Use Purchase Validation to investigate account eligibility, review unvalidated purchases, and identify supporting claims that may be needed to maintain or restore manufacturer pricing eligibility.
An account may include multiple pharmacies or dispensing locations. Purchases and supporting claims from the included locations contribute to its eligibility status.
Note: Purchase Validation uses account-level purchase validation and eligibility information. Its account structure and balances differ from those in Submission Balances. If you're investigating a Submission Balances account, use How to Investigate At Risk and Suspended Accounts in Submission Balances.
If you're unsure which module contains your account, refer to Where to find at-risk and suspended accounts in 340B ESP.
Locate the affected account
Navigate to Purchase Validation.
Use the available filters to locate the account you want to review.
Review the At Risk or Suspended accounts table based on the account's current eligibility status.
Select View Details for the applicable account.
You may also receive a weekly At Risk and Suspended Accounts Summary email identifying accounts requiring attention. Use the information in the email to locate the corresponding account in Purchase Validation.
Tip: For more information about how accounts are constructed, refer to Accounts in 340B ESP Purchase Validation.
Review unvalidated purchases and supporting claims
Use Account Details to identify the purchases that still require validation.
Review Unvalidated Purchases to determine how many purchases still require supporting claims.
Review Purchases by Product to identify the following information:
NDC-11: The product identifier.
Unvalidated Purchase Units: The purchase units requiring validation.
Claim Units: The claim units already submitted for the product.
Use this information to identify which products may require additional supporting claims.
Example: If an account is At Risk and has four unvalidated purchases across three products, review the outstanding purchase units for each product to determine where additional claims may be needed.
Address the outstanding unvalidated purchase balance
After identifying the unvalidated purchases:
Review the Purchases by Product table to identify products that may require additional supporting claims.
Submit the applicable pharmacy or medical claims using How to Submit Pharmacy Claims or How to Submit Medical Claims .
Review the submission results to identify any non-conforming claims or validation issues.
Return to Purchase Validation and open the affected account's Account Details.
Review the updated Unvalidated Purchases, Purchases by Product, and eligibility status to determine whether the outstanding balance has been addressed.
If an account is Suspended, access to the manufacturer's 340B pricing offer is suspended at the account level. Continue submitting applicable claims, including claims associated with purchases not made at 340B pricing, to help restore eligibility.
Successfully submitting a file does not guarantee that an account's eligibility status will change. Confirm that the account has returned to Eligible status and investigate any remaining unvalidated purchases.
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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