Drug Pricing

Ensuring Safe and Affordable Healthcare for All Americans

HDA and our members support sensible policy solutions to reduce the cost of medications while maintaining the efficiency and reliability of the pharmaceutical supply chain.

medicine shelves in distribution center

Hospitals, retail pharmacies, physician offices and other providers rely on daily deliveries of products from a healthcare distributor to keep their shelves stocked with lifesaving or life-improving medicines while carefully managing inventory expenses. 

HDA distributor members are committed to working with public officials and healthcare leaders to improve access and reduce costs.

Learn more about our principles to promote access to essential medicines.

stacking boxes in distribution center

An analysis by Berkeley Research Group (BRG) shows distributors provide these essential services every day for less than one percent of the cost of brand medicines — that is what differentiates pharmaceutical distributors from other entities at the middle of the supply chain.

Pharmacist helping patient

Opportunities for Equitable Healthcare Access

Distributors strive to ensure that all patients receive the medical products they need when they need them. Healthcare equity is realized when everyone can attain their full potential for health and well-being.

Five areas present an opportunity to increase healthcare equity: affordability, accessibility, partnerships, disaster preparedness and community investment.

  • To support affordability, distributors work to lower costs by improving system efficiency and supporting policies that reduce barriers to medical products and improve healthcare delivery.
  • To achieve accessibility, distributors provide resources to independent and community pharmacies.
  • Distributors partner with the public sector to enhance capabilities and expand access to patient services.
  • To improve disaster responses, distributors maintain the ability to mobilize and provide access to essential medical products.
  • To serve all patients, distributors engage and invest in local communities.

View HDA’s materials on healthcare equity and access.

Distribution Center

Bona Fide Service Fees

Bona fide service fees are paid for by manufacturers to distributors to underwrite the physical movement of products within the pharmaceutical supply chain. Bona fide service fees must meet the Centers for Medicare and Medicaid Services’ (CMS) four-prong test. Bona fide service fees are payments to distributors for the critical services they provide to the supply chain to ensure that pharmaceuticals are delivered safely and reliably.

Offering Critical Services Beyond the Delivery of Medicines

Beyond delivery, healthcare distributors provide a wide array of services that enable the pharmaceutical supply chain to function efficiently and safely, delivering significant value to manufacturers, pharmacists, healthcare providers and ultimately to patients. Distributors offer critical services to their customers, including information technology that helps manage inventory and verify provider orders. HDA members also manage operational risks, such as aiding in the identification of suspect and illegitimate products and assisting with manufacturer recalls.


Our Advocacy Work on Behalf of Members 

HDA reviews key priority issues and advocates on behalf of its pharmaceutical distributor members in areas like standards, public policies and business processes. HDA members have a powerful, unique voice and perspective and an opportunity to help educate lawmakers and inform public policy.

Explore our resources

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