Searchable state-by-state Medicaid 340B requirements
This resource has been created by the 340B Prime Vendor Program to assist stakeholders by combining the most recently available 340B-specific Medicaid data with publicly available federal data. Please note that additional requirements or contractual obligations that may be in place from third-party payers are not included in this resource.
Upon selecting a state in the drop-down menu, the Medicaid State Technical, Rebate and Policy contacts and details on the state’s retail prescriptions, provider- or facility-administered drugs, contract pharmacies and Medicaid Managed Care profiles will populate below. Each field is linked to the sourced data where additional information can be found.
Please note: The data presented on this page are compiled from various sources; however, the information is not endorsed by HRSA and not dispositive with the 340B Drug Pricing Program. 340B stakeholders are ultimately responsible for 340B Program compliance and compliance with all applicable state and federal laws and regulations. Stakeholders are encouraged to contact the states to verify current policy/requirements.
All 340B stakeholders have equal access to technical assistance by contacting the Apexus Answers call center. We provide HRSA-aligned answers ranging from basic to complex, via phone 888.340.BPVP (2787), live chat, and email. We are here to help you navigate the 340B Program. Apexus Answers, celebrating ten years of service and support.
"340B Partner agrees to the following reconciliation process: (1) 340B Partner will accept a monthly 340B utilization file in Excel format, (2) the 340B Partner will indicate by claim what prescriptions are eligible for 340B pricing, (3) the 340B Partner will indicate the acquisition cost for each prescription as of the date of service, (4) the 340B Partner will return the Excel utilization file to DVHA within thirty calendar (30) days of receipt by the 340B Partner.Although we do not require pharmacies to identify 340B claims at the point of dispensing, we encourage this practice to minimize the burden of manual claim adjustments. Pharmacies who choose to identify 340B claims at POS should submit those claims with a Submission Clarification Code=20 and Basis of Cost= 8. When using the SCC=20, pharmacies MUST submit their 340B acquisition cost on the claim.