340B Impact

Overview

The Drug Spend page provides analysis of all drug purchases for all accounts of your health system. This includes accounts that split purchases in 340B Architect and any McKesson accounts that do not split through 340B Architect. The Drug Spend page includes your hospital, hospital-owned retail/specialty pharmacy, and contract pharmacy data. 

On this page you can interact directly with the data in the visuals by hovering over any data point to display more details. Selecting one or more data points updates Current Filters and dynamically updates all visuals.

Learn more about 340B Impact navigation and interaction functions in the article “How to Use 340B Impact”.

Key Metrics

Key Metrics show a high-level overview of your 340B Program performance. All metrics include your hospital and hospital-owned retail/special pharmacy data. Drug Spend also includes contract pharmacy data in addition to hospital data.

• Drug Spend: Total amount spent on all drug purchases.
• Gross Savings: The amount saved on all 340B purchases compared to the GPO catalog prices.
• Net WAC Impact: The impact of all WAC purchases compared to the GPO catalog prices. 
• Net Savings: The health system's net benefit from participating in the 340B program (i.e., Gross Savings plus Net WAC Impact).

The percentage change represents the difference between the start and end data points for the selected date range. 

Spend Over Time

This graph displays total drug spend for the current and prior years for the selected date range. This makes it easy to see the variations in drug spend over time for your health system.

• Current Year: Represents data for the date range selected.
• Prior Year: Represents data for the year prior to the date range selected.
• Dotted lines: Represent the average trend across data points for the selected date range.

Spend Across System

This graph shows the total amount spent on all drug purchases across your health system. You can use the drill-down and expand features to visually isolate areas of your health system and see more granular spend details. 

 Health system hierarchy

• Hospital: Covered entities that are part of your health system that are participating in the 340B Program.
• Service Type: Identifies different standard areas of your health system’s 340B program, including hospital mixed-use, hospital ambulatory, hospital-owned retail, contract pharmacy-retail, contract pharmacy specialty, etc.
• Location: Contract pharmacy chains are grouped together. Health systems may also choose to group their hospital outpatient pharmacies together.
• Account: The individual purchasing account number used to buy drugs for your 340B Program.

Spend By Account Type Detail

This graph shows drug spend by month and quarter for each account type by percentage. Hover over a data bar to view the dollar amounts for each account. 

Spend by Account Type Summary

This metric summarizes total spend for each account type by percentage and amount.  These values update to reflect any filters applied to the page.

Spend by Drug/Category

This table shows the spend for each account type, total spend, and total spend percentage within the drug hierarchy. This allows you to isolate which drugs or drug categories are driving spending trends. Use the expand button on each row to show the next level of detail. 

As a reminder all Current Filters affect the data displayed in this table. 

The Drug Category Hierarchy 

• Therapeutic Group: General drug groups frequently used in general market research and third-party prescription processing, for example, Penicillins, Contraceptives, and Anti-Diabetics.
• Therapeutic Class: Specific therapeutic drug classes designed to accommodate more detailed market research, for example, Carbonic Anhydrase Inhibitors, Loop Diuretics, and Mercurial Diuretics.
• Drug Name: The generic or chemical name of a drug, for example, Dexamethasone Acetate and Dexamethasone Sodium Phosphate.
• Brand Group: The brand name of a drug when applicable. 
• NDC: 11-digit unique drug identifier; the level at which accumulations are maintained in 340B Architect.