CMS suggested as part of new guidance laying out ways to avoid duplicate discounts between 340B and Medicaid that states could use state plan amendments to keep some -- or all -- providers and contract pharmacies from using 340B drugs for Medicaid beneficiaries, and 340B hospitals quickly pushed back. “[W]e are extremely troubled by the inclusion of language that would allow states to limit the ability of some or all 340B hospitals and contract pharmacies to use 340B purchased drugs...