PDDI File Archive
(click column headers to sort)The following files contain information and materials related to Supplemental Rebates negotiated between the State and participating drug manufacturers.
The information provided here is in MS Word format. If you cannot view a file, please download the appropriate free plug-in from the links below.
- MS Word Viewer (.doc or .rtf)
- MS Excel Viewer (.xls)
- Acrobat Viewer (.pdf)
| Name | Description | Date |
Physician Referral Form (copy)
52 kB
|
2011/01/13 | |
|
Pharmacy Referral Form (copy)
53 kB
|
2011/01/13 | |
|
PA Waiver Form (copy)
51 kB
|
2011/01/13 |