| Instructions: |
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Please use the database’s Search Covered Entities function to verify your entity’s Authorizing Official before submitting an online change request. If the Authorizing Official information listed in the database is incorrect, you must first submit a manual change request form with the new official’s name and contact information. Once approved, you may submit the online form with additional change requests.
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You can only submit a Change Request for Covered Entities (CEs) that are actively participating in the 340B program. |
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To apply the same changes to multiple sites, make a note in the Remarks section on the final screen. |
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You cannot submit a change request: |
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if a CE has been terminated, |
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if a CE is undergoing recertification, |
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to update Authorizing Official information, |
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to update Qualification information, |
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to terminate a CE, or |
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to update Contract pharmacy information, or |
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if a CE has an existing change request that is pending OPA approval. |
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| You will receive an automated confirmation e-mail after submitting your request; the Authoring Official on record for your covered entity will receive a separate e-mail with further instructions for accepting or rejecting the proposed changes. |
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