Medicaid Program; Announcement of Medicaid Drug Rebate Program National Rebate Agreement, 78816-78835 [2016-26834]

Agencies

• Centers for Medicare & Medicaid Services
• DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Federal Register Volume 81, Number 217 (Wednesday, November 9, 2016)]
[Notices]
[Pages 78816-78835]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-26834]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-2397-PN]
RIN-0938-ZB29


Medicaid Program; Announcement of Medicaid Drug Rebate Program 
National Rebate Agreement

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Proposed notice.

-----------------------------------------------------------------------

SUMMARY: This proposed notice with comment period announces changes 
that would be made to the Medicaid National Drug Rebate Agreement 
(NDRA) for use by the Secretary of the Department of Health and Human 
Services (HHS) and manufacturers under the Medicaid Drug Rebate Program 
(MDRP). We are updating the NDRA to incorporate legislative and 
regulatory changes that have occurred since the agreement was published 
in the February 21, 1991 Federal Register (56 FR 7049). We are also 
updating the NDRA to make editorial and structural revisions, such as 
references to the updated Office of Management and Budget (OMB)-
approved data collection forms and electronic data reporting.

DATES: To be assured consideration, comments must be received at one of 
the addresses provided below, no later than 5 p.m. on February 7, 2017.

ADDRESSES: In commenting, refer to file code CMS-2397-PN. Because of 
staff and resource limitations, we cannot accept comments by facsimile 
(FAX) transmission.
    You may submit comments in one of four ways (please choose only one 
of the ways listed):
    1. Electronically. You may submit electronic comments on this 
regulation to https://www.regulations.gov. Follow the ``Submit a 
comment'' instructions.
    2. By regular mail. You may mail written comments to the following 
address ONLY: Centers for Medicare & Medicaid Services, Department of 
Health and Human Services, Attention: CMS-2397-PN, P.O. Box 8016, 
Baltimore, MD 21244-8016.
    Please allow sufficient time for mailed comments to be received 
before the close of the comment period.

[[Page 78817]]

    3. By express or overnight mail. You may send written comments to 
the following address ONLY: Centers for Medicare & Medicaid Services, 
Department of Health and Human Services, Attention: CMS-2397-PN, Mail 
Stop C4-26-05, 7500 Security Boulevard, Baltimore, MD 21244-1850.
    4. By hand or courier. Alternatively, you may deliver (by hand or 
courier) your written comments ONLY to the following addresses:
    a. For delivery in Washington, DC--Centers for Medicare & Medicaid 
Services, Department of Health and Human Services, Room 445-G, Hubert 
H. Humphrey Building, 200 Independence Avenue SW., Washington, DC 
20201.
    (Because access to the interior of the Hubert H. Humphrey Building 
is not readily available to persons without Federal government 
identification, commenters are encouraged to leave their comments in 
the CMS drop slots located in the main lobby of the building. A stamp-
in clock is available for persons wishing to retain a proof of filing 
by stamping in and retaining an extra copy of the comments being 
filed.)
    b. For delivery in Baltimore, MD-- Centers for Medicare & Medicaid 
Services, Department of Health and Human Services, 7500 Security 
Boulevard, Baltimore, MD 21244-1850.
    If you intend to deliver your comments to the Baltimore address, 
call telephone number (410) 786-9994 in advance to schedule your 
arrival with one of our staff members.
    Comments erroneously mailed to the addresses indicated as 
appropriate for hand or courier delivery may be delayed and received 
after the comment period.
    For information on viewing public comments, see the beginning of 
the SUPPLEMENTARY INFORMATION section.

FOR FURTHER INFORMATION CONTACT: Terry Simananda, (410) 786-8144.

