Program Integrity: FY25 Audit Results

Updated 9/23/25. 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 67 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

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

No adverse findings

None

N/A

Audit closure date: July 28, 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

Baptist Health Richmond DSH180049 KY

No adverse findings

None

N/A

Audit closure date: June 27, 2025

Baptist Memorial Hospital - Crittenden, Inc. DSH040156 AR

No adverse findings

None

N/A

Audit closure date: September 8, 2025

Bellevue Hospital Center (NYCHHC) DSH330204 NY

No adverse findings

None

N/A

Audit closure date: May 9, 2025

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

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

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

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

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

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

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

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

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

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

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

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

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

Trinity Bettendorf DSH160104 IA

No adverse findings

None

N/A

Audit closure date: May 19, 2025

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.

Date Last Reviewed: