PENNSYLVANIA MEDICAID SUPPLEMENTAL REBATE AGREEMENTMedicaid Supplemental Rebate Agreement • February 5th, 2020 • Pennsylvania
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.
Office of the State Comptroller Thomas P. DiNapoli, State Comptroller Contract Search ResultsMedicaid Supplemental Rebate Agreement • August 1st, 2024
Vendor Name Department/Facility Contract Number Current Contract Amount Spending to Date Contract Start Date Contract End Date Contract Description Contract Type Original Contract Approved/Filed Date ABBVIE US LLC Department of Health X013261 $0.00 $0.00 01/01/2016 12/31/2018 Medicaid Supplemental Rebate Agreement Revenue Generating - Medical/Pharmacy- DOH/EPIC 03/15/2016 WESTCHESTER COMMUNITY OPPORTUNITY PROGRAM INC Department of Health T31095GG $30,760.00 $12,578.00 02/01/2016 09/30/2017 T31095GG-RCSVPP-2/1/16-1/31/17 Contracts Not Subject to OSC Pre-Audit 03/15/2016 THE RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK Department of Health C029569A $924,061.64 $914,899.01 04/01/2015 05/31/2020 EMPIRE STATE STEM CELL PROGRAM Grant 03/15/2016 URBAN HEALTH PLAN INC Department of Health T030795 $50,000.00 $47,586.92 04/01/2015 03/31/2016 T030795 4.1.15_3.31.16 Contracts Not Subject to OSC Pre-Audit 03/16/2016 TRILLIUM HEALTH INC Department
Office of the State Comptroller Thomas P. DiNapoli, State Comptroller Contract Search ResultsMedicaid Supplemental Rebate Agreement • September 21st, 2022
Vendor Name Department/Facility Contract Number Current Contract Amount Spending to Date Contract Start Date Contract End Date Contract Description Contract Type Original Contract Approved/Filed Date BIOCRYST PHARMACEUTICALS INC Department of Health X037390 $0.00 $0.00 01/01/2022 12/31/2024 Medicaid supplemental rebate agreement Revenue Generating - Medical/Pharmacy- DOH/EPIC 06/24/2022 BIOGEN IDEC Department of Health X009809 $0.00 $0.00 04/10/2008 03/31/2014 OMM/NMPI DRUG-REBATE AGMT W/STATES & PHARMACEUTICA Revenue Generating - Medical/Pharmacy- DOH/EPIC 03/24/2008 BIOGEN IDEC Department of Health X009893 $0.00 $0.00 01/01/2008 12/31/2027 ELDERLY PHARMACEUTICAL INSURANCE COVERAGE(EPIC) Revenue Generating - Medical/Pharmacy- DOH/EPIC 06/19/2008 BIOGEN U S CORPORATION Department of Health X035821 $0.00 $0.00 01/01/2020 07/13/2023 Medicaid Supplemental Rebate Agreement Revenue Generating - Medical/Pharmacy- DOH/EPIC 07/28/2020 BIOMERIEUX INC
Office of the State Comptroller Thomas P. DiNapoli, State Comptroller Contract Search ResultsMedicaid Supplemental Rebate Agreement • March 14th, 2024
Vendor Name Department/Facility Contract Number Current Contract Amount Spending to Date Contract Start Date Contract End Date Contract Description Contract Type Original Contract Approved/Filed Date AMYLYX PHARMACEUTICALS INC Department of Health X039445 $0.00 $0.00 07/01/2023 06/30/2026 Medicaid supplemental rebate agreement Revenue Generating - Medical/Pharmacy - DOH/EPIC 10/26/2023 LEO PHARMA INC Department of Health X039452 $0.00 $0.00 07/01/2023 06/30/2026 Medicaid supplemental rebate agreement Revenue Generating - Medical/Pharmacy - DOH/EPIC 01/09/2024 BLUEBIRD BIO INC Department of Health X039682 $0.00 $0.00 07/01/2023 06/30/2026 Outcome-based supplemental rebate agreement Revenue Generating - Medical/Pharmacy - DOH/EPIC 11/16/2023 ASCENDIS PHARMA ENDOCRINOLOGY INC Department of Health X039455 $0.00 $0.00 07/01/2023 06/30/2026 Medicaid supplemental rebate agreement Revenue Generating - Medical/Pharmacy - DOH/EPIC 10/24/2023 STEMLINE THERAPEUTICS IN
