Remittance Advice Alerts/PROMISe Banner Pages
Subject: Revisions to Participating Drug Company list for Medicaid Drug Rebate Program
Banner Date: June 22, 2018 through July 06, 2018
Cycles: 52, 01, 02
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 July 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
INTERSECT ENT, INC. (10599)
AVADEL SPECIALTY PHARMACEUTICALS LLC (71758)
OXFORD PHARMACEUTICALS, LLC (69584)
METCURE PHARMACEUTICALS, INC. (71709)
AERIE PHARMACEUTICALS, INC. (70727)
NOVITIUM PHARMA LLC (70954)
MEDUNIK USA (71770)
PHARMING HEALTHCARE INC. (71274)
COOPERSURGICAL INC. (59365)
LAURUS LABS LIMITED (42385)
ADVANCED ACCELERATOR APPLICATIONS USA, INC. (69488)
 
TERMINATED LABELERS, MANDATORY AND VOLUNTARY
ACELLA PHARMACEUTICAL (42192) 
 
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