Updated 1/23/24. 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 | 340B ID | State Sort descending | OPA Findings | Sanction | Corrective Action Status |
---|---|---|---|---|---|
Athens-LimestoneContact InformationChief Financial Officer |
DSH010079 | AL |
Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: June 17, 2020 |
D. W. McMillan Memorial Hospital | DSH010099 | AL |
No adverse findings |
None |
N/A Audit closure date: January 17, 2019 |
University of Alabama Hospital | DSH010033 | AL |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None |
CAP implemented Audit closure date: August 27, 2019 |
Whatley Health Services, Inc.Contact InformationChief Executive Officer |
CH042450 | AL |
Incorrect 340B OPAIS record - Failed to remove closed locations registration; Failed to remove duplicate registration for offsite outpatient facility; Incorrect entry for address for offsite outpatient facility; Registered contract pharmacies without written contract in place. Diversion – 340B drugs dispensed at contract pharmacies, not supported by medical records; 340B drugs dispensed at entity for prescriptions written at ineligible sites. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File; Inaccurate or incomplete information on the Medicaid Exclusion File. |
Termination of contract pharmacies from 340B Program Repayment to manufacturers |
CAP implemented Audit closure date: March 3, 2020 |
John C. Lincoln Medical Center | DSH030014 | AZ |
No adverse findings |
None |
N/A Audit closure date: May 17, 2019 |
Winslow Memorial Hospital dba Little Colorado Medical CenterContact InformationAssistant Director of Pharmacy |
CAH031311-00 | AZ |
Incorrect 340B OPAIS record - Registered contract pharmacies without written contract in place prior to September 26, 2019. Diversion – 340B drug dispensed to inpatient; 340B drugs dispensed at entity for prescriptions written at ineligible sites. Duplicate discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: June 4, 2020 |
Arkansas Department of Health | FP722051 | AR |
Incorrect 340B OPAIS record – Incorrect entry for address for offsite outpatient facility. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
None |
CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: September 17, 2020 |
Baptist Health Medical Center – LR | DSH040114 | AR |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
None |
CAP implemented Audit closure date: June 9, 2020 State Medicaid has since determined duplicate discounts did not occur. |
Chambers Memorial HospitalContact Information340B Administrator, 479-495-6264 |
SCH040011-00 | AR |
Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: August 7, 2020 |
Piggott Community Hospital | CAH041330-00 | AR |
No adverse findings |
None |
N/A Audit closure date: May 16, 2019 |
White County Medical Center | DSH040014 | AR |
Incorrect 340B OPAIS record - Failed to remove closed location registrations |
None |
CAP implemented Audit closure date: December 18, 2019 |
Jefferson Regional Medical CenterContact Information340B Program Director |
DSH040071 | AR |
Incorrect 340B OPAIS record - Ineligible offsite outpatient facility registered on 340B OPAIS; Offsite outpatient facility was not listed on 340B OPAIS. Diversion - 340B drugs dispensed at covered entity and at contract pharmacy, prescribed by ineligible provider. Duplicate Discounts - Inaccurate or incomplete information on the Medicaid Exclusion File. |
Termination of ineligible offsite outpatient facility from the 340B Program. Repayment to affected manufacturers |
CAP approved |
Complete Care Community Health Center, Inc. | CHC28987-00 | CA |
No adverse findings |
None |
N/A Audit closure date: November 29, 2019 |
Davis Street Community Center Inc. | CHC28979-00 | CA |
Incorrect 340B OPAIS record – Incorrect entry for primary contact. |
None |
N/A Audit closure date: May 20, 2020 |
Golden Valley Health CentersContact InformationAccounting Manager, Primary Contact |
CH090470 | CA |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: May 18, 2020 |
Healdsburg District HospitalContact InformationChief Financial Officer |
CAH051321-00 | CA |
Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. Duplicate Discounts – Entity was billing Medicaid contrary to information included on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: March 26, 2020 |
Keck Hospital of USC | DSH050696 | CA |
Inaccurate or incomplete information on the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None |
CAP implemented Audit closure date: May 27, 2020 |
Kern Medical CenterContact InformationAssociate Director of Pharmacy |
DSH050315 | CA |
Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed on the 340B OPAIS. Diversion - 340B drug dispensed at entity for a prescription written at an ineligible site. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: September 30, 2020 |
Marshall Hospital | DSH050254 | CA |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
None |
CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: November 20, 2019 |
McCloud Healthcare Clinic, Inc | CHC24112-00 | CA |
Incorrect 340B OPAIS record -Registered contract pharmacies without written contract in place. |
Termination of contract pharmacies from 340B Program* |
