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Case Study 4: Pharmacy and 340B Optimization for a Rural Health System

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Case Study 4: Pharmacy and 340B Optimization for a Rural Health System

Industry: Healthcare

System: 3 Hospitals, 500+ Beds

A Southern U.S. hospital network was losing millions due to underperformance in pharmacy operations, PBM contracts, and 340B program capture.

BENAT Advisory Services conducted a complete financial and operational audit, benchmarked each pharmacy against regional peers, and evaluated PBM and 340B administrator performance. We implemented a Medication Therapy Management (MTM) model utilizing clinical pharmacists embedded in employee health clinics to capture 340B prescriptions in-house. 

This model redirected prescription volume, increased claim qualification, and introduced a real-time 340B tracking and reporting system with quarterly executive governance. A community education campaign demonstrated how recaptured funds expanded access and provider capacity—restoring trust and community engagement.

Results:

  • 18% to 74% Increase in 340B Capture Rate (Year 1)
  • $6M+ New Annual Revenue From Employee Plan Prescriptions
  • $20M+ Total 340B Growth Over Three Years
  • Expanded Specialty Provider Access in Underserved Areas

This case exemplifies how aligning clinical, financial, and administrative systems turns pharmacy programs into major revenue engines for community health.