Remittance Advice Alerts/PROMISe Banner Pages
Subject: Revisions to Participating Drug Company list for Medicaid Drug Rebate Program
Banner Date: December 29, 2017
Cycles: 26, 27, 28, 29
Provider types: 07, 08, 09, 24, & 31
 
Subject: Revisions to Participating Drug Company list for Medicaid Drug Rebate Program
 
For a drug product to be compensable through the Medical Assistance (MA) Program, the company (labeler) that markets the product must participate in the Federal Medicaid Drug Rebate Program.
 
The below revisions to the list, unless otherwise indicated, are effective January 1, 2018. Terminations and additions apply only to those National Drug Codes (NDCs) beginning with the five-digit labeler code indicated, and not to other NDCs that may be marketed by that company under a different labeler code.
 
NEW and REINSTATED LABELERS
AVPAK (50268)
CYCLE PHARMACEUTICALS, LTD. (70709)
FLEXION THERAPEUTICS, INC. (70801)
WINDER LABORATORIES, LLC (75826)
VIFOR (INTERNATIONAL) INC. (59353)
MELINTA THERAPEUTICS, INC. (70842)
SLATE RUN PHARMACEUTICALS, LLC (70436)
IRONWOOD PHARMACEUTICALS, INC. (70785)
 
TERMINATED LABELERS, MANDATORY AND VOLUNTARY
ZARS PHARMA, INC (43469)
 
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