Pharmacy Services Agreement

 


 

PREPARED FOR:
 

DATE: 
16/Jul/2021 

REFERENCE: 
74871 

PREPARED BY:
John Smith
Your Company

Ph.: +1 (0) 405 123 123
Email: [email protected]

Pharmacy Services Agreement


This pharmacy services agreement, entered into by and between the following parties:


Your Company, the Provider,
AND , the Client,
is created as of 16/Jul/2021.

WHEREAS, the Client wishes to engage with the Provider to provide on-site pharmacy staffing and services at the Client’s facility located at , 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 09/Dec/2020.

II. Provider Responsibilities

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


Monday-Friday  [       ] Hours

Saturday  [       ] Hours

Sunday  [       ] Hours

Public Holidays  [       ] Hours


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 unauthorised 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 itemised 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.

PRODUCTS/SERVICE

QTY

PRICE

COST

TAX

TOTAL

Price Item 1
1 1.00 1.00 0.10 1.10
Total 1.10
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 wilful misconduct.

VII. Formal Communication

All formal notices shall be delivered via the following means:

[Insert addresses, emails, etc here.]

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.

Signed By: