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HEALTH & LIFE SCIENCES NEWS
Exploring critical business and legal issues across the healthcare and life sciences industries
HEALTH & LIFE SCIENCES NEWS
Exploring critical business and legal issues across the healthcare and life sciences industries

This Week in 340B: Holiday Season Overview

Posted In 340B

This special issue of This Week in 340B covers December 16, 2025 – January 5, 2026. Get more details on these 340B cases and all other material 340B cases pending in federal and state courts with the 340B Litigation Tracker.

Issues at Stake: Contract Pharmacy; Rebate Model; Other

  • In two cases challenging a North Dakota state law governing contract pharmacy arrangements:
    • Plaintiffs filed responses to summary judgment motions;
    • The courts ordered the parties to show cause as to why the cases should not be consolidated; and
    • The defendants filed a response agreeing to consolidation.
  • In a case brought by a 340B Covered Entity alleging breach of contract by an insurer, the insurer filed a motion to dismiss.
  • In a case challenging the government’s rebate model pilot program:
    • Defendant filed an opposition to plaintiff’s motion for preliminary injunction;
    • Plaintiff filed an omnibus opposition to a number of motions to intervene filed by proposed intervenors;
    •  Proposed intervenors filed a brief in opposition to plaintiff’s motion for preliminary injunction;
    • Proposed intervenors filed a reply in support of their motions to intervene;
    • Plaintiff filed a reply in support of its motion for preliminary injunction;
    • The court defined proposed intervenors’ motions to intervene and granted them leave to proceed as amici curiae;
    • The court granted plaintiff’s motion for preliminary injunction;
    • Defendant filed a notice of appeal from the court’s granting of the preliminary injunction; and
    • Proposed intervenors filed a notice of appeal from the court’s denial of their motions to intervene.
  • In one case brought by a drug manufacturer challenging a Maine state law governing contract pharmacy arrangements:
    • The defendants filed a motion to dismiss; and
    • Amici Curiae filed a brief in support of defendants’ motion to dismiss.
  • In a case brought by a drug manufacturer challenging a Colorado state law governing contract pharmacy arrangements:
    • The U.S. District Court for the District of Colorado denied the plaintiff’s motion for preliminary injunction;
    • The plaintiff filed a notice of appeal to the U.S. Court of Appeals for the Tenth Circuit; and
    • Defendants filed a reply in support of their motion to dismiss.
  • In one case by a trade association of drug manufacturers challenging a Rhode Island state law governing contract pharmacy arrangements:
    • The U.S. District Court for the District of Rhode Island entered judgment in favor of defendants; and
    • Plaintiff filed a notice of appeal to the U.S. Court of Appeals for the First Circuit.
  • In one case brought by a trade association for drug manufacturers challenging an Oklahoma state law governing contract pharmacy arrangements, the defendant filed a notice of appeal to the U.S. Court of Appeals for the Tenth Circuit.
  • In a case against HRSA challenging its certification of a group of entities as 340B-eligible, an intervenor filed a reply in support of its motion to intervene.
  • In two cases challenging a South Dakota state law governing contract pharmacy arrangements, the court denied plaintiffs’ motion for a preliminary injunction and defendant filed a motion to dismiss, along with a brief in support of defendant’s motion to dismiss.
  • In a case challenging a Vermont state law governing contract pharmacy arrangements, the government filed an opposition to plaintiffs’ motion for a preliminary injunction and a motion to dismiss, amici filed a brief in opposition to plaintiffs’ motion for a preliminary injunction, and the court granted an unopposed motion for leave to file an amicus brief.
  • In a case challenging a Missouri state law governing contract pharmacy arrangements, various non-parties and intervenors opposed plaintiff’s motion to compel compliance with third-party subpoenas and plaintiffs filed reply suggestions in support of its motion to compel compliance with third party subpoenas.
  • In a consolidated case challenging a Nebraska state law governing contract pharmacy arrangements, the court denied the plaintiff’s motion for a preliminary injunction.
Emily Jane Cook
Emily Cook is a practice area leader for McDermott's Healthcare Regulatory & Compliance practice. She is a national authority on the 340B drug pricing program, and also helps clients navigate the full suite of federal and state regulations that are essential to healthcare operations. Learn more about Emily's practice here.


Jae Hyun Lee
Jae Hyun Lee is a member of the Healthcare Practice Group. He focuses his practice on healthcare mergers and acquisitions as well as regulatory and compliance matters. Read more about Jae's practice here.


Kelsey Reinhardt
Kelsey R. Reinhardt focuses her practice on regulatory and transactional matters affecting a wide range of clients across the healthcare industry. Learn more about Kelsey's practice here.


Abygail Hoey
Abygail Hoey is a member of the Health & Life Sciences Practice Group, where she focuses her practice on healthcare transactions, as well as regulatory and compliance matters. Learn more about Abygail's practice: https://www.mwe.com/people/abygail-hoey/


Deepika Raj
Deepika Raj advises a broad range of healthcare industry clients on regulatory, compliance and transactional matters. She offers multifaceted advice on state and federal fraud and abuse statutes, licensure rules, cannabis laws and due diligence matters. Learn more about Deepika's practice here.

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