Legal Resources

Public Law 102-585 (Veterans Health Care Act of 1992)

Definition of a Patient

Guidelines, Reports, and Documents from the Office of the Inspector General

Federal Register Notices

Reports to Congress

Forms, Letters, and Agreements

FAX Order Form for Medicare Discount Drug Card publications

340B Program Registration Form for Covered Entities (PDF file, 158K) [NOTE:  This form in NOT to be used by Disproportionate Share Hospitals or STD/TB grantees.]

Contracted Pharmacy Services Self-Certification Form (PDF file, 82K) 

Contracted Pharmacy Services Model Agreement

Disproportionate Share Hospitals

Flow Chart for Disproportionate Share Hospitals to Determine Eligibility for 340B Program

Instructions for Small Rural and Urban Disproportionate Share Hospitals Regarding Participation in the 340B Program

Fiscal Intermediary Certification for DSH Share Adjustment Percentage

Forms/Letters for Private Non-Profit Hospitals

Letter To Enroll In 340B Drug Pricing Program For Private Non-Profit Hospitals (PDF file, 66K) 

Certification Of A Contract Between A Private Non-Profit Hospital And Local Government (PDF file, 77K) 

Certification Regarding Non-Participation In A Group Purchasing Organization (PDF file, 56K) 

Forms/Letters for Public Hospitals

Letter To Enroll In 340B Drug Pricing Program For Hospitals Owned Or Operated By State Or Local Government (PDF file, 63K) 

Certification Regarding Non-Participation In A Group Purchasing Organization (PDF file, 56K) 

Inclusion of Outpatient DSH Facilities (Text file, 30K)

Pharmaceutical Pricing Agreement for Manufacturers (PDF file, 58K) NOTE:  Please send two signed originals so that we may return a signed original to you.

STD/TB Certification for FY 2004 (zip file, 288K)

National Association of Community Health Center (NACHC) Issue Briefs - these documents are provided for information purposes only and do not necessarily reflect the official policy or views of OPA, BPHC, or HRSA.

Issue Brief #19 - Summary of FDA Regulations on Donations of Prescription Drug Samples (12/2001)

Issue Brief #20 - Health Center Reimbursement for Prescription Drugs:  Medicaid PPS and Section 340B Drug Pricing Considerations (12/2001)

Program Assistance Letters (PALs)

PAL 2000-07 - Health Center Licensed Pharmacies (Also available in plain text)

Program Information Notices (PINs)

PIN 2004-01 - Fiscal Year 2004 Application Instructions for Service Area Competition (including all competing continuations) Funding for the Consolidated Health Center Program (Also available in plain text) 

PIN 2003-21 - Federally Qualified Health Center Look-Alike Guidelines and Application (Also available in plain text) 

PIN 2003-03 - Opportunities for Health Centers to Expand/Improve Access to Mental Health and Substance Abuse, Oral Health, Pharmacy Services, and Quality Care Management Services During Fiscal Year 2003 (Also available in plain text)