Updated 1/31/23. 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 Sort ascending | 340B ID | State | OPA Findings | Sanction | Corrective Action Status |
---|---|---|---|---|---|
Wyckoff Heights Medical CenterContact InformationDirector of Pharmacy |
DSH330221 | NY |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to October 2019. Diversion – 340B drugs dispensed at contract pharmacy, not supported by medical records. |
Repayment to manufacturers |
CAP implemented Audit closure date: March 17, 2021 |
Windsor Hospital Corporation dba Mt. Ascutney Hospital and Health Center Contact InformationChief Financial Officer |
CAH471302-00 | VT |
Incorrect 340B OPAIS record – Incorrect Primary Contact listed. Diversion – 340B drugs dispensed at contract pharmacy, not supported by medical records. |
Repayment to manufacturers |
CAP implemented Audit closure date: November 4, 2021 |
Willis Knighton Medical Center, Inc. | DSH190111 | LA |
No adverse findings |
None |
N/A Audit closure date: June 11, 2020 |
William Beaumont Hospital DBA Beaumont Hospital - Grosse Pointe | DSH230089 | MI |
No adverse findings |
None |
N/A Audit closure date: August 21, 2020 |
Wickenburg Community Hospital Association Inc.Contact InformationDirector of Pharmacy Services and 340B Program |
CAH031300-00 | AZ |
Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS; Incorrect entry in 340B OPAIS for address for an offsite outpatient facility. Diversion – 340B drugs dispensed to inpatients |
Repayment to manufacturers |
CAP implemented Audit closure date: April 13, 2021 |
Western Sierra Medical ClinicContact InformationSenior Director of Operations |
CH0921760 | CA |
Incorrect 340B OPAIS record – Incorrect Authorizing Official listed; Incorrect Primary Contact listed; Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS. Diversion – 340B drug dispensed at a contract pharmacy, not supported by a medical record. |
Repayment to manufacturers |
CAP implemented Audit closure date: July 20, 2021 |
WellStar Atlanta Medical Center | DSH110115 | GA |
No adverse findings |
None |
N/A Audit closure date: August 4, 2020 |
Welia HealthContact Information340B Coordinator |
CAH241367-00 | MN |
Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: January 15, 2021 |
Weiser Valley Hospital District, dba Weiser Memorial Hospital | CAH131307-00 | ID |
No adverse findings |
None |
N/A Audit closure date: August 4, 2020 |
Weatherford Hospital Authority | CAH371323-00 | OK |
No adverse findings |
None |
N/A Audit closure date: July 23, 2020 |
Walter Knox Memorial Hospital | CAH131318-00 | ID |
No adverse findings |
None |
N/A Audit closure date: July 23, 2020 |
Verde Valley Medical Center | SCH030007-00 | AZ |
Incorrect 340B OPAIS record – Failed to remove a closed contract pharmacy from 340B OPAIS. |
None |
CAP implemented Audit closure date: December 11, 2020 |
Ventura County Medical Center | DSH050159 | CA |
Incorrect 340 OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS. |
None |
CAP implemented Audit closure date: November 19, 2020 |
Val Verde Regional Medical Center | DSH450154 | TX |
Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS. |
None |
CAP implemented Audit closure date: April 2, 2021 |
Upson County Hospital, Inc. | SCH110002-00 | GA |
No adverse findings |
None |
N/A Audit closure date: May 12, 2020 |
UPMC McKeesport | DSH390002 | PA |
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 27, 2021 |
UPMC Horizon Hospital | DSH390178 | PA |
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: November 10, 2020 |
University of Cincinnati Medical Center LLC | DSH360003 | OH |
No adverse findings |
None |
N/A Audit closure date: July 23, 2020 |
Trinity Regional Medical Center | SCH160016-00 | IA |
No adverse findings |
None |
N/A Audit closure date: June 11, 2020 |
Trinitas Regional Medical Center | DSH310027 | NJ |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: December 14, 2020 |
Trigg County Hospital Inc. | CAH181304-00 | KY |
No adverse findings |
None |
N/A Audit closure date: April 14, 2020 |
Tallahatchie General Hospital | CAH251304-00 | MS |
No adverse findings |
None |
N/A Audit closure date: May 29, 2020 |
Stokes Family Health Center | FP270168 | NC |
No adverse findings |
None |
N/A Audit closure date: July 9, 2020 |
Stamford Hospital, TheContact InformationPharmacy Business Manager |
DSH070006 | CT |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: February 18, 2021 |
