| Pharmacy Network |
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| Pharmacy Network Application |
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Pharmacy Network Agreement and Application
The following document is the Pharmacy Network Agreement and Application for pharmacies to join the network for the Oregon Prescription Drug Program (OPDP), effective February 1, 2007.
Please review the Agreement as it contains all the terms and conditions for a contract between the State of Oregon by and through its Oregon Prescription Drug Program, and the Pharmacy whose legal name is set forth on the attached Application for the Pharmacy Network Agreement.
Specific information is required on the Application for pharmacies to be enrolled in the OPDP network. Please download the attached Application form, fill in the blanks, sign and FAX only the signature page and Appendix A to Betty Wilton at FAX # 503-378-5511.
PHARMACY NETWORK AGREEMENT-APPLICATION FORM
If you have questions about the Agreements please call Betty Wilton at 503-373-1650, or email betty.wilton@state.or.us.
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