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Pharmacy
User: Visitor March 14, 2010
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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

Electronic Submission

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   2007/07/26
Vaccine Manufacturer Letter Vaccine Manufacturer Letter 61 kB   2007/05/10
Diabetic Manufaturer Letter Diabetic Manufaturer Letter 61 kB   2007/05/10
MaineCare 2005 Supplemental Rebate Letter to Manufacturers MaineCare 2005 Supplemental Rebate Letter to Manufacturers 36 kB   2005/05/23
MaineCare 2005Supplemental Rebate Offer Form Instructions MaineCare 2005Supplemental Rebate Offer Form Instructions 67 kB   2005/05/23
MaineCare Manufacturer Mail Order Report Q12005 MaineCare Manufacturer Mail Order Report Q12005 199 kB   2005/05/19
Supplemental Rebate Utilization Report - 02.28.2005 Supplemental Rebate Utilization Report - 02.28.2005 3 MB   2005/03/02
Maine Preferred Drug List FAQ - 2/15/2005 Maine Preferred Drug List FAQ - 2/15/2005 29 kB   2005/02/28
2004 MaineCare Supplemental Rebate Agreement 2004 MaineCare Supplemental Rebate Agreement 223 kB   2005/02/28
MaineCareSupplemental Rebate Chart - 03/24/2004 MaineCareSupplemental Rebate Chart - 03/24/2004 11 kB   2005/02/28
PDL Approval Letter from CMS PDL Approval Letter from CMS 60 kB   2005/02/28
SR Utilization Report SR Utilization Report 3 MB   2005/02/28
For more documents, see archives page.

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   2008/04/25
CY 2005 Q3 AMP Memo CY 2005 Q3 AMP Memo 206 kB   2005/11/07
Title 22 Section 2629-B Update Title 22 Section 2629-B Update 6 kB   2005/11/07
Drug Price Disclosure CY2005 Drug Price Disclosure CY2005 22 kB   2005/11/07
Letter to Manufacturers - 2Q submission Letter to Manufacturers - 2Q submission 393 kB   2005/08/23
Letter to Manufacturers - Web site announcement Letter to Manufacturers - Web site announcement 396 kB   2005/08/23
Drug Price Disclosure Certification - 03/28/2005 Drug Price Disclosure Certification - 03/28/2005 21 kB   2005/03/29
Notice of 22 M.R.S.A. Letter - 03/28/2005 Notice of 22 M.R.S.A. Letter - 03/28/2005 394 kB   2005/03/29
Title 22 2698-B - 03/28/2005 Title 22 2698-B - 03/28/2005 10 kB   2005/03/29
For more documents, see archives page.