Rural Hospital Nonprofit Partner

Helping Rural Hospitals Strengthen and Protect Their 340B Programs

Citizens 340B helps rural hospitals and clinics capture the full value of the 340B program so more healthcare dollars stay in the communities they serve. Built from experience inside a critical access hospital, Citizens 340B provides hands-on program management designed around the staffing, financial, and operational realities of rural healthcare.

 Rural Healthcare Focus

340B Optimization | Compliance | Program Management | Financial Sustainability

For rural hospitals operating on thin margins, 340B savings can play an important role in sustaining local services and preserving access to care. At the same time, increasingly complex program requirements, manufacturer restrictions, audit risk, and limited internal resources can make effective 340B management difficult.

Citizens 340B works with rural hospitals and clinics to strengthen program performance while reducing the administrative burden on internal teams.

Solutions for Rural Hospitals and Clinics

Citizens 340B provides fully managed 340B services, including:

  • Program optimization and savings capture
  • Independent auditing and HRSA audit preparation
  • Contract pharmacy network development and agreement negotiation
  • Third-party administrator oversight
  • Policy and procedure development
  • Referral capture
  • Staff education
  • 340B ESP management
  • Support for facilities launching a 340B program
  • Monitoring of state and federal 340B policy and manufacturer restrictions

Services are delivered remotely within a hospital’s existing technology and staffing structure, allowing rural facilities to access specialized 340B expertise without adding another full-time position.

Measurable Rural Impact

Across three rural hospitals that transitioned their 340B programs to Citizens 340B in 2026, monthly net 340B savings increased by an average of nearly 50% within the first 90 days, despite manufacturer price increases.

At Coffey Health System, Citizens 340B initially conducted a compliance audit and optimization review. Within two months, the hospital reported a 59% increase in net 340B savings compared with the beginning of the year, even as drug costs continued to rise.

 “In the critical access hospital space, we’re all forced to wear many different hats. Having someone on our side who understands rural healthcare and can ensure the 340B program never gets neglected is incredibly valuable.” –Samantha Kuhlmann, 340B Coordinator, Coffey Health System

Supporting Rural Hospitals Through Increasing 340B Complexity

For Harrison County Community Hospital, manufacturer restrictions, filing requirements, and changing program requirements were placing increasing demands on limited internal resources. After engaging Citizens 340B for program management in 2026, the hospital reported a 30% increase in net program financial results.

 “The pharmacy department, which was able to turn over much of their daily 340B work to Citizens, could not be happier. As CFO, the results are much better than expected, and we feel confident we are in good hands to handle future 340B obstacles.”-Harrison County Community Hospital

Rural Experience Behind the Work

Citizens 340B is headquartered in Colby, Kansas, and its approach was developed inside a critical access hospital. Founder Paul Schiferl, PharmD, BCPS, continues to practice as a hospital pharmacist while leading the organization.

That firsthand experience shapes how Citizens 340B works with rural facilities, focusing on practical support, program performance, compliance, and keeping resources available for local patient care.

Citizens 340B’s work has also received recognition from the Kansas Pharmacists Association for innovation and advocacy related to the 340B program.

“Paul is the leading expert in Kansas on 340B, providing education and consultation services to our team. But beyond his knowledge, if you get to know Paul, he’s an even better person than pharmacist, and that’s saying a lot!”-Jeremy Clingenpeel, Chief Executive Officer, Cheyenne County Hospital

Connect with Citizens 340B

Paul Schiferl, PharmD, BCPS
340B Consultant
Phone: (785) 443-0811
Email: pschiferl@cmciks.com