2019 (old version) | 2017 (new version) | Type of Change | Reason for Change | Burden Change |
N/A | State DUR Contact Information: (1) DUR State Contact Name (2) Email Address (3) Phone Number (4) Fax Number (5) Name of Fiscal Agent (if applicable) (6) Street Address (7) City (8) State (9) Zip Code | Add | To provide each state with the option to submit their state DUR contact information. | Negligible as it is an optional field. |
MEDICAID DRUG REBATE PROGRAM STATE AGENCY CONTACT FORM |
MEDICAID DRUG REBATE PROGRAM (MDRP) and DRUG UTILIZATION REVIEW (DUR) PROGRAM STATE AGENCY CONTACT FORM |
Rev | To clarify that the CMS-368 is for both the Medicaid Drug Rebate Program (MDRP) and the Drug Utiliztaion Review (DUR) Program | N/A - Update to verbiage in an existing field. |
STATE CONTACT | MDRP STATE DDR CONTACT | Rev | To differentiate whether the contact information is for the Medicaid Drug Rebate Program (MDRP) or the Drug Utiliztaion Review (DUR) Program | N/A - Update to verbiage in an existing field. |
TECHNICAL CONTACT | MDRP TECHNICAL CONTACT | Rev | To differentiate whether the contact information is for the Medicaid Drug Rebate Program (MDRP) or the Drug Utiliztaion Review (DUR) Program | N/A - Update to verbiage in an existing field. |
PROGRAM POLICY CONTACT | MDRP POLICY CONTACT | Rev | To differentiate whether the contact information is for the Medicaid Drug Rebate Program (MDRP) or the Drug Utiliztaion Review (DUR) Program | N/A - Update to verbiage in an existing field. |
REBATE CONTACT | MDRP REBATE CONTACT | Rev | To differentiate whether the contact information is for the Medicaid Drug Rebate Program (MDRP) or the Drug Utiliztaion Review (DUR) Program | N/A - Update to verbiage in an existing field. |
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |