Manufacturer rebates for drugs paid through Medicaid managed care organizations (MCOs) are an increasingly important source of savings for both States and the Federal government. However, "duplicate discounts," which occur when manufacturers pay Medicaid rebates on drugs sold at the already discounted 340B price, are prohibited by law. Thus, for States to collect allowable rebates only and avoid duplicate discounts for drugs paid through MCOs, they must identify and exclude 340B drug claims. If a State does not accurately identify 340B drug claims, both duplicate discounts and forgone rebates-that is, unclaimed rebates to which States are legally entitled-may occur. Duplicate discounts result in manufacturers paying too much in rebates, while forgone rebates result in States paying too much for drugs.
| Report Date | Agency Reviewed / Investigated | Report Title | Type | Location | |
|---|---|---|---|---|---|
| Department of Health & Human Services | State Efforts to Exclude 340B Drugs from Medicaid Managed Care Rebates | Inspection / Evaluation | Agency-Wide | View Report | |
| Department of Energy | Audit Coverage of Cost Allowability for Iowa State University During Fiscal Years 2013 and 2014 Under Department of Energy Contract No. DE-AC02-07CH11358 | Other |
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View Report | |
| Department of the Treasury | Audit Termination Memorandum – OCC’s Oversight of Banks’ Controls over Abandoned Foreclosures | Other | Agency-Wide | View Report | |
| Office of Personnel Management | Audit of Information Systems General and Application Controls at Dean Health Plan | Audit | Agency-Wide | View Report | |
| Department of Health & Human Services | Florida State Medicaid Fraud Control Unit: 2015 Onsite Review | Inspection / Evaluation |
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View Report | |
| Department of the Interior | U.S. Fish and Wildlife Service Wildlife and Sport Fish Restoration Program Grants Awarded to the State of South Carolina, Department of Natural Resources From July 1, 2013, Through June 30, 2015 | Audit | Agency-Wide | View Report | |
| Department of the Interior | Financial Management Division, Office of Natural Resources Revenue | Audit |
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View Report | |
| Department of Labor | Investigative Summary: Finding of Procurement Irregularities Related to Labor Classifications and Billable Rates | Investigation | Agency-Wide | View Report | |
| Office of Personnel Management | Audit of the U.S. Office of Personnel Management's Administration of the Federal Employees Dental And Vision Insurance Program For Fiscal Years 2010 through 2013 | Audit | Agency-Wide | View Report | |
| Department of Health & Human Services | Performance Data for the Senior Medicare Patrol Projects: June 2016 Performance Report | Inspection / Evaluation | Agency-Wide | View Report | |
