April 28, 2016 TERRY MOFFIT PROTO-SCRIPT PHARMACEUTICALS CORP 2221 E WINSTON RD STE O ANAHEIM, CA 92806-5540 Re: Contract Number: 23-3834457 Dear TERRY MOFFIT:Proto Script Pharmaceutical Corp • November 7th, 2016 • Services-mailing, reproduction, commercial art & photography
This Contract reflects the competitive bidding area(s) (CBAs) and product category(s) that you agreed to accept as listed on Attachment A. Only those locations identified by the Provider Transaction Access Number (PTAN) on Attachment B of the Contract are included in the Competitive Bidding Program and considered contract supplier locations. Each location on Attachment B may only submit claims to Medicare for the specified competitively bid item(s) and CBA(s). In accordance with Medicare regulations, the location that furnishes the item to the beneficiary must be the location identified on the claim form.
