340B Solutions - NHA Services

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340B SolutionsCopyright 2021 340B Holdings, LLC. (“SUNRx). All rights reserved.This document is confidential and proprietary to SUNRx and contains material SUNRx may considerTrade Secrets. This document is intended for specified use by clients/business partners of SUNRxunder permission by SUNRx and may not otherwise be used, reproduced, transmitted, published,or disclosed to others without prior written authorization. SUNRx maintains the sole and exclusiveownership, right, title, and interest in and to this document. Effective 2/10/21 - 2/09/22.

Our StorySUNRx is driven to deliver 340B technology-related solutions for ourclients that improve healthcare. We do this by providing superioroutcomes to those we serve through innovative solutions, systemsand services that provide transparency and promote choice indecision making.SUNRx has been a leading third-party administrator since 2006, andtoday provides comprehensive 340B services for all types of 340Bcovered entities, including; federally qualified health centers andlook-a-likes, health systems, disproportionate share hospitals, cancercenters, sole community, critical access, and children’s hospitals.These comprehensive services include split billing, contractpharmacy (retail, specialty & mail order), including referral claimscapture functionality, plus the industry leading, real-time uninsured340B prescription discount card (cash) with robust sliding scaletechnology.SUNRx fully supports compliance around duplicate discounts(Medicaid) for all covered entities to maximize their savings, optimizingtheir 340B program to best serve their communities and partner withall types of pharmacies. If you are experiencing pain-points with yourcurrent TPA, especially customer service, we invite you to speak withus at SUNRx.Driven to deliver 340Btechnology-related solutionsfor our clientsA leading third-partyadministrator since 2006Comprehensive services includesplit billing, contract pharmacy,and the industry leading,real-time uninsured 340Bprescription discount cardOur Referral Capture processallows you to captureprescriptions from these referralvisits to generate significantlymore 340B savings10181 Scripps Gateway Ct., San Diego, CA 92131Phone: (866) 958-3402info@sunrx.comwww.sunrx.comFull support of compliancearound duplicate discounts

SUNRxSplit Billing SystemSUNRx’s Split Billing System is a cloud-based tool which allows Covered Entitiesto create replenishment orders for outpatient and inpatient settings, and trackpurchases within the entire Pharmacy Supply Chain with easily auditable reports.With compliance in mind, SUNRx built its entire reporting suite around HRSAguidelines, working closely with clients to insure it meets their needs.Unique Software OfferingsFully customized web-based softwareWholesaler and EMR independentVerifies accuracy of price and quantitydeliveredCreates split, replenishment, or alternatesupplier purchase ordersNo hidden feesRapid implementationPO Optimizer reduces the pharmacy drugspend by maximizing purchase discountsOur split billing product allows you to effectively increase your savings because of our close working relationshipwith our clients. We have identified tools unique to our customers’ needs that our solution provides, giving youthe ability to expand your 340B savings without any additional work or costs, while at the same time maintaininga price that is among the lowest in the industry.Inventory ManagementPO Splitting340BSplit BillingPO OptimizationPO ReconciliationCharge Master UpdatesAd Hoc ReportingTypical Split Billing SystemsThe SUNRx Split Billing AdvantageSplit billing functionality includes,Inventory Mangement and PO SplittingSUNRx adds four additional pieces for the most robust 340BSplit Billing Solution; PO Optimization, PO Reconciliation,Charge Master Mapping, and Ad-Hoc ReportingCopyright 2021 340B Holdings, LLC. (“SUNRx). All rights reserved.CONFIDENTIAL AND PROPRIETARY. Do not reproduce, transmit, publish, or disclose to others without prior written consent.It may ONLY be used for the purpose for which it was provided.

