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Posted: May 13th, 2021

Pharmacy access improvement model research project

Integration of 340B Drug Pricing Program in Independent Pharmacy Business Model Research Project Report Houston, Texas Executive Summary This research project examines the integration of the 340B Drug Pricing Program into an independent pharmacy business model in Houston, Texas. The study analyzes the feasibility, requirements, operational considerations, and potential benefits of participating in the 340B program while maintaining competitive advantage in the local pharmaceutical market. Background and Description of Independent Pharmacies in Houston Houston's independent pharmacy landscape operates in one of the largest healthcare markets in the United States. The city hosts numerous independent pharmacies serving diverse communities across its metropolitan area. These pharmacies face increasing competition from large chain pharmacies while managing rising operational costs and complex insurance requirements. 340B Program Integration Process Application Requirements and Qualification Process To participate in the 340B program, independent pharmacies must: • Partner with eligible covered entities such as qualifying hospitals or health centers • Register through the Office of Pharmacy Affairs Information System (OPAIS) • Implement tracking systems for 340B eligible prescriptions • Maintain auditable records of all 340B transactions • Establish procedures to prevent duplicate discounts Required Pharmacy Services Essential services for 340B participation include: • Comprehensive inventory management • Prescription dispensing services • Patient counseling and education • Medication therapy management • Compliance monitoring and reporting SWOT Analysis Strengths • Access to discounted medication pricing • Increased revenue potential • Enhanced community service capability • Competitive advantage over non-participating pharmacies Weaknesses • Complex compliance requirements • Initial implementation costs • Additional administrative burden • Required technology investments Profit and Loss Measurables Key financial metrics include: • Revenue from 340B prescriptions • Implementation and ongoing compliance costs • Administrative overhead expenses • Technology infrastructure investments • Staff training and additional personnel costs Operational Structure and Process The operational framework encompasses: • Dedicated 340B program management team • Inventory tracking and management systems • Compliance monitoring procedures • Regular audit protocols • Staff training programs Exit Strategy The exit strategy considers multiple scenarios: • Planned program discontinuation process • Transfer of 340B operations to another entity • Wind-down procedures for inventory management • Staff transition planning • Documentation preservation protocols References Health Resources & Services Administration. (2023). 340B Drug Pricing Program. Office of Pharmacy Affairs. American Society of Health-System Pharmacists. (2022). Guidelines on the 340B Drug Pricing Program. Texas State Board of Pharmacy. (2023). Pharmacy Operations Guidelines.

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Healthcare Financial Management Association. (2024). 340B Program Implementation Guide. National Community Pharmacists Association. (2023). Independent Pharmacy Operations Manual.

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