Stacy McKay Health and Education CenterContact InformationPharmacy Director |
CH0518280 | IN |
Diversion – 340B drug dispensed at covered entity, not supported by a medical record. Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: July 27, 2021 |
St. Mary’s Hospital, Centralia, Illinois | RRC140034-00 | IL |
No adverse findings |
None |
N/A Audit closure date: June 11, 2020 |
St. Luke’s Methodist HospitalContact InformationDirector Pharmacy |
DSH160045 | IA |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: May 6, 2021 |
St. Louis Children’sContact InformationDirector of Pharmacy |
PED263301-00 | MO |
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: September 8, 2021 |
St. Jude Medical Center Fullerton | DSH050168 | CA |
No adverse findings |
None |
N/A Audit closure date: March 5, 2020 |
St. Cloud Hospital | DSH240036 | MN |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: August 4, 2020 |
St. Catherine Hospital | SCH170023-00 | KS |
No adverse findings |
None |
N/A Audit closure date: July 23, 2020 |
St. Anthony Regional Hospital | SCH160005-00 | IA |
No adverse findings |
None |
N/A Audit closure date: June 17, 2020 |
Sparrow Clinton Hospital | CAH231326-00 | MI |
No adverse findings |
None |
N/A Audit closure date: July 14, 2020 |
Southwestern Vermont Medical Center | RRC470012-00 | VT |
No adverse findings |
None |
N/A Audit closure date: August 6, 2020 |
Southwest Mississippi Regional Medical Center | DSH250097 | MS |
No adverse findings |
None |
N/A Audit closure date: June 11, 2020 |
Southeast Missouri Health Network | CH071370 | MO |
Incorrect 340B OPAIS record - Failed to remove a contract pharmacy 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; Incorrect entry in 340B OPAIS for address for grant associated site. |
Termination of ineligible contract pharmacy from the 340B Program* |
CAP implemented Audit closure date: January 8, 2021 |
Southeast Mississippi Rural Health Initiative, Inc.Contact Information340B Coordinator |
CH045770 | MS |
Duplicate Discounts – Grant associated sites were billing Medicaid contrary to information included on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: May 14, 2021 |
Sonora Community Hospital dba Adventist Health Sonora | DSH050335 | 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: July 28, 2020 |
Sisters of Charity HospitalContact Information340B Program Business Manager |
DSH330078 | NY |
Diversion – 340B drugs dispensed to inpatients. Inaccurate or incomplete information on the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
Repayment to manufacturers |
CAP implemented Audit closure date: February 9, 2022 |
Sioux Valley Memorial Hospital Association dba Cherokee Regional Medical Center | CAH161362-00 | IA |
No adverse findings |
None |
N/A Audit closure date: June 24, 2020 |
Sheridan County Hospital | CAH171347-00 | KS |
No adverse findings |
None |
N/A Audit closure date: March 17, 2020 |
Sharp Chula Vista Medical Center | DSH050222 | CA |
No adverse findings |
None |
N/A Audit closure date: April 28, 2020 |
Seton Medical Center | DSH050289 | CA |
Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for disproportionate share percentage. 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: June 26, 2020 |
Scotland Memorial Hospital | DSH340008 | NC |
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 13, 2020 |
Santa Monica UCLAMC and Orthopaedic HospitalContact InformationDirector of Pharmacy |
DSH050112 | CA |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: February 17, 2021 |
Sanford Thief River Falls | CAH241381-00 | MN |
No adverse findings |
None |
N/A Audit closure date: March 3, 2020 |
San Francisco AIDS Foundation | STD94114 | CA |
No adverse findings |
None |
N/A Audit closure date: April 17, 2020 |
Saint Alphonsus Regional Medical Center | DSH130007 | ID |
No adverse findings |
None |
N/A Audit closure date: June 12, 2020 |
Saint Alphonsus Medical Center Nampa | DSH130013 | ID |
No adverse findings |
None |
N/A Audit closure date: September 8, 2020 |
Rowan Regional Hospital | RRC340015-00 | NC |
No adverse findings |
None |
N/A Audit closure date: |
Riverside Shore Memorial Hospital | DSH490037 | VA |
No adverse findings |
None |
N/A Audit closure date: April 21, 2020 |
Richmond University Medical CenterContact Information340B Manager |
DSH330028 | NY |
