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As a participant of the 340B Prime Vendor Program, am I able to utilize PVP pricing in a Medicaid carve-out situation?

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As a participant of the 340B Prime Vendor Program, am I able to utilize PVP pricing in a Medicaid carve-out situation?

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PVP participants electing to carve out their Medicaid patients instead of using 340B pricing cannot use PVP pricing for their Medicaid patients. The PVP is a subcomponent of the broader 340B Drug Pricing Program, and the same rules and restrictions would apply for all outpatient covered drugs on contract with the PVP. PVP participants are required to pass on PVP sub-ceiling discounts to the State Medicaid program to ensure the pharmaceutical manufacturer does not experience a duplicate discount situation.

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