Documents
Instructions
Updated: 04/2023
When to Prepare
Drug manufacturers wanting to participate in the Children with Special Health Care Needs (CSHCN) Services Program Drug Rebate Program must complete two copies of this form and return both copies to the CSHCN Services Program.
Transmittal
Staff sends the completed agreement to the CSHCN Services Program:
Children with Special Health Care Needs Services Program
CSHCN Drug Rebates
Mail Code 1938
P.O. Box 149030
Austin, TX 78714-9947
Or our physical address for overnight mail:
Children with Special Health Care Needs Services Program
CSHCN Drug Rebates
701 W. 51st Street, Mail Code 1938
Austin, TX 78714-9947