# 340B Drug Pricing Program

Source: https://onco.cc/terms/340b-program/  
OnCo record `340b-program` (Term). Data CC BY-NC 4.0, attribute "Data from OnCo (onco.cc)"; commercial use needs a licence.

## TL;DR

A US law that lets certain hospitals buy outpatient drugs, including cancer drugs, at deep discounts. Controversial because hospitals may bill insurers full price.

## Summary

United States, federal statute. Section 340B of the Public Health Service Act was created by the Veterans Health Care Act of 1992 (Public Law 102-585) and is administered by the Health Resources and Services Administration. Primary text: the HRSA 340B pages link the statute and guidance.

Enacted 1992; covered entities (disproportionate-share hospitals, federally qualified health centres) receive manufacturer discounts of 25-50%. It shapes where oncology infusions happen (hospital outpatient vs community practice), fuels hospital acquisition of oncology practices, and is under litigation and legislative pressure over contract pharmacies and rebate models.

## Fields

- Kind: Term
- Last checked: 2026-09-08
- Also known as: 340B; 340B programme; 340B program; 340B discounts; Veterans Health Care Act of 1992

## Sources

- Wikipedia: https://en.wikipedia.org/wiki/340B_Drug_Pricing_Program
- HRSA 340B: https://www.hrsa.gov/opa

## Connected records

- terms: [Biologics Price Competition and Innovation Act 2010](https://onco.cc/terms/bpcia/), [Financial toxicity](https://onco.cc/terms/financial-toxicity/), [Hatch-Waxman Act 1984](https://onco.cc/terms/hatch-waxman/), [Health technology assessment (HTA), reimbursement and QALYs](https://onco.cc/terms/hta/), [Inflation Reduction Act 2022: Medicare drug price negotiation](https://onco.cc/terms/inflation-reduction-act/), [Medicare coverage with evidence development](https://onco.cc/terms/medicare-ced/), [Oncology drug pricing and price transparency](https://onco.cc/terms/drug-price-transparency/)
- technologies: [Community oncology and site networks](https://onco.cc/technologies/community-oncology-networks/)
- ideas: [Pass 340B discounts on cancer drugs through to the patient's bill](https://onco.cc/ideas/idea-cost-340b-pass-through/), [Pay a flat fee for giving a Part B drug instead of 6% of its price](https://onco.cc/ideas/idea-cost-asp-flat-fee/), [Pay the same for an infusion whether it is given in a hospital or a clinic](https://onco.cc/ideas/idea-cost-site-neutral-infusion/)

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