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Pharmacy Services Agreement

This pharmacy services agreement entered into by and between the following parties: [Sender.Name], the Provider, AND [Client.Name], the Client is created as of [Document.CreatedDate]. WHEREAS, the Client wishes to engage with the Provider to provide on-site pharmacy staffing and services at the Client’s facility located at [Client.Address], and WHEREAS, the Provider is properly licensed, willing, and able to provide such services, THEREFORE, the Provider and Client agree to enter into this pharmacy service agreement in accordance with the following:

I. Agreement Term

This pharmacy agreement shall cover a period of [Agreement.Years], beginning on [Agreement.CreatedDate].

II. Provider Responsibilities

The Provider shall offer on-site staffing of the Client’s pharmacy during the following hours:

Monday-Friday
Saturday
Sunday
Public Holidays

Additionally, the Provider shall be responsible for the following:

  • Provide consultation to patients regarding proper use of prescribed medications
  • Perform periodic inventory of all pharmacy products
  • Enact and enforce an approved quality assurance program
  • Partner with the Client to develop, review, and implement approved policies and procedures regarding pharmacy operation
  • Maintain an accurate database of patient and medication information in compliance with State and Federal standards

III. Client Responsibilities

The Client ensure that their on-site pharmacy is properly stocked and equipped in a manner acceptable to the Provider. The Client shall install and maintain safeguards to adequately secure the on-site pharmacy from intrusion by unauthorized individuals. The Client shall provide access to the on-site pharmacy to the Provider’s employees during the hours listed in this pharmacy services agreement.

IV. Payment

The Provider shall deliver an invoice to the Client for services rendered on the first business day of each calendar month. Each invoice shall contain an itemized breakdown of charges, and shall be due for payment within 30 business days. The table below outlines the fees that will be charged to the Client by the Provider.

NamePriceQtySubtotal
 
Subtotal$0.00
Discount$0.00
Tax$0.00
Total$0.00

V. Independent Contractor

The Provider shall be considered an independent contractor and is not an employee of the Client.

VI. Indemnification

Both parties to this pharmacy services agreement agree to indemnify and hold one another harmless against all damages and loss except in cases of gross negligence or willful misconduct.

VII. Formal Communication

All formal notices shall be delivered via the following means:

VIII. Governing Law

This pharmacy services agreement shall be enforced and governed in accordance with the laws of [Sender.Country] and [Sender.State].

IX. Agreement Modification

This pharmacy agreement shall not be modified except through written amendment signed by both parties.

X. Entire Agreement

This pharmacy services agreement shall constitute the entire agreement between the Client and Provider.

Acceptance

IN WITNESS WHEREOF, the below signed parties hereby agree to enter into this pharmacy agreement with one another.

[Sender.Company]

Signature

MM/DD/YYYY

[Sender.FirstName][Sender.LastName]

[Client.Company]

Signature

MM/DD/YYYY

[Client.FirstName][Client.LastName]

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