Recover every rebate you’ve earned.
Identify repayment risk before it becomes a financial surprise.
The Inflation Reduction Act introduced Medicare’s Maximum Fair Price (MFP) program, changing how pharmacies receive reimbursement for selected high-cost drugs.
For 340B covered entities, determining the correct rebate requires reconciling data across the Medicare Transaction Facilitator (MTF), manufacturer rebate platform (Beacon), and the health system’s 340B software (TPA). No single organization has complete visibility into every transaction.
Covered Entities Face Many Challenges While Managing Their MFP Rebates
No reliable way to verify
every rebate earned
Manual reconciliation
consumes pharmacy resources
Limited visibility into
repayment exposure
Manufacturer decisions based
on incomplete data
Growing complexity as
additional drugs enter MFP
MFP Rebate Reconciliation Overview
The SpendMend Solution
SpendMend reconciles transaction-level data across the three systems required to accurately determine MFP rebate eligibility and identify every financial exception.
Claims Level Reconciliation
Identify Key Errors:
• Improperly denied MFP Rebates
• Improperly paid MFP Rebates
Confirm Properly Assessed Claims:
• Denied claims for 340B eligible claims
• Paid claims for non-340B claims
Features of the SpendMend MFP Rebate Solution
SpendMend’s solution enables organizations to:
Transaction Matching
Match every eligible transaction across multiple reimbursement data sources
Rebate Identification
Identify missing rebates and recover every eligible reimbursement opportunity
Repayment Visibility
Detect potential repayment exposure before financial issues arise
Financial Impact Analysis
Quantify the financial impact of every identified exception
Dispute Documentation
Generate supporting documentation for manufacturer rebate dispute resolution
Exception Resolution
Resolve financial exceptions with expert guidance and ongoing support
Benefits of the SpendMend MFP Rebate System
Partnering with SpendMend helps organizations:
Rebate Recovery
Recover more earned rebates and maximize eligible reimbursement revenue
Risk Reduction
Reduce future repayment liability through accurate transaction reconciliation
Reimbursement Accuracy
Improve reimbursement accuracy with complete transaction-level visibility
Workflow Efficiency
Eliminate manual reconciliation and reduce administrative burden on staff
Audit Readiness
Strengthen audit readiness with accurate documentation and financial records
Financial Visibility
Give pharmacy leaders complete visibility into MFP rebate performance
Why SpendMend
- Complete Reconciliation: Transaction-level visibility across MTF, Beacon, and 340B data.
- 340B Expertise: Purpose-built for pharmacy reimbursement, MFP, and 340B compliance.
- End-to-End Execution: We help recover missed rebates, resolve disputes, and close the loop.
- Scalable Process: Supports growing MFP transaction volumes without adding internal staff.
Getting Started
Implementation is simple. SpendMend works with your team to securely obtain the required data from your 340B third-party administrator (TPA), the Medicare Transaction Facilitator (MTF), and the manufacturer’s Beacon rebate platform. We perform the reconciliation, identify exceptions, and manage the majority of the work, minimizing the burden on your pharmacy team.