Diversion – 340B drug dispensed at covered entity, not supported by a medical record. |
Repayment to manufacturer |
CAP implemented Audit closure date: April 8, 2021 |
Regional Health Services of Howard County | CAH161328-00 | IA |
No adverse findings |
None |
N/A Audit closure date: June 23, 2020 |
Regional Health Rapid City Hospital | DSH430077 | SD |
No adverse findings |
None |
N/A Audit closure date: May 15, 2020 |
Providence Medford Medical Center | DSH380075 | OR |
Incorrect 340B OPAIS record – Offsite outpatient facility was not listed on the 340B OPAIS; Incorrect entry in 340B OPAIS for an offsite outpatient facility address. |
None |
CAP implemented Audit closure date: October 21, 2020 |
Providence Health DBA Providence Seaside Hospital | CAH381303-00 | OR |
No adverse findings |
None |
N/A Audit closure date: May 13, 2020 |
Project Vida Health Center | CH067960 | TX |
Incorrect 340B OPAIS record – Failed to remove a closed contract pharmacy from 340B OPAIS. |
None |
CAP implemented Audit closure date: October 30, 2020 |
Preston Memorial Hospital | CAH511312-00 | WV |
No adverse findings |
None |
N/A Audit closure date: June 15, 2020 |
Premier Community Healthcare Group, Inc.Contact InformationChief Executive Officer |
CH045500 | FL |
Incorrect 340B OPAIS record – Failed to remove a duplicate registration for an offsite outpatient facility from 340B OPAIS. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: December 1, 2020 |
Power County Hospital District | CAH131304-00 | ID |
No adverse findings |
None |
N/A Audit closure date: March 5, 2020 |
Planned Parenthood Association of UtahContact InformationChief Financial Officer |
STD841021 | UT |
Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: March 17, 2021 |
Plains Regional Medical Center – Clovis | DSH320022 | NM |
Incorrect 340B OPAIS record – Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS. |
None |
CAP implemented Audit closure date: |
Piedmont Newton Hospital, Inc. | DSH110018 | GA |
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 30, 2020 |
Philadelphia Fight | CHC26634-00 | PA |
Incorrect 340B OPAIS record – Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS. |
None |
CAP implemented Audit closure date: September 10, 2020 |
Perkins County Health Services | CAH281356-00 | NE |
No adverse findings |
None |
N/A Audit closure date: July 23, 2020 |
Peoples Community Health Clinic, Inc. | CH071410 | IA |
No adverse findings |
None |
N/A Audit closure date: September 15, 2020 |
PeaceHealth dba Peace Harbor Medical Center | CAH381316-00 | OR |
Incorrect 340B OPAIS record – Ineligible sites registered on 340B OPAIS. |
Termination of ineligible offsite outpatient facility from the 340B Program* |
CAP implemented Audit closure date: August 12, 2020 |
Pana Community Hospital | CAH141341-00 | IL |
No adverse findings |
None |
N/A Audit closure date: July 16, 2020 |
Our Lady of Lourdes Memorial Hosp | RRC330011-00 | NY |
Incorrect 340B OPAIS record - Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS. |
None |
CAP implemented Audit closure date: October 30, 2020 |
Osborne County Memorial Hospital | CAH171364-00 | KS |
No adverse findings |
None |
N/A Audit closure date: April 15, 2020 |
Opelousas General Hospital | DSH190017 | LA |
Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for hospital control type; Offsite outpatient facilities were not listed on the 340B OPAIS. |
None |
CAP implemented Audit closure date: April 2, 2021 |
Onslow Memorial Hospital | SCH340042-00 | NC |
Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for hospital control type. |
None |
CAP implemented Audit closure date: July 29, 2020 |
Ochsner Bayou LLC | CAH191324-00 | LA |
No adverse findings |
None |
N/A Audit closure date: April 2, 2020 |
Oakwood Healthcare, Inc. dba Beaumont Hospital - Dearborn | DSH230020 | MI |
No adverse findings |
None |
N/A Audit closure date: October 5, 2020 |
Oakbend Medical Center | DSH450330 | TX |
Incorrect 340B OPAIS record – Failed to remove a closed contract pharmacy from 340B OPAIS. |
None |
CAP implemented Audit closure date: |
Northside Hospital Gwinnett | DSH110087 | GA |
Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for authorizing official. |
None |
CAP implemented Audit closure date: September 10, 2020 |
Northern Montana HospitalContact InformationVice President Regulatory & Community Services |
DSH270032 | MT |
