How to Bill 340B Appropriately

February 2021

If you are billing the pharmacy benefit for a 340B claim, please follow the stated guidance to properly submit the claim

  • NCPDP Data ELEMENT 409-D9: Ingredient Cost Submitted = 340B Acquisition Cost
  • NCPDP Data Element 420-DK: Submission Clarification Code = 20

 

If you are billing the medical benefit for a 340B claim, please follow the stated guidance to properly submit the claim

  • Modifier: UD
  • Description: Medicaid level of care 13, as defined by each state