Drug Rebate Request Access

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Manufacturer Drug Rebate

Welcome » May 1, 2025 1:07 AM

	Alerts
	Children’s Long-Term Support (CLTS) Program Providers and County Waiver Agencies: The CLTS Operations Team is available for your questions about submitting prior authorizations (PAs) or claims for CLTS services. Reach the CLTS Operations Team at 844-942-5870 or CLTSOperations@gainwelltechnologies.com. Attention CLTS Providers: The CLTS Prior Authorization Conversion is still processing. If you have any difficulties submitting claims, please contact the CLTS Operations Team at 844-942-5870 or CLTSOperations@gainwelltechnologies.com.

»	Portal Access Request Information

Required fields are indicated with an asterisk (*).

Manufacturers are encouraged to review the Manufacturer Drug Rebate Portal Frequently Asked Questions.
Please select your parent labeler code to request access to the ForwardHealth Portal.
Your approval letter will be sent to your invoice contact address identified on the CMS file.
When you receive your approval letter, you will be able to add your additional labeler codes within your organization.
Review and approval of requests to establish secure Portal accounts may be delayed during drug rebate quarterly invoicing periods. This would apply to requests received in February, May, August, and November from the 15th of the month through the last day of the month.

Manufacturers who choose to sign up for a secure Portal account are agreeing to conduct all drug rebate business processes electronically. This includes the following: Submitting rebate payments electronically via the Portal e-Pay process OR via automated clearing house (ACH) Submitting Reconciliation of State Invoice (ROSI) and/or Prior Quarter Adjustment Statement (PQAS) documentation electronically via .txt, .xls, or .xlsx file format Note: PDF versions of ROSI and PQAS files may not be submitted to disposition payments through the Portal.

* I Agree to the above statement.

User Information

First Name*	First Name: Maximum characters required is (50).
Last Name*	Last Name: Maximum characters required is (50).
Email Address*	Email Address: Enter a valid value
Confirm Email*	Confirm Email: Enter a valid value
Work Phone Number*	Work Phone Number: Enter a valid valueExt. Maximum characters required is (5). Only numeric Values are allowed.
Select Your Parent Labeler Code*
Date Requested

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Wisconsin Department of Health Services

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