SUPPLEMENTARY INFORMATION: 
    Inspection of Public Comments: All comments received before the 
close of the comment period are available for viewing by the public, 
including any personally identifiable or confidential business 
information that is included in a comment. We post all comments 
received before the close of the comment period on the following Web 
site as soon as possible after they have been received: https://www.regulations.gov. Follow the search instructions on that Web site to 
view public comments.
    Comments received timely will also be available for public 
inspection as they are received, generally beginning approximately 3 
weeks after publication of a document, at the headquarters of the 
Centers for Medicare & Medicaid Services, 7500 Security Boulevard, 
Baltimore, Maryland 21244, Monday through Friday of each week from 8:30 
a.m. to 4 p.m. To schedule an appointment to view public comments, 
phone 1-800-743-3951.

I. Background

    Under the Medicaid Program, states may provide coverage of 
outpatient drugs furnished to eligible individuals as an optional 
benefit under section 1905(a)(12) of the Social Security Act (the Act). 
Section 1903(a) of the Act provides for federal financial participation 
(FFP) in state expenditures for these drugs. In general, for payment to 
be made available under section 1903 of the Act for most drugs, 
manufacturers must enter into, and have in effect, a Medicaid National 
Drug Rebate Agreement (NDRA) with the Secretary of the Department of 
Health and Human Services (HHS) as set forth in section 1927(a) of the 
Act.
    Authorized under section 1927 of the Act, the Medicaid Drug Rebate 
Program (MDRP) is a program that includes CMS, State Medicaid Agencies, 
and participating drug manufacturers that helps to partially offset the 
federal and state costs of most outpatient prescriptions drugs 
dispensed to Medicaid patients. Currently there are more than 600 drug 
manufacturers who participate in the MDRP. The NDRA provides that 
manufacturers are responsible for notifying states of a new drug's 
coverage. Additionally, manufacturers are required to report all 
covered outpatient drugs under their labeler code to the MDRP and may 
not be selective in reporting their NDCs to the program. Manufacturers 
are then responsible for paying a rebate on those drugs for which 
payment was made under the state plan. These rebates are paid by 
manufacturers on a quarterly basis to states and are shared between the 
states and the federal government to partially offset the overall cost 
of prescription drugs under the Medicaid Program.

II. Provisions of the Proposed Notice

    We are updating the NDRA to reflect the changes in the Covered 
Outpatient Drug final rule with comment period that was published in 
the February 1, 2016 Federal Register (81 FR 5170), as well as 
operational and other legislative changes that have occurred over the 
last 20 plus years since the NDRA was first issued in 1991. A sample of 
the finalized NDRA would be posted on the CMS Web site after we have 
considered the public comments and published the final notice. Once 
finalized, the updated NDRA would need to be signed by all 
participating manufacturers, as well as new manufacturers joining the 
program. Manufacturers with an active NDRA at the time the updated NDRA 
is to be executed would not be subject to verification of their 
proposed covered outpatient drug list. However, prospective 
manufacturers that request a new NDRA, or reinstatement of a previously 
active NDRA once the updated NDRA is available, would be subject to the 
current process of data submission and verification prior to the 
execution of an NDRA. We intend to provide additional instructions and 
guidance pertaining to how to execute new and renewal signatures of the 
finalized NDRA.
    In the Addendum to this notice with comment period, we provide a 
draft of the updated NDRA that we would use in the MDRP. If adopted, a 
drug manufacturer that seeks Medicaid coverage for its drugs would need 
to enter into the NDRA with the Secretary agreeing to provide the 
applicable rebate on those drugs for which payment was made under the 
state plan. We intend to use the updated NDRA as a standard agreement 
that will not be subject to further revisions based on negotiations 
with individual manufacturers.

III. Collection of Information Requirements

    As stated in section 4711(f) of the Omnibus Budget Reconciliation 
Act of 1990, Chapter 35 of title 44, United States Code, and Executive 
Order 12291 shall not apply to information and regulations required for 
purposes of carrying out this Act and implementing the amendments made 
by this Act. Consequently, there is no need for review by the Office of 
Management and Budget under the authority of the Paperwork Reduction 
Act of 1995 (44 U.S.C. 3501 et seq.).

