For your practice · Pharmacy
Exclusion Screening for Pharmacies
Pharmacists, technicians, delivery drivers and vendors: how independent and specialty pharmacies can check their staff against the OIG, SAM and state Medicaid lists every month.
Add dates of birth: the LEIE lists one for almost everyone, and it is what tells two people with the same name apart.
Who to check
- Pharmacists and pharmacy technicians, including part-time and floating staff.
- Delivery drivers and front-store staff who handle prescriptions.
- Billing, compliance and inventory staff.
- Contracted relief pharmacists and outside billing services.
Why it matters for a pharmacy
Pharmacies bill Medicare Part D plans and Medicaid for every prescription they fill, so anyone excluded who touches dispensing or billing is a risk to every claim.
What to check and how often
Check every person against the OIG exclusion list (LEIE) and SAM.gov before they start, and again every month: OIG updates its list monthly and says monthly screening best minimizes the risk. Add your state's Medicaid list where it keeps one (state lists).
Keep a dated record of every check and of how each potential match was resolved. Plans do this for you, with a monthly PDF report.
Sources
- HHS-OIG, Exclusions Program
- HHS-OIG, Updated Special Advisory Bulletin on the Effect of Exclusion (May 2013, PDF)
- HHS-OIG, Exclusions FAQs
Last reviewed against these sources on November 7, 2026. ExclusionHQ is not affiliated with any agency, and this page is not legal advice.
Related
Monthly monitoring
Need this every month?
Save your roster once. ExclusionHQ re-checks it against the LEIE, SAM.gov and 20 state Medicaid lists whenever one updates, emails you when something changes, and keeps a dated audit report for every check. From $39 a month for up to 100 people.
Questions
Do we need to check delivery drivers?
If they furnish items paid for by a federal health care program, the safest course is to check them like any other employee. Checking a full roster takes seconds.
Is the state board of pharmacy list the same as the Medicaid exclusion list?
No. A licence action and a Medicaid exclusion are separate lists; ExclusionHQ checks the exclusion and termination lists, not licence status.