Run 340B OPAIS Registration and Contract Pharmacy Reconciliation Log — Free

Inspection Setup and Scope

Reporting period documented

Enter the reconciliation period covered by this log.

Covered entity name and OPAIS ID verified critical (required)

Record the covered entity name and OPAIS identifier used for the review.

Contract pharmacy list included in scope

Select all contract pharmacies reviewed in this inspection.

Note (optional)

Source records available for review critical (required)

Confirm that OPAIS records, active contracts, and site address documentation are available.

Yes No N/A

OPAIS Registration Accuracy

Covered entity legal name matches OPAIS critical (required)

Confirm the legal entity name in OPAIS matches the current covered entity record.

Yes No N/A

Registered site address matches active location critical (required)

Confirm the OPAIS site address matches the physical address of the active covered entity location.

Yes No N/A

Authorized contact information is current

Verify that the listed contact name, phone number, and email address are current for program administration.

Yes No N/A

Entity type and registration status are active critical (required)

Confirm the entity remains active and properly registered in OPAIS for the review period.

Yes No N/A

Recent registration changes documented

Confirm any additions, terminations, relocations, or ownership changes are documented and reflected in the record set.

Yes No N/A

Evidence of OPAIS screenshot or export attached critical (required)

Attach a screenshot or export showing the current registration record.

Contract Pharmacy Reconciliation

Active contract pharmacy agreement on file critical (required)

Verify a current executed contract exists for each pharmacy reviewed.

Yes No N/A

Contract pharmacy listed in OPAIS matches executed agreement critical (required)

Confirm the pharmacy name and location in OPAIS match the executed contract pharmacy agreement.

Yes No N/A

Contract effective date and termination date are accurate

Verify the active dates in the record set match the current contractual status.

Yes No N/A

Pharmacy address and service location match records critical (required)

Confirm the pharmacy street address and service location are consistent across OPAIS and contract documents.

Yes No N/A

Terminated or inactive pharmacies removed from active list critical (required)

Verify terminated or inactive contract pharmacies are not listed as active in internal records or OPAIS.

Yes No N/A

Reconciliation exceptions documented

Describe any mismatches, missing records, or unresolved exceptions found during reconciliation.

Program Controls and Recertification Readiness

Annual recertification calendar reviewed critical (required)

Confirm the annual HRSA recertification timeline has been reviewed and assigned to the responsible owner.

Yes No N/A

Change management process in place for site or pharmacy updates

Verify there is a documented process for updating OPAIS when sites or contract pharmacies change.

Yes No N/A

Supporting documentation retained for review

Confirm reconciliation workpapers, contracts, and OPAIS evidence are retained according to policy.

Yes No N/A

Open corrective actions assigned

List any corrective actions, owners, and due dates for unresolved discrepancies.

Inspector sign-off critical (required)

Inspector confirms the reconciliation was completed and reviewed.

Evidence and Notes

Supporting evidence uploaded critical (required)

Attach screenshots, exports, or supporting documents used in the reconciliation.

Additional notes

Record any additional observations, clarifications, or follow-up items.

Review completed date and time

Enter the date and time the reconciliation review was completed.

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Run: 340B OPAIS Registration and Contract Pharmacy Reconciliation Log

Inspection Setup and Scope

OPAIS Registration Accuracy

Contract Pharmacy Reconciliation

Program Controls and Recertification Readiness

Evidence and Notes

Get your results