Astellas Notifies 340B Entities About Antifungal’s Updated NDC

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Astellas says the old and new NDCs for its antifungal drug Cresemba are interchangeable in compliant 340B inventory replenishment models.

Drug manufacturer Astellas will let 340B covered entities using “a compliant 340B inventory replenishment model” count accumulations of its antifungal Cresemba under its old National Drug Code toward replenishment of equal quantities under the product’s corresponding new NDC, the company

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Pennsylvania Rescinds Directive that Contract Pharmacies May Not Dispense 340B Drugs to Medicaid Beneficiaries

Pennsylvania Dept. of Human Services medical assistance bulletin image referring to 340B drug pricing program
Pennsylvania rescinded a new Medicaid policy document that said contract pharmacies could not dispense 340B-purchased drugs to Medicaid beneficiaries.

The Pennsylvania Department of Human Services yesterday rescinded Medicaid policy guidance dated Dec. 22 and effective Jan. 1 that forbade 340B covered entities’ contract pharmacies from dispensing 340B-purchased drugs to Medicaid beneficiaries.

The state primary care association warned that the

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340B Recertification for HRSA and Indian Health Service Grantees Starts Jan. 30

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Annual recertification of 340B eligibility for federally qualified health centers and most other grantee-type entities will start Jan. 30 and end Feb. 27.

Annual recertification of 340B eligibility for federally qualified health centers and most other grantee-type entities will start Jan. 30 and end Feb. 27, the U.S. Health Resources and Services Administration said yesterday.

HRSA did not say when Title X family

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Pennsylvania Says Contract Pharmacies May Not Dispense 340B Drugs to Any Medicaid Beneficiaries

Pennsylvania Dept. of Human Services medical assistance bulletin image referring to 340B drug pricing program
Pennsylvania 340B covered entities are alarmed about the state's position that contract pharmacies may not dispense 340B drugs to any Medicaid beneficiaries.

Pennsylvania 340B health centers and hospitals are alarmed about a Dec. 22 state human services department notice to providers that 340B covered entities’ contract pharmacies “must dispense non-340B-purchased drugs to [Medicaid] beneficiaries in the [fee for service] and managed care

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CMS Announces Medicare Drug Price Negotiation Dates

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CMS will publish the first 10 Medicare Part D drugs selected for the new Medicare Drug Price Negotiation Program by Sept. 1.

The U.S. Centers for Medicare & Medicaid Services will publish the first 10 Medicare Part D drugs selected for the new Medicare Drug Price Negotiation Program by Sept. 1, CMS announced yesterday.

The negotiated maximum fair prices for these drugs

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CMS Plans in April to Address Potential Remedies for Illegal Drug Payment Cuts for 340B Hospitals

Screenshot of CMS meeting agenda
CMS plans to issue a proposed rule in April regarding “potential remedies” for illegal Part B drug payment cuts for 340B hospitals from 2018 through late September 2022.

Federal Medicare officials plan to issue a proposed rule in April regarding “potential remedies” for illegal Part B drug payment cuts for 340B hospitals from 2018 through late September 2022.

The Centers for Medicare & Medicaid Services revealed April as

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Janssen Providing Refunds for 340B Overcharges During Q1 2020

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Janssen Pharmaceuticals is providing refunds to 340B covered entities for overcharges on 14 NDCs during Q1 2020.

Johnson & Johnson’s Janssen Pharmaceuticals division is providing refunds to 340B covered entities for overcharges on 14 NDCs during Q1 2020.

The U.S. Health Resources and Services Administration (HRSA) posted J&J’s refund notice yesterday. The company said the 340B

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Alcon Providing Refunds for 340B Overcharges on 22 Products

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Alcon is providing refunds for charges above 340B ceiling prices on 22 NDCs for varying sales periods from Q3 2019 through Q3 2022.

Swiss eye care drug manufacturer Alcon is providing refunds for charges above 340B ceiling prices on 22 NDCs for varying sales periods from Q3 2019 through Q3 2022.

The U.S. Health Resources and Services Administration posted Alcon’s public notice about

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CMS Requiring All 340B Entities to Use Claims Modifiers When Billing Part B for 340B Drugs

Screenshot of CMS Part B inflation rebate guidance
CMS is requiring all 340B covered entities by Jan. 1, 2024, to use claims modifiers to identify drugs as having been purchased through 340B when they bill for separately payable Medicare Part B drugs.

The U.S. Centers for Medicare & Medicaid Services starting Jan. 1, 2024, will require all 340B covered entities—hospital and grantee—to use claims modifiers to identify drugs as having been purchased through 340B when they bill for separately payable Medicare Part

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Viatris Providing Credits Due to Problem that Made 340B Pricing Unavailable in August

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Viatris says it will give credits for drug purchases at higher than 340B ceiling price during early August, when a problem during a system transition made 340B prices unavailable to some entities.

Drug manufacturer Viatris will give 340B covered entities credits on requests for purchases of dozens of NDCs at higher than 340B ceiling price during the first 11 days of August, the company says in a notice on the U.S. Health

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