340B Contract Pharmacy Restrictions Slowed Program’s 2021 Spending Trajectory, But Not Much

Manufacturer restrictions on discounts to contract pharmacies may have depressed sales for 340B-discounted diabetes drugs in 2021. But sales in other categories, including oncology, immunology and arthritis drugs, were up by 20% to 40%.

2021 Was First Full Year Of contract pharmacy Restrictions, but the Future Impact Likely will Be More Pronounced. • Source: Shutterstock

Health care provider expenditures on discounted outpatient drugs purchased under the 340B program reached $43.9bn in 2021, up 15.6% from the year before, according to the US Health Resources and Services Administration.

The vast majority of the spending, $34.3bn, was by hospitals, HRSA reports. The data was confirmed by HRSA after it...

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