SUPPLEMENTAL REBATE AGREEMENTSupplemental Rebate Agreement • January 7th, 2021 • Maine
Contract Type FiledJanuary 7th, 2021 Jurisdiction
SUPPLEMENTAL REBATE AGREEMENT Company NameSupplemental Rebate Agreement • May 5th, 2020 • Utah
Contract Type FiledMay 5th, 2020 JurisdictionThis Supplemental Rebate Agreement (“Agreement”) is dated as of this 1st day of January by and between the State of Utah Department of Health, Division of Medicaid and Health Financing (“State”) and (“Pharmaceutical Manufacturer”).
State of Oregon SUPPLEMENTAL REBATE AGREEMENTSupplemental Rebate Agreement • May 5th, 2020 • Oregon
Contract Type FiledMay 5th, 2020 JurisdictionThis Agreement is between the State of Oregon, acting by and through the Oregon Health Authority, Division of Medical Assistance Programs (“DMAP”) and
Delaware State Supplemental Rebate Agreement AndSupplemental Rebate Agreement • May 17th, 2017 • Delaware
Contract Type FiledMay 17th, 2017 JurisdictionThe Delaware Department of Health and Social Services, Division of Medicaid and Medical Assistance (hereinafter “Department” or “DMMA”) and 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 U.S.C. § 1396r-8.
Supplemental Rebate Agreement ReportingSupplemental Rebate Agreement • January 31st, 2023
Contract Type FiledJanuary 31st, 2023In Nevada, three managed care organizations and/or their pharmacy benefit managers entered into rebate agreements and contracts to purchase prescription drugs included on the list of preferred prescription drugs for health plans under the Medicaid program. A pharmacy benefit manager enters into rebate agreements on behalf of the Fee-for-Service Medicaid program. A summary of these agreements is provided in Table 1 below.
Delaware State Supplemental Rebate Agreement AndSupplemental Rebate Agreement • March 22nd, 2024 • Delaware
Contract Type FiledMarch 22nd, 2024 JurisdictionThe 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
SUPPLEMENTAL REBATE AGREEMENTSupplemental Rebate Agreement • October 10th, 2011 • Oklahoma
Contract Type FiledOctober 10th, 2011 JurisdictionBased upon the following recitals, the Oklahoma Health Care Authority (hereinafter referred to as “OHCA”) and , F.E.I# _ _ - , (hereinafter referred to as “Manufacturer”), enter into this agreement.
Agreement Number 000000Supplemental Rebate Agreement • March 23rd, 2017 • Oregon
Contract Type FiledMarch 23rd, 2017 JurisdictionIn compliance with the Americans with Disabilities Act, this document is available in alternate formats such as Braille, large print, audiotape, oral presentation and electronic format. To request an alternate format, please send an e-mail to dhs-oha.publicationrequest@state.or.us or contact the Office of Document Management at 503-378-3486 (voice), and TTY at 503-378-3523.
SUPPLEMENTAL REBATE AGREEMENTSupplemental Rebate Agreement • April 30th, 2024 • Maine
Contract Type FiledApril 30th, 2024 Jurisdiction
SUPPLEMENTAL REBATE AGREEMENT-+Supplemental Rebate Agreement • May 5th, 2020 • Maine
Contract Type FiledMay 5th, 2020 JurisdictionWHEREAS, the State has the authority to enter into agreements with pharmaceutical manufacturers to collect supplemental rebates for the benefit of the State’s Medicaid members providing such agreements are authorized by the Centers for Medicare & Medicaid Services (CMS); and
SUPPLEMENTAL REBATE AGREEMENTSupplemental Rebate Agreement • April 18th, 2024 • Utah
Contract Type FiledApril 18th, 2024 JurisdictionThis Supplemental Rebate Agreement (“Agreement”) is dated as of this day of , , by and between the State of Utah Department of Health & Human Services, Division of Integrated Healthcare (“State”) and (Manufacturer).
Supplemental Rebate Agreement ReportingSupplemental Rebate Agreement • January 14th, 2022
Contract Type FiledJanuary 14th, 2022In Nevada, three managed care organizations enter into rebate agreements to purchase prescription drugs for health plans under the Medicaid program. A pharmacy benefit manager enters into rebate agreements on behalf of the fee-for-service Medicaid program. A summary of these agreements is provided in Table 1 below.
Supplemental Rebate AgreementSupplemental Rebate Agreement • May 14th, 2020 • Illinois
Contract Type FiledMay 14th, 2020 JurisdictionThe State of Illinois, acting by and through the Illinois Department of Healthcare and Family Services, 201 South Grand Avenue East, Springfield, Illinois 62763-0001 (hereinafter referred to as "Department"), and Sample Contract, located at 10 Test Dr, Test City, IL 12345, (hereinafter referred to as "Manufacturer"), hereby enter into the following Supplemental Rebate Agreement effective January 1, 2020.
ContractSupplemental Rebate Agreement • May 15th, 2019 • Louisiana
Contract Type FiledMay 15th, 2019 JurisdictionThis Supplemental Rebate Agreement (“Agreement”), by and between the State of Louisiana, Department of Health, hereinafter referred to as the “State” and «Current_Legal_Company_Name», hereinafter referred to as the “Manufacturer”, is for the provision of STATE OF LOUISIANA SUPPLEMENTAL REBATES, as further defined below.