Glossary Category: Drug Pricing & Pharmacy Operations
These terms explain how 340B pricing works in practice and where operational complexity creates risk, especially in contract pharmacy and TPA workflows. Use these definitions to interpret pricing discussions, purchasing ratios, and compliance controls.
An independent or chain pharmacy that has a written agreement with a 340B covered entity to dispense 340B-priced drugs to the covered entity’s eligible patients on its behalf.
An organization that contracts with covered entities and pharmacies to manage the operational aspects of contract pharmacy arrangements, including patient eligibility determination, claims processing, inventory management, and data reporting.
An organization that provides administrative, contracting, and operational services to independent pharmacies, potentially including support for participating in 340B contract pharmacy arrangements.
An electronic system authorized by the DEA that allows pharmacies and other registrants to order Schedule I and II controlled substances electronically, relevant to 340B programs that include controlled substance dispensing.
A comprehensive list of all services, procedures, and drugs that a hospital or health system can bill to payers, used in 340B programs to ensure that drugs purchased at 340B prices are billed correctly.
A category of contraceptive methods (including IUDs and implants) that provide long-term pregnancy prevention without requiring daily action, relevant to 340B programs at Title X and FQHC covered entities.
A service provided by pharmacists to optimize drug therapy and improve patient outcomes, which may be offered as part of a covered entity’s 340B program services.
The use of electronic information and communication technology to provide pharmacy services to locations remote from a physical pharmacy, relevant to 340B programs serving rural or underserved areas.
A voluntary program managed by Apexus under a HRSA agreement that negotiates sub-340B pricing and other value-added contracts on behalf of 340B covered entities, providing access to discounts below the statutory ceiling price.
The company that manages the 340B Prime Vendor Program under a contract with HRSA, providing sub-340B pricing, distribution solutions, and educational resources to 340B covered entities.
