AIR340B is dedicated to reforming the 340B program to ensure large hospitals are not profiting at the expense of vulnerable patients, taxpayers & employers.
Joined January 2014
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17 Apr 2025
Did you know you’re paying a hidden tax because of #340B? The 340B program allows big hospitals to purchase medications at deeply discounted rates and mark up the price drastically, raising costs for patients, taxpayers, employers and the government. Learn more about how 340B is being misused and costing all of us below ⬇️
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“While the hospital and pharmacy pay a discounted 340B price for a prescription medication, the patient rarely does.” – @PBMprojectMN Mark Blum calls attention to #PBMs and large hospital systems exploiting #340B for profit, leaving patients with inflated drug costs and increased premiums. Reform is needed to stop the #340BHiddenTax. Read more in @duluthnews: duluthnewstribune.com/opinio…
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Check out an opinion from @SaveOurStates Sean Parnell & @TrentEngland calling on reform of the #340B hospital markup program. As large hospitals reap profits, patients continue to get left behind. Read more in @TheCenterSquare: thecentersquare.com/opinion/…
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Alliance for Integrity and Reform of 340B retweeted
Jun 10
As a pharmacist, I understand how critical the 340B program is to rural and community hospitals - when it’s working properly.
@HRSAgov’s proposed rebate model pilot is a great step toward improving transparency, cracking down on abuse, and ensuring 340B discounts reach the entities and patients who need them most.
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Alliance for Integrity and Reform of 340B retweeted
A program built to help vulnerable patients is being hijacked by large hospital systems pocketing billions.
340B has grown to $80B with little accountability.
Proud to support the Trump admin's Rebate Model Pilot Program to strengthen oversight & program integrity.
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A program intended to serve vulnerable patents should not be doing the opposite. Check out an opinion in @CtExaminer from @unbreakhlthcare @LeslieHerod on why reform is needed to ensure hospitals stop using the #340B program to pocket billions: ctexaminer.com/2026/05/04/co…
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“This opacity is no longer a theoretical concern; it is a documented issue.” @TIICANN @Kalvin_Pugh is sounding the alarms on the lack of transparency within the #340B program. Patients continue to be sidelined while large hospital systems leverage 340B to maximize profits. Reform is needed to end the #340BHiddenTax. missouriindependent.com/2026…
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“The program's lack of guardrails has far-reaching fiscal consequences.” Read more in a @RealClearHealth opinion by @AmResolve West Cuthbert on how reforming the #340B program is a crucial step to lowering health care costs for Americans. realclearhealth.com/2026/05/…
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“What was meant to be a patient-focused program is now a hospital markup program where large, tax-exempt hospital systems buy discounted drugs, mark them up by as much as 1,000% or more and bill patients and insurers the list price.” #340B #340BReform tinyurl.com/4cbhdrkk
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Alliance for Integrity and Reform of 340B retweeted
"In a single year, disproportionate share hospitals, who care for the majority of 340B participants, earned over $44 billion in estimated profits from the 340B program."
Savings kept from patients: cardinalnews.org/2026/05/28/…
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“As hospital revenues increase, families, small businesses and local governments are left to absorb the higher costs of care.” Check out a @timesunion opinion from board member of AIR340B member @csroadvocacy Kostas Botsoglou on how #340B abuse comes at a cost to us ALL. Accountability and transparency are needed to end the #340BHiddenTax. Read more: timesunion.com/opinion/artic…
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💵 PBMs and for-profit pharmacy chains dominate the #340B contract pharmacy market, with the five largest companies accounting for over 75% of all relationships. Transparency is needed to ensure this program designed for patients isn’t exploited by multi-billion-dollar companies. Learn more in @DrugChannels: drugchannels.net/2026/06/the…
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“The 340B program remains a well-intentioned policy built on a flawed incentive structure.” – @HEALntwk Stephen Parente explains how #340B leaves hospitals pocketing the spread of program discounts with no transparency in place. Reform is long overdue. Read more in @TheWellNews: thewellnews.com/opinions/the…
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Alliance for Integrity and Reform of 340B retweeted
Jun 1
In 340B, tax-exempt hospital systems buy discounted drugs, mark them up by as much as 1,000% or more and bill patients and insurers the list price.
$80 billion every year and growing
TY @RepMGriffith for focusing on affordability
@C4AHC
cardinalnews.org/2026/05/28/… via @cardinalnewsva
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Alliance for Integrity and Reform of 340B retweeted
50% of U.S. patients with cancer rely on #CommunityOncology. We must restore competition, lower costs, and ensure access for those relying on local clinics. Policymakers need to stop harmful consolidation, fix #PBMs, and reform 340B. Our recommendations: bit.ly/4dMWTYl
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“When a law intended to help patients afford their drugs is funneling money into the pockets of hospitals and never reaches those patients, the law needs reform.” – @ncl_tweets @sallygreenberg calls on the need for federal reform as patients and taxpayers face high costs from #340B. Read more in @CrainsChicago: chicagobusiness.com/opinion/…
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The #340B program diverts funds intended for patients, consolidates private practices and creates a hidden tax on us all. In a @CTMirror opinion, Connecticut Oncology Association Dawn Holcombe calls attention to the out-of-control abuse of the 340B program: ctmirror.org/2026/05/04/need…
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The report, The 340B Program Impact on Rural Hospitals, reveals stark disparities between rural and non-rural hospitals and raises concerns about policy and structural challenges that threaten the stability of rural healthcare systems.
nationalgrange.org/2026/05/1…
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Alliance for Integrity and Reform of 340B retweeted
Jun 1
NEW! In @CardinalNewsVA, learn more from @HarryGewanter about how #340B has run off course and drives up costs for families in VA. @RepMGriffith is right to demand answers and hold hospitals accountable for how billions in 340B savings are being used. ➡️ bit.ly/4tYQWML
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Alliance for Integrity and Reform of 340B retweeted
May 28
Dr. Robert Popovian of @GHLForg on #340BReform: “Hospitals taking in hundreds of millions of dollars, if not billions, in #340B-related revenue, should have to show how that money is actually helping patients.”
mdlinx.com/article/the-hospi…
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Alliance for Integrity and Reform of 340B retweeted
May 28
Congress created 340B to help vulnerable patients -- not to pad hospital bottom lines. As this new @Forbes piece explains, the program has exploded into a multibillion-dollar system with little transparency or accountability. Reform is long overdue. forbes.com/sites/sallypipes/…
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