In Purchase Validation, select an account from the Accounts section to open its Account Details. This page provides an account-level view of the information used to review eligibility and compliance under a manufacturer’s universal claims policy.
In the Account Details there are two tabs: the Compliance tab shows the account’s eligibility status and related purchase and claims activity, while the Pharmacies tab shows the pharmacies, dispensing locations, and identifiers included in the account.
Compliance
The Compliance tab shows the combined purchase and claims activity for all pharmacies and dispensing locations included in the account.
When an account contains multiple locations, activity from each location contributes to the account-level totals and eligibility status displayed on this tab.
At a high level, the Compliance tab includes the following information:
Purchases by Product
Purchases by Product - No Validation Needed
Purchases by Identifier
These values are totaled based on the assignment of purchases and claims to Accounts. This assignment relates directly to pharmacy identifiers present and mapped to the associated accounts.
Purchases by Product
The Purchases by Product table categorizes purchases by their product name and their NDC-11. Each row lists the purchases associated to the requisite product and/or NDC-11. Use this table to narrow in on the product (and associated NDC-11) contributing to the account’s unvalidated purchase activity and compare purchase units with submitted claim units.
The table includes:
Product / NDC-11 – The product listed on the purchases and claims.
Unvalidated Purchases – The purchases for the product that have not been validated by submitted claims.
Unvalidated Purchase Units – The number of purchased units for the product that remain unvalidated.
Claim Units – The number of units submitted for the product.
Purchases by Product – No Validation Needed
The Purchases by Product – No Validation Needed table shows products that do not require validation based on the combination of covered entity, manufacturer and retail network listed at the top. These products are displayed separately from products included in the account’s compliance evaluation.
The table includes:
Product – The product listed on the purchases and claims.
Purchases – The number of purchases associated with the product that do not require validation.
Purchase Units – The number of purchased units for the product.
Claim Units – The number of units submitted for the product.
Because these products do not require validation, their purchases do not contribute to the account’s unvalidated purchase balance.
Purchases by Identifier
The Purchases by Identifier table shows the identifiers associated with unvalidated purchases in the account. 340B ESP uses these identifiers to match purchase data to the correct pharmacies or dispensing locations and include the appropriate purchases in the account’s validation activity.
The table includes:
Identifier – DEA or HIN value associated with a pharmacy or dispensing location and used to connect its purchases and submitted claims to the correct account.
Type – The type of identifier used to identify the pharmacy or dispensing location.
Unvalidated Purchases – The volume of unvalidated purchases that tie to that identifier.
The table only shows identifiers associated with unvalidated purchases. To review and manage all identifiers mapped to the account, use the Pharmacies tab.
Tip: Want to learn more about identifiers and how they are mapped to accounts? Check out Account Identifier Mappings Overview.
Pharmacies
The Pharmacies tab shows the pharmacies and dispensing locations included in the account and their associated identifiers.
The table includes:
Pharmacy – The name of the pharmacy or dispensing location included in the account.
Identifier – DEA, NPI, or HIN value associated with a pharmacy or dispensing location and used to connect its purchases and submitted claims to the correct account.
Each pharmacy may have multiple associated identifiers. The table displays each identifier on a separate row beneath the applicable pharmacy name, allowing you to review all identifiers mapped to each location.
Tip: For instructions on reviewing, adding, and transferring pharmacy identifiers, see How to Map an Identifier to a Pharmacy and How to Transfer an Identifier.
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:
Chat: Available via in-app messenger
Email: [email protected]