340B Rebate Pilot: Why Purchase Data Isn’t the Right Tool for Duplicate Discount Prevention

As the 340B rebate pilot approaches its January 2026 launch, some argue that requiring purchase data will prevent duplicate discounts. But in practice, this approach introduces complexity, misaligned timing, and inconsistent reporting. Transactional claim data remains the most accurate and reliable method for identifying duplicate discounts, ensuring compliance, and maintaining program integrity — without undermining the pilot’s core goals.

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Reflections from the 2025 MDRP Summit

At the 2025 MDRP Summit, one theme was clear: collaboration between manufacturers, states, and covered entities is essential, but today’s systems often inflate disputes and obscure the true value of 340B. Katy reflects on why better communication, accurate data, and good-faith engagement are critical to protecting patient care.

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