IV. Response to Comments

    Because of the large number of public comments we normally receive 
on Federal Register documents, we are not able to acknowledge or 
respond to them individually. We will consider all comments we receive 
by the date and time specified in the DATES section of this preamble, 
and, when we proceed with a subsequent document, we will respond to the 
comments in the preamble to that document.

[[Page 78818]]

Addendum--Draft Agreement: National Drug Rebate Agreement Between the 
Secretary of Health and Human Services (Hereinafter referred to as 
``the Secretary'') and the Manufacturer

    The Secretary, on behalf of the U.S. Department of Health and Human 
Services and all states which have a Medicaid State Plan approved under 
42 U.S.C. 1396a, and the manufacturer, on its own behalf, for purposes 
of section 1927 of the Social Security Act (``the Act''), 42 U.S.C. 
1396r-8, hereby agree to the following:

I. Definitions

    The terms defined in this section will, for the purposes of this 
agreement, have the meanings specified in section 1927 of the Act and 
implementing Federal regulations, as interpreted and applied herein:
    (a) ``Average Manufacturer Price (AMP)'' will have the meaning set 
forth in section 1927(k)(1) of the Act as implemented by 42 CFR 
447.504.
    (b) ``Base Consumer Price Index-Urban (CPI-U)'' is the CPI-U for 
September, 1990. For drugs approved by the Food and Drug Administration 
(FDA) after October 1, 1990, ``Base CPI-U'' means the CPI-U for the 
month before the month in which the drug was first marketed.
    (c) ``Base Date AMP'' will have the meaning set forth in sections 
1927(c)(2)(A)(ii)(II) and 1927(c)(2)(B) of the Act.
    (d) ``Best Price'' will have the meaning set forth in section 
1927(c)(1)(C) of the Act as implemented by 42 CFR 447.505.
    (e) ``Bundled Sale'' will have the meaning set forth in 42 CFR 
447.502.
    (f) ``Centers for Medicare & Medicaid Services (CMS)'' means the 
agency of the U.S. Department of Health and Human Services having the 
delegated authority to operate the Medicaid Program.
    (g) ``Consumer Price Index-Urban (CPI-U)'' will have the meaning 
set forth in 42 CFR 447.502.
    (h) ``Covered Outpatient Drug'' will have the meaning set forth in 
sections 1927(k)(2), (k)(3) and (k)(4) of the Act as implemented by 42 
CFR 447.502.
    (i) ``Innovator Multiple Source Drug'' will have the meaning as set 
forth in section 1927(k)(7)(A)(ii) of the Act as implemented by 42 CFR 
447.502.
    (j) ``Manufacturer'' will have the meaning as set forth in section 
1927(k)(5) of the Act as implemented by 42 CFR 447.502.
    (k) Marketed'' means that a covered outpatient drug is available 
for sale by a manufacturer in the states.
    (l) ``Monthly AMP'' will have the meaning as set forth in 42 CFR 
447.510.
    (m) ``Multiple Source Drug'' will have the meaning as set forth in 
section 1927(k)(7)(A)(i) of the Act as implemented by 42 CFR 447.502.
    (n) ``National Drug Code (NDC)'' will have the meaning as set forth 
in 42 CFR 447.502.
    (o) ``Non-innovator Multiple Source Drug'' will have the meaning as 
set forth in section 1927(k)(7)(A)(iii) of the Act as implemented by 42 
CFR 447.502.
    (p) ``Quarterly AMP'' will have the meaning as set forth in 42 CFR 
447.504.
    (q) ``Rebate period'' will have the meaning as set forth in 42 CFR 
447.502.
    (r) ``Secretary'' means the Secretary of the U.S. Department of 
Health and Human Services, or any successor thereto, or any officer or 
employee of the U.S. Department of Health and Human Services or 
successor agency to whom the authority to implement this agreement has 
been delegated. In this agreement, references to CMS indicate such 
successor authority.
    (s) ``Single Source Drug'' will have the meaning set forth in 
section 1927(k)(7)(A)(iv) of the Act as implemented by 42 CFR 447.502.
    (t) ``State Drug Utilization Data'' means the total number of both 
fee-for-service (FFS) and managed care organization (MCO) units of each 
dosage form and strength of the manufacturer's covered outpatient drugs 
reimbursed during a rebate period under a Medicaid State Plan, other 
than units dispensed to Medicaid beneficiaries that were purchased by 
covered entities through the drug discount program under section 340B 
of the Public Health Service Act; state utilization data is supplied on 
the CMS-R-144 form (that is, the state rebate invoice).
    (u) ``States'' will have the meaning as set forth in 42 CFR 
447.502.
    (v) ``State Medicaid Agency'' means the agency designated by a 
state under sections 1902(a)(5) to administer or supervise the 
administration of the Medicaid program.
    (w) ``Unit'' means drug unit in the lowest dispensable amount. The 
manufacturer will specify the unit information associated with each 
covered outpatient drug per the instructions provided in CMS-367c.
    (x) ``Unit Rebate Amount (URA)'' means the computed amount to which 
the state drug utilization data is applied by states in invoicing the 
manufacturer for the rebate payment due.
    (y) ``United States'' will have the meaning as set forth in 42 CFR 
447.502.
    (z) ``Wholesaler'' will have the meaning as set forth in section 
1927(k)(11) of the Act as implemented by 42 CFR 447.502.

II. Manufacturer's Responsibilities

    In order for the Secretary to authorize that a state receive 
payment for the manufacturer's drugs under Title XIX of the Act, 42 
U.S.C. Section 1396 et seq., the manufacturer agrees to the 
requirements as implemented by 42 CFR 447.510 and the following:
    (a) The manufacturer shall identify an individual point of contact 
at a United States address to facilitate the necessary communications 
with states with respect to rebate invoice issues.
    (b) Beginning with the quarter in which the National Drug Rebate 
Agreement (rebate agreement) is signed, calculate, and report all 
required pricing data on every covered outpatient drug by NDC in 
accordance with section 1927 of the Act and as implemented by 42 CFR 
447.510. Furthermore, except as provided under section V(b) of this 
agreement, manufacturers are required to make a rebate payment in 
accordance with each calculated URA to each State Medicaid Agency for 
the manufacturer's covered outpatient drug(s) by NDC paid for by the 
state during a rebate period.
    (c) In accordance with the specifications pursuant to Office of 
Management and Budget (OMB)-approved CMS-367c form, report all covered 
outpatient drugs and corresponding drug product, pricing, and related 
data to the Secretary, upon entering into this agreement. This 
information is to be updated as necessary to include new NDCs and 
updates to existing NDCs. CMS uses drug information listed with FDA, 
such as Marketing Category and Drug Type, to be able to verify in some 
cases that an NDC meets the definition of a covered outpatient drug, 
therefore, manufacturers should ensure that their NDCs are 
electronically listed with FDA. Reports to CMS should include all 
applicable NDCs identifying the drug product which may be dispensed to 
a beneficiary, including package NDCs (outer package NDCs and inner 
package NDCs).
    (d) Beginning with the effective date quarter and in accordance 
with the specifications pursuant to OMB-approved CMS-367a form, report 
quarterly pricing data to the Secretary for all covered outpatient 
drugs in accordance with 42 CFR 447.510. This includes reporting for 
any package size which may be dispensed to the beneficiary. The 
manufacturer agrees to provide such information within 30 days of the 
last day of each rebate period beginning with the effective date 
quarter. Adjustments to all quarterly pricing data shall be reported on 
at least a quarterly basis.

