In progressReading · 16 min
Contract Pharmacy Networks
How a 340B claim fills at a pharmacy the covered entity does not own — and who takes margin on that fill.
Contract pharmacy is the network design that turned 340B from a hospital-pharmacy program into a national retail and specialty channel. The covered entity, the pharmacy, and a TPA each take a piece.
Manufacturer restrictions since 2020 have been an attempt to put a fence around that network. This lesson walks the mechanics before the next lesson walks the fence.
Key takeaways
- The fill site is not the covered entity
- Three parties on one claim
- Network design is the argument