Common Contracts
1 similar Medicaid Drug Rebate Agreement contracts
ContractMedicaid Drug Rebate Agreement • March 30th, 2016
MEDICAID DRUG REBATE AGREEMENTENCLOSURE B (PAGE 1 OF 2) SUPPLEMENTAL DATA SHEET LABELER CODE (as assigned by FDA) LABELER NAME (Corporate name associated with labeler code) LEGAL CONTACT – Person to contact for legal issues concerning the rebate agreement NAME OF CONTACT AREA PHONE NUMBER EXTENSION EMAIL ADDRESS: NAME OF CORPORATION STREET ADDRESS CITY STATE ZIP CODE INVOICE CONTACT – Person responsible for processing invoice utilization data NAME OF CONTACT AREA PHONE NUMBER EXTENSION EMAIL ADDRESS: NAME OF CORPORATION STREET ADDRESS CITY STATE ZIP CODE
