The covered entity must have fully auditable records that demonstrate compliance with all 340B Program requirements, including drugs dispensed through a contract pharmacy arrangement. The contract pharmacy will provide the covered entity with reports consistent with customary business practices (e.g., quarterly billing statements, status reports of collections and receiving, and dispensing records). The contract pharmacy, with the assistance of the covered entity, will establish and maintain a tracking system suitable to prevent diversion of 340B drugs and duplicate discounts on the drugs. Customary business records, which must be readily retrievable, may be used for this purpose. The covered entity will establish a process for a periodic comparison of its prescribing records with the contract pharmacy’s dispensing records to detect potential irregularities. Such records can include: prescription files, velocity reports, and records of ordering and receipt of drugs. These records will be maintained for a period of time required by State law and regulations (75 Fed. Reg. 10272 (Mar. 5, 2010)).
The covered entity must have sufficient information to ensure ongoing compliance and the timely recognition of any 340B Program compliance problem at all contract pharmacy locations. The covered entity remains responsible for the 340B drugs it purchases and dispenses through a contract pharmacy. All covered entities are required to maintain auditable records and provide oversight of their contract pharmacy arrangements. HRSA expects that covered entities will utilize independent audits as part of fulfilling their ongoing obligation of ensuring 340B Program compliance. 340B Program violations found during internal or independent audits must be disclosed to HRSA along with the covered entity’s plan to address the violation. This information should be mailed to Health Resources and Services Administration, Office of Pharmacy Affairs, 5600 Fishers Lane, Mail Stop 08W05A, Rockville, MD 20857. Additionally, HRSA audits of covered entities include a covered entity’s contract pharmacies. A contract pharmacy will be removed from the 340B Program if the covered entity is not providing oversight of its contract pharmacy arrangement.
The “ship to bill to” procedure refers to an arrangement set up by the covered entity who is responsible for purchasing 340B drugs from wholesalers and/or manufacturers and directs those 340B drugs to be shipped to the contract pharmacy. In other words, the covered entity maintains title of the 340B drugs as required, but the contract pharmacy(ies) houses the drugs and provides dispensing services to patients of the covered entity.
Yes, the CaptureCard is for uninsured patients.
Min 1, Max unlimited; as many as beneficial to you and manageable within compliance.
About 90 days
please see attached list:
Most pharmacies batch every two weeks, so roughly every 30 days you should expect payment.
With a normal setup, you will go to “view accounts” then “pull batch number”. There, you should have the ability to reconcile any payments versus what is seen in Cumulus.
- Once claims have been searched and are displayed, click the cursor on the very first box which should contain a green or red flag.
- After clicking on the box, press Ctrl + A and this will select all data that is displayed.
- Press Ctrl + C and this will copy all the data to be pasted on a blank spreadsheet.
- When you have your blank spreadsheet open, click on the very first blank space at the top left-hand corner and press Ctrl + V and all the claims data will appear on the spreadsheet.
- You will have to manually enter all the header information as needed and organize all the data accordingly.
- Login to your Cumulus account
- Click on “Reports” tab on the upper right corner
- Select which type of report
- Make appropriate changes to designated entity/pharmacy/and dates
- Click “preview” tab
- On the top right hand corner, hover over “export document to window..” select the dropdown tab with green arrow to export using multiple formats
- Select “ok” once ready to export information
Yes. An additional EnvisionSavings discount card is offered by CaptureRx, but is not to be used as an insurance card.
Please contact your prescribing entity or facility to obtain a list of pharmacies associated to your CaptureCard.
Please contact the entity or facility to obtain a new member ID, as each CaptureCard is associated to only one patient.
Ensure you are using the correct BIN/PCN/GROUP #. Each patient will use the same BIN(610724) but the PCN and the Group # are associated to the Entity who issued the patient the card. The new CaptureCard looks like this:
You can reset your password in C3 by clicking on “forgot password” unless you are locked out. If you become locked out, please contact the CaptureRx Customer Support Center for further assistance accessing your account.
Ensure you are using the correct browser: Internet Explorer (Firefox as a secondary option)
- Uninstall Silverlight
- Download FireFox ESR 52.0 with the link supplied
- Download ESR 52.0 but do not install.
- Once downloaded, turn internet connection off (airplane mode works as well)
- After the internet connection is off, download Firefox
- Once it has downloaded, open Firefox (with the internet connection still off)
- Once in Firefox, go to “Options” (located in the drop down on the top right of browser)
- Remove “Automatically install updates” and Choose “Check for Updates but let you choose to install them”
- Turn internet connection back on and open Browser.
- Access cumulus
Google Chrome is what is recommended.