340B Split BillingPO OptimizationReducing WAC spend is a key goal of Split Billing. Ourone-of-a-kind PO Optimizer tool assists the pharmacybuyer to reduce unnecessary spend, thereby keepingpharmacy overhead costs low.SUNRx provides the pharmacy buyer with alterativeavailable and clinically equivalent NDCs from which tochoose. This is accomplished through a process ofreviewing a client’s purchase orders line by line afterbeing split in our 340B Split Billing System.The PO Optimizer tool then provides the pharmacybuyer with a list of clinically equivalent alternative NDCsto consider based on lowest available price andaccumulations. The pharmacy buyer can make thechoice to replace the higher cost NDC with the lowersuggested NDC or order the original NDC. Once theselection is made, the pharmacy buyer would submitthe PO back to the wholesaler to complete the order.Purchase order is split byour 340B Split Billing SystemReview Purchase OrderOrders are reviewed line by linePO OptimizationPharmacy buyer provided withlist of clinically equivalentalternative NDCsPharmacy Buyer DecisionPharmacy buyer can choose toreplace the higher cost NDCwith the lower cost optionComplete OrderThe pharmacy buyer submitsthe PO back to the wholesaler tocomplete the orderCopyright 2021 340B Holdings, LLC. (“SUNRx). All rights reserved.CONFIDENTIAL AND PROPRIETARY. Do not reproduce, transmit, publish, or disclose to others without prior written consent.It may ONLY be used for the purpose for which it was provided.

Contract PharmacySUNRx is one of the longest-standing national leaders in the contractpharmacy space. With over 15 years of experience and hundreds of clientsacross the country, SUNRx has the industry knowledge, experience, customerservice and technology to provide our clients with an unmatched contractpharmacy experience.The Key Features of Our SolutionConservative approach to complianceProvide self-auditing tool kitUser friendly, cloud-based technologyAudit support at no costCustomized reporting suite340B Uninsured Cash CardDevelop and contract pharmacy networkon client’s behalfAssigned implementation teamAssistance with P & P developmentAssigned account team for programsupport and expansionNo startup costsNo hidden feesContract Pharmacy Virtual InventorySUNRx’s contract pharmacy program has beendesigned to provide the ability to strengthen your340B benefit, while at the same time keeping youin compliance and providing you an unparalleledcustomer experience. SUNRx understands thatour clients don’t always have the resourcesto make 340B the number one priority of theorganization. With that in mind, your SUNRxteam is here to help you with the managementof your 340B program, keep you up-to-speedwith its success, provide performance reviews,identify and operationalize program expansionopportunities, all while giving you the peace ofmind that you are maintaining an effective andcompliant program.Copyright 2021 340B Holdings, LLC. (“SUNRx). All rights reserved.Health CenterPharmacyPatients fill scripts atcontract pharmaciesWhen bottle is dispensed,PO is generatedPurchase orderis approvedWholesalerCONFIDENTIAL AND PROPRIETARY. Do not reproduce, transmit, publish, or disclose to others without prior written consent.It may ONLY be used for the purpose for which it was provided.edishlenrepsickSto

340B Specialty PharmacySpecialty pharmacy may be complex, but as the specialtypharmaceutical industry continues to see growth, theremay be opportunities for significant savings to your 340Bprogram. SUNRx can help you navigate the complexities andopportunities in 340B specialty pharmacy through the following:NetworkOur experience in pharmacy data analysis andcontracting allows us to guide you through thecontract pharmacy process, delivering a specialtypharmacy network that maximizes your 340B savings.ExpertiseSUNRx’s unique and advanced operational andtechnological capabilities can be customized tosupport the wide variety of pharmacy and wholesalerrequirements in navigating specialty and 340B.ComplianceWe understand each CE type and can managethe compliance, referral capture and operationalparameters to create a custom fit for your 340Bprogram that will render a higher capture rate.Program CustomizationThrough a drug-by-drug strategy, we can expandsavings with a toolkit designed to help you gain accessto medications for your 340B program.Dedicated PartnershipAs an experienced and transparent resource, we arehere to support you in building a successful 340Bprogram.Copyright 2021 340B Holdings, LLC. (“SUNRx). All rights reserved.Why SUNRx340B Specialty ExpertiseSUNRx has unrivaled expertisewith specialty contract pharmacyand understanding the importantdrug-specific nuances for specialtyexpansion within 340B.Split Billing SolutionsThrough the SUNRx Split Billingplatform, we can support your needs forspecialty therapies within the four wallsof your institution.Customer ServiceSUNRx tailors our approach to eachCE type’s unique needs. We are herewith dedicated, high touch support, tohelp optimize your 340B program andanswer any questions you may have.CONFIDENTIAL AND PROPRIETARY. Do not reproduce, transmit, publish, or disclose to others without prior written consent.It may ONLY be used for the purpose for which it was provided.