Incorrect 340B OPAIS record - entity improperly registered a distribution site as a contract pharmacy in 340B OPAIS. Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: November 10, 2021 |
North Oaks Medical Center LLC | DSH190015 | LA |
Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS. 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: December 1, 2020 |
North Country Health System | CAH471304-00 | VT |
Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
None |
CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: May 27, 2021 |
North Country Family Health Center, Inc. | CHC24165-00 | NY |
No adverse findings |
None |
N/A Audit closure date: February 25, 2020 |
North Caddo Medical Center | CAH191304-00 | LA |
No adverse findings |
None |
N/A Audit closure date: June 12, 2020 |
Nicholas H. Noyes Memorial Hospital | DSH330238 | NY |
No adverse findings |
None |
N/A Audit closure date: April 3, 2020 |
Niagara Falls Memorial Medical CenterContact Information340B Program Coordinator |
DSH330065 | NY |
Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for Primary Contact. Diversion – 340B drug dispensed to inpatients |
Repayment to manufacturers |
CAP implemented Audit closure date: September 14, 2021 |
Nemaha County Hospital | CAH281324-00 | NE |
No adverse findings |
None |
N/A Audit closure date: June 18, 2020 |
Neighborhood Improvement Project, Inc. | CH0438590 | GA |
No adverse findings |
None |
N/A Audit closure date: |
MyCareHealth Center | CHC26572-00 | MI |
Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for offsite outpatient facility address. |
None |
CAP implemented Audit closure date: August 20, 2020 |
Munson Medical Center | SCH230097-00 | MI |
Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for offsite outpatient facility address. |
None |
CAP implemented Audit closure date: January 21, 2021 |
Munson Healthcare Manistee Hospital | SCH230303-00 | MI |
No adverse findings |
None |
N/A Audit closure date: June 5, 2020 |
Munson Healthcare Cadillac Hospital | SCH230081-00 | MI |
Incorrect 340B OPAIS record – Offsite outpatient facility was not listed on the 340B OPAIS. |
None |
CAP implemented Audit closure date: July 29, 2020 |
MRH Corp. DBA Northern Light Mayo Hospital | CAH201309-00 | ME |
No adverse findings |
None |
N/A Audit closure date: August 6, 2020 |
Mountainlands Community Health Center, IncContact Information340B Coordinator |
CH083950 | UT |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closeout date: November 5, 2020 |
Mount Carmel Health | DSH360035 | OH |
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: January 21, 2021 |
Morton Plant North Bay Hospital | DSH100063 | FL |
No adverse findings |
None |
N/A Audit closure date: May 20, 2020 |
Monmouth Medical Center Southern Campus | DSH310084 | NJ |
Incorrect 340B OPAIS record – Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS. |
None |
CAP implemented Audit closure date: July 13, 2020 |
Midwest Medical Center | CAH141302-00 | IL |
No adverse findings |
None |
N/A Audit closure date: April 3, 2020 |
MidMichigan Medical Center | SCH230222-00 | MI |
No adverse findings |
None |
N/A Audit closure date: February 19, 2020 |
Middlesboro ARH HospitalContact InformationSystem Director of Pharmacy |
DSH180020 | KY |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: July 21, 2021 |
Mercy Hospital – St. Louis | DSH260020 | MO |
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 18, 2020 |
Mercy Hospital Lebanon | DSH260059 | MO |
No adverse findings |
None |
N/A Audit closure date: June 26, 2020 |
Mercy Health Hackley Campus | DSH230066 | MI |
Incorrect 340B OPAIS record – Ineligible sites registered in 340B OPAIS; Failed to remove a duplicate registration for an offsite outpatient facility from 340B OPAIS. |
Termination of ineligible offsite outpatient facility from the 340B Program* |
CAP implemented Audit closure date: April 8, 2021 |
Mercy General Hospital | DSH050017 | CA |
No adverse findings |
None |
N/A Audit closure date: July 16, 2020 |
Memorial Medical Center | CAH521323-00 | WI |
Incorrect 340B OPAIS record - Failed to remove closed contract pharmacy from 340B OPAIS. |
None |
CAP implemented Audit closure date: October 30, 2020 |
Memorial Hospital of South Bend, Inc. | DSH150058 | IN |
No adverse findings |
None |
N/A Audit closure date: July 23, 2020 |
Meadville Medical Center | DSH390113 | PA |
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: January 15, 2021 |
