Use the Manufacturer Contact Change Form (367d) to update CMS with changes to manufacturer Legal, Invoice and Technical Contacts.  The form may be faxed to Drug Rebate Operations, (410) 786-0390.  The form is downloadable in a PDF format by clicking on the link in the "Downloads" section below.

Use the State Contact Change Form (368) to update CMS with changes to state Technical, Program Policy, and Rebate Contacts.  The form may be faxed to Drug Rebate Operations, (410) 786-0390.  The form is downloadable in a PDF format by clicking on the link in the "Downloads" section below.

Downloads
View the Manufacturer Contact Change Form [PDF, 27KB] View the State Contact Change Form [PDF, 9KB]
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Page Last Modified: 08/27/2008 11:41:37 AM
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