Common Contracts
3 similar Medicaid Supplemental Drug Rebate Agreement contracts
IOWA MEDICAID SUPPLEMENTAL DRUG REBATE AGREEMENTMedicaid 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 (
IOWA MEDICAID SUPPLEMENTAL DRUG REBATE AGREEMENTMedicaid Supplemental Drug Rebate Agreement • March 7th, 2023
In consideration of the mutual covenants in this Agreement, including the General Supplemental Rebate Terms, the Contracted Products Attachment to this Agreement, and for other good and valuable consideration, the receipt, adequacy and legal sufficiency of which are hereby acknowledged, the parties have entered into this Agreement and have caused their duly authorized representatives to execute this Agreement below.
IOWA MEDICAID SUPPLEMENTAL DRUG REBATE AGREEMENTMedicaid Supplemental Drug Rebate Agreement • February 23rd, 2023
In consideration of the mutual covenants in this Agreement, including the General Supplemental Rebate Terms, the Contracted Products Attachment to this Agreement, and for other good and valuable consideration, the receipt, adequacy and legal sufficiency of which are hereby acknowledged, the parties have entered into this Agreement and have caused their duly authorized representatives to execute this Agreement below.
