About Us

Our core leadership team came together while working for a health-system with multiple disproportionate share (DSH), critical access hospitals (CAH), and a pediatric hospital (PED). We were thrown into the 340B program world many years back and quickly realized the complexity of successfully implementing the 340B program. We have since left that organization to work full-time in the 340B space. We continue to work with 340B covered entities across the country and endeavor to share what we learn so that you can take it back to your organization and become better at what you do.

In addition to the 340B Program Blog, we also provide independent 340B auditing (the HRSA expectation is that you have an annual independent audit if you are engaged in contract pharmacy, however, if you are having your contract pharmacy program audited, why not have your entire program audited with a fresh set of eyes). In addition, we offer consulting with 340B covered entities for both full implementation of their 340B program or for 340B contract pharmacy expansion if a covered entity is already registered and using the 340B program for hospital administered outpatient drug savings. You can learn more about partnering with us at Turnkey Pharmacy Solutions. Below is a short bio for our main team of writers for the blog. If you are interested in writing and contributing to the blog, please let us know. We would love to have additional 340B experts join us in the conversation.



Rob Nahoopii - 340B ConsultantRob Nahoopii, PharmD, MS, BCPS: Experience as a Director of Pharmacy for a 400 bed DSH hospital (also served as a regional director of pharmacy). Rob has presented at many 340B University sessions and on the topic of 340B at numerous other conferences around the country. He has provided many external 340B audits for various covered entity types, and onsite support for multiple 340B HRSA audits. Rob is part of our 340B independent auditing team and also supports our maintenance clients and 340B implementation. His perspective is from front line pharmacy leadership and program compliance.



Rich Bucher, JD, RPh: Experience as a Pharmacy Compliance Manager for a large healthcare organization with 22 hospital pharmacies and 24 outpatient pharmacies. Rich has practical experience dealing with various compliance and legal issues surrounding the 340B program. He realizes that communication between 340B participants is key in optimizing the advantages provided by the program in a compliant manner. Rich is part is our 340B independent auditing team, provides client contract reviews, and policy/procedure edits and creation. His perspective is from compliance/legal.



Rich Iverson, PMP: Project Management Professional (PMP) with over 20 years healthcare and project management experience. Rich’s background is in finance and budgeting. He had accountability as a pharmacy project manager for six 340B eligible sites within a large Integrated Delivery Network. He works closely with pharmacy and hospital leadership, compliance, legal, IT, and vendors. He will lead implementation of covered entities and contract pharmacies, and is part of our 340B independent auditing team. His perspective is from finance, implementation, and operations.

6 Responses to “About Us”

  1. steve Zielinski RPh
    April 12th, 2011 at 3:28 am

    Hi rob, how long have you had this blog and would you be interested in (now that you’ve mastered the split billing savings component of 340B) to initiate the revenue piece of 340b through a contract pharmacy arrangement.

    Steve Zielinski RPh
    Central Regional Director
    SUNRx

  2. Rob, PharmD, MS
    April 13th, 2011 at 12:45 pm

    Hi Steve,

    Thanks for the comment. I don’t know if mastered is the right word. We have just started this blog in the last month or so. I remember speaking with some of your people at the Winter 340B conference. I would like to learn more about what you have to offer for outpatient pharmacies that do not have their own system in place. We are working with one retail pharmacy chain that has their own software, but I know a lot do not. I’ll give you a call. Thanks.

  3. Ned Silver
    August 7th, 2013 at 3:11 pm

    Our organization is Covered Entity than provides 260,000/year primary care visits for primary healthcare. In addition to filling 188,000/year prescriptions from our internal own pharmacy. We currently utilize the 340b program for our eligible patients.

    We are are interested in providing Synagis to our patients utilizing the 340b program. What do we need to do to obtain it? What do physicians need to do be certified? What does the pharmacy need to be able to purchase it under the 340b program.
    Thank you for our help.
    Ned Silver

  4. Rob, PharmD, MS
    August 14th, 2013 at 9:31 pm

    Hi Ned, Synagis is available for 340B purchase on your PHS account. There really isn’t any specific things you need to do to be able to buy it. The harder part is having a qualified clinic with a pediatrician who can prescribe it and to have staff to administer it. Fortunately for us, we had a pediatric clinic in our hospital and one of our pediatricians championed this effort. We did have to figure out the prior auth part, and for this I pulled my technician that doe sour Patient Assistance Program out one day a week to get all of the insurance prior authorizations done. The one insurance you will want to make sure you know what their requirements are is Medicaid. We saw the most denials from them, and they changed their program this year to make it so that we had to purchase the Synagis through a different mechanism. I am guessing this will be state specific, but start with Medicaid and your big insurers to see what their prior auth or other requirements are. It will take some effort, but definitely a worthwhile process to help our babies out. Thank you for the question, -Rob

  5. Spencer, PharmD
    July 18th, 2016 at 1:58 pm

    I tried sending you a personal email. However, this might be relevant to more than just myself. I have a few clients that I have contracted out the product replacement portion of their drugs. I have a prospective client that participates in the 340b program that is cautious about receiving free drug. What information can I provide them to calm their nerves about this? Thanks

  6. Rob, PharmD, MS
    November 24th, 2016 at 10:59 am

    Hi Spencer, my apologies, we transitioned the blog to our Main website and your email did not make it. When I was a pharmacy director, we ran into an issue with PAP or MAP (manufacturer assistance). In cases where the covered entity is getting free drug from the manufacturer for patients that meet the drug replacement criteria, we need to ensure the original accumulation is back out of 340B or GPO qualification (if it is a DSH hospital). If the site receiving the free drug replacement is not using a replenishment process, then it is fine to receive it (since their is no accumulation).

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