McLaren Greater Lansing | DSH230167 | MI | No adverse findings |
None |
N/A Audit closure date: July 10, 2020 |
McKee Medical Center | DSH060030 | CO |
No adverse findings |
None |
N/A Audit closure date: June 4, 2020 |
Massena HospitalContact InformationDirector of Pharmacy |
SCH330223-00 | NY |
Diversion – 340B drug dispensed at contract pharmacy, not supported by a medical record. |
Repayment to manufacturers |
CAP implemented Audit closure date: January 20, 2021 |
Massachusetts General Hospital | DSH220071 | MA |
No adverse findings |
None |
N/A Audit closure date: April 22, 2020 |
Mary Imogene Bassett Hospital | SCH330136-00 | NY |
Incorrect 340B OPAIS record – Incorrect entry for disproportionate share percentage. |
None |
CAP implemented Audit closure date: October 15, 2020 |
Marin General Hospital | DSH050360 | CA |
No adverse findings |
None |
N/A Audit closure date: May 15, 2020 |
Marin Community Clinic | CH095380 | CA |
Incorrect 340B OPAIS record – Offsite outpatient facility was not listed on the 340B OPAIS. 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: March 22, 2021 |
Mahaska County Hospital | CAH161379-00 | IA |
No adverse findings |
None |
N/A Audit closure date: June 30, 2020 |
Loma Linda University Children's Hospital | DSH050778 | CA |
No adverse findings |
None |
N/A Audit closure date: March 18, 2020 |
Lincoln Medical Center | DSH440102 | TN |
No adverse findings |
None |
N/A Audit closure date: March 9, 2020 |
Lexington Regional Health Center | CAH281361-00 | NE |
No adverse findings |
None |
N/A Audit closure date: August 21, 2020 |
Lee Memorial Health System dba Lee Memorial HospitalContact InformationPharmacy & 340B Compliance Officer |
DSH100012 | FL |
Incorrect 340B OPAIS record – Failed to remove duplicate registrations for offsite outpatient facilities from 340B OPAIS. Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File |
Repayment to manufacturers |
CAP implemented Audit closure date: April 19, 2021 |
Langlade Hospital Hotel Dieu of St. Joseph, of Antigo, WI | CAH521350-00 | WI |
No adverse findings |
None |
N/A Audit closure date: August 10, 2020 |
Lallie Kemp Regional Medical CenterContact InformationChief Financial Officer |
CAH191321-00 | LA |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: December 15, 2020 |
Klickitat County Public Hospital District #2 dba Skyline Hospital | CAH501315-00 | WA |
No adverse findings |
None |
N/A Audit closure date: July 16, 2020 |
Kiamichi Family Medical Center | CH0611930 | OK |
Duplicate Discounts – Entity and grant associated sites billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
None |
CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: October 15, 2020 |
Kemper CAH, Inc. d/b/a John C. Stennis Memorial Hospital | CAH251335-00 | MS |
No adverse findings |
None |
N/A Audit closure date: May 29, 2020 |
Jersey City Medical Center | DSH310074 | NJ |
No adverse findings |
None |
N/A Audit closure date: April 9, 2020 |
Jerold Phelps Community Hospital | CAH051309-00 | CA |
No adverse findings |
None |
N/A Audit closure date: February 28, 2020 |
Jefferson County Department of HealthContact InformationPharmacy Manager |
FP352129 | AL |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: July 20, 2021 |
Jefferson Community Health Care Centers, Inc.Contact InformationChief Operating Officer |
CH0623760 | LA |
Duplicate Discounts – Entity and grant associated sites billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: June 17, 2021 |
Jackson Hospital and Clinic Inc. | RRC010024-00 | AL |
No adverse findings |
None |
N/A Audit closure date: April 7, 2020 |
Jackson County Memorial Hospital | SCH370022-00 | OK |
No adverse findings |
None |
N/A Audit closure date: May 29, 2020 |
IU Health Bloomington Hospital | DSH150051 | IN |
No adverse findings |
None |
N/A Audit closure date: July 24, 2020 |
Iowa Methodist Medical Center | DSH160082 | IA |
No adverse findings |
None |
N/A Audit closure date: July 30, 2020 |
Inova Health Care Services dba Inova Juniper Program | HV220311 | VA |
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 18, 2020 |
Indiana University Health Ball Memorial Hospital, Inc.Contact InformationDirector - 340B Program |
DSH150089 | IN |
Diversion – 340B drug dispensed to inpatient. |
Repayment to manufacturers |
CAP implemented Audit closure date: June 10, 2021 |
