340B Program Strategy

Turn a complex pharmacy footprint into a practical capture strategy.

ElevateRx helps health systems and FQHCs understand where 340B value is being retained, where it is leaking, and which operational moves deserve priority.

Entity-aware pharmacy mappingData-backed opportunity sizingPrioritized implementation decisions
When this is useful

Move beyond a roster of pharmacies and toward a strategy.

Growth

Capture is below potential

Prescribing volume exists, but referral destinations, payer restrictions, or pharmacy coverage keep value outside the network.

Complexity

The system has multiple entities

Covered entities, owned pharmacies, contract pharmacies, and service lines need to be viewed as one operating footprint without losing entity-level context.

Decision

Priorities are unclear

Leadership needs to know whether to optimize the current network, add capacity, pursue designations, or focus on a different opportunity first.

What the engagement examines

A connected view of opportunity, coverage, and constraints.

01 / OPPORTUNITY

Prescribing and referral opportunity

Size specialty and retail opportunity from available prescribing data, with drug, prescriber, site, payer, and destination views where the source supports them.

02 / FOOTPRINT

Owned and contract-pharmacy coverage

Compare destination patterns with owned pharmacies and the relevant OPAIS contract-pharmacy roster to identify in-house, contracted, and uncovered opportunity.

03 / ACCESS

Addressable-market constraints

Separate headline opportunity from the portion constrained by payer networks, limited distribution, entity type, and other documented assumptions.

04 / ACTION

Prioritized capture plan

Translate analytical gaps into a practical sequence of network, referral, data, and operating actions with explicit assumptions and limitations.

What you receive

Decision material leadership can use.

  • Opportunity and leakage summary
  • Owned-versus-contracted footprint assessment
  • Coverage-gap and destination analysis
  • Documented assumptions and data limitations
  • Prioritized action roadmap
  • Board-ready financial and visual summary
How we work

Understand. Reconcile. Prioritize.

01

Understand the footprint

Confirm entity structure, pharmacies, source data, current relationships, and the questions leadership needs answered.

02

Reconcile opportunity

Connect prescribing destinations, reference data, and the pharmacy network while making uncertainty visible.

03

Set the action sequence

Identify the moves with the strongest combination of value, feasibility, and operational fit.

See where the next unit of 340B effort should go.

Start with the data and program structure you already have. We can identify what is answerable now and what needs better evidence.

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