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HRSA 340B Audit Guide – 340B Compliance & Program Integrity

HRSA 340B Audit Guide – 340B Compliance & Program Integrity

A Manager’s Guide for HRSA 340B Audits, Program Integrity, and Compliance

The 340B program is complex, and maintaining accurate records is essential for success! If you’re a program manager, you know this all too well. But are you confident your records would stand up to a Health Resources and Services Administration (HRSA) audit? Let’s review what you need to know about maintaining auditable records for 340B compliance.


340B Program Changes for Covered Entities

In the past couple of years, the 340B drug pricing program has seen some changes in record-keeping and program requirements. Edward Vargas, founder of Virtue 340B, points out a significant update: “One of the data elements on the HRSA data request list is to provide proof of an independent audit of your contract pharmacies.” You must show evidence that an external auditor has reviewed your contract pharmacy operations.

But why are these records so important? Simply put, they’re your defense against potential program removal. Vargas warns, “The most severe penalty would be removal from the 340B program.” He adds that in past years, some covered entities did, in fact, lose their eligibility and had to repay manufacturers for compliance violations under section 340B, as outlined in the HRSA Office of Pharmacy Affairs.

The good news? Severe penalties have become less common in recent years. Vargas explains, “We’ve seen less and less of it. And it’s primarily due to the 340B industry’s acceptance of engaging third-party administrative vendors to help facilitate the program.” Read More >


Virtue 340B

Virtue 340B News & Announcements

Virtue 340B is an independent compliance partner specializing in mock HRSA audit simulations, independent audits, and continuous monitoring to help covered entities safeguard their 340B programs. Guided by the International Standards for Professional Internal Auditing, we deliver objective, transparent findings that provide clarity, strengthen oversight, and build long-term confidence. Our approach goes beyond compliance—offering education, structure, and practical solutions that transform challenges into opportunities for lasting program success.

RXinsider Staff

Posted by: RXinsider Staff

RXinsider is a multimedia publishing and technology company offering print publications, digital platforms, events, and content creation services to the B2B pharmacy market.

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