Category: State

340B Entities Keeping Watch on Bills to Create State Drug Affordability Boards

In Regulatory, StateMarch 30, 202168 Views

The Colorado General Assembly is one of nine state legislatures considering bills to create state drug affordability boards.

Nine states are considering legislation to create boards to review prescription drug prices and intervene to lower them if drugs become too expensive or if their prices spike. Although the board’s implications for the 340B program have not been fully …

Utah Might Soon Outflank Express Scripts’ New 340B Requirement

In Regulatory, StateMarch 11, 2021154 Views

Tom Mirga

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. Utah is on …

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

In Regulatory, StateMarch 11, 2021179 Views

Ron Shinkman

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.

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

In Pharma Industry, StateMarch 9, 202159 Views

Tom Mirga

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.

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N.Y. and Calif. 340B Pharmacies Get Reprieve From Medicaid Cuts

In Regulatory, StateMarch 2, 202144 Views

Tom Mirga

In both New York State and California, safety-net health care providers say the benefit transfer will cost them millions of dollars in revenues that they cannot afford to lose on 340B purchased drugs billed to Medicaid. | Shutterstock

New York State and California’s nationally watched efforts to transfer their pharmacy programs for low-income individuals from Medicaid managed care to Medicaid fee for service (FFS)—both scheduled to take effect on April 1—have been temporarily placed on hold.

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Indiana House to Vote on Stopping PBMs From Squeezing 340B Entities

In Legislative, StateFebruary 16, 202139 Views

Tom Mirga

An Indiana House committee last week unanimously passed a bill to stop pharmacy benefit managers (PBMs) from discriminating against 340B covered entities.

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Calif. Health Centers Ask Newsom to Delay Medi-Cal Drug Benefit Shift Until 2022

In Regulatory, StateFebruary 9, 202119 Views

Tom Mirga

California health centers have asked Gov. Gavin Newsom to delay the transfer of Medicaid managed care drug benefits to Medicaid fee for service until next year.

California health centers asked Gov. Gavin Newsom (D) on Friday to delay implementing his controversial transfer of Medicaid drug benefits from managed care to fee for service until January 2022, to let health centers “focus on the needs of their …

44 New York State Lawmakers Urge Cuomo to Reverse Medicaid Drug Benefit Transfer

In Legislative, Regulatory, StateFebruary 2, 202128 Views

Tom Mirga

Forty-four New York state legislators have signed a letter to Gov. Andrew Cuomo (D) expressing “strong opposition” to the scheduled transfer in April of Medicaid managed care pharmacy benefits to Medicaid fee for service. They said the transfer “will have …

Nevada ADAP Postpones Controversial 340B Policy Change

In Regulatory, StateJanuary 14, 202117 Views

Tom Mirga

Nevada’s AIDS Drug Assistance Program (ADAP) on Tuesday postponed “through April 1, 2021, if not longer,” a 340B program policy change strongly opposed by the state’s Ryan White CARES Act grantees. The state health department’s Division of Public and Behavioral …

Nevada Ryan White Clinics Furious About State ADAP’s 340B Policy Change

In Regulatory, StateJanuary 12, 202113 Views

Tom Mirga

A screen shot of AHF Las Vegas Pharmacy's home page. AHF is leading opposition to a Nevada Medication Assistance Program (NMAP) 340B policy change that it is says will deprive HIV/AIDS clinics of desperately needed 340B savings.

Nevada Ryan White CARES Act grantees enrolled in 340B are strongly protesting a state AIDS Drug Assistance Program (ADAP) policy change that the clinics say will deprive them of 340B savings on drugs that pay for housing, transportation, and other …