Financial Assistancehard

340B Audit Corrective Action Plan

340B CAP · HRSA

Required within 60 days if HRSA audit findings are accepted. Documents corrective measures for compliance issues identified during program audit. Non-submission may result in removal from the 340B program.

Form Details

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Where to Submit This Form

🌐

Submit through the HRSA 340B OPAIS portal

https://340bopais.hrsa.gov/

Required in response to HRSA audit findings or self-disclosed violations.

📬

Mail to HRSA Office of Pharmacy Affairs

HRSA Office of Pharmacy Affairs 5600 Fishers Lane Rockville, MD 20857

Filing Deadline

Per HRSA's directive — typically 30-90 days after audit findings are issued. Specific deadlines are stated in the audit notification letter.

Required Attachments

  • 📎 Detailed corrective action plan addressing each audit finding
  • 📎 Root cause analysis for each identified violation
  • 📎 Timeline for implementing corrective actions
  • 📎 Evidence of corrective actions already taken
  • 📎 Policies and procedures updated to prevent recurrence
  • 📎 Repayment calculations for overcharges or duplicate discounts (if applicable)

Processing Time

HRSA reviews the corrective action plan within 30-60 days. Additional information or revisions may be requested. Final resolution can take 3-6 months.

What Happens Next

HRSA will review your corrective action plan and may accept it, request modifications, or require additional actions. Failure to adequately address findings can result in program termination. Manufacturers may be required to offer refunds or credits.

Tips for This Form

  • Address every finding specifically — generic responses are likely to be rejected
  • Implement corrective actions immediately, do not wait for HRSA approval of the plan
  • Consider engaging 340B-specialized consultants or legal counsel for complex audit responses
  • Self-disclosure of violations before an audit may result in more favorable treatment

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