How Review Helps
We want to help covered entities and manufacturers avoid duplicate discounts, while also helping relieve the burden of 340B duplicate rebate disputes on states. We do this by:
- Obtaining dispense data about Medicaid utilization from our manufacturer clients, who received the data from states
- Applying our proprietary algorithms to identify claims that we suspect were filled with a drug purchased at the 340B price, using information provided on the claims line such as:
- Pharmacy number
- Pharmacy type
- Date of service
- Medicaid state
- NDC of drug dispensed
Working with covered entities to confirm if claims were actually filled with a 340B drug / used in a 340B accumulator via our Review tool.
Combining covered entity responses in reports and providing those reports to drug manufacturers, who share the reports with state Medicaid agencies in order to avoid paying duplicate discounts.