Amphastar Naloxone Rebate

  Funding Opportunity Details For Additional Information and to Apply -
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Register to iowagrants.gov  -226497-Amphastar Naloxone Rebate Naloxone Rebate Application Deadline: 10/31/2020 11:59 PM  

Award Amount Range:Not ApplicableProject Start Date:07/01/2020Project End Date:09/30/2020Award Announcement Date:Eligible Applicant:Public Entities - see the Funding Opportunity Description for definition.
Program Officer:Dennis WigginsPhone:515-725-0311 xEmail:dennis.wiggins@iowa.govCategorical Area:Drugs, Health, Prevention/Treatment, Law Enforcement  Description  
Amphastar Naloxone Iowa Rebate Instructions
Effective October 1, 2017, Iowa Attorney General Thomas Miller and Amphastar Pharmaceuticals, Inc., a manufacturer of the lifesaving drug Naloxone, entered into an agreement in which Amphastar has agreed to provide a $6.00 per dose rebate for each Amphastar Naloxone syringe purchased by eligible

Iowa Public Entities, including public EMS providers, for the next two years.  A copy of that agreement can be found as an attachment below.  As part of the agreement, the Iowa Governor’s Office of Drug Control Policy has agreed to process the rebate requests.  Please review the following instructions to submit electronically your certified rebate request to the Iowa Governor’s Office of Drug Control Policy.
 
Eligibility:

Nonfederal, Iowa government agencies are eligible to receive rebate payments.  This includes Iowa government state agencies, county and local government agencies, county and local government EMS providers, law enforcement agencies and not-for-profit community agencies (hereinafter referred to as “
Public Entity”).
To be eligible for the $6.00 per dose rebate, it is not necessary that the Public Entity originally purchased the Naloxone from Amphastar.  Public Entities that purchase Amphastar-manufactured Naloxone from a pharmacy, wholesale distributor or other third party are also eligible for the $6.00 per dose rebate.
In the event that one eligible Public Entity purchased Amphastar Naloxone syringe(s) and then sold the Amphastar syringe(s) to another Public Entity, the
lastPublic Entity purchaser is eligible to receive the rebate. 
Only Amphastar-manufactured Naloxone syringes purchased between October 1, 2017 and September 30, 2019 are eligible for the rebate.
Rebate requests can be submitted only for Amphastar-manufactured Naloxone syringes; any additional components of administration or a naloxone kit (e.g. nasal aspirator or atomizer) are not part of the agreement and are not part of the rebate program.
 Rebate Submission Requirements:

Rebate requests must be submitted at the
end of each calendar quarterfor Amphastar-manufactured Naloxone syringes purchased during that calendar quarter.
The rebate request form must be received electronically by the Iowa Governor’s Office of Drug Control Policy by the 23
rdday of the month following the end of each quarter (January 23
rd, April 23
rd, July 23
rd, & October23
rd).  Rebate requests will be submitted via the State of Iowa’s grant management system and recipients will need to be enrolled as a vendor in the State of Iowa financial system. 

Many Public Entities are already set up to do business through the State of Iowa financial system.  Check with your finance manager to confirm your vendor ID.  Contact Susie Sher should you need to sign up for a new vendor ID
susie.sher@iowa.govor 515-725-0308.   
Instructions to register with www.IowaGrants.gov can be found as an attachment to the funding opportunity.
Instructions for making a request for a rebate using the Iowa grant management system are available as an attachment below.   
The Governor’s Office of Drug Control Policy will submit on behalf of all eligible Public Entities one certified combined rebate request to Amphastar within 45 days following the end of a calendar quarter.  Amphastar will issue a payment for the combined rebate amount to the Governor’s Office of Drug Control Policy, which will then disburse rebates to eligible Public Entities. 
Contact Dennis Wiggins 515/725-0311
dennis.wiggins@iowa.govor Susie Sher 515/725-0308
susie.sher@iowa.govwith questions    Attachments  Click on the File Name to open attachment 
DescriptionFile NameFile SizeDetailed instruction - Amphastar Naloxone rebate request.Iowa Naloxone Rebate Instructions.pdf1.3 MBIowaGrants.gov Registration InstructionsIowaGrants Registration Instructions_Updated 2017.pdf873 KBAmphastar Naloxone Agreement with AmphastarNaloxone Rebate Agreement.pdf603 KB   Website Links  Click on the URL to go to website