In this episode, 340B Report Publisher and CEO Ted Slafsky joins Associate Editors and Senior Writers Shannon Young and Will Newton in breaking down the latest in 340B news, including a Maine federal judge's ruling that halted the government's 340B rebate model pilot rollout—and subsequent appeals court actions. They also discuss what 340B stakeholders can expect from statehouses and Congress on the legislative front in 2026.

Key Topics Covered:

Rebate Pilot Paused

Shannon, Will and Ted provide an overview of the American Hospital Association's lawsuit challenging the Department of Health and Human Services and Health Resources Administration's 340B rebate model pilot program, which was set to begin on Jan. 1. Shannon breaks down the Dec. 19 oral arguments held in Portland, Maine, that she covered, while Will discusses the judge's decision to temporarily halt the program and the government's efforts to appeal the ruling. Ted offers perspectives on how the litigation could unfold in the coming months and its implications.

Actions in Another 340B Rebate Case

Will provides an update on separate 340B rebate-related litigation before a Washington, D.C. federal appeals court. He explains why this case, which deals with broader legal questions about statutory authority over 340B rebates, is different from the hospital lawsuit in Maine, which is an administrative law case dealing specifically with the government's 340B rebate pilot.

2026 Legislative Agenda

Shannon discusses what 340B stakeholders can expect to see on Capitol Hill in 2026, including U.S. Rep. Brett Guthrie's (R-Ky.) recent comments about prescription drug policy reforms at an early January GOP retreat. Will breaks down the latest 340B legislative activity in multiple statehouses, including the first contract pharmacy access bills of 2026 in Washington and Florida, as well as the growing number of provider reporting bills expected in the coming year.

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This week's episode is sponsored by Verity Solutions. Verity's innovative, award-winning 340B program management solutions are designed to optimize your 340B pharmacy spend and maximize your pharmacy supply chain savings. We are very grateful to Verity Solutions for its sponsorship.

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In this episode, 340B Report Publisher and CEO Ted Slafsky joins Associate Editors and Senior Writers Shannon Young and Will Newton breaking down the latest in 340B news, including a new hospital lawsuit aiming to block the Health Resources and Services Administration's (HRSA) 340B rebate pilot, HRSA's recent webinar about that program, key regulatory updates on Medicare negotiated drug prices and a finalized hospital outpatient rule with significant implications for 340B hospitals and other stakeholders.

Key Topics Covered:

Hospitals Continue to Oppose Rebate Pilot

Will breaks down a hospital group's new lawsuit urging a Maine federal district court to block HRSA from implementing its 340B rebate pilot ahead of its Jan. 1, 2026 launch. He also provides an update on separate 340B rebate litigation before a Washington, D.C. federal appeals court. Shannon highlights a new letter from a different national hospital group urging HRSA to address key concerns with the pilot.

Technical Issues Disrupt HRSA's Rebate Webinar

Will explains the technical issues that hampered HRSA's highly anticipated Dec. 4 webinar on its 340B rebate pilot program, preventing many stakeholders from joining. He then shares details of the second half of HRSA's webinar that 340B Report was able to access and notes 340B Report will provide additional coverage of the full webinar once it becomes available.

CMS Lists New Negotiated Medicare Prices, Finalizes OPPPS Rule

Shannon breaks down the Centers for Medicare and Medicaid Services' (CMS) late-November release of the "maximum fair price" (MFP) it will pay for 15 high-cost Medicare Part D drugs starting in 2027, and how those negotiated prices are expected to compare to the drugs' 340B ceiling prices. She and Ted also discuss 340B provider advocates' concerns with CMS' finalized 2026 Hospital Outpatient Prospective Payment System (OPPS) rule, which includes a Medicare drugs acquisition cost survey and plan to accelerate outpatient payment cuts to offset previous 340B hospital lump sum repayments.

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Stay tuned for more episodes every other week! 🎧 Subscribe to Inside 340B Report on your favorite podcast platform or YouTube.

This week's episode is sponsored by PharmaForce. PharmaForce is the only third party administrator composed entirely of experienced 340B professionals developing uniquely flexible technology solutions for covered entities and pharmacies of every size. We are very grateful to PharmaForce for its sponsorship.

Subscribe to 340B Report with a Special Discount

We're offering a special discount for podcast listeners. 340B Report is the indispensable source for news and intelligence on the 340B program. First-time subscribers may subscribe now using coupon code PODCAST25. Not ready to subscribe? Sign up for a 15-day free trial.

In this episode, 340B Report Associate Editors and Senior Writers Shannon Young and Will Newton break down the latest in 340B news, including the Health Resources and Services Administration's (HRSA) approval of the final drugmaker 340B rebate pilot plan; oral arguments in a key federal court case centered on 340B rebates; and Kalderos' official entrance into the 340B contract pharmacy claims clearinghouse space.

Key Topics Covered:

Final Rebate Pilot Model Plans Approved, Additional Details Unveiled

Will provides an in-depth look at HRSA's recent approval of Novartis' 340B rebate plan for Entresto—the final drug eligible for the upcoming pilot program. He also explains provider concerns about the pilot's rollout—including how manufacturers and their vendor defined the claims data field "340B ID"—and HRSA's response seeking to quell those concerns.

Appeals Court Hears Oral Arguments in Rebate Case

Will discusses oral arguments he attended at a Washington, D.C., federal appeals court that could shape the future of 340B rebates, including HRSA's rebate pilot. Attorneys for the drug industry, the federal government and trade group 340B Health debated who—if anyone—has authority to decide whether drugmakers can offer 340B pricing through a rebate. Will notes that all three sides faced tough questioning from the judges, who appeared well-versed in the nuances of the 340B program.

1st Drugmaker Transitions to Kalderos' Truzo Platform

Shannon breaks down the significance of drugmaker Alkermes' recent decision to transition its 340B contract pharmacy policy administration from Second Sight Solutions' 340B ESP platform to Kalderos' Truzo clearinghouse—making it the first drug manufacturer to do so. She also discusses the pushback the Alkermes' short timeline for the shift, which will go live Dec. 1, drew from 340B provider advocates.

Subscribe & Stay Updated

How to Follow Us and Learn More About This Episode's Sponsor

Stay tuned for more episodes every other week! 🎧 Subscribe to Inside 340B Report on your favorite podcast platform or YouTube.

This week's episode is sponsored by RxParadigm. RxParadigm's mission is to cultivate innovative approaches and technologies that promote transparency and authenticity, leading to enhanced outcomes, reduced overall healthcare costs, and effective 340B program administration. We are very grateful to RxParadigm for its sponsorship.

Subscribe to 340B Report with a Special Discount

We're offering a special discount for podcast listeners. 340B Report is the indispensable source for news and intelligence on the 340B program. First-time subscribers may subscribe now using coupon code PODCAST25. Not ready to subscribe? Sign up for a 15-day free trial.