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Can states compel prescription drug manufacturers to deliver steeply discounted medicines to unlimited numbers of pharmacies?  That is the issue that has been kicking around federal courts for a few years now, and the Fourth Circuit has now weighed in by answering “no.” 

We are talking here about drugs purchased under the federal government’s 340B

Photo of Steven Boranian

The federal government cannot compel pharmaceutical manufacturers to sell prescription drugs at a discount to unlimited numbers of pharmacies.  That is the takeaway from the Third Circuit’s recent opinion in Sanofi Aventis U.S. LLC v. United States Department of Health and Human Services, No. 21-3167, 2023 WL 1098017 (3d. Cir. Jan. 30, 2023) (to