Pegfilgrastim (Neulasta-class) dose

Hospital buy vs billed (illustrative WAC/GPO/340B blend) Specialty / 340B (deep discount at eligible hospitals) · Classic 340B spread drug when the hospital buys cheap and bills commercial.

What the hospital pays (acquisition)$3,800

Cash$6,200

Medicaid$3,500

Medicare$4,100

Insured$8,900

Medicaid

$3,500

Medicare

$4,100

Cash

$6,200

Insured

$8,900

Insured path is $2,700 (44%) above cash. Hospital buy $3,800 vs insured $8,900.

Payers: modeled — see evidence.