Referral CaptureEvery day, the primary care providers in your clinicsrefer their patients to specialists. The primary careprovider should be documenting this in your electronicmedical record system. When the referred patient goesto the specialty provider they were referred to, theyusually get at least one prescription. Examples of theseprescriptions could be Humira , Enbrel , Otezla ,Harvoni , Sovaldi , and Skyrisi to name a few. Don’tmiss out on compliantly capturing the 340B savingsfrom these prescriptions.Since these Specialists where patients are referred tomay not be part of your staff or clinic, theseprescriptions usually are not routinely captured. It willbe necessary that these prescriptions be set up tocapture. The SUNRx system has this functionality built intoour technology and many of our clients have beencapturing these referral prescriptions for several years.Our process, in coordination with your policies andprocedures, allows you, the covered entity, to capturethese prescriptions from these referral visits to generatesignificantly more 340B savings.Since these are prescriptions from referral physicians,your policies and procedures will need to be updated, yourproviders educated and then you will be ready to confirmthe prescriptions from referral providers that SUNRx’stechnology has identified. SUNRx account executives willtrain and work closely with your appropriate staff to realizethese savings, which can be significant.SUNRx Partners With You in This ProcessH O W M A N Y R E F E R R A L S D O Y O U R P R O V I D E R S S E N D A N N U A L LY ?Primary Care Providersees patientPCP refers patientto SpecialistSUNRx pulls thatreferral prescriptioninto our systemSpecialist writesprescriptionPatient fills prescriptionat contracted PharmacyCopyright 2021 340B Holdings, LLC. (“SUNRx). All rights reserved.CONFIDENTIAL AND PROPRIETARY. Do not reproduce, transmit, publish, or disclose to others without prior written consent.It may ONLY be used for the purpose for which it was provided.Covered Entityvalidates andrealizes the savings

Advanced ClaimsCaptureTake referral capture a step further with Advanced Claims Capture.We’ve teamed up with AuthorityRx to offer our AdvancedClaims Capture service which can significantly increase340B savings through enhanced referral claims captureand by uncovering and resolving those fallout claims thatcan be subsequently confirmed as 340B eligible.Focused on ComplianceNo-cost Annual 340B AuditAdvanced Claims Capture is designed withcompliance in the forefront. As part of anannual independent audit, we review yourprogram and work to appropriately captureadditional savings in compliance with your340B program.Stay compliant in your program and save time,money and resources by utilizing our no-costannual 340B audit.Speedy Implementation TimeStart realizing additional savings potentialwith a quick implementation and no need foradditional software.Experience and ExpertiseKeep up to date on processes and Policies& Procedures which may eliminate the needfor extra operational resources. We offercustomized program recommendations to yourpolicies and procedures.Reviews & Appropriately Resolves Claimsfrom Fallout ReportAdvanced Claims Capture can increasesavings significantly by uncovering andresolving fallout claims.Copyright 2021 340B Holdings, LLC. (“SUNRx). All rights reserved.CONFIDENTIAL AND PROPRIETARY. Do not reproduce, transmit, publish, or disclose to others without prior written consent.It may ONLY be used for the purpose for which it was provided.