Hospital of the University of Pennsylvania, The | DSH390111 | PA |
Incorrect 340B OPAIS record - Ineligible sites registered on 340B OPAIS; Failed to remove registrations for closed offsite outpatient facilities from 340B OPAIS; Failed to remove a duplicate registration for an offsite outpatient facility from 340B OPAIS; Offsite outpatient facilities were not listed on 340B OPAIS; Incorrect address listed for offsite outpatient facility. 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 ineligible offsite outpatient facilities from the 340B Program* |
CAP implemented Audit closure date: December 14, 2021 |
Hospital of Central Connecticut, The | DSH070035 | CT |
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: October 14, 2020 |
Hospital Authority of Miller County DBA Miller County Hospital | CAH111305-00 | GA |
No adverse findings |
None |
N/A Audit closure date: June 16, 2020 |
Hospital & Medical Foundation of Paris, Inc. | CAH141320-00 | IL |
No adverse findings |
None |
N/A Audit closure date: July 2, 2020 |
Horizon Health Care, Inc.Contact InformationChief Financial Officer |
CH081030 | SD |
Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for address for offsite outpatient facility. Duplicate Discounts – Entity and grant associated sites were billing Medicaid contrary to information included on the Medicaid Exclusion File. |
None |
CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: June 10, 2021 |
Highland Hospital of Rochester | RRC330164-00 | NY |
Inacurate 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 11, 2021 |
Henry District Hospital | CAH141319-00 | IL |
No adverse findings |
None |
N/A Audit closure date: February 19, 2020 |
Heart of America Medical Center | CAH351332-00 | ND |
No adverse findings |
None |
N/A Audit closure date: July 2, 2020 |
HealthAlliance Hospital Marys Avenue Campus | DSH330224 | NY |
No adverse findings |
None |
N/A Audit closure date: February 19, 2020 |
Health Access Network | CH015110 | ME |
No adverse findings |
None |
N/A Audit closure date: June 24, 2020 |
Harrisburg Medical Center, Inc.Contact InformationCody Sandusky, PharmD, Primary Contact |
SCH140210-00 | IL |
Duplicate Discounts – Offsite outpatient facilities billed Medicaid while not listed on the HRSA Medicaid Exclusion File; Inaccurate or incomplete information on the Medicaid Exclusion File at offsite outpatient facilities. |
Repayment to manufacturers |
CAP implemented Audit closure date: July 21, 2021 |
Hardin Memorial Hospital | DSH180012 | KY |
Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for disproportionate share percentage. 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: February 17, 2021 |
Greene County General Hospital | CAH151317-00 | IN |
Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
None |
CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: October 27, 2020 |
Grande Ronde Hospital, Inc. | CAH381321-00 | OR |
Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for address for offsite outpatient facility. |
None |
CAP implemented Audit closure date: July 9, 2020 |
GraceMed Health Clinic, Inc. | CHC08772-00 | KS |
Incorrect 340B OPAIS record – Incorrect entry for address for offsite outpatient facility; Incorrect entries for authorizing official and primary contact; Failed to remove closed contract pharmacies from 340B OPAIS. |
None |
CAP implemented Audit closure date: December 18, 2020 |
Glendale Adventist Medical Center | DSH050239 | CA |
No adverse findings |
None |
N/A Audit closure date: March 19, 2020 |
Gibson General Hospital | CAH151319-00 | IN |
No adverse findings |
None |
N/A Audit closure date: July 24, 2020 |
Florida Department of HealthContact InformationBureau Chief of Public Health Pharmacy |
FP323993 | FL |
Incorrect 340B OPAIS record – Incorrect entry for address; Shipping addresses were not listed on the 340B OPAIS; Incorrect entries for grant number for grant associated sites. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File at grant associated sites; Grant associated sites billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: December 9, 2021 |
Firelands Regional Medical CenterContact InformationPharmacy Services Director |
DSH360025 | OH |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: May 6, 2021 |
Finger Lakes Migrant Health Care Project, Inc.Contact InformationChief Financial Officer |
CH028210 | NY |
