XM āĻŽāĻžāĻ°ā§āĻ•āĻŋāĻ¨ āĻ¯ā§āĻ•ā§āĻ¤āĻ°āĻžāĻˇā§āĻŸā§āĻ°ā§‡āĻ° āĻŦāĻžāĻ¸āĻŋāĻ¨ā§āĻĻāĻžāĻĻā§‡āĻ° āĻ¸ā§‡āĻŦāĻž āĻĒā§āĻ°āĻĻāĻžāĻ¨ āĻ•āĻ°ā§‡ āĻ¨āĻžāĨ¤

Judge won't block Maryland law mandating discounts for hospitals' outside pharmacies



<html xmlns="http://www.w3.org/1999/xhtml"><head><title>Judge won't block Maryland law mandating discounts for hospitals' outside pharmacies</title></head><body>

By Brendan Pierson

Sept 6 (Reuters) -The largest U.S. drug industry group and several drug companies have lost a bid to block a Maryland law requiring drugmakers to offer discounts on drugs dispensed by third-party pharmacies that contract with hospitals and clinics serving low-income populations.

U.S. District Judge Matthew Maddox in Baltimore on Thursday refused to issue a preliminary order blocking the law while he hears a challenge to it by Pharmaceutical Research and Manufacturers of America (PhRMA), Novartis NOVN.S, AbbVie ABBV.N and AstraZeneca AZN.L.

The judge's written order did not explain his reasoning, but referred to statements he made from the bench at a hearing on Wednesday. Lawyers for the companies, and the office of Maryland Attorney General Anthony Brown, did not immediately respond to requests for comment.

The case is among numerous similar challenges to state laws around the country dealing with companies' obligations under the so-called 340B program, a federal program under which hospitals and clinics serving low-income populations can receive discounts on prescription drugs. Drugmakers must participate in the 340B program in order to receive funds from government health insurance programs like Medicare and Medicaid.

Many providers eligible for the 340B program contract with outside pharmacies to dispense prescription drugs, so that they do not have to maintain in-house pharmacies. In recent years, however, drugmakers have begun imposing restrictions on 340B drug sales using contract pharmacies, such as limiting how many they may use or requiring them to be within a certain distance of the provider.

The companies have said that widespread use of 340B contract pharmacies has led to a lack of transparency and made it more likely that some drugs are discounted when they should not be, or that duplicate discounts are applied to the same drug.

In response, Maryland and other states, including West Virginia, Mississippi, Kansas and Louisiana, have passed laws requiring drugmakers to offer 340B discounts through contract pharmacies, and drugmakers have sued to block those laws.

The lawsuits, including the four before Maddox, argue that the state laws conflict with the federal law governing the 340B program.

Drug companies previously prevailed in court against federal guidance that would have required them to extend 340B discounts to contract pharmacies.

The first state law on contract pharmacies, passed by Arkansas in 2021, has already survived a legal challenge by PhRMA in the 8th U.S. Circuit Court of Appeals.

The cases are Novartis v. Brown, No. 1:24-cv-01557; AstraZeneca v. Brown, No. 1:24-cv-01868; AbbVie v. Brown, No. 1:24-cv-01816; and PhRMA v. Brown, No. 1:24-cv-01631, in the U.S. District Court for the District of Maryland.

For Novartis: Catherine Stetson of Hogan Lovells

For AstraZeneca: Allon Kedem of Arnold & Porter Kaye Scholer

For AbbVie: Matthew Owen of Kirkland & Ellis

For PhRMA: Andrew Prins of Latham & Watkins

For Maryland: Assistant Attorney General Howard Feldman


Read more:

Drugmakers prevail in dispute over U.S. discount drug program

Lawsuits pile up over state laws on discounts for hospitals' contract pharmacies


(Reporting By Brendan Pierson in New York)

</body></html>

āĻ¸āĻŽā§āĻĒāĻ°ā§āĻ•āĻŋāĻ¤ āĻ…ā§āĻ¯āĻžāĻ¸ā§‡āĻŸ


āĻ¸āĻ°ā§āĻŦāĻļā§‡āĻˇ āĻ–āĻŦāĻ°

US manufacturing output rebounds in August


Chipmakers lay out factory plans in Europe, US and Asia

I
I
M
T

Wall Street opens higher after retail sales data, Fed decision in focus

U
U

As Fed cuts loom, health of US economy could determine markets' path

U

New EU climate and competition chiefs to develop bloc's 'clean industrial deal'

