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Pharmacy
User: Visitor July 25, 2008
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Provider Help Desk: (p) 888-420-9711 (f) 800-408-1088 | Member Help Desk: (p) 866-796-2463 (f) 207-287-8601
Prior Authorization (PA) Helpdesk (for Provider PA inquiries): (p) 888-445-0497 (f) 888-879-6938

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.

Manufacturer Rebate Information

(click column headers to sort)
Name Description Date
SSDC Manufacturer Letter SSDC Manufacturer Letter 45 kB   7/26/2007
Vaccine Manufacturer Letter Vaccine Manufacturer Letter 61 kB   5/10/2007
Diabetic Manufaturer Letter Diabetic Manufaturer Letter 61 kB   5/10/2007
MaineCare 2005 Supplemental Rebate Letter to Manufacturers MaineCare 2005 Supplemental Rebate Letter to Manufacturers 36 kB   5/23/2005
MaineCare 2005Supplemental Rebate Offer Form Instructions MaineCare 2005Supplemental Rebate Offer Form Instructions 67 kB   5/23/2005
MaineCare Manufacturer Mail Order Report Q12005 MaineCare Manufacturer Mail Order Report Q12005 199 kB   5/19/2005
Supplemental Rebate Utilization Report - 02.28.2005 Supplemental Rebate Utilization Report - 02.28.2005 3 MB   3/2/2005
Maine Preferred Drug List FAQ - 2/15/2005 Maine Preferred Drug List FAQ - 2/15/2005 29 kB   2/28/2005
2004 MaineCare Supplemental Rebate Agreement 2004 MaineCare Supplemental Rebate Agreement 223 kB   2/28/2005
MaineCareSupplemental Rebate Chart - 03/24/2004 MaineCareSupplemental Rebate Chart - 03/24/2004 11 kB   2/28/2005
PDL Approval Letter from CMS PDL Approval Letter from CMS 60 kB   2/28/2005
SR Utilization Report SR Utilization Report 3 MB   2/28/2005

AMP Pricing Information

(click column headers to sort)
Name Description Date
Quarterly AMP Data File Submission Structure Quarterly AMP Data File Submission Structure 15 kB   4/25/2008
CY 2005 Q3 AMP Memo CY 2005 Q3 AMP Memo 206 kB   11/7/2005
Title 22 Section 2629-B Update Title 22 Section 2629-B Update 6 kB   11/7/2005
Drug Price Disclosure CY2005 Drug Price Disclosure CY2005 22 kB   11/7/2005
Letter to Manufacturers - 2Q submission Letter to Manufacturers - 2Q submission 393 kB   8/23/2005
Letter to Manufacturers - Web site announcement Letter to Manufacturers - Web site announcement 396 kB   8/23/2005
Drug Price Disclosure Certification - 03/28/2005 Drug Price Disclosure Certification - 03/28/2005 21 kB   3/29/2005
Notice of 22 M.R.S.A. Letter - 03/28/2005 Notice of 22 M.R.S.A. Letter - 03/28/2005 394 kB   3/29/2005
Title 22 2698-B - 03/28/2005 Title 22 2698-B - 03/28/2005 10 kB   3/29/2005