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PBMs and Payers

Major Health Systems Sue CVS Over Alleged ‘Scheme’ to Secretly Divert Millions in 340B Savings 

William Newton, Editor-in-Chief 340B Report Views
CVS pharmacy photo
Three hospital systems recently accused CVS Health and its affiliates of "secretly and drastically" lowering 340B reimbursement owed to providers.
Three major hospital systems on Monday filed separate federal lawsuits accusing CVS Health and its affiliates of secretly conspiring to [...]

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Federal Judge Again Rejects Hospital Antitrust Lawsuit Challenging CVS’ 340B TPA Practices

William Newton, Editor-in-Chief 340B Report Views
Image of a CVS pharmacy
A Pennsylvania federal judge recently found that CVS did not have a monopoly over 340B contract pharmacy services.
A Pennsylvania federal judge has once again dismissed a hospital lawsuit alleging that CVS Health illegally tied its 340B contract [...]

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House Passes Bipartisan-Backed Spending Bill that Funds HRSA and Health Centers, Targets PBMs 

Shannon Young, Managing Editor 340B Report Views
An exterior shot of the Capitol Building in Washington, D.C.
House lawmakers passed a bipartisan-backed spending bill Thursday that will fund HHS and community health centers through the end of September, and crack down on pharmacy benefit managers.
The U.S. House overwhelmingly approved a bipartisan-backed spending bill Thursday that will fund the Department of Health and Human Services [...]

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Florida, Missouri State Lawmakers Introduce Provider-Backed 340B Bills

William Newton, Editor-in-Chief 340B Report Views
Images of the Florida and Missouris statehouses
The Florida and Missouri state legislatures are each considering recently introduced 340B legislation.
State legislators in Florida and Missouri recently introduced multiple provider-backed 340B bills at the start of their 2026 legislative sessions, [...]

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Key House Republican Lists Prescription Drug Reforms Among Congressional Priorities for 2026

Shannon Young, Managing Editor 340B Report Views
Congressional portrait of U.S. Rep. Brett Guthrie (R-Ky.).
U.S. Rep. Brett Guthrie (R-Ky.), who chairs the House Energy and Commerce Committee, reportedly floated prescription drug program overhauls at an early January GOP retreat.
The chairman of a key U.S. House Committee that oversees 340B-related legislation reportedly discussed potential prescription drug policy overhauls during [...]

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News Alert

Walgreens to Carve Out 340B Rebate Pilot, IRA Drugs from Contract Pharmacies 

William Newton, Editor-in-Chief 340B Report Views
Walgreens pharmacy storefront illuminated at night
Walgreens notified covered entities that it will temporarily carve out 340B rebate pilot and IRA drugs.
The second largest U.S. chain pharmacy told providers Thursday that it will temporarily stop processing 340B contract pharmacy claims for [...]

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Health System, Insurer Appear to Settle Lawsuit Alleging Medicare Advantage 340B Underpayments

William Newton, Editor-in-Chief 340B Report Views
Humana and an Alabama health system jointly asked a federal court to dismiss their ongoing litigation related to Medicare Advantage 340B payments.
An Alabama health system and a large health insurer appear to have reached a settlement over allegations that the insurer’s [...]

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Carter Introduces PBM Reform Bill That Includes 340B ‘Spread Pricing’ Reporting

Shannon Young, Managing Editor 340B Report Views
U.S. Rep. Earl “Buddy” Carter (R-Ga.) unveiled the PBM Reform Act (H.R. 4317) on July 10.
U.S. Rep. Earl “Buddy” Carter (R-Ga.) recently led a bipartisan group of nearly a dozen U.S. House lawmakers in introducing [...]

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New Oregon Law Lets Health Centers Report 340B Claims Through Clearinghouse Instead of PBMs

William Newton, Editor-in-Chief 340B Report Views
A new Oregon law grants certain covered entities new flexibility in how they report 340B claims involving PBMs.
Oregon has enacted a new law granting health centers and certain grantees more flexibility in how they report 340B claims [...]

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Why a Health Insurance Crisis Led Vermont Lawmakers to Add Hospital Price Caps to a 340B Contract Pharmacy Access Law

William Newton, Editor-in-Chief 340B Report Views
Vermont legislators added hospital price caps to a 340B contract pharmacy access law amid a financial crisis facing the state's largest health insurer.
When Vermont enacted a 340B contract pharmacy access law last week, it also became the first state in the nation [...]

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