340B Program for BH Practices — 2026 Guide
340B Overview
- Federal drug pricing program for safety-net providers
- Discount typically 20-50% off Medicare Part B pricing
- Applies to injectables + specialty pharmaceuticals
- Requires HRSA covered entity registration
BH Provider Eligibility
- FQHCs + FQHC Look-Alikes
- CCBHCs (added in recent expansion)
- Ryan White HIV clinics with BH services
- Certain STD/TB clinics with BH integration
- Disproportionate share hospitals with psych units
Common Medications with 340B Savings
- Vivitrol (naltrexone injectable) for AUD/OUD
- Suboxone (buprenorphine/naloxone)
- Sublocade (buprenorphine extended-release)
- Long-acting antipsychotics (Invega Trinza, Aristada, Abilify Maintena)
Compliance Requirements
- HRSA registration active
- Patient definition compliance
- Diversion prevention
- Duplicate discount avoidance
- Annual recertification
- Audit-ready records
– KD, Revenant Care