340B Rebate Model Pilot Program

Program Evaluation

We evaluate your current or potential 340B program and give you clarity on operational performance, financial impact, and strategic opportunity — whether you're a Covered Entity, a Pharmacy, or both. Using objective data, we build a roadmap that supports confident decision-making and long-term success.

services include

340B Opportunity Projection

Before entering or expanding a 340B arrangement, you need a clear financial picture. We analyze pharmacy and Covered Entity data to forecast expected volume, savings, and revenue impact for both parties — eliminating guesswork.

Current Program Assessment

Successful programs must be a win-win. We assess your existing structure, performance, and data integrity to determine whether the arrangement is operating as intended and identify opportunities to improve value and compliance for all stakeholders.

340B Rebate & MFP Reconciliation + ESP Restriction Removal

The evolving environment requires navigating multiple parallel processes:

‍Beacon (340B Rebate Pilot)
‍
‍MFP (Maximum Fair Price) rebate decisions for Medicare claims·

‍ESP (manufacturer portals used to remove restriction and restore 340B pricing)

We handle all three — but with different objectives:

For Beacon and MFP, we evaluate claim eligibility, determine the most advantageous financial outcome (rebate vs. 340B), prepare submissions, and reconcile payments.

For ESP, we extract and format claim data for submission to manufacturers through ESP to lift 340B pricing restrictions, restoring access to 340B discounts where possible.

‍Our priority: the right price, on the right claim, through the right path — without duplicate discounts.

Ongoing Program Oversight & Reporting

Once your program is operating, we don’t disappear. We provide continuous monitoring, monthly or quarterly performance reporting, audit-ready documentation, and proactive issue resolution. Our oversight ensures transparency, compliance, and sustained financial performance for both the Covered Entity and Pharmacy.

340B Optimization

Relationships between Covered Entities and Pharmacies are central to the 340B Program and we help to ensure the best arrangements for both parties.

services include

Modeling & Fee Optimization

Our optimization modeling allows a side-by-side comparison of your 340B Program options, helping you to find the restructure that makes the most sense.