Incorrect 340B OPAIS record - Failed to remove a closed contract pharmacy from 340B OPAIS. Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: August 12, 2021 |
Faith Community Hospital | SCH450241-00 | TX |
No adverse findings |
None |
N/A Audit closure date: June 1, 2020 |
Espanola Hospital | DSH320011 | NM |
No adverse findings |
None |
N/A Audit closure date: August 4, 2020 |
Episcopal Health Services, Inc.Contact InformationDirector of Pharmacy |
DSH330395 | NY |
Diversion – 340B drugs dispensed at contract pharmacies, not supported by medical records. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: April 1, 2021 |
Einstein Medical Center Montgomery | DSH390329 | PA |
No adverse findings |
None |
N/A Audit closure date: April 7, 2020 |
Effingham Health System | CAH111306-00 | GA |
No adverse findings |
None |
N/A Audit closure date: June 9, 2020 |
Eastern Iowa Health Center | CH0718570 | IA |
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: December 14, 2020 |
Driscoll Children’s HospitalContact InformationPharmacy Department |
PED453301-00 | 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: April 1, 2021 |
Dickinson County Healthcare System | SCH230055-00 | MI |
Incorrect 340B OPAIS record – Offsite outpatient facilities and a shipping address were not listed on the 340B OPAIS. |
None |
CAP implemented Audit closure date: June 23, 2020 |
Deer Valley Medical Center | RRC030092-00 | AZ |
No adverse findings |
None |
N/A Audit closure date: April 29, 2020 |
County of LaneContact InformationProgram Services Coordinator |
CH107920 | OR |
Incorrect 340B OPAIS record – Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS. Diversion – 340B drug dispensed at contract pharmacy, not supported by a medical record. |
Repayment to manufacturers |
CAP implemented Audit closure date: October 28, 2020 |
Community Howard Regional Health | DSH150007 | IN |
No adverse findings |
None |
N/A Audit closure date: July 8, 2020 |
Community Hospital of Indiana, Inc. | DSH150169 | IN |
No adverse findings |
None |
N/A Audit closure date: July 14, 2020 |
Community Hospital Anderson | DSH150113 | IN |
No adverse findings |
None |
N/A Audit closure date: August 6, 2020 |
Community Health Service Agency, Inc. of Hunt County, TheContact InformationChief Executive Officer |
CH060820 | TX |
Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: September 20, 2021 |
Clackamas, County of | CH101310 | OR |
No adverse findings |
None |
N/A Audit closure date: August 7, 2020 |
Christ Community Health Services Augusta Inc. | CHC24172-00 | GA |
No adverse findings |
None |
N/A Audit closure date: July 16, 2020 |
Choctaw Regional Medical Center | CAH251334-00 | MS |
No adverse findings |
None |
N/A Audit closure date: April 30, 2020 |
Children’s Medical Center Plano | PED453316-00 | TX |
No adverse findings |
None |
N/A Audit closure date: June 5, 2020 |
Central Mississippi Health Services, Inc. | CH046080 | MS |
No adverse findings |
None |
N/A Audit closure date: June 3, 2020 |
Central Maine Medical Center | RRC200024-00 | ME |
Incorrect 340B OPAIS record – Ineligible site registered on 340B OPAIS; Failed to remove contract pharmacy from 340B OPAIS that did not have a written contract in place. |
Termination of ineligible offsite outpatient facility from the 340B Program* Termination of contract pharmacies from 340B Program* |
CAP implemented Audit closure date: December 14, 2020 |
Carle Hoopeston Regional Health Center | CAH141316-00 | IL |
No adverse findings |
None |
N/A Audit closure date: March 24, 2020 |
Capital Health Med Center – Hopewell | DSH310044 | NJ |
No adverse findings |
None |
N/A Audit closure date: July 16, 2020 |
CAN Community Health, Inc. – Daytona | STD32114 | FL |
No adverse findings |
None |
N/A Audit closure date: May 19, 2020 |
Calais Regional Hospital - AmendedContact InformationVP HR/Quality, Compliance Officer |
CAH201305-00 | ME |
Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: May 27, 2021 |
Cahaba Medical Care FoundationContact InformationCCO |
CHC24177-00 | AL |
Diversion – 340B drugs dispensed at contract pharmacies, not supported by a medical record. Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File; Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: May 5, 2021 |
Cabun Rural Health Services, Inc.Contact InformationChief Executive Officer |
CHC00342-00 | AR |
