ACE Purchasing & Inventory Management 4

Question 1

A 340B pharmacy manager notices that clinic staff are dispensing 340B-priced drugs to employees with no qualifying patient encounter. Under the statute, this constitutes:

Accepted Answer

Drug diversion

Answer

Dispensing 340B-priced drugs to individuals who are not eligible patients — including staff — constitutes diversion, which is explicitly prohibited by the 340B statute.

Question 2

Which inventory replenishment approach is most commonly used by 340B hospitals that operate their own outpatient pharmacy and want to minimize audit risk?

Accepted Answer

Encounter-based virtual replenishment with audit trails

Answer

Encounter-based virtual replenishment with detailed audit trails is widely regarded as the lowest-risk approach because each 340B order is supported by documented eligible encounters.

Question 3

When calculating the 340B ceiling price for a drug, the formula is based on:

Accepted Answer

Wholesale Acquisition Cost (WAC) minus the Unit Rebate Amount (URA)

Answer

The 340B ceiling price equals WAC minus the Unit Rebate Amount (URA) that manufacturers owe under the Medicaid Drug Rebate Program.

Question 4

A covered entity is audited and found to have no written contract with its contract pharmacy specifying 340B compliance obligations. This finding most directly violates:

Accepted Answer

HRSA's contract pharmacy guidance requiring a written agreement

Answer

HRSA guidance requires that a written contract pharmacy agreement be in place, clearly defining each party's 340B compliance responsibilities.

Question 5

In a 340B audit, which record is most critical for demonstrating that a drug was dispensed to an eligible patient at a registered site?

Accepted Answer

Patient encounter record linked to the dispensing event

Answer

An encounter record that links the specific patient visit to the 340B dispensing event is the foundational audit document proving patient eligibility.

(ACE) Apexus Certified Expert Practice Test

(ACE) Apexus Certified Expert Practice Test

ACE Purchasing & Inventory Management 4