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Claim Capture by Provider Type: A Compliance and Maximization Guide

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Understanding Provider Panels

Provider panels are lists used by 340B Third-Party Administrators (TPAs) to determine which providers’ claims are 340B eligible.  At a minimum, a provider panel should include:

  • Provider’s eligible
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Right-leaning Outlets Publish Contrasting Op-eds on 340B Program 

Competing op-eds published in right-leaning news sites highlighted the varying attitudes on the 340B program within conservative circles. 
The 340B program continues to draw attention in conservative media outlets, with one recently published opinion piece calling for preserving [...]

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HRSA Sends New York Times More Documents Requested in 340B FOIA Lawsuit

U.S. Attorney Damian Williams updated a federal judge on the status of HRSA’s agreement to process the New York Times' requests for records.
The U.S. Health and Human Services Department has sent the New York Times hundreds of 340B-related documents and emails that [...]

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News Alert

Fourth Large Manufacturer Fights to Establish Contested 340B Rebate Model

BMS sued the federal government Nov. 26 to unilaterally establish a 340B rebate model.
Pharmaceutical giant Bristol-Myers Squibb (BMS) sued the federal government late Tuesday to establish a 340B rebate model, joining at least [...]

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It is Not Just Hospitals: Amid Increasing Drugmaker Contract Pharmacy Restrictions, Health Centers Forced to Lay Off Staff & Cut Services

Drugmaker contact pharmacy restrictions that apply to all covered entities have now outpaced those that only apply to hospitals, according to a new 340B Report analysis.
Drugmaker contact pharmacy restrictions that apply to all covered entities have now outpaced those that only apply to hospitals, according [...]

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340B Providers Slam Sanofi’s New 340B Rebate Model for Hospitals and Health Centers

Sanofi announced plans on Nov. 22 to begin implementing a 340B rebate model for certain hospitals and health centers.
Provider groups have strongly denounced Sanofi’s new 340B rebate model for hospitals and health centers as a costly and harmful [...]

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House Places 340B Transparency Act on Floor Calendar, But a Vote is Not Guaranteed

U.S. House lawmakers have placed the 340B Transparency Act on a list of bills that could come up for floor consideration.
More than a year after a key House panel passed legislation requiring 340B hospitals to report on a number of [...]

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Minnesota Issues 1st State Report on 340B, Critics Say it ‘Misses Critical Context’ 

The Minnesota Department of Health on Monday unveiled the findings of its first legislatively required 340B Covered Entity Report.
Minnesota providers, namely the state’s largest 340B hospitals, generated hundreds of millions of dollars in collective net revenue from the [...]

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State Contract Pharmacy Lawsuit Weekly Roundup: Arkansas SCOTUS Appeal and Updates in West Virginia, Mississippi

Key briefs were filed this week in litigation over state contract pharmacy access laws in Arkansas, West Virginia and Mississippi.
Editor’s Note: With 340B-related litigation heating up in several states following the enactment of new contract pharmacy access laws, 340B [...]

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The Demise of Chevron Deference – What Does It Mean for the 340B Program?

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The Supreme Court recently upended a cornerstone of administrative law, known as “Chevron deference,” in Loper Bright Enterprises v. Raimondo. A major question for 340B stakeholders is how the Loper decision will impact the 340B program. 

Although the Loper decision overturned 40 years

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