Covered Entity Details and Address Information

The system displays the entity's details and street address, allowing the user to update the Employee Identification Number (EIN), if necessary, and to add billing and shipping addresses.

Non-Hospital Details and Address Information

Item

Continued

Name

Type the name of the entity (pre-filled for CH and FQHCLA entity types).

Sub-Division Name

Type the sub-division name of the entity (pre-filled for CH and FQHCLA entity types).

NOFO Number

Type the Notice of Funding Opportunity (NOFO) Number. Only associated with STD and TB.

Employee Identification Number (EIN)

Type a new EIN if one has been assigned by the IRS.

Closed Grant Financial assistance mechanism providing money, property, or both to an eligible entity to carry out an approved project or activity. Number

Type the grant number (pre-filled for CH and FQHCLA entity types). A grant number guidance message is displayed for the entity types as specified below:

Entity Type	Entity Type Name	Message
STD	Sexually Transmitted Diseases	Grant Number should be in the following example format: "NH25PS######"
TB	Tuberculosis	Grant Number should be in the following example format: "NU52PS######"
FP	Family Planning (Title X only)	Grant Number should be in the following example format: "FPHPA######"
RWI	Ryan White Part A	Grant Number should be in the following example format: "H89HA#####"
RWII RWIID RWIIR	Ryan White Part B Ryan White Part B ADAP Direct Purchase Ryan White Part B ADAP Rebate Option	Grant Number should be in the following example format: "X07HA#####"
HV	Ryan White Part C	Grant Number should be in the following example format: "H76HA#####"
RW4	Ryan White Part D	Grant Number should be in the following example format: "H12HA#####"
HM	Comprehensive Hemophilia Treatment Center	Grant Number should be in the following example format: "H30MC#####"

Grant Number is not displayed for Urban Indian and Tribal Contract/Compact with IHS (P.L. 93-638) entities. It is required for all other non-hospital entity types. Contact the federal grantee or project officer if you don't know the Grant Number.

Site ID
(CH and FQHCLA only)

Pre-filled by system.

Nature Of Support

As appropriate, select the check boxes for the nature of direct grant funding; either Direct Funding or "In-Kind" products or services purchased with direct grant funds or both. Selecting "None" will uncheck the other boxes (if selected) and make the entity ineligible for registration.

Enter the description for “In-Kind” support if you selected the In-Kind option.

Enter the “From” and “To” dates for the time period section 318/317 funding or in-kind support was received. You can select the Valid until no longer receiving checkbox if there is no “To” date.

Funding Period

If registering any of the Ryan White entity types, then you will need to provide the “From” and “To” dates for the Time period the Assistance was received.

Street Address

Type the organization and address information (pre-filled for CH and FQHCLA entities).

Closed Billing Address An address verified as belonging to the covered entity that is used for billing purposes. A billing address is not required to be a physical address; it can be a P.O. box or other mailing address. Same as Street Address

Uncheck the box to add a new Billing Address.

Closed Shipping Address An address authorized to receive 340B drugs on behalf of a covered entity parent or child site and registered as such on the 340B OPAIS. Because pharmacies are not permitted to be registered as covered entity sites, they may be listed as shipping addresses of the parent entity or a registered outpatient child site, depending on the locations served by the pharmacy. When registering a new covered entity or a new outpatient facility online, the entity has a choice of listing shipping addresses under either the main entity's registration or the offsite facility's registration. Listing shipping addresses permits all parties to know where 340B drugs may be delivered by the manufacturer and wholesaler. Pharmacies that support multiple outpatient facilities should be listed as shipping addresses under the parent entity. Same as Street Address

Uncheck the box to add a new Shipping Address.

Cancel

Cancel the registration and return to the home page.

Back

Return to the previous page.

Continue

Click this button to proceed.

Adding a Billing Address

The system displays the Billing Address data entry fields when the "Billing Address Same as Street Address" box is unchecked.

Add Billing Address Controls
Item	Description
Billing Address Same as Street Address	Uncheck this box to add a separate billing address if different from the entity's street address.
Organization (required)	Type the organization name for this address.
Address	Enter the address information. Address Line 1, City, State, and ZIP code are required.
Cancel	Cancel the registration and return to the home page.
Back	Return to the previous page.
Continue	Click this button to proceed.

Adding a Shipping Address

The system displays the Shipping Address data entry fields when the "Shipping Address Same as Street Address" box is unchecked. If there are no shipping addresses on file, the system will prompt to add one.

Click the + button next to "Add Shipping Address" to display the Shipping Address data fields.

Add Shipping Address Controls
Item	Description
Shipping Address Same as Street Address	When this box is unchecked, you can add a new billing address.
Organization (required)	Type the organization name for this address.
Address	Enter the address information. Address Line 1, City, State, and ZIP code are required.
Insert	Save the shipping address.
Add Shipping Address	Add another shipping address.
Cancel	Cancel the registration and return to the home page.
Back	Return to the previous page.
Continue	Click this button to proceed.

Editing/Deleting Shipping Addresses

The system displays the existing shipping addresses when the "Shipping Address Same as Street Address" box is unchecked. If there are no shipping addresses on file, the system will prompt to add one.

A shipping address can be any location to which drugs may be lawfully delivered that is not already registered as a contract pharmacy. Listing of shipping addresses provides covered entities flexibility in where they wish drugs to be shipped and increases transparency of how the covered entity utilizes the 340B Drug Pricing Program.

Listing a location as a shipping address does not make that location eligible to use 340B drugs for individuals treated there.

Edit/Delete Shipping Address Controls
Control	Description
Edit	Opens the associated shipping address and makes the fields editable.
Delete	Deletes the associated shipping address. You will be prompted to confirm the deletion.
Update	Save changes to the associated shipping address.
Cancel	Cancel the registration and return to the home page.
Back	Return to the previous page.
Continue	Click this button to proceed.