Q: We received a pharmacy reimbursement contract from a payer that we feel discriminates against us based upon our status as a 340B entity. Who may we notify about this issue?
A: There is no statutory provision in section 340B of the Public Health Service Act prohibiting a payer from reimbursing a 340B covered entity at a level that may be different than a non-340B entity. HRSA OPA strongly encourages the covered entity to reach out to the payer to craft an alternative busin... There is no statutory provision in section 340B of the Public Health Service Act prohibiting a payer from reimbursing a 340B covered entity at a level that may be different than a non-340B entity. HRSA OPA strongly encourages the covered entity to reach out to the payer to craft an alternative business solution that permits each of the parties to fulfill their goals. Continue Reading
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