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Pharmacy Services Agreement

PandaTip: The tokens on the right will aid you in adding key information to this pharmacy services agreement template. Be sure to review the entire document to ensure that the services, pricing, and terms are accurate.

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 [Agreement.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

PandaTip: Use the template’s text fields here to list the hours that you’ll need to staff the client’s pharmacy.

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

PandaTip: Use the template’s pricing table to detail the fees you’ll be invoicing to the client on a monthly basis.

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.

Name Price QTY Subtotal
$0.00
1
$0.00

Subtotal       $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

PandaTip: Be sure to list the formal contact information for you and your client here.

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

PandaTip: Both parties should esign the template here before downloading a completed copy for filing.

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

[Sender.Company] [Client.Company]
Signed By:
[Sender.FirstName] [Sender.LastName]Date: 
Signed By:
[Client.FirstName] [Client.LastName]Date:  

 


Pharmacy Services Agreement [Agreement.CreatedDate]