CAP implemented May 27, 2020 |
Pediatric & Family Medical Center | CH0921340 | CA |
Inaccurate or incomplete information on the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None |
CAP implemented Audit closure date: October 8, 2020 |
Rancho Los Amigos National Rehabilitation Center | DSH050717 | CA |
Duplicate Discounts - Inaccurate or incomplete information on the Medicaid Exclusion File. |
None |
CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: September 18, 2019 |
San Bernardino Mountains Community Hospital District | CAH051312-00 | CA |
No adverse findings |
None |
N/A Audit closure date: August 27, 2019 |
Sierra View Medical Center | DSH050261 | CA |
Incorrect 340B OPAIS record - Incorrect entries for addresses for offsite outpatient facilities. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
None |
CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: March 26, 2020 |
St. Helena Hospital dba Adventist Health St. HelenaContact InformationDirector of Pharmacy |
DSH050013 | CA |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: November 13, 2020 |
St. Mary Medical CenterContact InformationDirector of Pharmacy |
DSH050191 | CA |
Inaccurate or incomplete information on the Medicaid Exclusion File. |
None |
CAP implemented Audit closure date: September 29, 2020 |
West Oakland Health Council, Inc.Contact InformationDirector of Pharmacy Services |
CH090540 | CA |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: May 6, 2020 |
Willits Hospital Inc., dba Adventist Health Howard Memorial | CAH051310-00 | CA |
No adverse findings |
None |
N/A Audit closure date: May 14, 2019 |
St. Mary Medical Center | DSH050300 | CA |
Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed on the 340B OPAIS; Incorrect entries for shipping address for offsite outpatient facilities. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
None |
CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: October 24, 2019 |
Exempla Saint Joseph Hospital | DSH060028 | CO |
No adverse findings |
None |
N/A Audit closure date: May 3, 2019 |
Lutheran Medical Center | DSH060009 | CO |
No adverse findings |
None |
N/A Audit closure date: October 7, 2019 |
Planned Parenthood of the Rocky Mountains, Inc. | STD80203 | CO |
No adverse findings |
None |
N/A Audit closure date: December 17, 2019 |
Southwest Memorial Hospital | CAH061327-00 | CO |
No adverse findings |
None |
N/A Audit closure date: January 8, 2020 |
Bridgeport Hospital | DSH070010 | CT |
No adverse findings |
None |
N/A Audit closure date: October 1, 2019 |
Hartford Hospital | DSH070025 | CT |
No adverse findings |
None |
N/A Audit closure date: August 7, 2019 |
Nanticoke Memorial Hospital | DSH080006 | DE |
No adverse findings |
None |
N/A Audit closure date: June 12, 2019 |
Baptist HealthContact InformationCorporate Director of Pharmacy |
DSH100093 | FL |
Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS. Diversion - 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers |
CAP implemented Audit closure date: September 23, 2020 |
CAN Community Health, Inc. | STD342372 | FL |
No adverse findings |
None |
N/A Audit closure date: January 7, 2020 |
DOH Okaloosa | FP325481 | FL |
Incorrect 340B OPAIS record – Incorrect entry for address for offsite outpatient facility. |
None |
CAP implemented Audit closure date: April 9, 2019 |
Metropolitan Charities, Inc. | STD33713 | FL |
No adverse findings |
None |
N/A Audit closure date: February 25, 2020 |
Orlando Health | DSH100006 | FL |
Incorrect 340B OPAIS record – Failed to remove duplicate registrations for offsite outpatient facilities. Failed to include repackaging location as a shipping address. |
None |
CAP implemented Audit closure date: April 29, 2020 |
Higgins General HospitalContact InformationDirector of Pharmacy |
CAH111320-00 | GA |
Diversion – 340B drug dispensed to inpatient. |
Repayment to manufacturers |
CAP implemented Audit closure date: May 12, 2020 |
Hospital Authority of Randolph County DBA Southwest Georgia Regional Medical CenterContact InformationChief Financial Officer |
CAH111300-00 | GA |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: March 27, 2020 |
Liberty Regional Medical Center | CAH111335-00 | GA |
No adverse findings |
None |
N/A Audit closure date: October 1, 2019 |
Northeast Georgia Medical CenterContact InformationDirector of Pharmacy |
RRC110029-00 | GA |
Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS; Incorrect entries for addresses for offsite outpatient facilities. Diversion – 340B drugs dispensed to inpatients Duplicate Discounts – Inaccurate or incomplete information in the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: May 25, 2021 |
Piedmont Henry Hospital, Inc. | DSH110191 | GA |
No adverse findings |
None |
N/A Audit closure date: November 19, 2019 |
Piedmont Newnan Hospital, Inc. | DSH110229 | GA |
No adverse findings |
None |
N/A Audit closure date: February 4, 2019 |
Someone Cares, Inc. of Atlanta Early Detection Intervention ClinicContact InformationChief Executive Officer |
STD303036 | GA |
Incorrect 340B OPAIS record – Registered contract pharmacy without written contract in place; Incorrect grant number entry. Diversion – 340B drugs dispensed at contract pharmacy for prescription written at ineligible sites. |
