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?

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. Apexus offers a service to handle the resource-intensive, complex task of providing these refunds when necessary. The Apexus Manufacturer Refund Service (MRS) facilitates refunds to CEs by using its proprietary database, and directly refunding affected facilities through its authorized distribution network.

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 can support manufacturers in maintaining compliance with price integrity.

 

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

The Apexus Manufacturer Refund Service is a cost-effective and efficient solution to maintain 340B compliance.

 

 

 

WHY ACT NOW?

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

Since the advent of the 340B Drug Pricing Program, 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 will also be prepared for the launch of the secure pricing component of the Office of Pharmacy Affairs Information System (OPAIS), under which CEs will be able to see 340B ceiling prices of all covered outpatient drugs. Further, the pricing system has a process in which any pricing discrepancies, due to restatements or otherwise, will initiate a reconciliation procedure. Compliance with pricing accuracy and refunds is essential.

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. Get more information.

LEARN MORE ABOUT APEXUS MRS

Contact Apexus for more information or to schedule a presentation.

Email 469.299.7315

 

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