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Manufacturer Contact Form

Please note the process change (effective October 1, 2003).

In an effort to improve overall communication with pharmaceutical manufacturers, Provider Synergies will be implementing a policy recognizing two contact people per manufacturer for our Medicaid business.

This is a change from our previous policy which permitted each manufacturer to identify two contacts per state. You should select one individual to be your primary contact and a second individual to interface with Provider Synergies when the primary is not available. This revised process will optimize communication between your company and Provider Synergies, including business opportunities and other important issues.

Download the Manufacturer Contact Form.