Termination of contract pharmacies from 340B Program Repayment to manufacturers |
CAP implemented Audit closure date: June 9, 2020 |
Wellstar Cobb Hospital | DSH110143 | GA |
No adverse findings |
None |
N/A Audit closure date: May 10, 2019 |
Lost Rivers District Hospital | CAH131324-00 | ID |
No adverse findings |
None |
N/A Audit closure date: February 15, 2019 |
Ferrell Hospital Community dba Ferrell Hospital Community FoundationContact InformationDirector of Pharmacy/340B primary contact |
CAH141324-00 | IL |
Duplicate Discounts - Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: February 10, 2020 |
Good Samaritan Regional Health CenterContact InformationFinance Director |
RRC140046-00 | IL |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File; Entity did not have controls in place to prevent duplicate discounts. |
Repayment to manufacturers |
CAP implemented Audit closure date: December 10, 2019 |
Graham Hospital Association | SCH140001-00 | IL |
Incorrect 340B OPAIS Record - Incorrect entry for Primary Contact. Duplicate Discounts - Inaccurate or incomplete information on the Medicaid Exclusion File. |
None |
CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: June 9, 2020 |
Massac County Hospital District | CAH141323-00 | IL |
Incorrect 340B OPAIS record - Registered contract pharmacy without written contract in place. |
Termination of contract pharmacy from 340B Program* |
CAP implemented Audit closure date: October 31, 2019 |
Southern Illinois University | CHC24098-00 | IL |
No adverse findings |
None |
N/A Audit closure date: February 12, 2020 |
Will County Community Health CenterContact InformationChief Executive Officer |
CH057880 | IL |
Duplicate Discounts – Entity was billing Medicaid contrary to information included on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: January 13, 2020 |
Adams County Memorial Hospital dba Adams Memorial Hospital | CAH151330-00 | IN |
Incorrect 340B OPAIS record -Registered contract pharmacies without written contract in place prior to January 25, 2019. |
None |
CAP implemented Audit closure date: April 24, 2019 |
Daviess Community Hospital | DSH150061 | IN |
Incorrect 340B OPAIS record - Ineligible sites registered on 340B OPAIS. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Termination of ineligible offsite outpatient facilities from the 340B Program* |
CAP implemented State Medicaid determined no duplicate discounts occurred. Audit closure date: May 7, 2020 |
Open Door Health Services, Inc.Contact InformationCompliance Officer |
CH0510700 | IN |
Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File |
Repayment to manufacturers |
CAP implemented Audit closure date: June 26, 2020 |
Witham Memorial Hospital | DSH150104 | IN |
Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS; Incorrect entry for disproportionate share percentage; Registered contract pharmacies without written contract in place. |
Termination of contract pharmacies from 340B Program* |
CAP implemented Audit closure date: April 23, 2020 |
Ellsworth Municipal Hospital | CAH161380-00 | IA |
No adverse findings |
None |
N/A Audit closure date: July 9, 2019 |
Ida County Iowa Community Hospital dba Horn Memorial HospitalContact InformationChief Financial Officer |
CAH161354-00 | IA |
Diversion – 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites |
Repayment to manufacturers |
CAP implemented Audit closure date: April 8, 2020 |
Iowa Lutheran Hospital | DSH160024 | IA |
No adverse findings |
None |
N/A Audit closure date: June 21, 2019 |
Kossuth Regional Health Center | CAH161353-00 | IA |
No adverse findings |
None |
N/A Audit closure date: June 19, 2019 |
Mercy Medical Center – North Iowa | SCH160064-00 | IA |
No adverse findings |
None |
N/A Audit closure date: February 7, 2020 |
Washington County Hospital | CAH161344-00 | IA |
No adverse findings |
None |
N/A Audit closure date: February 5, 2019 |
South Central Kansas Regional Medical Center | SCH170150-00 | KS |
No adverse findings |
None |
N/A Audit closure date: October 4, 2019 |
Southwest Boulevard Family Health Care | HV00140 | KS |
No adverse findings |
None |
N/A Audit closure date: February 5, 2020 |
Mercy Health Lourdes Hospital LLC | RRC180102-00 | KY |
No adverse findings |
None |
N/A Audit closure date: May 24, 2019 |
Mountain Comprehensive Health Corp., Inc. | CH040600 | KY |
Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File. |
None |
CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: May 12, 2020 |
Pikeville Medical Center, Inc. | DSH180044 | KY |
No adverse findings |
None |
N/A Audit closure date: March 13, 2019 |
Regional Health Care Affiliates, Inc.Contact InformationCPO |
CHC17157-00 | KY |
Diversion - 340B drug dispensed at contract pharmacy for a prescription written at an ineligible site. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: August 20, 2019 |
Baton Rouge General Medical CenterContact InformationCompliance Officer |
DSH190065 | LA |
Incorrect 340 OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS. Diversion – 340B drug dispensed to inpatient. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: February 18, 2021 |
