Complete the CSHCN Services Program Drug Rebate Agreement (HHS Form 1343) and return two signed original copies to the CSHCN Services Program (see Table 4) to participate in the rebate program. Download the form at txvendordrug.com/resources/downloads.

5.5.1 Program Specific Requirements

Drug manufacturers must submit quarterly pricing data to HHSC as stated in their signed agreements (see Table 7).