Get the free Manufacturer Contact Change Form - Medicaid.gov - medicaid
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MEDICAID DRUG REBATE AGREEMENT ENCLOSURE B (PAGE 1 OF 2) SUPPLEMENTAL DATA SHEET LABELED CODE (as assigned by FDA) LABELED NAME (Corporate name associated with labeled code) LEGAL CONTACT ? Person
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What is manufacturer contact change form?
The manufacturer contact change form is a document used to update and modify the contact information of a manufacturer.
Who is required to file manufacturer contact change form?
The manufacturer or authorized representative of a product is required to file the manufacturer contact change form.
How to fill out manufacturer contact change form?
To fill out the manufacturer contact change form, you need to provide the necessary contact information such as name, address, phone number, and email address. This information should be updated accurately.
What is the purpose of manufacturer contact change form?
The purpose of the manufacturer contact change form is to ensure that the contact information of the manufacturer or authorized representative is up-to-date and can be easily accessed for any necessary communication.
What information must be reported on manufacturer contact change form?
The manufacturer contact change form typically requires the reporting of the manufacturer's or authorized representative's name, address, phone number, email address, and any other relevant contact information.
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