The Impact of Growth in 340B Contract Pharmacy Arrangements

The Affordable Care Act changed the landscape of American health care in many significant ways, with much of it receiving high levels of scrutiny. However, the expansion of a little‐known federal program for hospitals – a result of Congress’s mission to increase care provided to the uninsured – has largely remained under the radar. It merits attention, however, because this change will cause unanticipated complications for patients and physicians, while likely increasing overall healthcare costs.