OMB control number

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

OMB 0915-0327 · HHS/HSA.

OMB 0915-0327

Section 602 of Public Law 102–585, the Veterans Health Care Act of 1992, enacted section 340B of the Public Health Service (PHS) Act, which instructs HHS to enter into a Pharmaceutical Pricing Agreement (PPA) with manufacturers of covered outpatient drugs. Manufacturers are required by section 1927(a)(5)(A) of the Social Security Act to enter into agreements with the Secretary of HHS (Secretary) that comply with section 340B of the PHS Act if they participate in the Medicaid Drug Rebate Program. When a drug manufacturer signs a PPA, it is opting into the 340B Drug Pricing Program (340B Program), and it agrees to the statutory requirement that prices charged for covered outpatient drugs to covered entities will not exceed statutorily defined 340B ceiling prices. When an eligible covered entity voluntarily decides to enroll and participate in the 340B Program, it accepts responsibility for ensuring compliance with all provisions of the 340B Program, including all associated costs. Covered entities that choose to participate in the 340B Program must comply with the requirements of section 340B(a)(5) of the PHS Act. Section 340B(a)(5)(A) of the PHS Act prohibits a covered entity from accepting a discount for a drug that would also generate a Medicaid rebate. Further, section 340B(a)(5)(B) of the PHS Act prohibits a covered entity from reselling or otherwise transferring a discounted drug to a person who is not a patient of the covered entity.

