Common Contracts

1 similar Supplemental Drug Rebate Agreement contracts

IOWA MEDICAID SUPPLEMENTAL DRUG REBATE AGREEMENT‌
Supplemental Drug Rebate Agreement • May 2nd, 2024

Pharmaceutical Manufacturer(“Manufacturer”) Department of the State of Iowa(“Department”) Labeler Code(s): Iowa Department of Health and Human Services Manufacturer Primary Billing Address: Department Primary Billing Address: Iowa Medicaid Drug Rebate PO Box 850195Minneapolis, MN 55485-0195 Manufacturer Primary Contact Person: Department Primary Contact Person: Shari Martin Manufacturer Primary Contact Telephone: Department Primary Contact Telephone: 207-622-7153 EXT 71375 Manufacturer Primary Contact e-mail: Department Primary Contact e-mail: PBA_srcontracts@changehealthcare.com Address for Notices required by Agreement(“Manufacturer Notice Address”): Address for Notices required by Agreement:(“Department Notice Address”): Electronic:Abby Cate, PharmD: acate@dhs.state.ia.us Physical:Iowa Department of Health and Human Services Attn: Abby Cate, PharmD, Pharmacy Consultant 1305 East Walnut StreetDes Moines, IA 50319-0114 Termination Date: (“Termination Date”) Effective Date (

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