Bipartisan 340B Reform Bill Would Preserve Point-of-Sale Discounts, Expand Oversight of Contract Pharmacies

The SUSTAIN 340B legislation codifies point-of-sale discounts for covered entities including Medicaid safety-net providers, requires manufacturers to honor 340B pricing regardless of contract pharmacy arrangements, and introduces new program integrity standards including clearinghouse oversight for duplicate discount prevention. For Medicaid MCOs and state agencies, the bill would formalize contract pharmacy protections while adding transparency requirements that could affect claims processing, pharmacy network management, and coordination between 340B discounts and Medicaid rebates. The proposal would also sunset CMS's planned rebate model pilot within a year of enactment.

Pharmacy · Managed Care

This is outside commentary from Sellers Dorsey, not part of Medicaid Monitor's independently scored news coverage.

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