Claim-to-refund matching
Connect pharmacy records with MTF tracking and remittance data using the available claim identifiers.
For covered entities with owned pharmacies
MFP Reconciliation PortalYour owned pharmacy.
A clearer view of
MFP refunds.
Review Medicare Maximum Fair Price refunds for your covered entity’s owned pharmacies, with reconciliation and documented review of discrepancies and coordinated next steps.
Specialist review. Clear responsibilities. No guaranteed recovery.
MFP Reconciliation Portal
What you can expect.01
Eligible pharmacy fills
MatchedView fill, claim and MTF identifiers while we match the records needed to track each refund.
02
Manufacturer status
MonitoredTrack transmitted, processing, paid or denied status while we monitor responses and timing.
03
340B and MFP review
VerifiedUnderstand the qualification and adjustment reason while we verify whether the claim was handled correctly.
04
Refunds and unresolved items
Follow-upCompare expected, refunded and still-open amounts while we investigate discrepancies and coordinate follow-up.
MFP reconciliation support and portal access for owned pharmacies are confirmed with Secure340B based on your covered entity’s needs. Owned-pharmacy scope, authorized access and service timing must be confirmed before engagement.
MFP Reconciliation — Owned Pharmacies
Visibility where it matters.
Support where it counts.
Portal and service capabilities are shown below. Final scope depends on supported sources, permissions and approved service readiness.
Refund discrepancies
Review missing, partial or delayed refunds against applicable calculations and the correct processing events.
340B flag review
Verify qualification and adjustment reasons before treating a flagged claim as a recovery opportunity.
Good-faith inquiries
Document manufacturer inquiries and appropriate CMS/MTF escalation, with responsibility and follow-up recorded.
Owned-pharmacy scope
Limit this workflow to authorized CE-owned pharmacy records. Contract-pharmacy MTF records are not automatically included.
Honest outcome reporting
Keep open opportunities, approved-but-unpaid inquiries and reported recoveries separate. Approval is not payment.
The workflow
Clear steps. Accountable people.
Confirm access
Identify the pharmacy, service period, available records and authorized data use.
Match and review
Compare claims, MTF records, manufacturer responses and relevant 340B qualification.
Investigate & follow up
Route authorized inquiries through the appropriate manufacturer or CMS channel.
Report the result
Show open cases, approvals and reported payments. Verify bank receipt separately when evidence is available.
Expected ≠ approved ≠ payment reported ≠ cash receipt verified. The evidence behind each state matters.
Straight answers
Before you
get started.
Understand the scope, the rules and what the records can—and cannot—tell you.
Does this include our contract pharmacies?
Not automatically. This page is for CE-owned pharmacies. Contract-pharmacy participation and MTF data sharing require separate pharmacy-specific authorization.
Is MFP the same as a 340B or Medicaid rebate?
No. Maximum Fair Price is part of Medicare’s Drug Price Negotiation Program. MFP refunds are distinct from both 340B rebates and the Medicaid Drug Rebate Program.
Are all refunds due 14 days after dispensing?
No. CMS describes a 14-day manufacturer processing window starting when MTF transmits the claim-level data to the manufacturer. Plan-data processing and banking steps also affect elapsed time from dispensing to bank receipt.
Does a 340B denial always mean money is recoverable?
No. Nonduplication rules may legitimately result in a withheld or adjusted MFP refund. Verify qualification and the applicable pricing and manufacturer rules before pursuing an inquiry.
Is the new MFP portal live?
Contact Secure340B to discuss current MFP reconciliation support and portal availability. Contact Secure340B to discuss current support options and future availability. Scope and timing will be confirmed before engagement.
Need clarity on covered-entity rebates?
Different payment streams. One specialist perspective.
We handle the recurring work—not just the setup.
Secure340B reviews the records, identifies what needs attention, documents the issue, coordinates follow-up and reports the outcome. Your team gets a clear view without carrying every task internally.
Is your owned pharmacy ready for MFP refunds? Ten questions, about 5 minutes.
Take the MFP Rebate Readiness Quiz →Let’s talk
A clearer path starts
with a conversation.
Tell us about your organization and the workflows that need attention. We’ll discuss the right next step.
Please do not email patient information or claim-level data.