ACE Purchasing & Inventory Management 2

Question 1

Under the 340B program, which inventory management method uses a single physical stock for both 340B and non-340B drugs, with software tracking eligibility at the point of dispensing?

Accepted Answer

Virtual inventory

Answer

Virtual inventory (also called virtual replenishment or commingled inventory) uses software to track 340B eligibility without physically separating drug stock.

Question 2

A 340B covered entity purchases a drug at WAC and later replenishes it at the 340B price. This is the basis of which inventory model?

Accepted Answer

Replenishment

Answer

In the replenishment model, drugs are initially purchased at non-340B prices and later replenished at the 340B price after a qualifying patient encounter is confirmed.

Question 3

Which federal requirement prohibits a 340B covered entity from obtaining a discounted 340B drug AND a Medicaid rebate for the same drug dispensed to the same patient?

Accepted Answer

Duplicate discount prohibition

Answer

The duplicate discount prohibition in the 340B statute prevents covered entities from receiving both a 340B discount and a Medicaid rebate on the same drug transaction.

Question 4

A 340B hospital has a mixed-use oncology infusion area where both 340B-eligible and non-eligible patients are treated. Which documentation practice is essential to maintain compliance?

Accepted Answer

Maintain encounter-level records linking each drug to patient eligibility

Answer

Mixed-use areas require encounter-level documentation to demonstrate that each 340B drug dispensed was linked to an eligible patient encounter.

Question 5

Under HRSA guidance, which of the following is the primary responsibility of a 340B covered entity when using a contract pharmacy?

Accepted Answer

The covered entity retains ultimate compliance responsibility

Answer

Regardless of contract pharmacy arrangements, the covered entity retains full compliance responsibility for all 340B transactions processed through its contract pharmacies.

(ACE) Apexus Certified Expert Practice Test

(ACE) Apexus Certified Expert Practice Test

ACE Purchasing & Inventory Management 2