340B Prices Removed For Medications On Rebate Model
- Details
- Published: Sunday, 07 December 2025 14:49
- Written by 340B Editor
In July 2025, HRSA announced the 340B Rebate Model Pilot Program, which begins on January 1, 2026, and applies to drugs selected for Medicare price negotiation under the Inflation Reduction Act. The pilot aims to help develop future 340B-compliant rebate models. Nine manufacturers are currently participating in the program.
Currently, 340B Third-Party Administrators (TPAs) are unable to process contract pharmacy self-pay 340B prescriptions. As a result, 340B pricing for the affected medications will no longer be available starting January 1, 2026.
FAQ: 340B Rebate Model Pilot Program | HRSA
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| 1. Imbruvica | 6. Ustekinumab |
| 2. Enbrel | 7. Xarelto |
| 3. Farxiga | 8. Stelara |
| 4. Jardiance | 9. Januvia |
| 5. Eliquis | 10. Novolog/Fiasp |
| 11. Entresto (4/1/2026) |
|
Brand Name |
Displayed Name |
NDC-11 |
|
Eliquis |
ELIQUIS 2.5 MG TABLET |
00003-0893-21 |
|
Eliquis |
ELIQUIS DVT-PE TREAT START 5MG |
00003-3764-74 |
|
Eliquis |
ELIQUIS 5 MG TABLET |
00003-0894-70 |
|
Eliquis |
ELIQUIS 5 MG TABLET |
00003-0894-31 |
|
Eliquis |
ELIQUIS 5 MG TABLET |
00003-0894-21 |
|
Eliquis |
ELIQUIS 2.5 MG TABLET |
00003-0893-31 |
|
Eliquis |
Eliquis |
00003-0898-28 |
|
Eliquis |
Eliquis |
00003-1028-12 |
|
Eliquis |
Eliquis |
00003-1028-28 |
|
Eliquis |
Eliquis |
00003-1028-84 |
|
Enbrel |
ENBREL 25 MG/0.5 ML SYRINGE |
58406-0010-04 |
|
Enbrel |
ENBREL 50 MG/ML SYRINGE |
58406-0021-04 |
|
Enbrel |
ENBREL 50 MG/ML SURECLICK |
58406-0032-04 |
|
Enbrel |
ENBREL 50 MG/ML MINI CARTRIDGE |
58406-0044-04 |
|
Enbrel |
ENBREL 25 MG/0.5 ML VIAL |
58406-0055-04 |
|
Farxiga |
FARXIGA 5 MG TABLET |
00310-6205-30 |
|
Farxiga |
FARXIGA 10 MG TABLET |
00310-6210-30 |
|
Farxiga |
FARXIGA 10 MG TABLET |
00310-6210-39 |
|
Farxiga |
FARXIGA 5 MG TABLET |
00310-6205-90 |
|
Farxiga |
FARXIGA 10 MG TABLET |
00310-6210-90 |
|
Imbruvica |
IMBRUVICA 140 MG CAPSULE |
57962-0140-12 |
|
Imbruvica |
IMBRUVICA 140 MG CAPSULE |
57962-0140-09 |
|
Imbruvica |
IMBRUVICA 140 MG TABLET |
57962-0014-28 |
|
Imbruvica |
IMBRUVICA 280 MG TABLET |
57962-0280-28 |
|
Imbruvica |
IMBRUVICA 420 MG TABLET |
57962-0420-28 |
|
Imbruvica |
IMBRUVICA 70 MG CAPSULE |
57962-0070-28 |
|
Imbruvica |
IMBRUVICA 70 MG/ML SUSPENSION |
57962-0007-12 |
|
Januvia |
JANUVIA 25 MG TABLET |
00006-0221-28 |
|
Januvia |
JANUVIA 25 MG TABLET |
00006-0221-31 |
|
Januvia |
JANUVIA 25 MG TABLET |
00006-0221-54 |
|
Januvia |
JANUVIA 50 MG TABLET |
00006-0112-28 |
|
Januvia |
JANUVIA 50 MG TABLET |
00006-0112-31 |
|
Januvia |
JANUVIA 50 MG TABLET |
00006-0112-54 |
|
Januvia |
JANUVIA 100 MG TABLET |
00006-0277-28 |
|
Januvia |
JANUVIA 100 MG TABLET |
00006-0277-31 |
|
Januvia |
JANUVIA 100 MG TABLET |
00006-0277-54 |
|
Januvia |
JANUVIA 100 MG TABLET |
00006-0277-82 |
|
Jardiance |
JARDIANCE 10 MG TABLET |
00597-0152-37 |
|
Jardiance |
JARDIANCE 25 MG TABLET |
00597-0153-30 |
|
Jardiance |
JARDIANCE 25 MG TABLET |
00597-0153-37 |
|
Jardiance |
JARDIANCE 25 MG TABLET |
00597-0153-90 |
|
Jardiance |
JARDIANCE 10 MG TABLET |
00597-0152-30 |
|
Jardiance |
JARDIANCE 10 MG TABLET |
00597-0152-90 |
|
Novolog/Fiasp |
FIASP PUMPCART 100 UNIT/ML |
00169-3206-15 |
|
Novolog/Fiasp |
INSULIN ASPART 100 UNIT/ML VL |
73070-0100-11 |
|
Novolog/Fiasp |
INSULIN ASPART 100 UNIT/ML CRT |
73070-0102-15 |
|
Novolog/Fiasp |
INSULIN ASPART 100 UNIT/ML PEN |
73070-0103-15 |
|
Novolog/Fiasp |
NOVOLOG PENFILL 100 UNIT/ML |
00169-3303-12 |
|
Novolog/Fiasp |
Novolog/Fiasp |
00169-2101-25 |
|
Novolog/Fiasp |
NOVOLOG 100 UNIT/ML VIAL |
00169-7501-11 |
|
Novolog/Fiasp |
Novolog/Fiasp |
00169-2100-11 |
|
Novolog/Fiasp |
FIASP 100 UNIT/ML VIAL |
00169-3201-11 |
|
Novolog/Fiasp |
FIASP PENFILL 100 UNIT/ML CART |
00169-3205-15 |
|
Novolog/Fiasp |
FIASP 100 UNIT/ML FLEXTOUCH |
00169-3204-15 |
|
Novolog/Fiasp |
NOVOLOG 100 UNIT/ML FLEXPEN |
00169-6339-10 |
|
Novolog/Fiasp |
Novolog/Fiasp |
00169-2101-12 |
|
Novolog/Fiasp |
Novolog/Fiasp |
00169-3205-11 |
|
Novolog/Fiasp |
Novolog/Fiasp |
00169-3206-11 |
|
Novolog/Fiasp |
Novolog/Fiasp |
73070-0102-10 |
|
Novolog/Fiasp |
Novolog/Fiasp |
73070-0103-10 |
|
Stelara |
STELARA 130 MG/26 ML VIAL |
57894-0054-27 |
|
Stelara |
STELARA 45 MG/0.5 ML VIAL |
57894-0060-02 |
|
Stelara |
STELARA 45 MG/0.5 ML SYRINGE |
57894-0060-03 |
|
Stelara |
STELARA 90 MG/ML SYRINGE |
57894-0061-03 |
|
Ustekinumab |
USTEKINUMAB 45MG/0.5ML SYRINGE |
57894-0440-01 |
|
Ustekinumab |
USTEKINUMAB 45 MG/0.5 ML VIAL |
57894-0440-03 |
|
Ustekinumab |
USTEKINUMAB 90 MG/ML SYRINGE |
57894-0441-01 |
|
Ustekinumab |
USTEKINUMAB 130 MG/26 ML VIAL |
57894-0444-01 |
|
Xarelto |
XARELTO 1 MG/ML SUSPENSION |
50458-0575-01 |
|
Xarelto |
XARELTO 2.5 MG TABLET |
50458-0577-10 |
|
Xarelto |
XARELTO 2.5 MG TABLET |
50458-0577-18 |
|
Xarelto |
XARELTO 2.5 MG TABLET |
50458-0577-60 |
|
Xarelto |
XARELTO 15 MG TABLET |
50458-0578-10 |
|
Xarelto |
XARELTO 15 MG TABLET |
50458-0578-30 |
|
Xarelto |
XARELTO 15 MG TABLET |
50458-0578-90 |
|
Xarelto |
XARELTO 20 MG TABLET |
50458-0579-10 |
|
Xarelto |
XARELTO 20 MG TABLET |
50458-0579-30 |
|
Xarelto |
XARELTO 20 MG TABLET |
50458-0579-89 |
|
Xarelto |
XARELTO 20 MG TABLET |
50458-0579-90 |
|
Xarelto |
XARELTO 10 MG TABLET |
50458-0580-10 |
|
Xarelto |
XARELTO 10 MG TABLET |
50458-0580-30 |
|
Xarelto |
XARELTO 10 MG TABLET |
50458-0580-90 |
|
Xarelto |
XARELTO DVT-PE TREAT START 30D |
50458-0584-51 |