3/2019 (old version) | 12/2019 (new version) | Type of Change | Reason for Change | Burden Change |
Package Size Code |
Package Size |
Rev | To align verbiage with other Medicaid Drug Rebate Program documentation. | N/A |
Product FDA Red. Name |
FDA Product Name |
Rev | To align verbiage with other Medicaid Drug Rebate Program documentation. | N/A |
Unit Rebate Amount |
Unit Rebate Amount (URA) |
Rev | To align verbiage with other Medicaid Drug Rebate Program documentation. | N/A |
M'Caid Amount Reimb. |
Medicaid Amount Reimbursed (MAR) |
Rev | To align verbiage with other Medicaid Drug Rebate Program documentation. | N/A |
Non M'Caid Amount Reimb. |
Non-Medicaid Amount Reimbursed (NMAR) |
Rev | To align verbiage with other Medicaid Drug Rebate Program documentation. | N/A |
Total Amt Reimbursed |
Total Amount Reimbursed (TAR) |
Rev | To align verbiage with other Medicaid Drug Rebate Program documentation. | N/A |
*Filler |
Filler | Rev | To align verbiage with other Medicaid Drug Rebate Program documentation. | N/A |
* Change to field |
N/A | Rev | To align verbiage with other Medicaid Drug Rebate Program documentation. | N/A |
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |