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340B… Let It Be!

AHFter Hours Podcast

April 11, 2022

30 minutes

340B… Let It Be!

Unfiltered perspectives from two inspiring AHF leaders on the 340B drug pricing program


Donna Tempesta is a senior manager at AHF who serves as both the Northern Bureau Chief and the VP of Finance for the pharmacy business line. LinkedIn

Scott Carruthers is the Chief Pharmacy Officer at AHF, overseeing the organization's entire national pharmacy program. LinkedIn


[2:17] - How 340B Works

Complex legislation, important results

Why is legislation allowing service-based organizations to profit off prescriptions a good thing? Because it allows these entities to purchase pharmaceuticals at a substantial discount over what a typical pharmacy would have to pay the wholesaler for the same medication. Then they can bill insurance plans and other entities, organizations, or plans that cover the insurance or the prescription part of insurance for patients and make a profit. This means that they can serve more patients and provide more services, all without using taxpayer money or government funding of any kind.

[5:42] - Pharmacy Benefit Managers & 340B

Manipulating the system

PBMs have become enormous organizations that control the pharmacy market through their relationships with pharmacies and even providers— sometimes all owned by the same company. They see 340B as an opportunity to turn more significant profits, even though it was actually intended to help organizations like AHF and their patients.

[14:42] - The Best Way to Help 340B: Leave It Alone

A simple answer for a complex issue

340B has allowed countless entities to provide services to the underserved that otherwise never would have gotten them. By allowing it to morph into yet another means for corporations to enhance their margins and profits, we would be stripping it of its effectiveness for that purpose. That’s why AHF advocates so passionately for it to be left as-is. After all, it doesn’t cost taxpayers a thing.

[27:58] - Getting Involved with Advocacy

Advice for those inside and outside AHF

Want to get started with advocacy? Scott and Donna’s advice is simple— just do it. Start somewhere— anywhere. Start with what you’re most passionate about, where there’s the greatest  need, or just with what’s available to you. Do what you can, then do a little more, and eventually, you’ll see your efforts snowball into something truly meaningful.




The AIDS Healthcare Foundation is the world’s largest HIV/AIDS service organization, operating in 45 countries globally. The mission? Providing cutting-edge medicine and advocacy for everyone, regardless of ability to pay.

The AHFter Hours podcast is an official podcast of the AIDS Healthcare Foundation, in which host Lauren Hogan is joined by experts in a range of fields to educate, inform, and inspire listeners on topics that go far beyond medical information to cover leadership, creativity, and success. 

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Lauren Hogan is the Communications Manager for the AIDS Healthcare Foundation and has been working in a series of roles with the Foundation since 2016. She’s passionate about increasing the public visibility of AIDS, the Foundation's critical work, and how everyday people can help join the fight to make cutting-edge medicine, treatment, and support available for anyone who needs it.


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As a nod to the past, Detroit Podcast Studios leverages modern versions of Motown’s processes to launch today’s most compelling podcasts. What Motown was to musical artists, Detroit Podcast Studios is to podcast artists today. With over 75 combined years of experience in content development, audio production, music scoring, storytelling, and digital marketing, Detroit Podcast Studios provides full-service development, training, and production capabilities to take podcasts from messy ideas to finely tuned hits. 

Here’s to making (podcast) history together.

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