The Apexus Covered Entity Refund Service (CRS) streamlines the process of returning ineligible 340B discounts to manufacturers. Take advantage of Apexus’ expertise in 340B compliance, analysis, project management, and reporting to standardize refunds.
Company Background
Apexus solves for medication access and affordability for America’s
safety net by delivering access, education, and sourcing solutions for
340B stakeholders. In addition to serving as the HRSA-designated Prime
Vendor for the 340B Drug Pricing Program, Apexus offers professional
training and validation through its Advanced 340B Operations Certificate
Program and facilitates a streamlined solution for returning ineligible
340B discounts with the Covered Entity Refund Service.
Product Overview
• What is the Apexus Covered Entity Refund Service?
The Apexus Covered Entity Refund Service (CRS) facilitates the return
of ineligible 340B discounts to individual manufacturers. Apexus works
directly with covered entities or contracted consultants to efficiently
process refunds to manufacturers through a proprietary process,
reducing the time and effort spent resolving errors. 340B covered entities
must manage the difficult task of returning ineligible 340B discounts to
manufacturers accurately and efficiently.
Both covered entities and manufacturers struggle to resolve these errors
for a number of reasons:
• Historical drug pricing information is difficult to access for
covered entities.
• Manufacturer contacts for refunds are not publicly available
• No statutorily defined process governs refunds of ineligible
340B discounts
• There is no industry standard for 340B refunds.
• What are the benefits of the Apexus CRS?
The Apexus CRS brings the expertise of Apexus to 340B compliance,
analysis, project management, and reporting. Covered entities benefit by
using the Apexus CRS to manage their 340B refunds to streamline the
process of refund calculation, documentation, and resolution. A database
of manufacturer contacts along with a database of historical WAC prices
and NDC codes are maintained by Apexus CRS to improve response
time and accuracy. The Apexus CRS provides a best practice process for
facilitating covered entity refunds.
Tested & Validated Pilot Program
As a thought leader and go-to resource in pharmacy solutions for the
nation’s safety net providers, Apexus developed a solution to streamline
the process of returning ineligible discounts to manufacturers. The pilot
program launched over a two-year period and successfully refunded
over $5 million to more than 200 manufacturers with minimal impact
on day-to-day processes at eight separate covered entities and several
manufacturers. The CRS solution streamlined the process to quickly
resolve 340B refund issues, significantly reduced the impact on day-to-day
processes for both the covered entity and the manufacturer, and resulted
in an eight times faster response rate from manufacturers when Apexus
CRS extended the refund offer.
How does the CRS process work?
1. Findings are identified during HRSA audit, independent outside
audit, or self-audit.
2. Covered entity contracts with Apexus CRS to facilitate refund
to manufacturers.
3. Apexus has a kickoff call with the covered entity and/or consultants to
launch the refund process.
4. Covered entity completes standardized documents to validate refund offer.
5. Covered entity transfers funds to Apexus.
6. Apexus sends refund offer to manufacturer for approval or denial
7. Apexus forwards approved funds to manufacturer or works to
resolve denials.
8. Covered entity receives fully auditable final report from Apexus
Testimonials
“Managing a 340B repayment is time-consuming and difficult because historical
price
information is not available, manufacturer contacts are not publicly available,
and the
response rate is very low.”
— 340B Program Manager, Hospital in Northeast
“Manufacturer repayments are an important part of 340B compliance work.
Apexus
engagement with repayment makes the process more efficient for both the
covered
entities and manufacturers.”
— Pharmacy Specialist, 340B Program, Health Care System in Southeast
Ordering Information
Are you ready to save time, increase efficiency, and simplify 340B discount
refunds? Learn how our refund solution can streamline your success.
Contact Apexus today to learn more about Apexus CRS.
Email: coveredentityrefunds@apexus.com
Phone: (888) 340-2787
Website: Apexus.com/CRS
This post is related to:
Distribution: 340B Solutions, 340B Management Systems