graceville Health Center CAH241321-00 MN

No adverse findings

None

N/A

Audit closure date: December 12, 2025

Great Plains of Ellinwood, Inc. CAH171301-00 KS

No adverse findings

None

N/A

Audit closure date: May 15, 2025

Hamilton Memorial Hospital District CAH141326-00 IL

Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period.

Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites.

Repayment to manufacturers

Pending

Hermann Area Hospital District CAH261314-00 MO

No adverse findings

None

N/A

Audit closure date: September 12, 2025

High Point Regional Health DSH340004 NC

No adverse findings

None

N/A

Audit closure date: April 10, 2025

Holy Redeemer Hospital DSH390097 PA

Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for hospital classification.

Diversion – 340B drugs dispensed at covered entity for prescriptions written at ineligible sites.

Repayment to manufacturers

Pending

Hope Family Health Services CHC24109-00 TN

No adverse findings

None

N/A

Audit closure date: May 29, 2025

Hospital Service District No. 1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System DSH190008 LA

Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites.

Duplicate Discounts – Inaccurate or incomplete information on the HRSA Medicaid Exclusion File.

Repayment to manufacturers

Pending

Huerfano County Hospital District dba Spanish Peaks Regional Health CAH061316-00 CO

No adverse findings

None

N/A

Audit closure date: July 23, 2025

Jamaica Hospital Medical Center DSH330014 NY

Duplicate Discounts – Inaccurate or incomplete information on the HRSA Medicaid Exclusion File.

Repayment to manufacturers

Pending

John Fitzgibbon Memorial Hospital DSH260142 MO

Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period.

None

Pending

Kauai Veterans Memorial Hospital CAH121300-00 HI

No adverse findings

None

N/A

Audit closure date: November 21, 2025

Kimball County Hospital dba Kimball Health CAH281305-00 NE

No adverse findings

None

N/A

Audit closure date: July 7, 2025

Ladd Memorial Hospital dba Osceola Medical Center CAH521318-00 WI

Diversion – 340B drug dispensed to inpatient.

Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File.

Repayment to manufacturers

Pending

Laird Hospital, Inc. CAH251322-00 MS

Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for control type.

None

Pending

Livingston Community Health CH091963A CA

Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for addresses, name, and site ID for grant associated sites; Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS; Registered a contract pharmacy that did not have a written contract in place; A shipping address was not listed in 340B OPAIS.

Duplicate Discounts – Inaccurate or incomplete information on the HRSA Medicaid Exclusion File; Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File.

Repayment to manufacturers

Termination of contract pharmacies from 340B Program*

Pending

Lucas County Health Center CAH161341-00 IA

Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period.

None

Pending

Lutheran Hospital DSH360087 OH

No adverse findings

None

N/A

Audit closure date: August 7, 2025

McLaren Macomb RRC230227-00 MI

Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites.  

Repayment to manufacturers

Pending

Memorial Community Hospital CAH281359-00 NE

Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date.

None

Pending

Mercy Health - Regional Medical Center LLC DSH360172 OH

No adverse findings

None

N/A

Audit closure date: August 12, 2025

Mercy Health – Urbana Hospital CAH361312-00 OH

No adverse findings

None

N/A

Audit closure date: May 27, 2025

Mercy Medical Center New Hampton CAH161331-00 IA

No adverse findings

None

N/A

Audit closure date: July 10, 2025

Meridian Services Corp. CHC26567-00 IN

Diversion – 340B drugs dispensed at covered entity for prescriptions written at ineligible sites.

Repayment to manufacturers

Pending

Millinocket Regional Hospital CAH201307-00 ME

Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Primary Contact and for Medicare Cost Report filing date and cost reporting period; Failed to remove closed offsite outpatient facility from 340B OPAIS; Failed to remove terminated contract pharmacies from 340B OPAIS.

Diversion – 340B drug dispensed for prescription written at ineligible site.  

Duplicate Discounts – Inaccurate or incomplete information on the HRSA Medicaid Exclusion File.

Termination of offsite outpatient facility from 340B Program*

Repayment to manufacturers

Pending

Munson Healthcare Cadillac Hospital DSH230081 MI

No adverse findings

None

N/A

Audit closure date: December 19, 2025

MUSC Health Marion Medical Center DSH420055 SC

Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period.

None

Pending

MyMichigan Medical Center Alpena DSH230036 MI

No adverse findings

None

N/A

Audit closure date: May 19, 2025

N Penn Comprehensive Health Services CH031220 PA

Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for offsite outpatient facilities names; Ineligible grant associated site registered on 340B OPAIS; Failed to remove terminated contract pharmacies from 340B OPAIS.

Termination of ineligible grant associated site from the 340B Program.  

Termination of contract pharmacies from 340B Program

Pending

New London Hospital Association, Inc., The CAH301304-00 NH

Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed in 340B OPAIS; Entity improperly listed retail pharmacy as shipping address in 340B OPAIS; Incorrect entries in 340B OPAIS for shipping addresses.

None

Pending

New York-Presbyterian Hospital DSH330101 NY

No adverse findings

None

N/A

Audit closure date: May 15, 2025

Northeast Alabama Regional Med Ctr DSH010078 AL

No adverse findings

None

N/A

Audit closure date: April 2, 2025

Northwestern Medical Center, Inc. SCH470024-00 VT

No adverse findings

None

N/A

Audit closure date: April 2, 2025

OSF Saint Luke Medical Center CAH141325-00 IL

No adverse findings

None

N/A

Audit closure date: May 13, 2025

Our Lady of The Angels Hospital DSH190312 LA

Incorrect 340B OPAIS record – Failed to remove contract pharmacies from 340B OPAIS that did not have a written contract in place.

Termination of contract pharmacy from 340B Program*

Pending

Parkview Hospital CAH451334-00 TX

Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date.

Diversion – 340B drugs dispensed at contract pharmacy for prescriptions written at ineligible sites.

Repayment to manufacturers

Pending

Plumas District Hospital CAH CAH051326-00 CA

Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed in 340B OPAIS.

None

Pending

Primary Care Medical Services of Poinciana, Inc. CH041899B FL

No adverse findings

None

N/A

Audit closure date: May 22, 2025

Prisma Health Greenville Memorial Hospital DSH420078 SC

Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for shipping addresses.

Duplicate Discounts – Inaccurate or incomplete information on the HRSA Medicaid Exclusion File.

Repayment to manufacturers

Pending

Queens Hospital Center (NYCHHC) DSH330231 NY

No adverse findings

None

N/A

Audit closure date: June 27, 2025

Reeves County Hospital District CAH451377-00 TX

Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Authorizing Official phone number and Primary Contact phone number.

Diversion – 340B drug dispensed at contract pharmacy for prescription written at ineligible site.

Duplicate Discounts – Inaccurate or incomplete information on the HRSA Medicaid Exclusion File.

Repayment to manufacturers

Pending

Salem Health DSH380051 OR

No adverse findings

None

N/A

Audit closure date: July 7, 2025

Samaritan Medical Center DSH330157 NY

Duplicate Discounts – Inaccurate or incomplete information on the HRSA Medicaid Exclusion File.

None

CAP implemented

State Medicaid has since determined duplicate discounts did not occur.

Audit closure date: September 8, 2025

San Juan Health Services District CAH461308-00 UT

No adverse findings

None

N/A

Audit closure date: August 21, 2025

Santa Fe Medical Center DSH320090 NM

No adverse findings

None

N/A

Audit closure date: August 1, 2025

South Peninsula Hospital CAH021313-00 AK

Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for hospital classification.

Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding.

Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding.

None

Pending

St. Bernards Hospital, Inc. dba St. Bernards Medical Center DSH040020 AR

Incorrect 340B OPAIS record – Failed to remove terminated contract pharmacy from 340B OPAIS.

Incorrect 340B OPAIS record - Failed to remove a contract pharmacy from 340B OPAIS that was registered in error.

Incorrect 340B OPAIS record – Offsite outpatient facility was not listed in 340B OPAIS.

Duplicate Discounts – Inaccurate or incomplete information on the HRSA Medicaid Exclusion File.

Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File.

Duplicate Discounts – Entity’s contract pharmacy was billing Medicaid without notification to HRSA.

