Utah Might Soon Outflank Express Scripts’ New 340B Requirement

Utah lawmakers have passed and sent to the governor a bill that would forbid insurers or their PBMs from forcing federally qualified health centers to include modifiers on claims identifying drugs as being 340B purchased, Medicaid claims excepted.

Pharmacy benefits manager Express Scripts’ (ESI) new pharmacy reporting requirement for reclassifying a previously submitted prescription drug claim as 340B-eligible “applies to the extent not prohibited by law,” the PBM says in an FAQ on its website.

ESI’s statement in

Read More »

State Activity to Rein in PBM Discrimination Against 340B Entities Heats Up

Tennessee is one of at least six states weighing legislation to forbid PBM discrimination against 340B covered entities.

At least six states have introduced or passed bills in recent weeks that would forbid pharmacy benefit managers from discriminating against 340B covered entities regarding reimbursements and other practices.

The bills range from 340B-specific legislation to broader bills to address

Read More »

Biden Wants to Delay 340B Health Center Insulin Rule Again, to July 20

Stakeholders have from today through March 14 to comment on the Biden administration's proposal to delay a controversial Trump administration about the cost of insulin at 340B health centers until July 20. | Shutterstock

The Biden administration proposes once again to push back, this time from March 22 to July 20, the effective date of the Trump administration’s controversial final rule to require health centers to provide insulin and injectable epinephrine to low-income patients

Read More »

Sanofi Calls 340B ADR System “a Faux Judicial Process”

Drug manufacturer Sanofi, in its latest filing in federal district court in New Jersey, called the new 340B administrative resolution system a false judicial process designed to punish drug companies.

Drug manufacturer Sanofi on Monday struck back at the U.S. Justice Department (DOJ) for opposing its Feb. 2 motion in a federal lawsuit requesting an injunction against the 340B program’s new administrative dispute resolution (ADR) process.

“The government is eager

Read More »

COVID Relief Bill With Implications for 340B Set to Become Law Tomorrow

The U.S. House voted 220-211 yesterday on final approval of a major COVID-19 relief bill. | C-SPAN

The U.S. House on Wednesday passed and sent to President Biden a $1.9 trillion COVID-19 relief and economic recovery bill with provisions affecting the 340B program and its participants. Biden will sign the bill at the White House tomorrow.

The

Read More »

PhRMA: Providers Use 340B as “Slush Fund”

“We must stop abuses of the 340B program by covered entities who put profits before patients,” PhRMA spokesperson Nicole Longo says in the association's blog. | Shutterstock

The 340B program “attracts hospitals, clinics and for-profit pharmacies because it is easy for them to use the program as a slush fund to benefit their bottom lines, diverting money that could be used to help patients get better care

Read More »

Biden Names Health Care Advisers with Strong Ties to Hill Democrats

The White House plans to release a revised administrative dispute resolution process for the 340B program this month.

Two health care policy experts with ties to congressional Democratic chairs influential on 340B matters have gone to work for the Biden White House.

Elizabeth Jurinka, most recently chief health adviser to Senate Finance Chair Ron Wyden (D-Ore.), on

Read More »

News Flash: State Attorney General Orders Sanofi to Hand Over 340B Information

So far, none of the other drug companies denying or imposing conditions on 340B pricing on contract pharmacy drugs have publicly reported being subpoenaed by Vermont Attorney General T.J. Donovan.

Vermont State Attorney General T.J. Donovan (D) has issued a subpoena to drug manufacturer Sanofi “seeking certain information about Sanofi’s 340B program participation,” the company disclosed last week.

Neither Sanofi nor Donovan’s office have responded to requests for comment. Sanofi

Read More »

Providers Worried About Humana’s 340B Claims ID and Data-Reporting Conditions

An Alabama health system is suing Humana over past reduced 340B rates paid by its Medicare Advantage plans.

Health insurance company Humana has begun sending pharmacy provider agreements for 2022 to 340B-participating pharmacies, with claims-identification and data-reporting conditions that some 340B providers say are unsettling. They say the agreements are to be signed and returned within 30 days

Read More »

COVID-19 Relief Bill Includes Many Provisions Affecting 340B Providers

A screen capture of the Congressional Record for March 5 documenting the Senate's passage of nearly $2 trillion in pandemic relief.

The U.S. Senate voted 50 to 49 along party lines early Saturday morning to approve an amended version of the House’s $1.9 trillion COVID-19 relief bill. According to House Majority Leader Steny Hoyer’s (D-Md.) office, the House could vote on

Read More »
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
×

*Sign up for news summaries and alerts from 340B Report

Site Footer Live