11/30/2021 – Policy Notice
03/15/2022 – Policy Update
03/17/2023 – Policy Update
Can CE get 340B pricing if they share claims data?
Yes – 340B ESP
Are system owned contract pharmacies exempted from this policy?
Yes but cannot designate “an independent contract pharmacy” outside of that.
Can CEs with no in-house pharmacy designate a contract pharmacy for 340B pricing access?
Drugs affected by this policy:
Policy currently applies to only Repatha, Enbrel, Otezla and Aimovig. Policy does not apply to any medical benefit products
Policy applies to what entity types?
Policy applies to hospitals covered entities only. Federal grantees are exempted from this policy.