Remittance Advice Alerts/PROMISe Banner Pages
Subject: Revisions to Participating Drug Company List for Medicaid Drug Rebate Program
Banner Date: September 28, 2018 through October 23, 2018
Cycles: 14, 15, 16,17
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 October 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
ARRAY BIOPHARMA INC. (70255)
HRA PHARMA AMERICA INC. (76336)
AGIOS PHARMACEUTICALS, INC. (71334)
GLASSHOUSE PHARMACEUTICALS LLC (71428)
EYWA PHARMA (71930)
FOUNDATION CONSUMER HEALTHCARE, LLC (69536)
ICU MEDICAL INC. (00990)
BAXTER HEALTHCARE CORPORATION (36000)
CUTISPHARMA, INC. (65628)
BIOVERATIV US LLC (71104)
RIGEL PHARMACEUTICALS, INC. (71332)
BRANDYWINE PHARMACEUTICALS, LLC (71321)
 
TERMINATED LABELERS, MANDATORY AND VOLUNTARY
NEXTSOURCE BIOTECHNOLOGY, LLC (58181)
SPROUT PHARMACEUTICALS, INC. (58604)
AYTU BIOSCIENCE, INC. (69654)
EKR THERAPEUTICS, INC. (24477)
ARISTOS PHARMACEUTICALS, INC. (24486)
CREEKWOOD PHARMACEUTICAL, INC (15310)
PROFOUNDA, INC. (69051)
ORTHO MCNEIL PHARMACEUTICALS (00062)
HEALTHPOINT, LTD. (00064)
WARNER CHILCOTT PHARMACEUTICALS INC. (00149)
TAP PHARMACEUTICALS INC (00300)
FOREST LABORATORIES (00535)
GSK CONSUMER HEALTHCARE HOLDINGS (10158)
COLOPLAST CORPORATION (11701)
AMERICAN ANTIBIOTICS, INC. (15749)
FOCUS LABORATORIES, INC. (15821)
SUN PHARMA GLOBAL, INC. (41616)
ANGELINI PHARMA, INC. (43595)
SANCILIO & COMPANY, INC. (44946)
GLOUCESTER PHARMACEUTICAL INC. (46026)
ACTAVIS KADIAN LLC (46987)
THAMES PHARMACEUTICALS, INC. (49158)
NAUTILUS NEUROSCIENCES, INC. (50192)
NEW AMERICAN THERAPEUTICS (50816)
LNK INTERNATIONAL, INC. (50844)
BEDFORD LABORATORIES (55390)
HEALTH SCIENCE FUNDINGS, LLC (55607)
ROCKWELL MEDICAL, INC. (57278)
GALENA BIOPHARMA, INC. (57881)
NEW HAVEN PHARMACEUTICALS, INC. (58487)
ELAN PHARMACEUTICALS, INC./ATHENA NEURO (59075)
BIOCSL, INC. (61364)
BELCHER PHARMACEUTICALS, LLC (62250)
MYLAN BERTEK PHARMACEUTICALS, INC. (62794)
OCTAPHARMA PHARMAZEUTIKAGM (67467)
OCTAPHARMA A.B. (68209)
PHYSICIAN THERAPEUTICS LLC (68405)
VICTORY PHARMA, INC (68453)
VISTAKON PHARMACEUTICAL LLC (68669)
SALLUS LABORATORIES, LLC (69036)
BIOMES PHARMACEUTICALS, LLC (69150)
GLENVIEW PHARMA, INC (69158)
MERRIMACK PHARMACEUTICALS, INC. (69171)
GLENDALE, INC. (70147)
KASTLE THERAPEUTICS, INC. (70688)
CAMBRIDGE THERAPEUTIC TECHNOLOGIES, LLC (70882)
AKRON PHARM INC. (71399)
ACTON PHARMACEUTICALS (75989)
 
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