PROVIDER ENROLLMENT AGREEMENTProvider Enrollment Agreement • February 5th, 2018
Contract Type FiledFebruary 5th, 2018This 340 B Program Addendum (“Addendum”) is made between the State of Vermont, Department of Vermont Health Access (“DVHA”) and (“340B Partner”) and incorporated into the Provider Enrollment Agreement between them dated (“Provider Agreement”). This Addendum shall replace and supersede in their entirety all prior 340B Program amendments, addenda or other 340B Program-specific attachments or modifications to the Provider Agreement.