Franklin Medical CenterContact InformationDirector of Pharmacy/Compliance Officer |
DSH190140 | LA |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to May 29, 2020. Entity failed to maintain auditable medical records prior to May 29, 2020. |
Repayment to manufacturers |
CAP implemented Audit closure date: April 6, 2021 |
Hospital Service District 1A, Parish of Richland, State of Louisiana DBA Richland Parish Hospital | CAH191323-00 | LA |
No adverse findings |
None |
N/A Audit closure date: March 29, 2019 |
St. Charles Community Health Center, Inc. | CH061335A | LA |
No adverse findings |
None |
N/A Audit closure date: June 6, 2019 |
Aroostook Medical Center, The | DSH200018 | ME |
No adverse findings |
None |
N/A Audit closure date: December 6, 2019 |
Charles A. Dean Memorial Hospital | CAH201301-00 | ME |
No adverse findings |
None |
N/A Audit closure date: June 23, 2020 |
MedStar Southern Maryland Hospital CenterContact InformationCorporate 340B Manager |
DSH210062 | MD |
Diversion – 340B drug dispensed to inpatient |
Repayment to manufacturers |
CAP implemented Audit closure date: March 10, 2021 |
Action for Boston Community Development | FP021118 | MA |
Incorrect 340B OPAIS record – Incorrect entries for grant number. |
None |
CAP implemented Audit closure date: April 6, 2021 |
Brockton Hospital, Inc | DSH220052 | MA |
Inaccurate or incomplete information on the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None |
CAP implemented Audit closure date: January 26, 2021 |
Caring Health Center, Inc. | CH01084B | MA |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
None |
CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: June 4, 2020. |
Fairview Hospital | CAH221302-00 | MA |
No adverse findings |
None |
N/A Audit closure date: March 13, 2019 |
Lowell General Hospital, The | DSH220063 | MA |
No adverse findings |
None |
N/A Audit closure date: October 31, 2019 |
MGH Chelsea Student Health CenterContact InformationDirector, MGH Community Health Associates |
FP021501 | MA |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: June 9, 2020 |
Harbor Beach Community Hospital, Inc.Contact InformationScott Rayl, Pharmacist 989-479-3201 x351, 210 S. First |
CAH231313-00 | MI |
Diversion - 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites, not supported by a medical record. |
Repayment to manufacturers |
CAP implemented Audit closure date: June 9, 2020 |
Huron Memorial HospitalContact InformationDirector of Finance |
DSH230118 | MI |
Incorrect 340B OPAIS record -Registered contract pharmacies without written contract in place; Diversion - 340B drugs dispensed to inpatients; 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Termination of contract pharmacy from 340B Program |
CAP implemented Audit closure date: June 19, 2020 |
Memorial Hospital dba Memorial Healthcare, TheContact Information340B Manager |
DSH230121 | MI |
Incorrect 340B OPAIS record - Incorrect entry for address for an offsite outpatient facility; Failed to remove duplicate registration for contract pharmacy. Diversion – 340B drugs dispensed to inpatients. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: June 24, 2020 |
Munson Healthcare Charlevoix Hospital | CAH231322-00 | MI |
Incorrect 340B OPAIS record – Offsite outpatient facility was not listed on the 340B OPAIS. |
None |
CAP implemented Audit closure date: January 26, 2021 |
Oakwood Healthcare Inc. dba Beaumont Hospital - Taylor | DSH230270 | MI |
No adverse findings |
None |
N/A Audit closure date: August 26, 2019 |
Sparrow Ionia HospitalContact InformationChief Financial Officer of Community Hospitals |
CAH231331-00 | MI |
Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed on the 340B OPAIS. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: May 6, 2020 |
St. Francis HospitalContact Information340B Drug Program Manager |
CAH231337-00 | MI |
Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed on the 340B OPAIS; Incorrect entry for address for an offsite outpatient facility. Diversion - 340B drugs were not properly accumulated. |
Repayment to manufacturers |
CAP implemented Audit closure date: May 12, 2020 |
Sturgis HospitalContact InformationVP Quality Management & Support Services |
DSH230096 | MI |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to April 30, 2019. Diversion – 340B drugs dispensed to inpatients; 340B drug dispensed at contract pharmacy for prescription written at ineligible sites. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Covered entity, its outpatient facilities, and its contract pharmacies terminated from 340B Program as of July 1, 2019. Settlement with affected manufacturers has not been finalized. SH will not be permitted to re-enroll in the 340B Program until such time: 1) SH has attested that it has contacted and offered settlement to all affected manufacturers, for all findings listed in the Final Report; and 2) SH has attested that a HRSA-approved CAP has been fully implemented. Audit closure date: June 16, 2020 |
Range Regional Health Services | DSH240040 | MN |
No adverse findings |
None |
N/A Audit closure date: October 8, 2019 |
Sanford Health Westbrook Medical Center | CAH241302-00 | MN |
No adverse findings |
None |
N/A Audit closure date: January 25, 2019 |