Uninsured 340BPrescription Discount CardSafety-net hospitals and healthcare centers provideservices for the uninsured. These uninsured patientscan have a significant impact on the facility’s bottomline. Much of the uncompensated care can beminimized with programs like providing medications atno or low cost. One of the intents of the 340B programis to pass along savings to the uninsured. This can bedone with no additional cost to the healthcare facility.A prescription discount program for your uninsured candeliver costs for medications at significant discounts.GROUP NUMBER: 31105MEMBER NAME:ELIGIBILITY VALID:BIN NUMBER: 610193PCN: 31185ParticipantsThe loss of this card should be reported immediatelyto the Adminstrative Office at 864-364-5011These savings can also be applied towards the hospital/healthcare center’s community benefit report.Lowest price can be below 340B pricing 50% of the timeMEMBER ID:This card must be presented at a participatingpharmacy when purchasing a prescription.This card is void when eligibility terminates.Plus, from a risk perspective you want to help ensurethat the vulnerable populations you serve are gettingtheir prescriptions filled. The result of them not doing socan cost your organization in the long run.Card BenefitsMember InformationThe 340B Program is not insurance.These savings add up and the average annual savingsto their uninsured patients can exceed 1 million.SUNRx Inc.3220 Tillman Dr. Suite 100Bensalem, PA 19020Phone: 1-800-220-340BFax: e center can subsidize if desiredCards are provided to the uninsured patients by thehospital/healthcare center staffHelp reduce the risk of Medicare readmission penaltiesHelp reduce the risk of higher Charity Care costsPharmacy Help Desk: 1-800-220-340BHow the Card WorksPatient goesto their providerProvider writesprescriptionContractPharmacyOffice staff prints SUNRxprescription discount cardand gives it to the patientwith their prescriptionPatient takes theirprescription and SUNRxprescription discountcard to the pharmacyCopyright 2021 340B Holdings, LLC. (“SUNRx). All rights reserved.CONFIDENTIAL AND PROPRIETARY. Do not reproduce, transmit, publish, or disclose to others without prior written consent.It may ONLY be used for the purpose for which it was provided.Claim adjudicatesin real timePatient pays pharmacythe lowest price availablefor their medication

SUNRxCustomer ServiceCustomer CareWe are proud of our2019 Client Satisfaction ScoresOverall Satisfaction Score of 4.03 out of 5Top ScoresSUNRx conducts business ethicallyProactive consultationEligibility & complianceTimely responsivenessReporting toolsWill continue to use SUNRxSUNRx takes pride in providing“high-touch” customer service to our clientsSUNRx is committed to providing quality high-touch customerservice and support to our clients. This includes partnering withour clients to provide the reporting tools necessary toeffectively manage their 340B program, provide training to staffand proactively communicate to ensure a strong and activepartnership. We have a dedicated account team for each clientwith SMEs (Subject Matter Experts) who provide support,monthly financial reviews and more to support your 340Bprogram. Our account management team has decades ofcombined experience in 340B and provides our customers withsolutions that help our clients comply within existing 340B rules.If unexpected issues arise your account management team isthere to help trouble shoot potential issues and get them solvedin a timely manner without the need to submit a ticket. TheSUNRx account team includes a business solutions specialistwho will assist in any “what if” scenarios and will work tooptimize all settings within the SUNRx platform in optimizingyour 340B program.Copyright 2021 340B Holdings, LLC. (“SUNRx). All rights reserved.CONFIDENTIAL AND PROPRIETARY. Do not reproduce, transmit, publish, or disclose to otherswithout prior written consent. It may ONLY be used for the purpose for which it was provided.

Complete 340B SolutionSplit BillingContract PharmacyUninsured 340BPrescriptionDiscount CardInvoice AnalysisSpecialtyReferral CaptureAdvanced ClaimsCaptureCustomer CareTeamContact Us About How We Can Help YouPhone: (866) 958-3402Email: info@sunrx.comwww.sunrx.com10181 Scripps Gateway Ct., San Diego, CA 92131

The SUNRx Split Billing Advantage SUNRx adds four additional pieces for the most robust 340B Split Billing Solution; PO Optimization, PO Reconciliation, Charge Master Mapping, and Ad-Hoc Reporting 340B Split Billing Our split billing product allows you to effectively increase your savings because of our close working relationship with our clients.