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: A 340B drug was dispensed
No: A 340B drug was not dispensed
Kalderos Review has six additional responses available for cases where a Yes/No response does not apply.
Invalid RxID Format: The RxID listed in Kalderos Review is not in a format that enables you to locate the claim.
No - Cannot locate RxID: RxID could not be located in your pharmacy management software or in your 340B third-party administrator’s systems meaning a 340B drug was not dispensed.
Cannot locate ICN/CCN: ICN/CCN could not be located in pharmacy management software or in your 340B administrator’s systems. Please see this article on tips for locating 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.
Pharmacy not associated to this 340B ID: The pharmacy listed on the claim is not a 340B contract pharmacy for your covered entity.
Claim Reversed: The pharmacy reversed this claim, and you are confirming that an electronic reversal to the payer has been submitted.
340B Drug Not Replenished: Accumulation of the product did not occur in time and the dispensation had to be reclassified as non-340B.
Wrong NDC for this RxID: The incorrect NDC (drug) is displayed for this RxID within your pharmacy management software or in your 340B third-party administrator's systems.