Repayment to manufacturers

Pending

St. Charles Parish Hospital DSH190079 LA

No adverse findings

None

N/A

Audit closure date: July 15, 2025

St. Joseph Hospital of Orange DSH050069 CA

No adverse findings

None

N/A

Audit closure date: June 5, 2025

St. Joseph's Hospital Health Center RRC330140-00 NY

Incorrect 340B OPAIS record – Failed to remove contract pharmacies from 340B OPAIS that did not have a written contract in place; Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS.

Termination of contract pharmacies from 340B Program*

CAP approved

St. Mary’s Hospital RRC490059-00 VA

No adverse findings

None

N/A

Audit closure date: July 7, 2025

St. Rita’s Medical Center LLC RRC360066-00 OH

No adverse findings

None

N/A

Audit closure date: July 17, 2025

St. Vincent’s Blount CAH011305-00 AL

Incorrect 340B OPAIS record – Entity improperly listed retail pharmacy as shipping address in 340B OPAIS.

Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding.

None

Pending

Sunset Community Health Center CH090130 AZ

Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for name for offsite outpatient facility.

Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding.

None

Pending

Syracuse Community Health Center, Inc. CH020160 NY

Incorrect 340B OPAIS record – Failed to remove closed grant associated site from 340B OPAIS; Incorrect entries in 340B OPAIS for grant associated site names; Grant associated site was not listed in 340B OPAIS; Failed to remove contract pharmacy from 340B OPAIS that did not have a written contract in place.

Duplicate Discount – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File.

Repayment to manufacturers

Termination of grant associated site from 340B Program.

Termination of contract pharmacy from 340B Program*

Pending

Tarzana Medical Center LLC dba Providence Cedars Sinai Tarzana Medical Center DSH050761 CA

No adverse findings

None

N/A

Audit closure date: August 20, 2025

Tri-County Family Medicine Program, Inc. FQHCLA344 NY

No adverse findings

None

N/A

Audit closure date: April 7, 2025

Trinidad Area Health Association dba Mount San Rafael Hospital CAH061321-00 CO

Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File.

Repayment to manufacturers

Pending

Trinity Bettendorf DSH160104 IA

No adverse findings

None

N/A

Audit closure date: May 19, 2025

Turner House Clinic Inc. CHC33652-01 KS

Incorrect 340B OPAIS record – Grant associated sites were not listed in 340B OPAIS.

Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File; Inaccurate or incomplete information on the HRSA Medicaid Exclusion File.

Repayment to manufacturers

Pending

UCSD Medical Center DSH050025 CA

No adverse findings

None

N/A

Audit closure date: December 18, 2025

Union Community Care CHC00495-00 PA

Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for names, address, and shipping address for grant associated sites.

Duplicate Discounts – Inaccurate or incomplete information on the HRSA Medicaid Exclusion File.

Repayment to manufacturers

Pending

University of Kentucky DSH180067 KY

Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed in 340B OPAIS.

None

Pending

Upland Hills Health Inc. CAH521352-00 WI

No adverse findings

None

N/A

Audit closure date: July 31, 2025

UPMC Hamot DSH390063 PA

No adverse findings

None

N/A

Audit closure date: July 31, 2025

Walthall General Hospital CAH251324-00 MS

No adverse findings

None

N/A

Audit closure date: June 12, 2025

West Central Gastroenterology dba Gastro Florida, Gastro Florida Division 7 STD337812 FL

No adverse findings

None

N/A

Audit closure date: April 28, 2025

West Feliciana Parish Hospital CAH191306-00 LA

No adverse findings

None

N/A

Audit closure date: May 9, 2025

West Jefferson Holdings, LLC dba West Jefferson Medical Center DSH190039 LA

No adverse findings

None

N/A

Audit closure date: July 7, 2025

West Tennessee Healthcare Volunteer Hospital DSH440061 TN

No adverse findings

None

N/A

Audit closure date: April 7, 2025

Wills Memorial Hospital CAH111325-00 GA

Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File.

Repayment to manufacturers

Pending

Wyandot Memorial Hospital CAH361329-00 OH

Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for shipping addresses, Medicare Cost Report filing date; Offsite outpatient facilities were not listed in 340B OPAIS.

Diversion – 340B drugs dispensed at covered entity for prescriptions written at ineligible sites.

Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File.

Repayment to manufacturers

Pending

*Note: Covered entity self-terminated cited facilities prior to termination of facilities by OPA.

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