Forrest General HospitalContact InformationDirector of Pharmacy tmcdaniel@forrestgeneral.com |
DSH250078 | MS |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: January 21, 2021 |
G.A. Carmichael Family Health Center, Inc.Contact InformationChief Financial Officer |
CH040760 | MS |
Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed on the 340B OPAIS; Failed to remove a duplicate registration of a contract pharmacy; Diversion - 340B drug dispensed at contract pharmacy, not supported by a medical record. |
Repayment to manufacturers |
CAP implemented Audit closure date: September 15, 2020 |
Highland Community Hospital | DSH250117 | MS |
No adverse findings |
None |
N/A Audit closure date: May 14, 2019 |
Big Springs Medical Association, Inc.Contact InformationCEO |
CH070430 | MO |
Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: October 14, 2020 |
Cass Regional Medical Center | CAH261324-00 | MO |
No adverse findings |
None |
N/A Audit closure date: May 29, 2019 |
Lake Regional Health SystemContact InformationPrimary Contact 340B Program |
SCH260186-00 | MO |
Diversion - 340B drugs dispensed at contract pharmacy for prescriptions written at ineligible sites. |
Repayment to manufacturers |
CAP implemented Audit closure date: June 3, 2020 |
Missouri Baptist Hospital of Sullivan dba Missouri Baptist Sullivan Hospital | CAH261337-00 | MO |
No adverse findings |
None |
N/A Audit closure date: June 27, 2019 |
Ozarks Resource GroupContact InformationChief Executive Officer or Chief Financial Officer |
CHC24137-00 | MO |
Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File |
Repayment to manufacturers |
CAP implemented Audit closure date: December 10, 2019 |
SSM Health Saint Louis University Hospital | DSH260105 | MO |
Incorrect 340B OPAIS record – Offsite outpatient facility was not listed on the 340B OPAIS; Failed to include repackaging location as a shipping address. |
None |
CAP implemented Audit closure date: April 16, 2020 |
SSM St. Joseph Health Center | DSH260005 | MO |
Incorrect 340B OPAIS record - Ineligible sites registered on 340B OPAIS; Failed to remove closed location registrations; Failed to remove duplicate registrations for offsite outpatient facilities. |
Termination of ineligible offsite outpatient facility from the 340B Program |
CAP implemented Audit closure date: February 7, 2020 |
Ste. Genevieve County Memorial Hospital | CAH261330-00 | MO |
No adverse findings |
None |
N/A Audit closure date: October 1, 2019 |
University of Missouri Health CareContact InformationPharmacy Business Administrator – |
DSH260141 | MO |
Diversion - 340B drug dispensed at entity for a prescription written at an ineligible site. |
Repayment to manufacturers |
CAP implemented Audit closure date: May 27, 2020 |
Western Missouri Medical Center | SCH260097-00 | MO |
No adverse findings |
None |
N/A Audit closure date: October 1, 2019 |
St. Vincent Healthcare | DSH270049 | MT |
No adverse findings |
None |
N/A Audit closure date: December 4, 2019 |
Cambridge Memorial Hospital, Inc. DBA Tri Valley Health System | CAH281348-00 | NE |
No adverse findings |
None |
N/A Audit closure date: August 27, 2019 |
Kearney County Health Services | CAH281306-00 | NE |
No adverse findings |
None |
N/A Audit closure date: October 1, 2019 |
Pender Community Hospital | CAH281349-00 | NE |
No adverse findings |
None |
N/A Audit closure date: December 4, 2019 |
West Holt Memorial Hospital | CAH281343-00 | NE |
No adverse findings |
None |
N/A Audit closure date: December 31, 2019 |
Renown Regional Medical Center | DSH290001 | NV |
No adverse findings |
None |
N/A Audit closure date: November 21, 2019 |
Ammonoosuc Community Health Services Inc. | CH010980 | NH |
No adverse findings |
None |
N/A Audit closure date: March 7, 2019 |
Huggins HospitalContact InformationClinical Services Business Manager |
CAH301312-00 | NH |
Duplicate Discounts – Entity was billing Medicaid contrary to information included on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: November 3, 2020 |
Clara Maass Medical Center | DSH310009 | NJ |
No adverse findings |
None |
N/A Audit closure date: December 17, 2019 |
Gerald Champion Regional Medical CenterContact Information340B Coordinator |
DSH320004 | NM |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to July 1, 2019. Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed on the 340B OPAIS. Diversion - 340B drug dispensed at contract pharmacy for prescriptions written at ineligible site. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
State Medicaid has since determined duplicate discounts did not occur. CAP implemented Audit closure date: January 5, 2021 |
New Mexico Department of Health Title X Family Planning Program | FP875036 | NM |
No adverse findings |
None |
N/A Audit closure date: April 10, 2020 |
UNM Sandoval Regional Medical Center | DSH320089 | NM |
No adverse findings |
None |
N/A Audit closure date: October 24, 2019 |
Albany Medical Center Hospital | DSH330013 | NY |
No adverse findings |
None |
N/A Audit closure date: December 20, 2019 |
BronxCare Health System Fulton Division | DSH330009 | NY |
Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS; Failed to remove duplicate registration for offsite outpatient facility. 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 |