āĻĻāĻžāĻŦāĻŋāĻ¤ā§āĻ¯āĻžāĻ—: XM Group āĻāĻ° āĻ¸āĻ¤ā§āĻ¤ā§āĻŦāĻžāĻ—ā§āĻ˛ā§‹ āĻļā§āĻ§ā§āĻŽāĻžāĻ¤ā§āĻ° āĻ•āĻžāĻ°ā§āĻ¯āĻ•āĻ° āĻ¸ā§‡āĻŦāĻž āĻĒā§āĻ°āĻĻāĻžāĻ¨ āĻ•āĻ°ā§‡ āĻāĻŦāĻ‚ āĻ†āĻŽāĻžāĻĻā§‡āĻ° āĻ…āĻ¨āĻ˛āĻžāĻ‡āĻ¨ āĻŸā§āĻ°ā§‡āĻĄāĻŋāĻ‚ āĻ¸ā§āĻŦāĻŋāĻ§āĻž āĻ—ā§āĻ˛ā§‹ āĻ‰āĻĒāĻ­ā§‹āĻ— āĻ•āĻ°āĻ¤ā§‡ āĻĻā§‡ā§Ÿ, āĻ¸ā§‡āĻ‡āĻ¸āĻžāĻĨā§‡ āĻāĻ•āĻœāĻ¨ āĻŦā§āĻ¯āĻ•ā§āĻ¤āĻŋāĻ•ā§‡ āĻ“āĻ¯āĻŧā§‡āĻŦāĻ¸āĻžāĻ‡āĻŸā§‡ āĻŦāĻž āĻāĻ° āĻŽāĻžāĻ§ā§āĻ¯āĻŽā§‡ āĻ‰āĻĒāĻ˛āĻŦā§āĻ§ āĻŦāĻŋāĻˇāĻ¯āĻŧāĻŦāĻ¸ā§āĻ¤ā§ āĻĻā§‡āĻ–āĻ¤ā§‡ āĻāĻŦāĻ‚/āĻ…āĻĨāĻŦāĻž āĻŦā§āĻ¯āĻŦāĻšāĻžāĻ° āĻ•āĻ°āĻžāĻ° āĻ…āĻ¨ā§āĻŽāĻ¤āĻŋ āĻĻā§‡ā§Ÿ āĻ¤āĻŦā§‡ āĻāĻŸāĻŋ āĻ•ā§‹āĻ¨ āĻĒāĻ°āĻŋāĻŦāĻ°ā§āĻ¤āĻ¨ āĻŦāĻž āĻĒā§āĻ°āĻ¸āĻžāĻ°āĻŋāĻ¤ āĻ•āĻ°āĻžāĻ° āĻ‰āĻĻā§āĻĻā§‡āĻļā§āĻ¯ā§‡ āĻ¨āĻ¯āĻŧ āĻŦāĻž āĻāĻŽāĻ¨ āĻ•ā§‹āĻ¨ āĻ•āĻžāĻ°āĻŖā§‡āĻ“ āĻ¨āĻ¯āĻŧāĨ¤ āĻāĻ‡ āĻ§āĻ°āĻ¨ā§‡āĻ° āĻĒā§āĻ°āĻŦā§‡āĻļ āĻāĻŦāĻ‚ āĻŦā§āĻ¯āĻŦāĻšāĻžāĻ° āĻ¸āĻŦāĻ¸āĻŽāĻ¯āĻŧ āĻ•āĻŋāĻ›ā§ āĻŦāĻŋāĻˇā§Ÿā§‡āĻ° āĻ¸āĻžāĻĨā§‡ āĻœā§œāĻŋāĻ¤: (i) āĻļāĻ°ā§āĻ¤āĻžāĻŦāĻ˛ā§€; (ii) āĻā§āĻāĻ•āĻŋ āĻ¸āĻ¤āĻ°ā§āĻ•āĻ¤āĻž; āĻāĻŦāĻ‚ (iii) āĻ¸āĻŽā§āĻĒā§‚āĻ°ā§āĻŖ āĻĻāĻžāĻŦāĻŋāĻ¤ā§āĻ¯āĻžāĻ—āĨ¤ āĻāĻ‡ āĻ§āĻ°āĻ¨ā§‡āĻ° āĻŦāĻŋāĻˇāĻ¯āĻŧāĻŦāĻ¸ā§āĻ¤ā§ āĻ¤āĻžāĻ‡ āĻ¸āĻžāĻ§āĻžāĻ°āĻŖ āĻ¤āĻĨā§āĻ¯ āĻšāĻŋāĻ¸ā§‡āĻŦā§‡ āĻ›āĻžāĻĄāĻŧāĻž āĻ†āĻ° āĻ…āĻ¨ā§āĻ¯ āĻ•ā§‹āĻ¨ āĻ‰āĻĻā§āĻĻā§‡āĻļā§āĻ¯ā§‡ āĻĒā§āĻ°āĻĻāĻžāĻ¨ āĻ•āĻ°āĻž āĻšāĻ¯āĻŧ āĻ¨āĻžāĨ¤ āĻ…āĻ¨ā§āĻ—ā§āĻ°āĻš āĻ•āĻ°ā§‡ āĻŦāĻŋāĻļā§‡āĻˇāĻ­āĻžāĻŦā§‡ āĻ¸āĻšā§‡āĻ¤āĻ¨ āĻĨāĻžāĻ•ā§āĻ¨ āĻ¯ā§‡, āĻ†āĻŽāĻžāĻĻā§‡āĻ° āĻ…āĻ¨āĻ˛āĻžāĻ‡āĻ¨ āĻŸā§āĻ°ā§‡āĻĄāĻŋāĻ‚ āĻ¸ā§āĻŦāĻŋāĻ§āĻžāĻ° āĻŦāĻŋāĻˇāĻ¯āĻŧāĻŦāĻ¸ā§āĻ¤ā§āĻ—ā§ā§āĻ˛ā§‹ āĻ†āĻ°ā§āĻĨāĻŋāĻ• āĻŦāĻžāĻœāĻžāĻ°ā§‡ āĻ•ā§‹āĻ¨ā§‹ āĻ˛ā§‡āĻ¨āĻĻā§‡āĻ¨ āĻ•āĻ°āĻžāĻ° āĻœāĻ¨ā§āĻ¯ āĻ…āĻ¨ā§āĻ°ā§‹āĻ§ āĻŦāĻž āĻĒā§āĻ°āĻ¸ā§āĻ¤āĻžāĻŦ āĻ¨āĻ¯āĻŧāĨ¤ āĻ•āĻžāĻ°āĻŖ āĻ¯ā§‡āĻ•ā§‹āĻ¨ā§‹ āĻ†āĻ°ā§āĻĨāĻŋāĻ• āĻŦāĻžāĻœāĻžāĻ°ā§‡ āĻŸā§āĻ°ā§‡āĻĄāĻŋāĻ‚ āĻ•āĻ°āĻ˛ā§‡ āĻ†āĻĒāĻ¨āĻžāĻ° āĻŽā§‚āĻ˛āĻ§āĻ¨ā§‡āĻ° āĻ¸āĻžāĻĨā§‡ āĻāĻ•āĻŸāĻŋ āĻ‰āĻ˛ā§āĻ˛ā§‡āĻ–āĻ¯ā§‹āĻ—ā§āĻ¯ āĻā§āĻāĻ•āĻŋ āĻœāĻĄāĻŧāĻŋāĻ¤ āĻĨāĻžāĻ•āĻŦā§‡āĨ¤

