Program Assessment

• Review current workflows, pricing, dispensing, and inventory systems.

Compliance Gap Analysis

• Identify vulnerabilities in registration, claims, audits, policies.

Policy & Procedure Enhancement

• Develop 340B-specific manuals and process controls (e.g., tracking mixed-use, prior authorizations).

Training & Education

• Conduct workshops for pharmacists, techs, providers on program rules, formulary management.

TPA & Claim Oversight

• Audit TPA outputs, resolve disputes or denials.

Inventory & Leakage Control

• Review stocking strategy (340B vs WAC), implement virtual inventory tracking.

Audit Readiness & TPA Liaison

• Mock audits, prepare documents, support during HRSA/state board audits.

Performance Monitoring & Optimization

• Implement data analytics, revenue integrity checks, quarterly savings benchmarking.

Timeline

Existing Pharmacy Oversight (3–6 months initial, then ongoing)

Months 0–1: Assessment & workflow mapping

Months 1–3: Compliance gap resolution, TPA adjustments,
P&P rollout

Months 3–6: Training, audit prep, mock audit simulation

Ongoing: Monthly oversight, reporting and quarterly
performance reviews