CAP implemented Audit closure date: February 5, 2020 |
Brooklyn Hospital Center, TheContact InformationVP Revenue Enhancement |
DSH330056 | NY |
Diversion – 340B drug dispensed at covered entity, not supported by a medical record. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: January 26, 2021 |
Canton-Potsdam HospitalContact InformationAuthorizing Official, Chief Financial Officer |
DSH330197 | NY |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: December 8, 2020 |
Carthage Area Hospital Inc. | CAH331318-00 | NY |
No adverse findings |
None |
N/A Audit closure date: December 6, 2019 |
Community Memorial Hospital, Inc. | CAH331316-00 | NY |
No adverse findings |
None |
N/A Audit closure date: December 10, 2019 |
Delaware Valley Hospital, Inc. | CAH331312-00 | NY |
No adverse findings |
None |
N/A Audit closure date: June 26, 2019 |
Ellis HospitalContact Information340B Manager |
DSH330153 | NY |
Diversion – 340B drug dispensed to inpatient |
Repayment to manufacturers |
CAP implemented Audit closure date: September 15, 2020 |
Faxton St. Luke’s Healthcare | DSH330044 | NY |
No adverse findings |
None |
N/A Audit closure date: June 17, 2019 |
Interfaith Medical Center | DSH330397 | NY |
Incorrect 340B OPAIS record - Failed to remove duplicate registrations for offsite outpatient facility; Incorrect entry for offsite outpatient facility address. |
None |
CAP implemented Audit closure date: April 29, 2020 |
Montefiore Medical CenterContact InformationVice President of Finance |
DSH330059 | NY |
Incorrect 340B OPAIS record – Offsite outpatient facilities and a shipping address were not listed on the 340B OPAIS. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: December 9, 2021 |
Montefiore Nyack Hospital | DSH330104 | NY |
No adverse findings |
None |
N/A Audit closure date: June 12, 2019 |
Mount St. Mary’s Hospital and Health Center | DSH330188 | NY |
Incorrect 340B OPAIS record – Failed to remove a duplicate registration of a contract pharmacy. |
None |
CAP implemented Audit closure date: April 14, 2020 |
Olean General Hospital | RRC330103-00 | NY |
Incorrect 340B OPAIS record – Ineligible sites registered on 340B OPAIS; Offsite outpatient facilities were not listed on the 340B OPAIS. |
Termination of ineligible offsite outpatient facilities from the 340B Program* |
CAP implemented Audit closure date: December 8, 2020 |
Oneida Healthcare Center | DSH330115 | NY |
No adverse findings |
None |
N/A Audit closure date: November 1, 2019 |
Phelps Memorial Hospital Center | DSH330261 | NY |
No adverse findings |
None |
N/A Audit closure date: November 20, 2019 |
St. Marys HealthcareContact InformationChief Finance Officer |
DSH330047 | NY |
Incorrect 340B OPAIS record -Registered contract pharmacies without written contract in place. Duplicate Discounts – Inaccurate or incomplete information on the 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* |
CAP implemented Audit closure date: June 9, 2020 |
Unity Hospital of Rochester | DSH330226 | NY |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
None |
CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: September 26, 2019 |
University Hospital of BrooklynContact InformationPharmacy 340B Manager |
DSH330350 | NY |
Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS; Ineligible sites registered on 340B OPAIS prior to October 1, 2019; Incorrect entry for disproportionate share percentage. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: October 16, 2019 |
Alamance Regional Medical Center | DSH340070 | NC |
No adverse findings |
None |
N/A Audit closure date: October 1, 2019 |
Duke University Hospital | DSH340030 | NC |
Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed on the 340B OPAIS. |
None |
CAP implemented Audit closure date: December 18, 2019 |
Halifax Regional Medical CenterContact InformationPatient Financial Services Manager |
DSH340151 | NC |
Duplicate Discounts – Entity did not have adequate controls to prevent duplicate discounts. |
Repayment to manufacturers |
CAP implemented Audit closure date: May 14, 2020 |
Johnston Health Services Corporation | DSH340090 | NC |
No adverse findings |
None |
N/A Audit closure date: April 24, 2019 |
Lexington Memorial Hospital, Inc.Contact InformationPharmacy System Manager, 340B |
DSH340096 | NC |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: March 26, 2020 |
Sanford Bismarck | DSH350015 | ND |
No adverse findings |
None |
N/A Audit closure date: January 16, 2019 |
Trinity Hospitals | SCH350006-00 | ND |
Incorrect 340B OPAIS record - Ineligible sites registered on 340B OPAIS. |
Termination of ineligible offsite outpatient facilities from the 340B Program* |
CAP implemented Audit closure date: April 30, 2019 |
Adena Regional Medical CenterContact InformationAHS Director of Pharmacy Services |
DSH360159 | OH |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: January 4, 2021 |
Barnesville Hospital Association, Inc. | CAH361321-00 | OH |
No adverse findings |
None |
N/A Audit closure date: May 9, 2019 |
Galion Community Hospital | CAH361325-00 | OH |
Inaccurate or incomplete information on the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None |
