The Purchase Validation module gives covered entities visibility into account eligibility and access to manufacturer 340B pricing offers by showing how purchases reported by manufacturers link to submitted claims.
Use the Purchase Validation to monitor unvalidated purchase activity, identify accounts that may require additional claims, and manage account identifier mappings used to associate purchases to the appropriate claims.
At Risk and Suspended Accounts
The At Risk and Suspended Accounts card shows the number of accounts that may require attention due to insufficient submitted claims. Use this card to identify accounts that may need additional claims submissions to maintain or restore access to manufacturer pricing offers.
Unassigned Identifiers for Review
The Unassigned Identifiers for Review card shows the number of identifiers that are not currently mapped to a pharmacy or dispensing location. This matters directly for eligibility: unassigned identifiers can prevent purchases and submitted claims from being correctly linked to the right account, which increases the risk that an account becomes At Risk or Suspended even if the underlying claims data was actually submitted — because the system cannot connect the purchase to the claim without a correctly mapped identifier.
You can view, add, and transfer identifiers from the Account Identifier Mappings page, by clicking Manage Identifiers.
Tip: Identifiers can be reviewed and reassigned from the Account Identifier Mappings page by selecting Manage Identifiers. See Account Identifier Mapping for the full explanation of how identifier mapping works.
Accounts
An account groups the purchase and claim activity associated with a manufacturer, covered entity, and one or more pharmacy or dispensing locations. Each account is evaluated separately to determine its eligibility for applicable manufacturer pricing offers.
The Accounts section organizes accounts into three groups based on their current eligibility status:
Suspended Accounts – Accounts that do not currently have access to applicable manufacturer pricing offers.
At Risk Accounts – Accounts that are approaching the manufacturer-defined threshold for suspension and may require action.
All Other Accounts – Accounts that remain eligible for manufacturer 340B pricing offers.
Here, each account displays information about purchases that have not yet been supported by submitted claims:
Manufacturer – Identifies the manufacturer associated with the account.
Pharmacy – Identifies the account as CE Pharmacies and Clinics, Unassigned, or lists the name of the pharmacy associated with the account.
Unvalidated Purchases – The number of purchased units that have not yet been validated by corresponding claim submissions.
Unvalidated WAC – The total wholesale acquisition cost value associated with the account’s unvalidated purchases.
A high Unvalidated Purchases or Unvalidated WAC figure for an account is a signal that additional claims data likely needs to be submitted to bring that account's purchases and claims back into alignment.
Reviewing Account Details
Select View Details for an account to review the purchase activity, submitted claims, and pharmacy identifiers contributing to its current eligibility status.
Use this information to understand why the account is Eligible, At Risk, or Suspended and identify any discrepancies or actions needed to maintain or restore access to applicable manufacturer pricing offers.
Tip: For more information about the information available for each account, see the Account Details Overview.
Exporting Purchase Validation account data
The Download File option produces an Excel export of Purchase Validation account data, including account type, eligibility status, purchase validation activity, and the pharmacies or dispensing locations associated with each account. This is useful when a customer wants to review account status across many accounts at once rather than one at a time in the portal.
Still have questions?
If you have questions or need additional help, our team is here for you — please feel free to reach out using any of the contact options below:
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Email: [email protected]