New 2025 Data Sheds Light on 340B Activity in Georgia

Pioneer Institute has released updated #340B state fact sheets for 2025

The Pioneer Institute has released updated 340B State Fact Sheets for 2025, offering a detailed look into how the 340B Drug Pricing Program is operating in each state—including Georgia. The findings raise key questions about equity, oversight, and impact on low-income communities.


In Georgia:

  • 30% of the state’s 340B contract pharmacies are located outside of Georgia, including some as far away as Hawaii.
  • 43% of contract pharmacies intended to serve low-income Georgians are actually located in affluent neighborhoods.
  • Some hospitals, such as Northside Hospital and AU Medical Center, operate dozens of contract pharmacies—many out of state—while others serve patients effectively with far fewer.
  • PBM-owned and chain pharmacies dominate the list of top 340B contract pharmacies in Georgia.
  • Despite these concerns, Georgia 340B hospitals reported above-average charity care: 4.92% of operating expenses compared to the national average of 2.15%.


The data also explores:

  • Which hospitals have the most (and most out-of-state) contract pharmacies
  • How charity care levels vary between insured and uninsured patients
  • The correlation between hospital wealth and charitable contributions


➡️ View Georgia’s full 2025 fact sheet and explore national comparisons: https://pioneerinstitute.org/340babuse/340b-state-fact-sheets


As policymakers continue to examine the effectiveness and transparency of the 340B program, this report highlights the importance of tracking how resources intended for underserved populations are actually being deployed.

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