Vermont Supplemental Drug Rebate Agreement Sample Contracts

VERMONT SUPPLEMENTAL DRUG-REBATE AGREEMENT
Vermont Supplemental Drug-Rebate Agreement • May 5th, 2020
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This Agreement is entered into by the following parties on the date last signed below:
Vermont Supplemental Drug-Rebate Agreement • January 7th, 2020

Pharmaceutical Manufacturer (“Manufacturer”) Department of Vermont Health Access (“The State”) Labeler Code: Manufacturer Primary Billing Address: State Primary Billing Address: Manufacturer Primary Contact Person: State Primary Contact Person: Manufacturer Primary Contact Telephone: State Primary Contact Telephone: Manufacturer Primary Contact e-mail: State Primary Contact e-mail: Address for Notices required by Agreement (“Manufacturer Notice Address”): Address for Notices required by Agreement: (“State Notice Address”): State of VermontDepartment of Vermont Health Access Pharmacy Unit-Stacey Baker280 State Drive, NOB1 South South Waterbury, VT 05671 Termination Date: (“Termination Date”) Effective Date (“Effective Date”)

VERMONT SUPPLEMENTAL DRUG REBATE AGREEMENT
Vermont Supplemental Drug Rebate Agreement • May 5th, 2020
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