As part of the good faith inquiry process, we ask that you provide a “Yes”’ or “No” response to each claim, indicating whether a 340B drug was dispensed.
Yes, this claim is a 340B eligible dispense: A 340B eligible drug was dispensed
No, this claim is not a 340B eligible dispense: A 340B eligible drug was not dispensed
Kalderos Discount Hub has four additional responses available for cases where a Yes/No response does not apply.
Cannot locate based on identifiers provided (RxID, ICN/CCN): RxID or ICN/CCN could not be located in your pharmacy management software or in your 340B third-party administrator’s systems. Please see this article on tips for locating medical claims before choosing this option.
Pharmacy not active during Date of Service: The pharmacy was not active as a 340B pharmacy for your covered entity at the date listed on the claim. If selected, please confirm the contract pharmacy start and end dates within the HRSA database are up-to-date.
Medicaid Claim Reversed: The pharmacy reversed this claim, and you are confirming that an electronic reversal to the payer has been submitted
Pharmacy not associated to this 340B ID: The pharmacy listed on the claim is not a 340B contract pharmacy for your covered entity.