340B Health

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If your hospital or health system would like to apply for membership in 340B Health, please click on the appropriate button below to submit your application online or use the paper form. If you have any questions, please contact Shane Kelley at shane.kelley@340bhealth.org, or fax it to 202-552-5868. Group discounts are available for multi-hospital health systems joining 340B Health.

Single Hospital Form  Health System Form