Agenda for Day 1 - Monday December 7, 2026Monday, 7 December 2026 - US/Pacific

Government pricing teams are navigating a rapidly evolving policy environment shaped by IRA implementation, MFN developments, 340B reform efforts, PBM scrutiny, and increasing state-level activity. Rather than reviewing policy headlines, this discussion will focus on what these developments mean for pricing, rebates, contracting, and compliance teams responsible for execution.

Discussion Topics

• Key policy developments expected to shape 2027 planning priorities

• Where manufacturers are preparing for operational disruption

• The growing gap between policy design and implementation realities

• How organizations are prioritizing resources amid overlapping regulatory demands

• Emerging areas of uncertainty that leaders should be monitoring now

Manufacturers are simultaneously preparing for MFN implementation, MFP negotiations, evolving rebate obligations, and increased reporting complexity. Hear how organizations are adapting systems, processes, and governance structures to manage growing operational demands.

Discussion Topics

• Lessons learned from early MFN and MFP preparation efforts

• System and data challenges created by overlapping regulations

• Resource allocation and organizational readiness strategies

• Balancing compliance requirements with business priorities

• Preparing leadership teams for long-term operational impacts

As manufacturers face increasing pressure from IRA implementation, 340B expansion, PBM reform efforts, and ongoing litigation, understanding the broader policy landscape has never been more critical. This session will provide an industry-wide view of the legal and regulatory developments most likely to impact pricing, contracting, and reimbursement strategies over the next 12–18 months.

Discussion Topics

• Key IRA implementation and litigation updates

• The future of 340B reform and duplicate discount policy

• Government efforts to increase PBM oversight and transparency

• Emerging manufacturer risks and compliance considerations

• Legislative priorities shaping the industry’s policy agenda

340B has become one of the most significant challenges facing manufacturers, yet many organizations continue to struggle with understanding the operational, commercial, and compliance implications. This discussion will explore how manufacturers are approaching duplicate discounts, revenue leakage, and evolving program requirements.

Discussion Topics

• Revenue leakage and financial implications

• Commercial contracting considerations

• Alternative approaches

• Rebate model pilot programs

• Lessons learned from implementation efforts

Commercial contracting decisions increasingly impact government pricing outcomes, while government pricing requirements are shaping commercial strategy. This discussion will explore how leading organizations are creating stronger alignment across pricing, contracting, finance, legal, and market access functions.

Discussion Topics

• Understanding AMP, Best Price, and GTN relationships

• Formulary strategy and rebate implications

• Avoiding compliance risks created by siloed decision-making

• Governance structures that support cross-functional alignment

• Communicating pricing implications to executive leadership

State pricing transparency requirements continue to evolve, creating new reporting obligations, enforcement risks, and operational burdens for manufacturers. This session will focus on how organizations are navigating increasingly complex state requirements while balancing federal obligations and protecting proprietary information.

Discussion Topics

• State enforcement trends and penalty exposure

• Operationalizing compliance across multiple jurisdictions

• Protecting confidential and trade-secret information

• State versus federal reporting conflicts

• Building scalable transparency compliance programs

• Examine recent CMS guidance reshaping ASP calculation requirements and industry compliance expectations

• Analyze the most significant bona fide service fee developments impacting manufacturers over the past two years

• Review real-world case studies demonstrating successful and problematic BFSF structures under current standards

• Explore documentation and cross-functional coordination requirements for ASP compliance

• Discuss emerging regulatory trends and proactive risk mitigation strategies for ASP calculations

Closed-door discussion groups for Director-level and above attendees.

Roundtable Topics

• 340B Reform & Duplicate Discounts

• MFN & MFP Readiness

• Medicaid Disputes & State Variability

• Government Pricing Leadership Challenges

• Commercial-Government Alignment

• AI and Pricing & Contracting