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BI-STATE PRIMARY CARE ASSOCIATION

340B Models

Page 2

Model

How it Works

Benefits

Considerations

Model

pharmacy owned and operated by HC

Staff pharmacist fills prescription and enters it as a 340B script in the system

Pharmacist calls wholesaler to replenish medications that were dispensed

Pharmacist charges 340B price plus dispensing fee

Pharmacy (HC) receives payment

HC has greater control over administration/operations

pharmacy

HC may have limited space at HC for pharmacy

Difficulty in recruiting pharmacists (shortage)

In-house pharmacy usually doesn’t generate a lot of revenue

Low foot traffic

Can only generate revenue on 340B patients

Requires capital to cover staffing costs

Automated Dispensary/ Mail Order Model

Automated Dispensary

Requires a pharmacy technician (rather than a pharmacist)2

Provides medications for patients who need them immediately

Mail Order System

Supplement to auto-dispensary

Central fill mail order pharmacy accommodates chronic medications

Medications arrive ~ every 30 days

High likelihood of generating revenue IF:

High % of commercially insured patients

Patients don’t already have a mail order system

Workable option for:

very remote, rural communities

HCs with very little competition

2 Some states prohibit this arrangement, requiring a licensed pharmacy on site where medications are stored.

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