Why 340B Rebates Are Off — For Now

Why 340B Rebates Are Off — For Now

From 340B Insight by 340B Health

January 26, 2026 · 19 min

About this episode

Amanda Nagrotsky discusses the pause of the 340B rebate pilot program due to recent court rulings.

January was set to be the first month of a new 340B rebate pilot program, marking a seismic shift in how the drug discount program functions. But a flurry of court activity just before and after the new year put a sudden pause on the rebate program and left the future of the rebate pilot in question. Amanda Nagrotsky, vice president of legal and policy with 340B Health, joins the show to fill us in on the latest. HRSA Pauses Rebate Implementation After Court Ruling In late December, a federal court in Maine issued a ruling that temporarily blocks the Health Resources & Services Administration (HRSA) from moving forward with the 340B rebate pilot. HRSA then announced it was pausing the pilot and instructed drug companies to continue providing 340B pricing through the traditional upfront discount model. Nagrotsky says the judge found that hospitals had demonstrated a high likelihood of irreversible harm if rebates went forward. Government Appeals, Then Reconsiders Immediately after the ruling, HRSA unsuccessfully argued to the Maine court and an appeals court that the agency still should be able to implement the 340B rebate pilot program while it appealed the initial ruling…

People in this episode

Guest: Amanda Nagrotsky

Topics covered

  • 340B program
  • health policy
  • drug pricing
  • court rulings
  • government regulations

Keywords

  • 340B rebate
  • drug discount program
  • HRSA
  • court ruling
  • healthcare policy

Mentioned in this episode

Organizations: 340B Health, Health Resources & Services Administration

Places: Maine

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