Incorrect entries in 340B OPAIS for address, site ID, and name for offsite outpatient facilities. Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: December 15, 2020 |
Brookdale Hospital Medical Center | DSH330233 | NY |
No adverse findings |
None |
N/A Audit closure date: May 15, 2020 |
Brockton Neighborhood Health Center, Inc. | CH010700 | MA |
No adverse findings |
None |
N/A Audit closure date: April 17, 2020 |
Broaddus Hospital | CAH511300-00 | WV |
Incorrect 340B OPAIS record - Hospital classification on OPAIS was inconsistent with eligibility documents. |
None |
CAP implemented Audit closure date: December 14, 2020 |
Braxton County Memorial Hospital | CAH511308-00 | WV |
No adverse findings |
None |
N/A Audit closure date: June 19, 2020 |
Boys Town National Research Hospital | PED283300-00 | NE |
No adverse findings |
None |
N/A Audit closure date: June 24, 2020 |
Botsford General Hospital d/b/a Beaumont Hospital – Farmington Hills | DSH230151 | MI |
No adverse findings |
None |
N/A Audit closure date: March 25, 2020 |
Bon Secours Maryview Medical Center | DSH490017 | VA |
No adverse findings |
None |
N/A Audit closure date: May 28, 2020 |
Bliss CaresContact InformationExecutive Director |
STD328062 | FL |
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 9, 2021 |
Birmingham AIDS Outreach, Inc. | STD35233 | AL |
Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for address. |
None |
CAP implemented Audit closure date: June 18, 2020 |
Big Bend Cares | STD323011 | FL |
No adverse findings |
None |
N/A Audit closure date: June 4, 2020 |
Beverly Hospital | DSH220033 | MA |
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. |
None |
CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: March 10, 2021 |
Barrio Comprehensive Family Health Care Center, Inc.Contact InformationPresident and CEO |
CH062360 | TX |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: June 22, 2021 |
Baptist Memorial Hospital Memphis | DSH440048 | TN |
No adverse findings |
None |
N/A Audit closure date: August 26, 2020 |
Banner Fort Collins Medical Center | DSH060126 | CO |
No adverse findings |
None |
N/A Audit closure date: June 5, 2020 |
Atrium Health Union | DSH340130 | NC |
No adverse findings |
None |
N/A Audit closure date: June 23, 2020 |
Atrium Health Lincoln | DSH340145 | NC |
No adverse findings |
None |
N/A Audit closure date: March 10, 2020 |
Ascension Seton DBA Ascension Seton Medical Center Austin | DSH450056 | TX |
No adverse findings |
None |
N/A Audit closure date: April 29, 2020 |
Arnot Ogden Medical Center | DSH330090 | NY |
Incorrect 340B OPAIS record – Failed to remove duplicate registrations for offsite outpatient facilities from 340B OPAIS; Failed to remove a duplicate registration for a contract pharmacy from 340B OPAIS; Incorrect entry in 340B OPAIS for Authorizing Official phone number; Incorrect Primary Contact listed in 340B OPAIS. |
None |
CAP implemented Audit closure date: October 29, 2020 |
Anthony L Jordan Health CorpContact Information340B Analyst |
CH022070 | NY |
Incorrect 340B OPAIS record – Failed to terminate contract pharmacy carve-in arrangement from 340B OPAIS. Diversion – 340B drugs dispensed at contract pharmacies, not supported by a medical record. |
Repayment to manufacturers |
CAP implemented Audit closure date: July 29, 2021 |
Alice Hyde Medical CenterContact InformationDirector of Pharmacy |
DSH330084 | NY |
Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: April 13, 2021 |
Alegent Health – Community Memorial Hospital DBA CHI Health Missouri Valley | CAH161309-00 | IA |
No adverse findings |
None |
N/A Audit closure date: June 19, 2020 |
Adventist Medical Center – ReedleyContact InformationDirector of Pharmacy |
DSH050192 | CA |
Incorrect 340B OPAIS record – Ineligible sites registered on 340B OPAIS; Incorrect entry in 340B OPAIS for address for offsite facility; Failed to remove a duplicate registration a contract pharmacy from 340B OPAIS. Diversion – 340B drug dispensed at contract pharmacy, not supported by a medical record. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. |
Termination of ineligible offsite outpatient facilities from the 340B Program* Repayment to manufacturers |
CAP implemented Audit closure date: November 10, 2021 |
AdventHealth Orlando | DSH100007 | FL |
No adverse findings |
None |
N/A Audit closure date: February 5, 2021 |
*Note: Covered entity self-terminated cited facilities prior to termination of facilities by OPA.