340B Drug Discount Program



We replaced ITEAMS with the Pharmacy Inventory and Ordering System (PIOS) on January 23rd 2023.

To continue ordering TB and STD medications after the transition, providers will need to register their location into PIOS. Providers must complete the required PIOS training prior to registering their location. The Training is available at https://www.dshs.texas.gov/pharmacy-unit/340b-drug-discount-program



The 340B Drug Pricing Program is a federal program requiring drug manufacturers that participate in the Medicaid drug rebate program to provide covered outpatient drugs to enrolled “covered entities” at or below the statutorily defined ceiling price. This requirement is described in Section 340B of the Public Health Service Act and codified at 42 USC §256b. The 340B Program’s purpose is to permit covered entities “to stretch scarce Federal resources as far as possible, reaching more eligible patients and providing more comprehensive services.” H.R. Rep. No. 102-384(II), at 12 (1992).

DSHS Central Pharmacy participates in the 340B program to purchase medication for DSHS regional clinics and partner entities serving as the public health entities for Texans.


DSHS 340B Policies and Procedures:


Policies will be released soon.



PIOS Training Session

-Please register for PIOS Training Session  on Mar 8, 2023 2:30 PM CST at:



-Please register for PIOS Training Session on Mar 16, 2023 3:00 PM CDT at:



-Please register for PIOS Training Session on Mar 22, 2023 2:00 PM CDT at:



-Please register for PIOS Training Session  on Mar 29, 2023 2:30 PM CDT at:



After registering, you will receive a confirmation email containing information about joining the webinar.



After Completing your PIOS training you are eligible to register your Facility by clicking the link Below

Home - Texas DSHS Pharmacy Providers Enrollment Site (force.com)


**all users on the registration form must have registered and completed a training above before approval of the facility and all users can occur**

ALERT: Submitting a registration request for your facility and users does not automatically guarantee access to the Pharmacy Inventory and Ordering System (PIOS). The facility must already be an approved TIPP partner and/or HIV Prevention contractor with an active 340B STD covered entity registered with an applicable DSHS NOFO/grant number in HRSA OPAIS. If you complete the PIOS registration without these requirements in place, your request will be denied.

Resources/External Links: