340B playbook · TPA

Operational discipline for covered entities under real-world scrutiny

Many teams still leak value between referrals, qualifications, purchasing, and evidence. SureRX focuses on the seams: faster reconciliation, clearer qualification support, and reporting leadership can trust.

Evidence

Manual review doesn’t scale.

Field reality, plus program scale.

Time per claim
5–6 min

Average to validate eligibility and program rules.

At volume
400+ hrs / mo

Pharmacy hours/month at full claim volume.

What slips first
Savings + audit readiness

Lag erodes dollars and defensible documentation.

Source

Program scale (2024): covered-entity 340B purchases reached roughly $81.4 billion, per HRSA public data →

Program visibility

One operational story across encounters, pharmacy, and the signals you monitor—without a day-one rip-and-replace.

Qualification intelligence

Repeatable decisions—AI Powered labs and notes; staff sign off on what counts.

Supply chain alignment

Replenishment tied to program rules—Cardinal-oriented automation and inventory patterns that cut mismatch risk.

The chart still slows everything down

Answers buried in labs and notes cap your speed. SureRX: highlights first; people decide—with an auditor-friendly trail.

Fewer PDFs by hand Staff final say History saved

Not “hire more people”

Same experts—less time hunting in the chart. More time on judgment, policy, and partners.

Smart help—not mystery software

SureRX pairs qualification + referral tools with clear logs and human checkpoints on anything sensitive.

Time Fewer hunts after a referral.
Money Fewer gaps: encounter → referral → wholesale order.

Pair this page with our platform narrative and integrations when you brief IT and pharmacy leadership together.

When scrutiny arrives, narratives beat noise

Auditors don’t reward dashboards—they reward coherent evidence. SureRX helps you maintain continuous readiness: what changed, who approved it, and how that maps to policy expectations (always confirm program obligations with your counsel).

Workflow outcomes teams measure

Referral + encounter alignment

Tighten the chain from referral events through dispensing-adjacent signals your compliance team cares about.

Audit readiness

Evidence trails and review logs designed for practical governance—not checkbox theater.

What buyers ask

Start narrow, expand later? Finance gets numbers without BI? Edge cases stay visible? Deploy next to existing tools?

See a tailored walkthrough

We’ll map your current systems and propose a phased rollout that matches governance requirements.