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White Bagging

In the parlance of drug dispensing, “white bagging” is the term used when insurers require certain prescribed drugs to be dispensed from a specific specialty pharmacy and shipped directly to a practice, hospital, or clinic for patient administration. This is increasingly the case with infusion therapies for the treatment of cancer.  

Many providers are taking a stand against insurer mandates for white-bagging, saying the practice can endanger patient care by potentially bypassing safety checks, introducing dosing errors, delaying treatment, and interrupting care planning processes. Yet, the practice is accelerating. In a spring 2021 survey of the Association of Community Cancer Centers (ACCC) membership, 87 percent of respondents said white bagging is an insurer mandate for some of their patients.  

But providers are taking a stand. In Louisiana, for example, patient advocates have succeeded in obtaining the passage of legislation that bans the practice of white bagging. The majority of the respondents to this ACCC survey on white bagging—59 percent—say their cancer program or practice does not allow white bagging. Cited reasons include dangerous treatment delays, patient safety concerns, unpredictable drug deliveries, and drug waste. 

The resources on this page have been developed by the Association of Community Cancer Centers and its Chapter Members from the Oncology State Societies at ACCC. Cancer care professionals can use them to learn more about the practice of white bagging, its deleterious effects on patient care, and how to take action against it. 


“As a healthcare leader, I do not feel these practices are in the best interest of quality patient care, timely care, or patient safety.”  

Jorge Garcia Circle headshotJorge Garcia PharmD, MS, MHA, MBA, FACHE ,
Assistant Vice President, System Oncology Pharmacy Services, Non-Oncology Infusion Center Pharmacy Services
Miami Cancer Institute, Baptist Health South Florida
Miami, FLend-quote


White Bagging Qualitative Analysis

Read qualitative and quantitative data from the April 2021 ACCC survey on white bagging in oncology programs and practices, then learn what steps cancer programs and practices can take to advocate for their patients.

From Oncology Issues

  •  Issues: Recent Trends in White Bagging and Brown Bagging
    Kristin Ferguson, DNP, RN, OCN
    Over the last several months, ACCC members have experienced a rising trend of payer-mandated white and brown bagging. ACCC will continue to monitor and update members about issues related to white and brown bagging.