Learn, Network, and Gain 340B Experience

Distinguish yourself in the job market by completing a hands-on rotation at Apexus’ corporate office in Irving, Texas, where you will gain a complete understanding of the 340B Program. You will connect directly with senior leadership throughout the rotation, learning the roles and perspectives of safety-net providers, drug manufacturers, pharmacy wholesalers, advocacy organizations, and other 340B stakeholders.

A four-week Apexus rotation provides the opportunity to:

  • Become an integrated member of the Apexus team
  • Contribute to projects that will impact stakeholders nationwide
  • Learn from Apexus senior leadership and their years of industry experience
  • Understand how the 340B Program assists hospitals and health centers in providing care to underserved patients
  • Develop a network of industry leaders that residents can use as a resource throughout their careers

Gain a broad understanding of:

  • Supplier and distributor contracting approaches
  • Application of federal policy to pharmacy practice
  • Managing compliant pharmacy operations

Areas of focus


Develop your skills by taking advantage of a unique learning experience that will ultimately support your career advancement in pharmacy practice. Activities will be customized and based on a resident’s abilities, interests, timing, and organizational and departmental priorities during the residency training year. Evaluation will be based on participation in the leadership activities assigned, including contribution to discussions regarding management and leadership initiatives.

Rotation Background

The 340B Operations rotation is a 4-week elective learning experience offered at the Apexus headquarters located in Irving, Texas. Apexus is the government contracted 340B prime vendor for all types of covered entities participating in the 340B program. The 340B program is a challenging program that is continuously evolving. Many covered entities dedicate significant resources to stay up to date with current guidance, changing policies, and challenging operations in order to maintain compliance with this vital program. This rotation strives to give the resident a firm understanding of the 340B program and its requirements. By the end of the rotation, the resident will be provided with a valuable skillset, potentially differentiating the resident from other recent residency graduates in the job market.

Topic Discussions/Areas of Experience:

  • Leadership
  • Communication
  • Project Management
  • Operational Management
  • Financial Management
  • Regulatory and Legislative Management
  • Current Policy and Operational Application
  • Supply Chain and Contract Management

The resident and preceptor(s) will have topic discussions based on the learner’s ability and areas of interest. Reading materials will be reviewed in advance of meeting, and discussion will incorporate real-life experiences/perspectives.

Preceptor Interaction

The resident will interact with the preceptor(s) on a daily basis through leadership activities throughout the rotation. The resident will meet with preceptors during the first week to discuss expectations and learning objectives for the rotation. It will be the responsibility of the resident to work with the preceptor(s) to find time for individual and group meetings and to keep the preceptor(s) informed of project development.

Rotation Faculty

Feedback and Evaluation

Residents will be evaluated based on their participation in the leadership activities assigned. Their participation and contribution in discussions regarding management and leadership work within the organization will be evaluated. Verbal feedback on the resident’s performance will be provided throughout the learning experience.

PharmAcademic will be used for formal documentation of the resident’s overall performance. Evaluations must be completed within PharmAcademic no later than seven (7) days post-learning experience.

Resident Responsibilities and Expected Progression

The resident will be able to actively demonstrate leadership and other skills observed/learned during the PGY2 learning experience. Throughout the rotation, the resident will be expected to illustrate independence in completion of rotation assignments with less supervision. Based on regular check-in discussions, time will be spent revisiting focus areas in which the resident and preceptor determine additional learning experiences are necessary. The resident will be given immediate feedback regarding performance and opportunities for improvement during the learning experience.

On day one of the learning experience, the preceptor will review learning experience expectations with the resident. Throughout the learning experience, the resident will participate in activities/meetings assigned by the preceptor. Learning experience activities will be customized based upon the resident’s abilities, interests, timing, and organizational priorities. Each week, the resident will be exposed to learning experiences with a focus on communication, financial management, operational management, regulatory management, and leadership.

Residents are expected to speak about their involvement in assigned activities in weeks 2-4. Residents should familiarize themselves with the objectives and activities associated with each goal. They will be assessed based on their ability to achieve assigned goals.

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