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Alliance for Integrity and Reform


The Alliance for Integrity and Reform of 340B (AIR 340B) is a coalition of patient advocacy groups, clinical care providers and biopharmaceutical innovators dedicated to reforming and strengthening the 340B program to ensure it directly supports access to outpatient prescription medicines for uninsured indigent patients. Alliance members believe that the 340B program is critically important to uninsured indigent patients and that attention is needed to address concerns over whether the program has deviated from its original purpose and is leading to unintended consequences for patients.

Core Principles

Alliance Members Believe That:

  • A 340B program should directly support access to prescription drugs for uninsured, indigent patients.
  • Reform, transparency, accountability and oversight are needed to ensure that the program meets this public health objective.
  • HRSA should have adequate resources to oversee the 340B program.
  • Treatment decisions should be based on clinical judgment and the best interest of the patient, not the economic interests of the facility.
  • In light of coverage expansions since 340B was enacted, the program should be refocused on patient access, rather than expanded to the inpatient setting.
  • Overall, the program bears reexamination to ensure it corresponds to the purpose of the 340B law to support access to prescription drugs for uninsured, indigent patients.

Alliance Members

  • AbbVie
  • Baxter Healthcare
  • Biotechnology Industry Organization (BIO)
  • Colon Cancer Alliance (CCA)
  • Community Oncology Alliance (COA)
  • Eli Lilly and Company
  • Express Scripts
  • Global Healthy Living Foundation
  • Janssen
  • Pharmaceutical Research and Manufacturers of America (PhRMA)
  • RetireSafe
  • Shire
  • Society for Women's Health Research (SWHR)
  • The Grange


Contact Us

For more information or questions about the Alliance for Integrity and Reform of 340B, please contact us at info@340Breform.org.