State Supplemental Rebate Agreement Sample Contracts

Title 50, Part XXIX
State Supplemental Rebate Agreement • March 4th, 2019
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Delaware State Supplemental Rebate Agreement And
State Supplemental Rebate Agreement • March 22nd, 2024 • Delaware

The Delaware Department of Health and Social Services, Division of Medicaid and Medical Assistance (hereinafter “Department” or “DMMA”) and MANUFACTURER (Manufacturer) have entered into this Agreement for the purpose of establishing a State Supplemental Rebate for utilization of the Manufacturer’s Preferred Product(s) by Delaware Medicaid recipients, which will be in addition to rebates received under the National Drug Rebate Agreement, pursuant to Section 1927 of the Social Security Act (“the Act”), 42 U.S.C. § 1396r-8. The parties intend for this Agreement to meet the requirements of 42

STATE OF MASSACHUSETTS SUPPLEMENTAL REBATE AGREEMENT Between THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES And [DRUG MANUFACTURER]
State Supplemental Rebate Agreement • October 4th, 2020 • Massachusetts

This State Supplemental Rebate Agreement (“Agreement”) is by and between the Massachusetts Executive Office of Health and Human Services (EOHHS), the single state agency for the administration of MassHealth, the medical assistance and benefit program pursuant to Title XIX of the Social Security Act (42 U.S.C. 1396 et. seq.), Title XXI of the Social Security Act (42 U.S.C. 1397aa et. seq.), M.G.L. c. 118E, and other applicable laws and waivers; and [DRUG MANUFACTURER] (“_______________” or “Drug Manufacturer”).

State Supplemental Rebate Agreement Among Participating Medicaid Programs Provider Synergies, L.L.C.
State Supplemental Rebate Agreement • May 5th, 2020

This TOP$sm, The Optimal PDL $olution (“TOP$sm”) State Supplemental Rebate Agreement (“Agreement”) among definite and certain Participating Medicaid Programs herein identified and made a party to this Agreement via the attached and incorporated Medicaid Program Participation Agreement, Provider Synergies, L.L.C. (“Provider Synergies”), and

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