Ep 51 | CMS Medicaid Drug Rebate Program & “Covered Outpatient Drug” Definition
340B Unscripted21 Elo 2024

Ep 51 | CMS Medicaid Drug Rebate Program & “Covered Outpatient Drug” Definition

In this episode, Greg and Rob are joined by healthcare attorney Todd Nova to discuss a proposed rule change put forth by CMS in 2023 regarding the Medicaid Drug Rebate Program (MDRP), which includes a potential change to the definition of “covered outpatient drug”. They’ll discuss how covered entities have historically interpreted the definition of covered outpatient drugs, and what impact might come from CMS’s proposed change in this definition. Greg and Rob also get Todd’s take on recent HRSA audit activity in a post-Genesis 340B environment.

In the intro, the guys discuss the recent announcement of Medicare prices on the first 10 drugs subject to IRA-mandated drug price negotiations, a court ruling in Texas over DSH% calculation and use of Section 1115 waiver days, and changes to claims submission via 340B ESP.

Jaksot(96)

Ep 14 | All About 340B Grantees (Part 2)

Ep 14 | All About 340B Grantees (Part 2)

This is part two of our two-part series focusing on 340B grantee-covered entities. The team talks about the importance of maintaining auditable records (15:34) and the challenges that many grantees fa...

6 Maalis 20231h

Ep 14 | All About 340B Grantees (Part 1)

Ep 14 | All About 340B Grantees (Part 1)

This episode is the first part of a two-part series focusing on 340B grantee-covered entities.  Rob and Greg are joined by SpendMend pharmacy experts (19:43) who bring their FQHC and Ryan White experi...

27 Helmi 202338min

Ep 13 | Update on Manufacturer Restrictions for 340B Contract Pharmacies

Ep 13 | Update on Manufacturer Restrictions for 340B Contract Pharmacies

In this episode, Rob and Greg catch up on recent 340B developments, including the 3rd Circuit Court ruling on one of the contract pharmacy cases and the subsequent changes to some manufacturer's polic...

13 Helmi 20231h 4min

Ep 12 | Pharmacy Benefit Optimization for 340B Covered Entities

Ep 12 | Pharmacy Benefit Optimization for 340B Covered Entities

Rob and Greg kick off the episode with some discussion around news and noteworthy items across the 340B landscape, including more dialogue around CMS guidance on “JG”/”TB” modifiers (1:01), 340B in th...

30 Tammi 202353min

Ep 11 | Trends in Direct Order Procurement

Ep 11 | Trends in Direct Order Procurement

16 Tammi 202332min

Ep 10 | Top 10 Developments in 340B for 2022

Ep 10 | Top 10 Developments in 340B for 2022

For our last episode of 2022 Rob and Greg are joined again by SpendMend colleague Matt Parker and debate the top developments in the 340B space over the last year.

12 Joulu 202247min

Ep 9 | TPA Transition Tips and Tricks

Ep 9 | TPA Transition Tips and Tricks

In this episode, we have podcast guests Anna Bulochnik, and Chelsea Violette to discuss the challenging task of switching third-party administrators (TPAs). Great tips and recommendations on how to ma...

28 Marras 202249min

Ep 8 | Trulla - Modernizing Pharmacy Procurement

Ep 8 | Trulla - Modernizing Pharmacy Procurement

On this episode, Rob and Greg welcome a few new SpendMend colleagues - Curtis McEntire and Angela Whitney– to talk about Trulla, a state-of-the-art pharmacy procurement solution now offered by SpendMe...

14 Marras 202244min

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