āĻ†āĻŽāĻžāĻĻā§‡āĻ° āĻ…āĻ¨āĻ˛āĻžāĻ‡āĻ¨ āĻŸā§āĻ°ā§‡āĻĄāĻŋāĻ‚ āĻ¸ā§āĻŦāĻŋāĻ§āĻžāĻ¯āĻŧ āĻĒā§āĻ°āĻ•āĻžāĻļāĻŋāĻ¤ āĻ¸āĻ•āĻ˛ āĻŦāĻŋāĻˇā§ŸāĻŦāĻ¸ā§āĻ¤ā§ āĻļā§āĻ§ā§āĻŽāĻžāĻ¤ā§āĻ° āĻļāĻŋāĻ•ā§āĻˇāĻžāĻ—āĻ¤/āĻ¤āĻĨā§āĻ¯āĻŽā§‚āĻ˛āĻ• āĻ‰āĻĻā§āĻĻā§‡āĻļā§āĻ¯ā§‡ āĻ¤ā§ˆāĻ°āĻŋ āĻ•āĻ°āĻž āĻšāĻ¯āĻŧā§‡āĻ› āĻāĻŦāĻ‚ āĻāĻ¤ā§‡ āĻ†āĻ°ā§āĻĨāĻŋāĻ•, āĻŦāĻŋāĻ¨āĻŋāĻ¯āĻŧā§‹āĻ— āĻ•āĻ° āĻŦāĻž āĻŸā§āĻ°ā§‡āĻĄāĻŋāĻ‚ āĻĒāĻ°āĻžāĻŽāĻ°ā§āĻļ āĻāĻŦāĻ‚ āĻ¸ā§āĻĒāĻžāĻ°āĻŋāĻļ āĻ§āĻžāĻ°āĻŖ āĻ•āĻ°āĻž āĻ‰āĻšāĻŋāĻ¤ āĻ¨āĻ¯āĻŧ - āĻ†āĻŽāĻžāĻĻā§‡āĻ° āĻŸā§āĻ°ā§‡āĻĄāĻŋāĻ‚ āĻŽā§‚āĻ˛ā§āĻ¯ā§‡āĻ° āĻāĻ•āĻŸāĻŋ āĻ°ā§‡āĻ•āĻ°ā§āĻĄ; āĻ…āĻĨāĻŦāĻž āĻ•ā§‹āĻ¨ā§‹ āĻ†āĻ°ā§āĻĨāĻŋāĻ• āĻ‰āĻĒāĻ•āĻ°āĻŖā§‡ āĻ˛ā§‡āĻ¨āĻĻā§‡āĻ¨ā§‡āĻ° āĻĒā§āĻ°āĻ¸ā§āĻ¤āĻžāĻŦ, āĻŦāĻž āĻ…āĻ¨ā§āĻ°ā§‹āĻ§; āĻ…āĻĨāĻŦāĻž āĻ†āĻĒāĻ¨āĻžāĻ° āĻ•āĻžāĻ›ā§‡ āĻ…āĻ¯āĻžāĻšāĻŋāĻ¤ āĻ†āĻ°ā§āĻĨāĻŋāĻ• āĻĒā§āĻ°āĻšāĻžāĻ° āĻšāĻŋāĻ¸ā§‡āĻŦā§‡ āĻāĻŸāĻŋāĻ•ā§‡ āĻ§āĻžāĻ°āĻŖ āĻ•āĻ°āĻž āĻ‰āĻšāĻŋāĻ¤ āĻ¨āĻ¯āĻŧāĨ¤

