The contract pharmacy may work with TPA and the covered entity to verify if the patient is eligible to receive a drug acquired under the 340B program.

If the dispense is determined to be 340B eligible, the covered entity submits a request for a 340B rebate for the units dispensed to the patient. This request is submitted to the manufacturer via the Kalderos platform.

The manufacturer pays the rebate to the covered entity through Kalderos’ payment facilitator on eligible claims within an average of 24 days after the claim is submitted.

The covered entity pays contractually agreed upon fees to their contract pharmacy and TPA.

If a state Medicaid agency mistakenly submits a request for a rebate on this same dispensation, the platform provides clear and transparent data that the covered entity already requested and received the 340B rebate. No duplicate discount occurs.