CAP implemented Audit closure date: September 15, 2020 |
Marietta Memorial Hospital | RRC360147-00 | OH |
Incorrect 340B OPAIS record – Ineligible sites registered on 340B OPAIS. |
Termination of ineligible offsite outpatient facilities from the 340B Program* |
CAP implemented Audit closure date: March 11, 2021 |
Nationwide Children’s Hospital | PED363305-00 | OH |
No adverse findings |
None |
N/A Audit closure date: October 1, 2019 |
Ohio State University Hospital, The | DSH360085 | OH |
No adverse findings |
None |
N/A Audit closure date: June 6, 2019 |
Primary Health Network, Inc. | CH03406AE | OH |
Incorrect 340B OPAIS record –Incorrect entry for site ID for offsite outpatient facility; Failed to remove a duplicate registration of a contract pharmacy. |
None |
CAP implemented Audit closure date: February 10, 2020 |
Southern Ohio Medical Center | DSH360008 | OH |
Inaccurate or incomplete information on the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None |
CAP implemented Audit closure date: July 8, 2020 |
Holdenville Hospital AuthorityContact InformationCEO/Administrator |
CAH371321-00 | OK |
Duplicate Discounts – Entity was billing Medicaid contrary to information included on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: April 8, 2020 |
St. Anthony Shawnee Hospital | DSH370149 | OK |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
None |
CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: May 12, 2020 |
Coquille Indian TribeContact InformationPharmacy Manager |
FQHC638532 | OR |
Diversion - 340B drugs dispensed at covered entity and at contract pharmacy, not supported by a medical record. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: January 28, 2021 |
Legacy Mount Hood Medical Center | DSH380025 | OR |
No adverse findings |
None |
N/A Audit closure date: January 9, 2019 |
Mosaic Medical | CH105600 | OR |
Incorrect 340B OPAIS record – Incorrect entries for offsite outpatient facility names and addresses. Duplicate Discounts - Inaccurate or incomplete information in the Medicaid Exclusion File. |
None |
CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: July 21, 2020 |
Providence Portland Medical Center | DSH380061 | OR |
No adverse findings |
None |
N/A Audit closure date: May 23, 2019 |
St. Charles Health System, Inc. DBA St. Charles Bend | DSH380047 | OR |
No adverse findings |
None |
N/A Audit closure date: August 28, 2019 |
Highlands Hospital | DSH390184 | PA |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
None |
CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: May 12, 2020 |
Mercy Catholic Medical Center | DSH390156 | PA |
Incorrect 340B OPAIS record - Failed to remove duplicate registrations for offsite outpatient facilities. |
None |
CAP implemented Audit closure date: May 13, 2020 |
Sacred Heart Hospital | DSH390197 | PA |
No adverse findings |
None |
N/A Audit closure date: August 28, 2019 |
East Bay Community Action ProgramContact InformationAdministrative Assistant Health Administration |
CH015160 | RI |
Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: June 17, 2020 |
Abbeville County Memorial Hospital | CAH421301-00 | SC |
No adverse findings |
None |
N/A Audit closure date: October 4, 2019 |
Beaufort-Jasper-Hampton Comprehensive Health Services, IncorporatedContact Information340B Program Coordinator |
CH041190 | SC |
Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS; Incorrect entry for address for offsite outpatient facility. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File; Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: March 3, 2020 |
GHS Laurens County Memorial Hospital | SCH420038 | SC |
No adverse findings |
None |
N/A Audit closure date: October 10, 2019 |
University of South Carolina |
RWII29203 RWII292030 |
SC |
Incorrect 340B OPAIS record - Failed to remove duplicate registration for service location. |
None |
CAP implemented Audit closure date: May 19, 2020 |
Avera St. Mary’s | DSH430015 | SD |
No adverse findings |
None |
N/A Audit closure date: January 27, 2020 |
Freeman Regional Health Services | CAH431313-00 | SD |
No adverse findings |
None |
N/A Audit closure date: August 28, 2019 |
Regional Health Custer Hospital | CAH431323-00 | SD |
No adverse findings |
None |
N/A Audit closure date March 7, 2019 |
Centro San VicenteContact InformationChief Financial Officer |
CH066580 | TX |
Diversion - 340B drug dispensed at contract pharmacy for prescription written at ineligible sites. Duplicate Discounts – Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: May 18, 2020 |
Childress Regional Medical Center | DSH450369 | TX |
Incorrect 340B OPAIS record - Incorrect entry for disproportionate share percentage. |
None |
CAP implemented Audit closure date: February 7, 2020 |
Christus St. MichaelContact InformationMichael French, J.D. |
DSH450801 | TX |
Incorrect 340B OPAIS record - Failed to remove closed contract pharmacy location registration. Diversion - 340B drugs dispensed at covered entity for prescriptions written at ineligible sites. |
Repayment to manufacturers |
CAP implemented Audit closure date: May 19, 2020 |
Gonzales Healthcare SystemsContact InformationCompliance Officer |
DSH450235 | TX |
