In a previous webinar/article, we discussed the benefits of participating in a 340B prescription discount model for your entity and for your patients.
In this article, we’ll outline the different types of prescription discount models and the uses/benefits of each model.
Choosing the model that works best for your covered entity will maximize patient benefit while ensuring it is a financially sound and compliant program.
Here are those five models:
- Break-Even Model (Pass-through plan)
- Captures cash claims with the patient paying all costs. 340B Drug Cost + Admin & Dispense Fee.
- Sliding Fee Model
- Takes a percentage or dollar amount of the 340B Cost of Sale based on patients’ Federal poverty level tier (may or may not include the 340B TPA Admin Fee and Pharmacy Dispense Fee to patient Cost). *Requirement for BPHC 330 Grantees
- Voucher Program Model
- With this program, you have the option to determine any copay you wish to apply. The card may be used as a one-time voucher or limited-use voucher, based on your preference. This would be a voucher per prescription and gives the CE full autonomy of which prescriptions they want to cover and for which patients
- Percentage Discount Model
- Covered entity can apply a percentage discount to the 340B Cost of Goods, Admin fee, and pharmacy fill fee to reduce a patient’s co-pay
- 340B Cost of Goods Model
- This model translates to the patient paying the cost of goods for each prescription filled under the covered entity’s program. The CE would then be responsible for the rest of the cost of the claims. (Admin Fee and Pharmacy fill fee)
- Hard Stop Model
- With this model, the patient’s copay comes back to the pharmacy at a flat dollar amount. This ensures the patient’s pay the same cost every time they fill prescriptions.
For more information, please visit https://www.capturerx.com/capturecard/
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