The 340B drug pricing program has expanded dramatically, said panelists at BIO 2026, raising questions about transparency, costs, and whether it is benefiting the patients it was designed to serve.
Why it matters: “The 340B drug pricing program was created to help safety net providers serve vulnerable patients,” said Ashley John, Director of Issue Advocacy at Novartis. “But we really have seen tremendous growth over the past few years...and as transparency slowly increases, it is very clear that hospitals need better criteria for which patients they are serving.”
“When the program started 34 years ago, there were two nonprofit hospitals participating,” said Rory Martin, Ph.D., Senior Principal at IQVIA. “Today, there are 2,000, and the sheer size and scope of the program is distorting the entire U.S. healthcare system.”
“Many patients don’t know what 340B is,” said Patrick Wildman, Senior Vice President of Advocacy & Government Relations at the Lupus Foundation of America. “It's a decision of what do we do? Nothing, and let the program continue to grow exponentially and be driven by revenues, with patients being an afterthought? Or do we take a closer look at the burden, see how it can benefit patients, how it's not benefiting patients, and make sure that the patient's voice and concerns and needs and access to care are front and center in debate and reform discussions.”
What they're saying: “As a scientist back at Genentech, bringing a single drug to market required so much testing, rigorous data, peer review, and evidence,” said CA Assemblywoman Darshana Patel. “I would love to see that kind of rigor applied to policymaking.”
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