[[Page 78819]]

    (e) In accordance with the OMB-approved CMS-367b form, report 
information including monthly AMPs and monthly AMP units for all 
covered outpatient drugs in accordance with 42 CFR 447.510. The 
manufacturer agrees to provide such information within 30 days of the 
end of the month of the effective date, and within 30 days of each 
month thereafter.
    (f) Except as provided under V(b), to make rebate payments within 
30 days after receiving the state rebate invoice. The manufacturer is 
responsible for timely payment of the rebate within 30 days so long as 
the state invoice contains, at a minimum, the number of units paid by 
NDC in accordance with 1927(b)(1) of the Act. To the extent that 
changes in product, pricing, or related data cause increases to 
previously submitted total rebate amounts, the manufacturer will be 
responsible for timely payment of those increases in the same 30 day 
time frame as the current rebate invoice.
    (g) To comply with the conditions of 42 U.S.C. section 1396r-8, 
changes thereto, implementing regulations, agency guidance and this 
Agreement.
    (h) In accordance with 1927(a)(1) of the Act, rebate agreements 
between the Secretary and the manufacturer entered into before March 1, 
1991 are retroactive to January 1, 1991. Rebate agreements entered into 
on or after March 1, 1991 shall have a mandatory effective date equal 
to the first day of the rebate period that begins more than 60 days 
after the date the agreement is entered into. Rebate agreements entered 
into on or after November 29, 1999 will also have an effective date 
equal to the date the rebate agreement is entered into that will permit 
optional state coverage of the manufacturer's NDCs as of that date.
    (i) To obtain and maintain access to the system used by the 
Medicaid Drug Rebate program, use that system to report required data 
to CMS, and ensure that their contact information is kept updated as 
required in the OMB-approved CMS-367d form.
    (j) To continue to make a rebate payment on all of its covered 
outpatient drugs for as long as an agreement with the Secretary is in 
force and state utilization data reports that payment was made for that 
drug, regardless of whether the manufacturer continues to market that 
drug. If there are no sales by the manufacturer during a rebate period, 
the AMP and best price reported in the prior rebate period should be 
used in calculating rebates.
    (k) To keep records (written or electronic) of the data and any 
other material from which the calculations of AMP and best price were 
derived in accordance with 42 CFR 447.510, and make such records 
available to the Secretary upon request. In the absence of specific 
guidance in section 1927 of the Act, federal regulations and the terms 
of this agreement, the manufacturer may make reasonable assumptions in 
its calculations of AMP and best price, consistent with the purpose of 
section 1927 of the Act, federal regulations and the terms of this 
agreement. A record (written or electronic) explaining these 
assumptions must also be maintained by the manufacturer in accordance 
with the recordkeeping requirements in 42 CFR 447.534, and such records 
must be made available to the Secretary upon request.
    (l) To notify CMS of any filing of bankruptcy, and to transmit such 
filing to CMS within seven days of the date of filing.

III. Secretary's Responsibilities

    (a) The Secretary will employ best efforts to ensure the State 
Medicaid Agency shall report to the manufacturer, within 60 days of the 
last day of each rebate period, the rebate invoice (CMS-R-144) or the 
minimum utilization information as described in section II(f) of this 
agreement, that is, information about Medicaid utilization of covered 
outpatient drugs that were paid for during the rebate period. 
Additionally, the Secretary will expect any changes to prior quarterly 
state drug utilization data to be reported at the same time.
    (b) The Secretary may survey those wholesalers and manufacturers 
that directly distribute their covered outpatient drugs to verify 
manufacturer prices and may impose civil monetary penalties as set 
forth in section 1927(b)(3)(B) of the Act and section IV of this 
agreement.
    (c) The Secretary may audit manufacturer information reported under 
section 1927(b)(3)(A) of the Act.

