Your 340B program is running. Prescriptions are being filled. Savings are coming in. But are you capturing everything you are entitled to?
For most safety net providers, the answer is no. Here are five signs your program has untapped potential.
1. Your Contract Pharmacy Network Is Too Small
If you are relying on one or two contract pharmacies, you are almost certainly missing volume. Patients fill prescriptions where it is convenient for them, not where it is convenient for your 340B program. A broader pharmacy network captures more eligible prescriptions and increases your savings.
The key is finding pharmacies that serve your patient population and structuring agreements that work within the current manufacturer restriction landscape.
2. You Are Not Tracking Eligible Prescriptions End to End
340B eligibility depends on the patient being registered at your facility and having a qualifying encounter. If your system does not connect patient encounters to prescription fills in real time, eligible prescriptions slip through the cracks.
Manual tracking is especially risky. It creates delays, errors, and compliance exposure.
3. Your Compliance Documentation Has Gaps
Strong compliance is not just about avoiding HRSA audits. It is about maintaining the integrity of every 340B transaction. If you cannot produce a clean audit trail for any given prescription, that is a gap.
Common documentation issues include inconsistent patient eligibility records, incomplete contract pharmacy reconciliation, and outdated policies that do not reflect current HRSA guidance.
4. You Have Not Explored Virtual Pharmacy Options
Virtual pharmacy programs allow safety net providers to monetize generic medications without the overhead of a brick-and-mortar pharmacy. If you are not exploring this model, you may be leaving significant revenue on the table.
Virtual pharmacies work particularly well for chronic disease medications where patients need regular refills at predictable intervals.
5. Your 340B Program Operates in a Silo
When your 340B program is disconnected from your broader financial and clinical strategy, opportunities get missed. The most effective programs integrate 340B into telehealth services, chronic care management, and service expansion planning.
Your 340B program should not be a side function. It should be a central pillar of your financial sustainability strategy.
Closing the Gaps
Each of these five signs represents recoverable revenue. The question is not whether the money exists. It does. The question is whether you have the right infrastructure, partnerships, and processes to capture it.
Ready to Take the Next Step?
MedMatrix helps safety net providers identify and close 340B revenue gaps. Schedule a free program assessment to see where your program stands. Contact us at info@medmatrix-rx.com to get started.
