Common Contracts
1 similar Medicaid Supplemental Rebate Agreement contracts
PENNSYLVANIA MEDICAID SUPPLEMENTAL REBATE AGREEMENTMedicaid Supplemental Rebate Agreement • April 2nd, 2024
Pharmaceutical Manufacturer ("Manufacturer") Commonwealth of Pennsylvania, Department of Human Services Commonwealth of Pennsylvania, Department of Human Services Manufacturer Primary Billing Address: Department Primary Billing Address: Pennsylvania Department of Human ServicesP.O. Box 780634 Philadelphia, PA 19178‐0634 Manufacturer Primary Contact Person: Department Primary Contact Person: Manufacturer Primary Contact Telephone: Department Primary Contact Telephone: 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") Termination Date: ("Termination Date") Effective Date: ("Effective Date") 12/31/2025 01/01/2025