IV. Penalty Provisions

    (a) The Secretary may impose a civil monetary penalty under section 
III(b), as set forth in 1927(b)(3)(B) of the Act and applicable 
regulations, on a wholesaler, manufacturer, or direct seller of a 
covered outpatient drug, if a wholesaler, manufacturer, or direct 
seller of a covered outpatient drug refuses a request by the Secretary, 
or the Secretary's designee, for information about covered outpatient 
drug charges or prices or knowingly provides false information, 
including in any of its quarterly reports to the Secretary. The 
provisions of section 1128A of the Act (other than subsection (a) (with 
respect to amounts of penalties or additional assessments) and (b)) 
shall apply as set forth in section 1927(b)(3)(B) of the Act and 
applicable regulations.
    (b) The Secretary may impose a civil monetary penalty, for each 
item of false information as set forth in 1927(b)(3)(C)(ii) of the Act 
and applicable regulations.
    (c) The Secretary may impose a civil monetary penalty for failure 
to provide timely information on AMP, best price or base date AMP. The 
amount of the penalty shall be determined as set forth in 
1927(b)(3)(C)(i) of the Act and applicable regulations.
    (d) Nothing in this Agreement shall be construed to limit the 
remedies available to the United States or the states for a violation 
of this Agreement or any other provision of law.

V. Dispute Resolution

    (a) In the event a manufacturer discovers a potential discrepancy 
with state drug utilization data on the rebate invoice, which the 
manufacturer and state in good faith are unable to resolve prior to the 
payment due date, the manufacturer will submit a Reconciliation of 
State Invoice (ROSI) form, the CMS-304, to the state. If such a 
discrepancy is discovered for a prior rebate period's invoice, the 
manufacturer will submit a Prior Quarter Adjustment Statement (PQAS) 
form, CMS-304a, to the state.
    (b) If the manufacturer disputes in good faith any part of the 
state drug utilization data on the rebate invoice, the manufacturer 
shall pay the state for the rebate units not in dispute within the 
required due date in II(f). Upon resolution of the dispute, the 
manufacturer will either pay the balance due, if any, plus interest as 
set forth in section 1903(d)(5) of the Act, or be issued a credit by 
the state by the due date of the next quarterly payment in II(f).
    (c) The state and the manufacturer will use their best efforts to 
resolve a dispute arising under (a) or (b) above within 60 days of the 
state's receipt of the manufacturer's ROSI/PQAS. In the event that the 
state and manufacturer are not able to resolve the dispute within 60 
days, CMS shall require the state to make available to the manufacturer 
the same state hearing mechanism available to providers for Medicaid 
payment disputes.
    (d) Nothing in this section shall preclude the right of the 
manufacturer to audit the state drug utilization data reported (or 
required to be reported) by the state. The Secretary encourages the 
manufacturer and the state to develop mutually beneficial audit 
procedures.
    (e) The state hearing mechanism is not binding on the Secretary for

[[Page 78820]]

purposes of the Secretary's authority to implement the civil money 
penalty provisions of the statute or this agreement.

VI. Confidentiality Provisions

    (a) Pursuant to section 1927(b)(3)(D) of the Act and this 
agreement, information disclosed by the manufacturer in connection with 
this agreement is confidential and, notwithstanding other laws, will 
not be disclosed by the Secretary or State Medicaid Agency in a form 
which reveals the manufacturer, or prices charged by the manufacturer, 
except as authorized under section 1927(b)(3)(D).
    (b) The manufacturer will hold state drug utilization data 
confidential. If the manufacturer audits this information or receives 
further information on such data, that information shall also be held 
confidential. Except where otherwise specified in the Act or agreement, 
the manufacturer will observe confidentiality statutes, regulations, 
and other properly promulgated policy concerning such data.
    (c) Notwithstanding the nonrenewal or termination of this agreement 
for any reason, these confidentiality provisions will remain in full 
force and effect.

