ACE Purchasing & Inventory Management 5

Question 1

Which of the following best characterizes a 'ship-to/bill-to' purchasing arrangement in a 340B context?

Accepted Answer

A manufacturer ships a drug to a contract pharmacy but bills the covered entity at the 340B price

Answer

In a ship-to/bill-to arrangement, the manufacturer ships directly to the contract pharmacy (ship-to) but invoices the covered entity (bill-to) at the 340B ceiling price.

Question 2

A 340B covered entity's internal audit reveals a 2% diversion rate in its contract pharmacy network. Under HRSA guidelines, the entity should:

Accepted Answer

Self-report the findings, implement corrective action, and repay manufacturers for diverted drugs

Answer

HRSA expects covered entities to self-report diversion findings, take corrective action, and repay manufacturers for any overcharges resulting from non-compliant transactions.

Question 3

What is the purpose of HRSA's Apexus Prime Vendor Program (PVP) in relation to 340B purchasing?

Accepted Answer

To negotiate additional sub-ceiling pricing and provide purchasing support to 340B entities

Answer

The Apexus Prime Vendor Program negotiates pricing below the 340B ceiling (sub-ceiling prices) and provides tools and support to help covered entities optimize their purchasing.

Question 4

A 340B covered entity uses a third-party administrator (TPA) to manage its contract pharmacy claims. Who bears legal responsibility if the TPA submits non-compliant 340B claims?

Accepted Answer

The covered entity retains primary compliance responsibility

Answer

Regardless of the use of TPAs, the covered entity is ultimately responsible for the compliance of all 340B transactions conducted on its behalf.

Question 5

Under the 340B statute, which patient criterion is NOT required for a patient to be considered eligible for a 340B-priced drug?

Accepted Answer

The patient must be uninsured or enrolled in Medicaid

Answer

Insurance status is not a criterion for 340B patient eligibility — insured patients (including those with commercial insurance or Medicare) can qualify as long as other eligibility requirements are met.

(ACE) Apexus Certified Expert Practice Test

(ACE) Apexus Certified Expert Practice Test

ACE Purchasing & Inventory Management 5