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340B Program Policies and Procedures Form
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People also ask
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What is the change for drugs acquired through the 340B Program which is a change the Supreme Court determined concerning drugs acquired through the 340B Program?
In the CY 2023 OPPS/ASC final rule, CMS finalized a general payment rate of ASP plus 6% for drugs acquired through the 340B Program, consistent with the agency's policy for drugs not acquired through the 340B program. -
What is the new 340B legislation?
Introduced in House (04/06/2023) This bill prohibits pharmacy benefit managers (PBMs) and health insurance plans from discriminating against health providers participating in the 340B drug pricing program, including pharmacies contracted with such providers to dispense 340B drugs. -
What is the recent 340B ruling?
On June 15, 2022, the Supreme Court unanimously ruled that the differential payment rates for 340B-acquired drugs were unlawful because, prior to implementing the rates, HHS failed to conduct a survey of hospitals' acquisition costs under the relevant statute. -
What is 340B basics?
The 340B Program enables covered entities to stretch scarce federal resources as far as possible, signNowing more eligible patients and providing more comprehensive services. Manufacturers participating in Medicaid agree to provide outpatient drugs to covered entities at signNowly reduced prices. -
What are the 340B changes for 2023?
Under the CY 2023 OPPS final rule, CMS restored payments for 340B drugs under OPPS to the total ASP plus 6 percent rate. Notably, the Supreme Court left open the question of the appropriate remedy for repayment. This final rule now addresses that remedy. -
Is 340B rate cuts reversed by CMS for 2023?
Becerra, CMS reversed its policy setting reimbursement back to ASP minus 22.5 percent, provided that hospitals acquiring drugs under the 340B Program would be paid at the default rate of ASP plus 6 percent for CY 2023—with a reduction of 3.09 percent to the 2023 OPPS conversion factor to ensure “budget neutrality” and ... -
What is the 340B program for dummies?
The federal 340B Drug Pricing Program allows qualifying hospitals and clinics that treat low-income and uninsured patients to buy outpatient prescription drugs at a discount of 25 percent to 50 percent. -
What is happening to 340B?
On November 2, 2023, CMS released an advance copy of a final rule that provides 340B covered entities with $9 billion in repayment for the reimbursement cuts implemented from 2018 through 2021. Under the final rule, the payments will be given to nearly 1,700 340B covered entity hospitals.
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