ACE Purchasing & Inventory Management 3

Question 1

A disproportionate share hospital (DSH) is prohibited from using which purchasing arrangement for covered outpatient drugs under the 340B program?

Accepted Answer

Group purchasing organization (GPO) contracts

Answer

DSH hospitals (and certain other covered entities) are prohibited from purchasing covered outpatient drugs through GPO contracts while also participating in 340B for those same drugs.

Question 2

In the context of 340B inventory management, what does 'accumulation' refer to?

Accepted Answer

Tracking eligible patient encounters before purchasing drugs at 340B prices

Answer

Accumulation involves building up a sufficient volume of 340B-eligible patient encounters before executing a bulk 340B purchase, often used in virtual inventory systems.

Question 3

Which type of covered entity is subject to the orphan drug exclusion under the 340B statute?

Accepted Answer

Children's hospitals, free-standing cancer hospitals, and critical access hospitals

Answer

The orphan drug exclusion applies to children's hospitals, free-standing cancer hospitals, critical access hospitals, rural referral centers, and sole community hospitals — not to FQHCs or Ryan White grantees.

Question 4

A 340B covered entity's wholesaler invoice shows the drug was billed at WAC instead of the 340B ceiling price. What is the most appropriate immediate action?

Accepted Answer

File a dispute with the manufacturer through HRSA's dispute resolution process

Answer

When a manufacturer charges above the 340B ceiling price, the covered entity should initiate the manufacturer dispute resolution process established by HRSA.

Question 5

What is the maximum number of contract pharmacy arrangements a covered entity with an in-house pharmacy may typically register under current HRSA policy?

Accepted Answer

No limit; unlimited contract pharmacies allowed

Answer

Historically, HRSA allowed unlimited contract pharmacy registrations, though recent manufacturer restrictions have limited access — the statutory rule itself has no numerical cap.

(ACE) Apexus Certified Expert Practice Test

(ACE) Apexus Certified Expert Practice Test

ACE Purchasing & Inventory Management 3