Manufacturer Refund Service - Prime Vendor Program - Apexus

 

MANUFACTURER REFUND SERVICE

 

LET APEXUS SIMPLIFY YOUR 340B REFUNDS.

Email 469.299.7315

WHAT IS THE MANUFACTURER REFUND SERVICE?

Manufacturers occasionally need to provide refunds to 340B Covered Entities (CEs) after restating the Average Manufacturer Price (AMP) and/or Medicaid Best Price (BP). These adjustments may result in a recalculation of the quarterly 340B ceiling price and the subsequent need to refund CEs for past 340B purchases. The Apexus Manufacturer Refund Service (MRS) handles this usually resource-intensive task by facilitating refunds to the Covered Entities by using its proprietary database, leveraging its Authorized Distribution Network, and directly refunding impacted facilities.

WHY ENGAGE APEXUS?

Apexus has been successfully facilitating refunds since 2011 with manufacturers of varying size and product portfolios. Whether your refund project is large or small, Apexus provides an accurate, economical solution. The Apexus Manufacturer Refund Service supports the Health Resources and Services Administration (HRSA) mandate for 340B pricing integrity and compliance.

 

Best decision we made was to engage Apexus to provide MRS. This would’ve been a daunting task for our company and when we were informed of their services we were not sure what to expect. Apexus staff was professional, friendly, efficient and proactive. They did it all. Overall, top notch services! I would definitely use them again.

– Government Pricing Programs Director

 

 

BENEFITS

SAVE TIME

Apexus handles all CE communication, refund processing, and financial and tax documentation. Refunds are efficiently completed in 90 days or less.

SAVE MONEY

Apexus leverages its proprietary database and national call center to efficiently process refunds, passing the time and dollar savings back to you. The service fee is provided upfront to avoid budgeting surprises.

MAINTAIN COMPLIANCE

Refunding overcharges in a timely manner supports 340B Program Integrity. A fully auditable final report is provided at project completion.

 

 

MANUFACTURER REFUND SERVICE OVERVIEW

REFUND PREPARATION

Manufacturer Provides:

  • Entity level refund data
  • Basic information for communication package

Apexus Delivers:

  • Complete data analysis
  • Communications template(s)
  • Communications with covered entities (CEs) and distributors

REFUND PROCESS

Manufacturer Provides:

  • Project point person

Apexus Delivers:

  • CE refunds through distributor credits
  • Due diligence calls to send refunds by check or ACH when required
  • Collection of CE W9s
  • Weekly status reports

REFUND PROJECT COMPLETION

Manufacturer Provides:

  • Single 1099 tax form to Apexus (vs multiple forms to each CE)

Apexus Delivers:

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

 

 

COMPLIANCE WITHOUT COMPLEXITY

Whether you have identified a need to issue refunds or are concerned with upcoming requirements, the Apexus Manufacturer Refund Service is a cost-effective and efficient solution to maintain 340B compliance.

 

 

 

WHY ACT NOW

Manufacturers are required to charge CEs no more than the 340B ceiling price for covered outpatient products under the 340B statute and their pharmaceutical pricing agreement (PPA). The Affordable Care Act (ACA) contains an expectation that manufacturers restate and issue refunds for overcharges to CEs. Manufacturers beginning this process before the HRSA civil monetary penalty regulations become effective will gain experience and potentially save time and money. Manufacturers will also be prepared for the launch of the Office of Pharmacy Affairs Information System (OPAIS) when CEs will have visibility to 340B drug prices and manufacturer restatements reported to CMS.

FULL SERVICE RESTATEMENT AND REFUND ASSISTANCE

For manufacturers who may require assistance with 340B pricing restatements, Apexus has formed an alliance with Deloitte Risk and Financial Advisory. Deloitte can assist with the restatement process, and Apexus can assist with refunding covered entities through the Manufacturer Refund Service.

LEARN MORE ABOUT APEXUS MRS

Contact Apexus for more information or to schedule a presentation.

Email 469.299.7315

 

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