Diversion - 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. Duplicate Discounts – Entity did not have adequate controls to prevent duplicate discounts. |
Repayment to manufacturers |
CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: May 20, 2020 |
Lavaca Medical CenterContact InformationChief Financial Officer |
CAH451376-00 | TX |
Duplicate Discounts – Entity did not have adequate controls in place to prevent duplicate discounts. |
Repayment to manufacturers |
CAP implemented Audit closure date: March 27, 2020 |
Lynn County Hospital | CAH451351-00 | TX |
No adverse findings |
None |
N/A Audit closure date: May 14, 2019 |
Texas Children’s HospitalContact InformationTexas Children’s Hospital |
PED453304-00 | TX |
Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS; Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: June 24, 2020 |
IHC Health Services, Inc. dba Primary Children’s Hospital | PED463301-00 | UT |
No adverse findings |
None |
N/A Audit closure date: November 26, 2019 |
Brattleboro Memorial Hospital | DSH470011 | VT |
No adverse findings |
None |
N/A Audit closure date: July 9, 2019 |
Clinch River Health Services, Incorporated | CH031230 | VA |
Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed on the 340B database; Incorrect entry for authorizing official. |
None |
CAP implemented Audit closure date: June 25, 2020 |
Inova Fairfax HospitalContact Information340B Compliance Pharmacist |
DSH490063 | VA |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to February 12, 2020. |
Repayment to manufacturers |
CAP implemented Audit closure date: January 26, 2021 |
Lonesome Pine Hospital | DSH490114 | VA |
No adverse findings |
None |
N/A Audit closure date: March 8, 2019 |
Mary Bridge Children’s Hospital and Health CenterContact InformationPharmacy 340B Analyst |
PED503301-00 | WA |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to September 26, 2019. Incorrect 340B OPAIS record – Incorrect entries for offsite outpatient facility addresses. |
Repayment to manufacturers |
CAP implemented Audit closure date: December 1, 2020 |
Mason General Hospital | CAH501336-00 | WA |
No adverse findings |
None |
N/A Audit closure date: June 6, 2019 |
Olympic Medical CenterContact InformationDirector of Pharmacy |
RRC500072-00 | WA |
Diversion – 340B drugs dispensed to inpatients |
Repayment to manufacturers |
CAP implemented Audit closure date: November 3, 2020 |
Peninsula Community Health Services | CH101540 | WA |
No adverse findings |
None |
N/A Audit closure date: October 1, 2019 |
Unity Care Northwest | CHC08773-00 | WA |
No adverse findings |
None |
N/A Audit closure date: November 14, 2019 |
Washington State Department of Health | STD98504 | WA |
Incorrect 340B database record – entity improperly registered a distribution site as a contract pharmacy. Registered contract pharmacies without written contract in place |
Termination of contract pharmacies from 340B Program |
CAP implemented Audit closure date: January 6, 2021 |
Minnie Hamilton Health Care Center, Inc. | CAH511303-00 | WV |
Incorrect 340B OPAIS record - Hospital classification on OPAIS was inconsistent with eligibility documents. |
None |
CAP implemented Audit closure date: October 8, 2020 |
West Virginia Department of Health and Human Resources | FP253015 | WV |
Incorrect 340B OPAIS record – Incorrect entries for grant number. |
None |
CAP implemented Audit closure date: March 24, 2020 |
Memorial Hospital of BoscobelContact InformationPharmacy Director MHB |
CAH521344-00 | WI |
Diversion - 340B drug dispensed at contract pharmacy for a prescription written at an ineligible site. |
Repayment to manufacturers |
CAP implemented Audit closure date: February 10, 2020 |
Southwest Health Center | CAH521354-00 | WI |
Incorrect 340B OPAIS record - Failed to remove closed contract pharmacy location registration; Registered contract pharmacy without written contract in place. |
Termination of contract pharmacies from 340B Program* |
CAP implemented Audit closure date: June 25, 2019 |
Community Health Center of Central Wyoming, Inc.Contact InformationDirector of Pharmacy |
CH086120 | WY |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File; Entity was billing Medicaid contrary to information included in the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: October 31, 2019 |
Children’s National Medical CenterContact InformationChief of Pharmacy |
PED093300-00 | DC |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: October 14, 2020 |
District of Columbia Department of Health HIV/AIDS, Hepatitis, STD & TB Administration | RWIID72 | DC |
No adverse findings |
None |
N/A Audit closure date: April 12, 2019 |
Georgetown University HospitalContact Information340B Compliance Specialist |
DSH090004 | DC |
Diversion - 340B drugs dispensed at contract pharmacies for prescriptions written at ineligible sites. |
Repayment to manufacturers |
CAP implemented Audit closure date: May 12, 2020 |
MedStar Washington Hospital Center | DSH090011 | DC |
No adverse findings |
None |
N/A Audit closure date: October 24, 2019 |
MetroHealth | HV01713 | DC |
No adverse findings |
None |
N/A Audit closure date: February 19, 2020 |
*Note: Covered entity self-terminated cited facilities prior to termination of facilities by OPA.