| Pharmacy Network |
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| Pharmacy Network Application |
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Pharmacy Network Agreement and Application
The following documents are the Pharmacy Network Agreement and Application and Amendment #1 for pharmacies to join the network for the Oregon Prescription Drug Program (OPDP), effective June 1, 2008.
Please review the Agreement and Amendment #1 as it contains all the terms and conditions for a contract between the State of Oregon by and through its Oregon Prescription Drug Program, and the Pharmacy whose legal name is set forth on the attached Agreement.
Specific information is required on the Application for pharmacies to be enrolled in the OPDP network. Please download the attached Application and Amendment #1 forms, fill in the blanks, sign and FAX only the signature page and Appendix A and Amendment #1 to Vika Shaulskaya at FAX # 503-378-6842.
1. PHARMACY NETWORK AGREEMENT-APPLICATION FORM
2. Pharmacy Network Amendment #1
If you have questions about the Agreements please call Betty Wilton at 503-373-1650, or email betty.wilton@state.or.us.
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