8th Circuit rejects Novartis bid to block Missouri's 340B contract pharmacy law
Issue
On July 1, 2026, the 8th Circuit upheld the denial of Novartis's bid to block Missouri's SB 751, which requires drugmakers to deliver 340B drugs to all contract pharmacies serving Missouri covered entities. The court found Novartis unlikely to win, and the case returns to the district court.
The Missouri Primary Care Association intervened to defend it.
Key points
- The 8th Circuit affirmed the denial of Novartis's preliminary injunction against Missouri S.B. 751, finding its extraterritorial effect negligible and nondiscriminatory and declining to revisit preemption.
- The Missouri Primary Care Association, the state's FQHC association, intervened to defend the law.
- The case returns to the district court on the merits; multi-state FQHC networks should keep tracking contract-pharmacy protection by judicial circuit.
Sources for this story
Missouri Hospital Association; Powers Law (intervenors' counsel)Part of
- 340B drug pricing
State contract-pharmacy laws and the circuit split
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FQHC Talent. (2026, July 1). 8th Circuit rejects Novartis bid to block Missouri's 340B contract pharmacy law. Source: Missouri Hospital Association; Powers Law (intervenors' counsel). Retrieved November 11, 2026, from https://www.fqhctalent.com/intel/8th-circuit-missouri-sb751-340b-novartis-july-2026