The $80 billion healthcare loophole disguised as charity https://www.washingtonexaminer.com/op-eds/4664971/340b-drug-program-hospital-profit-reform-how-much-revenue-collected/ One thing is certain: The 340B program has been a boon to big participating hospitals. More specifically, hospitals purchase drugs at steep 340B discounts, bill insurers close to full price, and keep the spread, with little obligation to pass any savings on to patients.