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
Office of the State Comptroller Thomas P. DiNapoli, State Comptroller Contract Search ResultsMedicaid Supplemental Rebate Agreement • November 8th, 2021
Vendor Name Department/Facility Contract Number Current Contract Amount Spending to Date Contract Start Date Contract End Date Contract Description Contract Type Original Contract Approved/Filed Date BIOGEN U S CORPORATION Department of Health X035821 $0.00 $0.00 01/01/2020 07/13/2023 Medicaid Supplemental Rebate Agreement Revenue Generating - Medical/Pharmacy- DOH/EPIC 07/28/2020 BIOMERIEUX INC Department of Health OP035788A $118,919.66 $118,919.66 03/13/2020 03/31/2021 DOH01-OP035788A-3450000 Contracts Not Subject to OSC Pre-Audit 03/13/2020 BIOMERIEUX INC Department of Health OP035789 $439,317.50 $435,287.50 03/13/2020 03/31/2021 COVID-19 Wadsworth Contracts Not Subject to OSC Pre-Audit 03/13/2020 BIONIME USA CORPORATION Department of Health X028494 $0.00 $0.00 10/01/2012 09/30/2013 Diabetic Supplies Rebate- New Revenue Generating - Medical/Pharmacy- DOH/EPIC 12/12/2012 BIONIME USA CORPORATION Department of Health X010066 $0.00 $0.00 1
Office of the State Comptroller Thomas P. DiNapoli, State Comptroller Contract Search ResultsMedicaid Supplemental Rebate Agreement • April 10th, 2024
Vendor Name Department/Facility Contract Number Current Contract Amount Spending to Date Contract Start Date Contract End Date Contract Description Contract Type Original Contract Approved/Filed Date JANSSEN BIOTECH INC Department of Health X036334 $0.00 $0.00 04/01/2021 03/31/2024 Medicaid Supplemental Rebate agreement Revenue Generating - Medical/Pharmacy- DOH/EPIC 05/07/2021 JANSSEN BIOTECH INC Department of Health X039374 $0.00 $0.00 07/01/2023 06/30/2026 Medicaid supplemental rebate agreement Revenue Generating - Medical/Pharmacy- DOH/EPIC 07/21/2023 JANSSEN BIOTECH INC Department of Health X039320 $0.00 $0.00 10/01/2023 09/30/2026 Medicaid supplemental rebate agreement Revenue Generating - Medical/Pharmacy- DOH/EPIC 09/27/2023 SANOFI US CORPORATION Department of Health X034994 $0.00 $0.00 05/30/2019 05/29/2039 Elderly Pharmaceutical Insurance Coverage (EPIC) Rebate Agreement Revenue Generating - Medical/Pharmacy- DOH/EPIC 06/07/2019 ADAR
Office of the State Comptroller Thomas P. DiNapoli, State Comptroller Contract Search ResultsMedicaid Supplemental Rebate Agreement • April 21st, 2024
Vendor Name Department/Facility Contract Number Current Contract Amount Spending to Date Contract Start Date Contract End Date Contract Description Contract Type Original Contract Approved/Filed Date NOVARTIS PHARMACEUTICALS CORPORATION Department of Health X033602 $0.00 $0.00 01/01/2018 12/31/2020 Medicaid Supplemental Rebate Agreement Revenue Generating - Medical/Pharmacy - DOH/EPIC 05/10/2018 SANOFI AVENTIS US LLC Department of Health X033574 $0.00 $0.00 01/16/2018 01/15/2038 Elderly Pharmaceutical Insurance Coverage (EPIC) Rebate Agreement Revenue Generating - Medical/Pharmacy - DOH/EPIC 02/28/2018 ALKERMES INC Department of Health X033570 $0.00 $0.00 10/01/2017 09/30/2026 Medicaid Supplemental Rebate Agreement Revenue Generating - Medical/Pharmacy - DOH/EPIC 04/25/2018 MALLINCKRODT ARD INC Department of Health X033488 $0.00 $0.00 04/01/2017 03/31/2020 Medicaid Supplemental Rebate Agreement Revenue Generating - Medical/Pharmacy - DOH/EPIC 02/02/2018
