PENNSYLVANIA MEDICAID SUPPLEMENTAL REBATE AGREEMENTPennsylvania Medicaid 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.
PENNSYLVANIA MEDICAID SUPPLEMENTAL REBATE AGREEMENTPennsylvania Medicaid 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
