340B Program

Apovia's capabilities...

align with the Health Resources and Services Administration (HRSA) goal of the 340B drug pricing program which is to enable covered entities such as Federally Qualified Healthcare Clinics (FQHCs) the ability to stretch scarce federal resources as far as possible, reaching more patients and providing more comprehensive services.

APOVIA 340B PHARMACY OPTIMIZATION FORMULA

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Pharmacy Services Overview

Case Study of Covered Entity Proven Partnership Involving a Large FQHC:

 

Pharmacy Performance Improvement from 2017 to 2018

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  • Monthly Average Prescription Volume Increase from 8250 to over 14,000. 

  • 48 % Increased Prescription Volume between 2017 and 2018.

  • Monthly Revenues increased from $656,515 to $987,177.

  • 50% increase in 340B pharmacy claims revenues

  • 680% increase in monthly profit from $29,406 in 2017 to $200,000 in 2018.

  • Increase in Prescription Volume included significantly more high profit specialty drug prescriptions

 

Apovia manages in-clinic pharmacy operations that provide both clinical and pharmacy prescription fulfilment services to 12 Philadelphia area Federally Qualified Healthcare Clinics (FQHCs). Apovia's pharmacies provide retail and specialty pharmacy services to these FQHCs that serve over 85,000 under-served patients. Apovia's extraordinary FQHC pharmacy experience can be leveraged to support a clinic’s ability to stay compliant with the 340B pharmacy regulations as one way to maintain the benefits afforded by the 340B pharmacy program.

 

Apovia 340B pharmacy capabilities are unique compared to other pharmacies because our pharmacists have experience working with covered entity patients’ doctors and nurses. Working closely with doctors and nurses has allowed our pharmacists to gain insight into the unique needs of the patients Apovia serves.  Apovia has the most experience providing in-clinic pharmacy services than any other pharmacy in the area. Apovia also functions as a strategic partner with its covered entity customers by collaborating on data analysis to identify new 340B pharmacy services revenue streams and marshaling synergistic partnerships with local area health plans and FQHCs. Apovia has a proven track record of enhancing revenues to help the FQHCs to expand their service capabilities in order to better serve their patients. 

Apovia Covered Entity 340B Pharmacy Program Differentiators:

 

  • Proven Partnership with Largest Philadelphia area FQHC

  • Pharmacy experience facilitating an in-clinic pharmacist to work with the patient’s doctors and nurses as an integral part of the patient’s care team to optimize medication management. 

  • Support 340 B Regulatory Compliance

  • Provide Retail and Specialty Pharmacy Services

  • Data Driven Opportunity Assessment Analytical Capabilities

    • Identify leakage of 340B clinic profits

    • Analyze patient usage by health plan and pharmacy

    • Identify top therapeutic drug categories to prioritize potential financial opportunities

    • Tracking reports to evaluate pharmacy performance.

  • Net pharmacy revenues after pharmacy dispensing fees and reimbursement 

  • Drug Utilization in Conjunction with Net Cost Analysis 

  • Recommend strategies to optimize revenues concurrently with pharmaceutical care improvements

  • Implement pharmacy pull through programs to optimize 340 B profit revenues 

  • Experience in Marshalling Synergistic Collaborations with Local Health Plans

    • Support risk sharing agreements between covered entities and Payers

    • Identify and support synergistic financial collaborations

Key Differentiating Pharmacy Capabilities

 

 

  • Utilizes clinical platform that applies evidence-based guidelines to optimize pharmacist clinical interventions with patients receiving high cost specialty medications.​​

    • Drug Utilization with Net Cost Analysis 

    • Analyze patient usage by health plan and pharmacy

    • Identify top therapeutic drug categories to prioritize potential financial opportunities

    • Recommend strategies to optimize revenues while improving  pharmaceutical care

  • Implement pharmacy pull through programs to optimize data driven financial opportunities

  • Manage in-clinic pharmacy operations  including a clinical pharmacist working hand-in-hand with all medical staff  to optimize medication management.

  • Reporting capabilities to track key customer financial performance metrics.