āĻ•ā§‹āĻ¨ āĻ¤ā§ƒāĻ¤ā§€āĻ¯āĻŧ āĻĒāĻ•ā§āĻˇā§‡āĻ° āĻŦāĻŋāĻˇā§ŸāĻŦāĻ¸ā§āĻ¤ā§, āĻĒāĻžāĻļāĻžāĻĒāĻžāĻļāĻŋ XM āĻĻā§āĻŦāĻžāĻ°āĻž āĻĒā§āĻ°āĻ¸ā§āĻ¤ā§āĻ¤ āĻŦāĻŋāĻˇā§Ÿ āĻŦāĻ¸ā§āĻ¤ā§ āĻ¯ā§‡āĻŽāĻ¨ āĻŽāĻ¤āĻžāĻŽāĻ¤, āĻ¸āĻ‚āĻŦāĻžāĻĻ, āĻ—āĻŦā§‡āĻˇāĻŖāĻž, āĻŦāĻŋāĻļā§āĻ˛ā§‡āĻˇāĻŖ, āĻĻāĻžāĻŽ, āĻ…āĻ¨ā§āĻ¯āĻžāĻ¨ā§āĻ¯ āĻ¤āĻĨā§āĻ¯ āĻŦāĻž āĻāĻ‡ āĻ“āĻ¯āĻŧā§‡āĻŦāĻ¸āĻžāĻ‡āĻŸā§‡ āĻĨāĻžāĻ•āĻž āĻ¤ā§ƒāĻ¤ā§€āĻ¯āĻŧ āĻĒāĻ•ā§āĻˇā§‡āĻ° āĻ¸āĻžāĻ‡āĻŸā§‡āĻ° āĻ˛āĻŋāĻ‚āĻ• āĻ—ā§āĻ˛ā§‹ "āĻ¯ā§‡āĻŽāĻ¨-āĻ°āĻ¯āĻŧā§‡āĻ›ā§‡" āĻ­āĻŋāĻ¤ā§āĻ¤āĻŋāĻ¤ā§‡ āĻ¸āĻ°āĻŦāĻ°āĻžāĻš āĻ•āĻ°āĻž āĻšāĻ¯āĻŧ āĻ¸āĻžāĻ§āĻžāĻ°āĻŖ āĻŽāĻžāĻ°ā§āĻ•ā§‡āĻŸā§‡āĻ° āĻ­āĻžāĻˇā§āĻ¯ āĻšāĻŋāĻ¸ā§‡āĻŦā§‡ āĻāĻŦāĻ‚ āĻŦāĻŋāĻ¨āĻŋāĻ¯āĻŧā§‹āĻ—ā§‡āĻ° āĻĒāĻ°āĻžāĻŽāĻ°ā§āĻļ āĻ—āĻ āĻ¨ āĻ•āĻ°āĻŦā§‡āĻ¨ āĻ¨āĻžāĨ¤ āĻ¯ā§‡āĻ•ā§‹āĻ¨ā§‹ āĻŦāĻŋāĻˇāĻ¯āĻŧāĻŦāĻ¸ā§āĻ¤ā§āĻ•ā§‡ āĻŦāĻŋāĻ¨āĻŋāĻ¯āĻŧā§‹āĻ— āĻ—āĻŦā§‡āĻˇāĻŖāĻž āĻšāĻŋāĻ¸ā§‡āĻŦā§‡ āĻŦā§‹āĻāĻžāĻ¨ā§‹ āĻšāĻ˛ā§‡, āĻ†āĻĒāĻ¨āĻžāĻ•ā§‡ āĻ…āĻŦāĻļā§āĻ¯āĻ‡ āĻŽāĻ¨ā§‡ āĻ°āĻžāĻ–āĻ¤ā§‡ āĻšāĻŦā§‡ āĻāĻŦāĻ‚ āĻ¸ā§āĻŦā§€āĻ•āĻžāĻ° āĻ•āĻ°āĻ¤ā§‡ āĻšāĻŦā§‡ āĻ¯ā§‡ āĻŦāĻŋāĻˇāĻ¯āĻŧāĻŦāĻ¸ā§āĻ¤ā§āĻŸāĻŋ āĻŦāĻŋāĻ¨āĻŋāĻ¯āĻŧā§‹āĻ— āĻ—āĻŦā§‡āĻˇāĻŖāĻžāĻ° āĻ¸ā§āĻŦāĻžāĻ§ā§€āĻ¨āĻ¤āĻžāĻ° āĻĒā§āĻ°āĻšāĻžāĻ°ā§‡āĻ° āĻœāĻ¨ā§āĻ¯ āĻĄāĻŋāĻœāĻžāĻ‡āĻ¨ āĻ•āĻ°āĻž āĻ†āĻ‡āĻ¨āĻŋ āĻĒā§āĻ°āĻ¯āĻŧā§‹āĻœāĻ¨ā§€āĻ¯āĻŧāĻ¤āĻž āĻ…āĻ¨ā§āĻ¸āĻžāĻ°ā§‡ āĻ¤ā§ˆāĻ°āĻŋ āĻ•āĻ°āĻž āĻšāĻ¯āĻŧāĻ¨āĻŋ āĻāĻŦāĻ‚ āĻāĻŸāĻŋ āĻŦāĻŋāĻŦā§‡āĻšāĻ¨āĻž āĻ•āĻ°āĻž āĻšāĻŦā§‡ āĻ¨āĻž āĻĒā§āĻ°āĻžāĻ¸āĻ™ā§āĻ—āĻŋāĻ• āĻ†āĻ‡āĻ¨ āĻ“ āĻĒā§āĻ°āĻŦāĻŋāĻ§āĻžāĻ¨ā§‡āĻ° āĻ…āĻ§ā§€āĻ¨ā§‡ āĻŦāĻŋāĻĒāĻŖāĻ¨ āĻ¯ā§‹āĻ—āĻžāĻ¯ā§‹āĻ— āĻšāĻŋāĻ¸ā§‡āĻŦā§‡āĨ¤ āĻ…āĻ¨ā§āĻ—ā§āĻ°āĻš āĻ•āĻ°ā§‡ āĻ¨āĻŋāĻļā§āĻšāĻŋāĻ¤ āĻ•āĻ°ā§āĻ¨ āĻ¯ā§‡ āĻ†āĻĒāĻ¨āĻŋ āĻ…-āĻ¸ā§āĻŦāĻžāĻ§ā§€āĻ¨ āĻŦāĻŋāĻ¨āĻŋāĻ¯āĻŧā§‹āĻ— āĻ¸āĻ‚āĻ•ā§āĻ°āĻžāĻ¨ā§āĻ¤ āĻ†āĻŽāĻžāĻĻā§‡āĻ° āĻŦāĻŋāĻœā§āĻžāĻĒā§āĻ¤āĻŋ āĻĒāĻĄāĻŧā§‡āĻ›ā§‡āĻ¨ āĻāĻŦāĻ‚ āĻŦā§āĻā§‡āĻ›ā§‡āĻ¨āĨ¤ āĻĒā§‚āĻ°ā§āĻŦā§‹āĻ•ā§āĻ¤ āĻ¤āĻĨā§āĻ¯ āĻ¸āĻŽā§āĻĒāĻ°ā§āĻ•āĻŋāĻ¤ āĻ—āĻŦā§‡āĻˇāĻŖāĻž āĻāĻŦāĻ‚ āĻā§āĻāĻ•āĻŋ āĻ¸āĻ¤āĻ°ā§āĻ•āĻ¤āĻž, āĻ¯āĻž āĻāĻ–āĻžāĻ¨ āĻĨā§‡āĻ•ā§‡ āĻĒā§āĻ°āĻŦā§‡āĻļ āĻ•āĻ°āĻž āĻ¯ā§‡āĻ¤ā§‡ āĻĒāĻžāĻ°ā§‡āĨ¤

āĻā§āĻ•āĻŋ āĻ¸āĻ°ā§āĻ¤āĻ•āĻ¤āĻž: āĻ†āĻĒāĻ¨āĻžāĻ° āĻŽā§‚āĻ˛āĻ§āĻ¨ā§‡ āĻā§āĻ•āĻŋ āĻ°ā§Ÿā§‡āĻ›ā§‡āĨ¤ āĻ˛āĻŋāĻ­āĻžāĻ°ā§‡āĻœāĻ•ā§ƒāĻ¤ āĻĒāĻŖā§āĻ¯ āĻ¸āĻŦāĻžāĻ° āĻœāĻ¨ā§āĻ¯ āĻ‰āĻĒāĻ¯ā§āĻ•ā§āĻ¤ āĻ¨āĻžāĻ“ āĻšāĻ¤ā§‡ āĻĒāĻžāĻ°ā§‡āĨ¤ āĻ…āĻ¨ā§āĻ—ā§āĻ°āĻš āĻ•āĻ°ā§‡ āĻ†āĻŽāĻžāĻĻā§‡āĻ° āĻā§āĻāĻ•āĻŋ āĻĒā§āĻ°āĻ•āĻžāĻļ āĻĒā§œā§āĻ¨āĨ¤