ACE Program Management & Optimization 2

Question 1

Under the 340B program, which entity is primarily responsible for ensuring that duplicate discounts do not occur when a covered entity uses contract pharmacies?

Accepted Answer

The covered entity

Answer

The covered entity bears primary responsibility for preventing duplicate discounts, including implementing systems to separate 340B and non-340B claims at contract pharmacy locations.

Question 2

A 340B covered entity wants to maximize savings on specialty drugs. Which strategy best aligns with 340B program compliance requirements?

Accepted Answer

Use 340B pricing only for patients who meet the definition of a 340B patient

Answer

340B savings may only be used on drugs dispensed to patients who meet the program's definition, ensuring the benefit is tied to eligible patient encounters.

Question 3

Which of the following metrics is most useful for evaluating the financial performance of a 340B program?

Accepted Answer

340B savings as a percentage of total drug spend

Answer

Measuring 340B savings as a percentage of total drug spend provides a direct indicator of the program's financial impact and efficiency.

Question 4

What is the primary purpose of a 340B third-party administrator (TPA)?

Accepted Answer

To manage claims data and ensure proper 340B accumulation at contract pharmacies

Answer

TPAs manage the data flow between covered entities and contract pharmacies to accurately identify, accumulate, and replenish 340B-eligible claims.

Question 5

A federally qualified health center (FQHC) discovers it has been charging Medicaid fee-for-service patients full price while purchasing those drugs at 340B pricing. What must occur?

Accepted Answer

The FQHC must refund the overcharge to Medicaid and implement corrective measures

Answer

Charging Medicaid at full price while using 340B pricing constitutes a duplicate discount, and the covered entity must refund improperly received amounts and correct its systems.

(ACE) Apexus Certified Expert Practice Test

(ACE) Apexus Certified Expert Practice Test

ACE Program Management & Optimization 2