VII. Nonrenewal and Termination

    (a) Unless otherwise terminated by either party pursuant to the 
terms of this agreement, the agreement shall be effective beginning on 
the date specified in section II(h) of this agreement and shall be 
automatically renewed for additional successive terms of one year 
unless the manufacturer gives written notice of intent not to renew the 
agreement at least 90 days before the end of the current period.
    (b) In accordance with section VII(a) of this agreement, the 
manufacturer may terminate the agreement for any reason, and such 
termination shall become effective the later of the first day of the 
first rebate period beginning 60 days after the manufacturer gives 
written notice requesting termination, or CMS initiates termination via 
written notice to the manufacturer.
    The Secretary may terminate the agreement for failure of a 
manufacturer to make rebate payments to the state(s), failure to report 
required data, for other violations of this agreement, or other good 
cause upon 60 days prior written notice to the manufacturer of the 
existence of such violation or other good cause. The Secretary shall 
provide, upon request, a manufacturer with a hearing concerning such a 
termination, but such hearing shall not delay the effective date of the 
termination.
    (c) Manufacturers on the Office of Inspector General's (OIG's) List 
of Excluded Individuals/Entities (Exclusion List) will be subject to 
immediate termination from the Medicaid drug rebate program unless and 
until the manufacturer is reinstated by the OIG. Appeals of exclusion 
and any reinstatement will be handled in accordance with section 1128 
of the Act and applicable regulations. Manufacturers that are on the 
OIG Exclusion List and are reinstated by the OIG under certain 
circumstances may be evaluated for reinstatement to the Medicaid drug 
rebate program by CMS. Reinstatement to the Medicaid drug rebate 
program would be for the next rebate period that begins more than 60 
days from the date of the OIG's reinstatement of the manufacturer after 
exclusion.
    (d) If this rebate agreement is terminated, the manufacturer is 
prohibited from entering into another rebate agreement as set forth in 
section 1927(b)(4)(C) of the Act for at least one rebate period from 
the effective date of the termination, and the manufacturer addresses 
to the satisfaction of CMS any outstanding violations from any previous 
rebate agreement(s), including, but not limited to, payment of any 
outstanding rebates and good faith efforts to appeal or resolve matters 
pending with the OIG, unless the Secretary finds good cause for earlier 
reinstatement.
    (e) Any nonrenewal or termination will not affect rebates due 
before the effective date of termination.

VIII. General Provisions

    (a) This agreement is subject to any changes in the Medicaid 
statute or regulations that affect the rebate program.
    (b) Any notice required to be given pursuant to the terms and 
provisions of this agreement will be permitted in writing or 
electronically.
    Notice to the Secretary will be sent to: Centers for Medicaid and 
CHIP Services, Disabled & Elderly Health Programs Group, Division of 
Pharmacy, Mail Stop S2-14-26, 7500 Security Blvd., Baltimore, MD 21244.
    The CMS address may be updated upon notice to the manufacturer.
    Notice to the manufacturer will be sent to the email and/or 
physical mailing address as provided under section X of this agreement 
and updated upon manufacturer notification to CMS at the email and/or 
address in this agreement.
    (c) In the event of a transfer in ownership of the manufacturer, 
this agreement and any outstanding rebate liability are automatically 
assigned to the new owner subject to the conditions as set forth in 
section 1927 of the Act.
    (d) Nothing in this agreement will be construed to require or 
authorize the commission of any act contrary to law. If any provision 
of this agreement is found to be invalid by a court of law, this 
agreement will be construed in all respects as if any invalid or 
unenforceable provision were eliminated, and without any effect on any 
other provision.
    (e) Nothing in this agreement shall be construed as a waiver or 
relinquishment of any legal rights of the manufacturer or the Secretary 
under the Constitution, the Act, other federal laws, or state laws.
    (f) The rebate agreement shall be construed in accordance with 
Federal law and ambiguities shall be interpreted in the manner which 
best effectuates the statutory scheme.
    (g) The terms ``State Medicaid Agency'' and ``Manufacturer'' 
incorporate any contractors which fulfill responsibilities pursuant to 
the agreement unless specifically provided for in the rebate agreement 
or specifically agreed to by an appropriate CMS official.
    (h) Except for the conditions specified in II(g) and VIII(a), this 
agreement will not be altered except by an amendment in writing signed 
by both parties. No person is authorized to alter or vary the terms 
unless the alteration appears by way of a written amendment, signed by 
duly appointed representatives of the Secretary and the manufacturer.
    (i) In the event that a due date falls on a weekend or Federal 
holiday, the report or other item will be due on the first business day 
following that weekend or Federal holiday.

