Optimize your 340B savings
Increase your 340B savings by identifying missed prescriptions written by both eligible and referred-to providers. R1 340B Recovery is a compliance-first, contingency-based solution that works with every TPA and contract pharmacy.
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Performance solutions that deliver real results
Covered Entities
450+
CEs using referral capture
Experts on staff
70+
340B R1 SMEs
HRSA audit results
0
findings across 30+ clients
Recover more 340B prescriptions from eligible and referred-to providers
Streamline existing pharmacy operations and maximize 340B program value with R1’s compliance-first solution that works with every TPA and contract pharmacy to identify and automate what others can’t. R1 340B Recovery is more effective at recovering eligible and referred-to provider prescriptions than any other solution available today.
How 340B Recovery helps you maximize 340B program savings
Maximize 340B program value with R1’s compliance-first technology that reviews ineligible claims to find prescriptions written by eligible and referred-to providers. Unlike manual review and solutions lacking centralized data across all pharmacies, our technology is comprehensive, easy-to-deploy and compliance-focused, as evidenced by R1’s 100% audit pass rate.
Built on the industry-leading 340B Referral Capture technology, R1 340B Recovery is used by pharmacy leaders, finance executives and 340B program managers to centralize ineligible claims review in a single solution.
Automate ineligible prescription review
Small technical errors can cause eligible claims to be misclassified as ineligible. Leverage our technology-enabled service to both review prescriptions written by eligible providers and match outgoing referrals to resulting prescriptions.
Prove referral ownership of care
An outgoing referral in a patient record is only the starting point when it comes to referral prescription compliance. Empower your providers with patient encounter notes from the referred-to provider to both prove prescription eligibility and foster more comprehensive patient care.
Be compliance confident
Developed by experts with over 45 years of combined 340B and pharmacy experience, our compliance approach is verified by our clients’ HRSA audits: 100% of audited R1 claims have resulted in zero findings. We also conduct internal audits to ensure 340B compliance and we partner with clients to review policies, procedures and claims in connection with HRSA audits.
Increase 340B capture rate in fewer than 90 days
There’s zero risk with R1’s 100% contingency fee-based model. Here’s a look at how we work together:
Startup
You sign pharmacy and TPA addendums and set up daily automated encounter and referral files from your EHR as well as remote, read-only access to your electronic medical record system.
Review
Our technology determines patient, provider and site eligibility by analyzing EHR and contract pharmacy data. Experienced professionals then manually review each identified script and related documentation to verify proof of eligibility.
Recovery
340B Recovery integrates with the top two retail pharmacy chains and a growing number of TPAs, which means most recovered prescriptions are automatically reprocessed as eligible. All others are submitted to you for approval.
Continuous improvement
R1 operations professionals consistently review implementation performance from end-to-end to identify optimization opportunities, so you’re always achieving maximum results.
Answers to frequently asked questions
Are you wondering whether 340B Recovery will help you address your specific 340B challenges? We’re here to answer all your questions. Simply schedule a private demonstration where we will show you how using 340B Recovery will generate greater 340B savings for your organization.
Our technology has unique integrations with Walgreens and CVS pharmacies, in addition to a growing number of TPAs and specialty pharmacies. For all other sources, if you have ineligible prescription files, we’ll audit those against your list of eligible providers and locations. Our technology allows us to automate what others don’t.
R1 340B Recovery is not a TPA. Consider us an add-on technology to help you maximize the value you get from existing TPAs. We figure out why prescriptions written by eligible providers were missed and help you improve processes for better future capture rates, and we analyze referral and encounter data to help prove 340B eligibility for referral prescriptions.
Other solutions are de-centralized and lack integrations with major contract pharmacies. Our 100% contingency-based pricing means you only pay us when we help grow your 340B savings.
Our team expertise amounts to over 45 years of 340B compliance and pharmacy experience, in addition to a 100% audit pass rate on all audited claims. Our implementation is flexible to match your eligibility parameters while conservative enough to ensure all captured claims will meet or exceed HRSA eligibility requirements, including documentation.
The portal is one of the best portals I have worked with. It is user-friendly and makes my job so much easier when working 340B claims. The staff is always so great to work with and always does their best to make everything work to suit the client.”
Kayla Mustard
Pharmacy Operations Analyst
Onboarding was an easy process. The web portal is very user-friendly. It has been a great experience. It was by far the easiest implementation of a new service that I have ever experienced.”
Lori Pope
Director of Clinical Informatics
Kintegra Health continues to enjoy the expanded opportunities provided by the R1 team in capturing vital 340B scripts written by Specialty Providers for the benefit of Kintegra Health patients. Through gaining “Read Only” access to the EMR, the R1 team identified new claims, quickened the validation of eligible scripts and enhanced net savings for Kintegra Health patients. Thank you R1!”
Kintegra Health
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