The latest form for 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 expires 2029-06-30 and is listed under ICR 202601-0915-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 6 Manufacturer PPA.pdfForm
Form 7 Manufacturer Data Fields for 340B Ceiling Price.pdfForm
Form 5 340B Manufacturer Change Form.pdfForm
Form 4 340B Covered Entity Change Request.pdfForm
Form 3.2 Contract Pharmacy Termination.pdfForm
Form 3.1 Contract Pharmacy Registration.pdfForm
Form 2.6 340B Recertification Covered Entities All Other Non-Hospital..pdfForm
Form 2.5 340B Recertification CHC and FQHCLA.pdfForm
Form 2.4 340B Recertfication STD and TB.pdfForm
Form 2.3 340B Registration-Covered Entities All Other Non-Hospitals.pdfForm
Form 2.2 340B Registration STD and TB.pdfForm
Form 2.1 340B Registration CHC and FQHCLA.pdfForm
Form 1.11 340B Recertification CAN.pdfForm
Form 1.10 340B Recertification CAH.pdfForm
Form 1.9 340B Recertification Childrens Hospital.pdfForm
Form 1.8 340B Recertification SCH and RRC.pdfForm
Form 1.7 340B Recertification DSH.pdfForm
Form 1.6 340B Registration CAH Parent.pdfForm
Form 1.5 340B Registration RRC and SCH Parent.pdfForm
Form 1.4 340B Registration Hospital Outpatient Facility.pdfForm
Form 1.3 340B Registration CAN Parent.pdfForm
Form 1.2 340B Registration Children's Hospital.pdfForm
Form 1.1 340B Registration DSH Parent.pdfForm
Comment 16_Calkins_BIO (10.06.2025).pdfPublic Comments
Comment 16_Calkins_BIO_Transmittal (10.06.2025).pdfPublic Comments
Comment 15_Pang_NCSDDC (10.06.2025).pdfPublic Comments
Comment 15_Pang_NCSDDC_Transmittal (10.06.2025).pdfPublic Comments
Comment 14_Swartz_340B Health (10.06.2025).pdfPublic Comments
Comment 14_Swartz_340B Health_Transmittal (10.06.2025).pdfPublic Comments
Comment 13_Roland_Powers RWC_Letter (10.06.2025).pdf (document unavailable)Public Comments
Comment 13_Roland_Powers RWC_Transmittal (10.06.2025).pdfPublic Comments
Comment 12_Santo_J&J (10.06.2025).pdfPublic Comments
Comment 12_Santo_J&J_Transmittal (10.06.2025).pdfPublic Comments
Comment 11_Dolhoff_BUH (10.06.2025).pdfPublic Comments
Comment 11_Dolhoff_BUH_Transmittal (10.06.2025).pdfPublic Comments
Comment 10_Dumpit_CSCHS_Letter (10.06.2025).pdfPublic Comments
Comment 10_Dumpit_CSCHS_Transmittal (10.06.2025).pdf (document unavailable)Public Comments
Comment 9_Asay_Eli Lily_Transmittal (10.06.2025).pdfPublic Comments
Comment 9_Asay_Eli Lily (10.06.2025).pdfPublic Comments
Comment 8_Nielsen_Venn_Transmittal (10.06.2025).pdfPublic Comments
Comment 8_Nielsen_Venn (10.06.2025).pdfPublic Comments
Comment 7_Helling_UCB Inc_Transmittal (10.06.2025).pdfPublic Comments
Comment 7_Helling_UCB Inc (10.06.2025).pdfPublic Comments
Comment 6_Yeh_Gilead_Transmittal (10.05.2025).pdfPublic Comments
Comment 6_Yeh_Gilead (10.05.2025).pdfPublic Comments
Comment 5_Lee_NASTAD (09.24.2025).pdfPublic Comments
Comment 5_Lee_NASTAD_Transmittal (09.24.2025).pdfPublic Comments
Comment 4_Wilson_UMN (09.22.2025).pdfPublic Comments
Comment 3_Stalks_ABAMA_Transmittal (09.18.2025).pdfPublic Comments
Comment 3_Stalks_ABAMA_Letter (09.18.2025).pdfPublic Comments
Comment 2_Lynkiewicz_HIV HEP_Transmittal_0915-0327_09052025.pdfPublic Comments
Comment 2_Lynkiewicz_HIV HEP_0915-0327_09052025.pdfPublic Comments
Comment 1_Wilson_UKY_0915-0327_08152025.pdfPublic Comments
Summary of Responses to 60 Day Public Comment on OMB No 0915-0327 15Dec2025.xlsxSupplementary Document
Supporting Statement A-OSHI OPA-0915-0327-340B Drug Pricing Program-Revision 01092026.docxSupporting Statement A
Pharmaceutical Pricing Agreement and PPA Addendum Form
Manufacturer Data Required to Verify 340 B Ceiling Price Form
Submission of Administrative Changes for Any Manufacturer Form
Submission of Administrative Changes for any Covered Entities Form
Contracted Pharmacy Services Registration and Recertifications Form
Contracted Pharmacy Services Registration and Recertifications Form
Registrations and Recertifications for Entities other than Hospitals Form
Registrations and Recertifications for Entities other than Hospitals Form
Registrations and Recertifications for Entities other than Hospitals Form
Registrations and Recertifications for Entities other than Hospitals Form
Registrations and Recertifications for Entities other than Hospitals Form
Registrations and Recertifications for Entities other than Hospitals Form
Hospital Enrollment, Additions and Recertifcations Form
Hospital Enrollment, Additions and Recertifcations Form
Hospital Enrollment, Additions and Recertifcations Form
Hospital Enrollment, Additions and Recertifcations Form
Hospital Enrollment, Additions and Recertifcations Form
Hospital Enrollment, Additions and Recertifcations Form
Hospital Enrollment, Additions and Recertifcations Form
Hospital Enrollment, Additions and Recertifcations Form
Hospital Enrollment, Additions and Recertifcations Form
Hospital Enrollment, Additions and Recertifcations Form
Hospital Enrollment, Additions and Recertifcations Form

OMB Details

Hospital Enrollment, Additions and Recertifcations

Federal Enterprise Architecture: Health - Health Care Services

Information collection instruments
FormNameElectronic accessType
Form 1.1340B Registration DSH Parent.pdfFillable FileableForm
Form 1.9340B Recertification Childrens Hospital.pdfFillable FileableForm
Form 1.7340B Recertification DSH.pdfFillable FileableForm
Form 1.8340B Recertification SCH and RRC.pdfFillable FileableForm
Form 1.11340B Recertification CAN.pdfFillable FileableForm
Form 1.10340B Recertification CAH.pdfFillable FileableForm
Form 1.6340B Registration CAH Parent.pdfFillable FileableForm
Form 1.5340B Registration RRC and SCH Parent.pdfFillable FileableForm
Form 1.3340B Registration CAN Parent.pdfFillable FileableForm
Form 1.4340B Registration Hospital Outpatient Facility.pdfFillable FileableForm
Form 1.2340B Registration Children's Hospital.pdfFillable FileableForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.