Enrollment and Re-Certification of Entities in the 340B Drug Pricing Program and Collection of Manufacturer Data to Verify 340B Drug Pricing Program Ceiling Price Calculations
Contract Pharmacy Registration
Contracted Pharmacy Services Registration and Recertifications
OMB: 0915-0327
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0915-0327 can be found here: