Minnesota Multi-state Contracting Alliance for Pharmacy
(MMCAP)
 
The Pharmaceutical Cost Management Council (through the Governor's Pharmaceutical Advocate Office) participates on behalf of member State hospitals and County Health Departments in a Group Purchasing Organization; the Minnesota Multi-State Contracting Alliance for Pharmacy known as MMCAP.

MMCAP is a voluntary group purchasing organization operated by the State of Minnesota serving government-based healthcare facilities. The goal of MMCAP is to provide member organizations the combined purchasing power of all MMCAP members to receive the best prices available for pharmaceuticals, medical supplies, and related products.

MMCAP member facilities purchase over $1 billion per year and have national account status with all of the major brand name and generic pharmaceutical manufacturers.

 
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If you are actively enrolled and/or participating in the 340B Drug Pricing Program (ordering your outpatient medications at 340B Public Health Service pricing), you are entitled to join the 340B Prime Vendor Program at no cost.

The prime vendor program serves participants in 3 primary roles:

• Negotiates sub-ceiling 340B pricing on branded and generic pharmaceuticals
• Establishes distribution solutions and networks that improve access to affordable medications
• Provides other value-added products and services

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340B Drug Pricing Program

The 340B Drug Pricing Program is a federal program that requires drug manufacturers to provide outpatient drugs to dligible health care centers, clinic, and hospitals (termed "coverd entities") at a reduced price. This requirementis described in Section 340B of the Public Health Service Act, which was enacted in 1992 to provide finacial relief to those facilities that provide care to the medically underserved.

Organizations eligible for the 340B discount

(A) Federally-qualified health center (as defined in section 1905(l)(2)(B) of the Social Security Act). This category includes:

• FQHC Look-alikes
• Consolidated Health Centers (Sec.330(e) Public Health Service Act)
• Migrant Health Centers (Sec.330 (g) Public Health Service Act)
• Health Care for the Homeless (Sec.330(h) Public Health Service Act)
• Healthy Schools/Healthy Communities
• Health Centers for Residents of Public Housing (Sec. 330(i) Public Health Service Act)
• Office of Tribal Programs or urban Indian organizations (P.L. 93-638 and 25 USCS §1651)

(B) A family planning project receiving a grant or contract under Sec. 1001 PHSA (42 USCS§3001)

(C) An entity receiving a grant under subpart II of part C of Title XXVI of the Ryan White Care Act (RWCA) (relating to categorical grants for outpatient early intervention services for HIV disease) - Early HIV Intervention Services Categorical Grants (Title III of the RWCA)

(D) A State-operated AIDS Drug Assistance Program (ADAP) receiving financial assistance under the RWCA

(E) A black lung clinic receiving funds under Section 427(a) of the Black Lung Benefits Act (30 USCS§901)

(F) A comprehensive hemophilia diagnostic treatment center receiving a grant under section 501(a)(2) of the SSA

(G) A Native Hawaiian Health Center receiving funds under the Native Hawaiian Health Care Act of 1988 (42 USCS§11701)

(H) An urban Indian organization receiving funds under title V of the Indian Health Care Improvement Act (25 USCS§1601)

(I) Any entity receiving assistance under title XXVI of the Social Security Act (other than a State or unit of local government or an entity described in subparagraph (D)), but only if the entity is certified by the Secretary

(J) An entity receiving funds under section 318 (42 USCS §247c) (relating to treatment of sexually transmitted diseases) or section 317(j)(2) (42 USCS§247b(j)(2)) (relating to treatment of tuberculosis) through a State or unit of local government, but only if the entity is certified by the Secretary

(K) A disproportionate share hospital (as defined in section 1886(d)(1)(B)) of the SSA -

(i) is owned or operated by a unit of State or local government, is a public or private non-profit corporation which is formally granted governmental powers by a unit of State or local government, or is a private non-profit hospital which has a contract with a State or local government to provide health care services to low income individuals who are not entitled to benefits under title XVIII of the Social Security Act or eligible for assistance under the State plan under this title;
(ii) for the most recent cost reporting period that ended before the calendar quarter involved had a disproportionate share adjustment percentage (as determined under section 1886(d)(5)(F) of the Social Security Act) greater than 11.75 percent or was described in section 1886(d)(5)(F)(i)(II) of such Act; and
(iii) does not obtain covered outpatient drugs through a group purchasing organization or other group purchasing arrangement.

If your organization is an eligible program or DSH, you must submit a request to participate to the Office of Pharmacy Affairs (OPA) with your Medicaid billing information and the appropriate form:

• 340B Registration Form for entities other than Disproportionate Share Hospitals, FP, STD or TB entities (Acrobat/pdf)
• Disproportionate Share Hospitals
  • Disproportionate Share Hospital Flow Chart (Acrobat/pdf) Find out if your hospital may be eligible for the 340B Program
  • Disproportionate Share Hospitals & Adjustment Percentages (Excel)
  • Letter to Enroll In 340B Drug Pricing Program (for All Hospitals) (Acrobat/pdf) or as Text File
  • Certification Regarding Non-Participation in a Group Purchasing Organization (for All Hospitals) (Acrobat/pdf) or as Text File
  • Inclusion of Outpatient DSH Facilities (for All Hospitals) (Text File)
  • Additional Form for Private, Non-Profit Facilities
    Certification of a Contract between a Private Non-Profit Hospital and Local Government (Acrobat/pdf)
    
    
• Family Planning (Title X) Entities
  Clinics meeting the requirements for Family Planning (Title X) entity eligibility must apply for the 340B Drug Pricing Program through their grantee organization. Title V (State-funded) family planning clinics are NOT eligible for the 340B program. To register new FP sites a 340B Registration Form will need to be submitted.
  
  
• STD or TB Entities
  Clinics meeting the requirements for Sexually Transmitted Diseases and Tuberculosis entity eligibility must apply for the 340B Drug Pricing Program through their state program director. To register new STD or TB sites a 340B Registration Form will need to be submitted. New Online Registration Now Available for STD and TB Entities

Keep Covered Entity Information Up to Date

It is very important that OPA have information that is accurate and up to date, particularly the covered entity's exact name and street address. It is the responsibility of each covered entity to contact the OPA with any changes.

While the entity is eligible to participate in the program by virtue of its status, it must notify the OPA of its intention to participate by completing and submitting the appropriate registration form. Once the OPA receives this information, the entity will be eligible to receive pharmaceuticals at the 340B discounted price at the beginning of the next calendar quarter. The quarterly deadlines for data submission to OPA are December 1 for the quarter beginning January 1; March 1 for the quarter beginning April 1; June 1 for the quarter beginning July 1; and September 1 for the quarter beginning October 1. It is the entity's responsibility to tell its wholesaler or manufacturer that it is registered for 340B discount prices when it places an order.

If you have any questions regarding this program, please call the HRSA Pharmacy Services Support Center, 800-628-6297.