IX. CMS-367

    CMS-367 attached hereto is part of this agreement.

X. Signatures

FOR THE SECRETARY OF HEALTH AND HUMAN SERVICES

By:--------------------------------------------------------------------

     (signature)

Date:------------------------------------------------------------------

Title: Director
Disabled and Elderly Health Programs Group
Center for Medicaid and CHIP Services
Centers for Medicare & Medicaid Services
U.S. Department of Health and Human Services

ACCEPTED FOR THE MANUFACTURER


[[Page 78821]]


I certify that I have made no alterations, amendments or other changes 
to this rebate agreement.

By:--------------------------------------------------------------------

     (signature)

(please print name)----------------------------------------------------

Title:-----------------------------------------------------------------

Name of Manfacturer:---------------------------------------------------

Manufacturer Address---------------------------------------------------
-----------------------------------------------------------------------

Manufacturer Labeler Code(s):------------------------------------------

Date:------------------------------------------------------------------

BILLING CODE 4120-01-P

[[Page 78822]]

[GRAPHIC] [TIFF OMITTED] TN09NO16.000


[[Page 78823]]


[GRAPHIC] [TIFF OMITTED] TN09NO16.001


[[Page 78824]]


[GRAPHIC] [TIFF OMITTED] TN09NO16.002


[[Page 78825]]


[GRAPHIC] [TIFF OMITTED] TN09NO16.003


[[Page 78826]]


[GRAPHIC] [TIFF OMITTED] TN09NO16.004


[[Page 78827]]


[GRAPHIC] [TIFF OMITTED] TN09NO16.005


[[Page 78828]]


[GRAPHIC] [TIFF OMITTED] TN09NO16.006


[[Page 78829]]


[GRAPHIC] [TIFF OMITTED] TN09NO16.007


[[Page 78830]]


[GRAPHIC] [TIFF OMITTED] TN09NO16.008


[[Page 78831]]


[GRAPHIC] [TIFF OMITTED] TN09NO16.009


[[Page 78832]]


[GRAPHIC] [TIFF OMITTED] TN09NO16.010


[[Page 78833]]






    [GRAPHIC] [TIFF OMITTED] TN09NO16.011
    

[[Page 78834]]


[GRAPHIC] [TIFF OMITTED] TN09NO16.012


[[Page 78835]]


[GRAPHIC] [TIFF OMITTED] TN09NO16.013

BILLING CODE 4120-01-C

    CMS-367d (Exp. 03/31/2019), OMB No. 0938-0578 According to the 
Paperwork Reduction Act of 1995, no persons are required to respond to 
a collection of information unless it displays a valid OMB control 
number. The valid OMB control number for this information collection is 
0938-0578. The time required to complete this information collection is 
estimated to average 1 hour per response, including the time to review 
instructions, gather the data needed, and complete and review the 
information collection. If you have comments concerning the accuracy of 
the time estimate or suggestions for improving this form, please write 
to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, 
Baltimore, Maryland 21244-1850.

    Dated: August 11, 2016.
Andrew M. Slavitt,
Acting Administrator, Centers for Medicare & Medicaid Services.
    Approved: October 18, 2016.
Sylvia Burwell,
Secretary, Department of Health and Human Services.
[FR Doc. 2016-26834 Filed 11-7-16; 11:15 am]
 BILLING CODE 4120-01-P