Manufacturer Refund Service - Prime Vendor Program - Apexus

 

MANUFACTURER REFUND SERVICE

 

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WHAT IS THE MANUFACTURER REFUND SERVICE?

Manufacturer restatements of Average Manufacturer Price (AMP) and/or Medicaid Best Price (BP) can result in a 340B ceiling price recalculation, leading to refunds owed to covered entities (CEs) for past 340B purchases. The 340B Prime Vendor Program (PVP), managed by Apexus, offers a service to handle the resource-intensive, complex task of providing these refunds when necessary.

The 340B PVP Manufacturer Refund Service (MRS) facilitates refunds to CEs by directly refunding affected facilities primarily through the authorized distribution network. This model can be used by manufacturers with varying product portfolios as a solution for large or small refunds alike.

 

THE 340B PRIME VENDOR FACILITATES THE REFUND PROCESS

 

 

 

340B PVP Manufacturer Refund Service

RECEIVE COMPREHENSIVE REPORTING

A fully auditable final report is provided at project completion.

SAVE TIME

The 340B Prime Vendor facilitates CE communication, refund processing, and collecting W-9 tax forms. Refunds are efficiently completed in 90 days or less.

INCREASE OPERATIONAL EFFICIENCY

To facilitate budget planning, the Manufacturer Refund Service process is outlined prior to the start of the refund project. The 340B Prime Vendor works with the distributor network and CE relationships as well as its call specialists to process refunds efficiently.

 

 

MANUFACTURER REFUND SERVICE OVERVIEW

REFUND PREPARATION

  • Complete data analysis
  • Communications template(s)
  • Communications with CEs and distributors within 30 days

REFUND PROCESS

  • CE refunds through distributor credits and checks
  • Due diligence calls to send refunds by check or ACH when required
  • Collection of CE W-9s
  • Weekly status reports

REFUND PROJECT COMPLETION

  • Executive summary
  • Fully auditable line item detailed reconciliation report
  • Preparation and sending of 1099 tax forms as required

 

340B CMP FINAL RULE

The 340B Drug Pricing Program Ceiling Price and Manufacturer Civil Monetary Penalties (CMP) Regulation (340B CMP Final Rule) became effective January 1, 2019.

Manufacturers are required to charge CEs no more than the 340B ceiling price for covered outpatient drugs under the 340B statute and their pharmaceutical pricing agreement (PPA). Manufacturers are expected to restate and issue refunds for overcharges to CEs.

Read our article about 340B regulatory changes and their impact and best practices for manufacturers.

LEARN MORE ABOUT THE 340B PRIME VENDOR MRS

Contact us for more information or to schedule a presentation.

Email 469.299.7315

 

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