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Compliance & Oversight Flashcards

7 cards from real ACE practice questions. Tap to flip, then mark Knew It or Still Learning โ€” missed cards come back until you master them.

Read the first 7 Compliance & Oversight flashcards as text
  1. Which organization publishes the Apexus ACE exam and sets the standards for 340B compliance certification?

    Answer: Apexus, the HRSA-designated 340B Prime Vendor

    Apexus serves as the HRSA-designated Prime Vendor for the 340B Program and administers the ACE certification to promote program integrity and compliance knowledge.

  2. Under 340B compliance, what is the significance of maintaining a 'patient definition'?

    Answer: It establishes which individuals qualify to receive 340B-priced drugs from the covered entity

    The patient definition determines who qualifies for 340B drugs; dispensing 340B drugs to individuals outside this definition constitutes diversion.

  3. When a 340B covered entity uses a contract pharmacy, who bears primary responsibility for ensuring 340B compliance?

    Answer: The covered entity

    The covered entity retains primary compliance responsibility even when using contract pharmacies; it must have oversight mechanisms to ensure the pharmacy dispenses correctly.

  4. Which federal statute authorizes the 340B Drug Pricing Program?

    Answer: Section 340B of the Public Health Service Act

    The 340B Program was created by Section 340B of the Public Health Service Act (PHSA), enacted as part of the Veterans Health Care Act of 1992.

  5. A Federally Qualified Health Center (FQHC) wishes to add a new service delivery site to its 340B registration. Which action is required before that site may purchase 340B drugs?

    Answer: Register the new site with HRSA OPA and wait for confirmation before purchasing

    Each new service delivery site must be separately registered with HRSA OPA and confirmed in the 340B database before 340B purchases may begin at that location.

  6. In the context of 340B compliance, what is a 'split-billing' system designed to do?

    Answer: Segregate 340B-eligible prescriptions from non-340B prescriptions to prevent duplicate discounts

    Split-billing software identifies which prescriptions qualify for 340B pricing versus non-340B pricing, preventing duplicate discounts with Medicaid and ensuring accurate purchasing.

  7. Which of the following is NOT a required element of a valid 340B contract pharmacy arrangement?

    Answer: The contract pharmacy must be owned by the covered entity

    Contract pharmacies do not need to be owned by the covered entity; they are independent pharmacies operating under a formal contract, which must be registered with HRSA.