Rebate Administration Forms
Form Name | Form Number |
---|---|
Reconciliation of State Invoice | CMS 304 |
Prior Quarter Adjustment Statement | CMS 304a |
Manufacturer Contact Form (Magellan Medicaid Administration) |
Form Name | Form Number |
---|---|
Reconciliation of State Invoice | CMS 304 |
Prior Quarter Adjustment Statement | CMS 304a |
Manufacturer Contact Form (Magellan Medicaid Administration) |