How can 340B covered entities prevent duplicate discounts under HRSA’s 2026 audits?

HRSA’s 2026 audits emphasize synchronization of 340B and Medicaid billing data to prevent duplicate discounts. Covered entities must align carve-in and carve-out declarations with actual billing records, reconcile purchases with paid Medicaid claims, and verify carve-in status with state agencies to prove active coordination and maintain compliance.