Agreement for Compounded Preparations – Quantum Pharmaceuticals

Agreement for Compounded Preparations

Quantum Pharmaceuticals · 1314 Commercial Ave, Mounds, OK · 918-938-0503

Oklahoma State Board of Pharmacy regulations require a written agreement between your office or healthcare facility and the pharmacy providing a compounded product.
Vendor (Pharmacy)
Quantum Pharmaceuticals
1314 Commercial Ave · Mounds, OK
Phone: 918-938-0503 · Fax: 918-938-0080
info@quantum-pharm.com
Pharmacist in Charge
Dr. Thanh Tuyen Vu Pham, PharmD
Pharmacist in Charge
1 Purchaser / Facility Information
2 Agreement Terms

Please read each term carefully

1. Vendor Compliance. Vendor agrees to comply with all acceptable standards of practice for compound pharmacies as set forth by Oklahoma State Laws and Regulations, in accordance with applicable Good Compounding Practices. In the event of a product recall, Vendor agrees to notify Purchaser immediately with all pertinent information.
2. Purchaser Compliance. Purchaser agrees to comply with applicable Oklahoma State Laws and Regulations, including: (a) Compounded preparations provided by the Vendor may only be administered to the patient and may not be dispensed or sold to any other person or entity (excluding approved investigational studies or trials). (b) Compounded medication under 503A are prepared pursuant to patient-specific prescriptions. Lot numbers and beyond-use-dates are maintained by the pharmacy. Clinics must document administration in the patient's chart or medical record.
3. Delivery. Vendor will arrange delivery at Purchaser's expense, using Vendor's preferred method.
4. Shipping Liability. Once the product leaves Vendor's location, all shipping and delivery-related liability transfers to the Purchaser. Refunds or replacements are not typically provided for delivery issues; however, if the carrier confirms a package was lost in transit, Vendor will replace it. Vendor reserves the right, at its sole discretion, to make exceptions on a case-by-case basis.
5. Term. This agreement shall commence on the date signed below and will remain in effect until terminated by either party.
6. Credit Terms. Initial credit terms are net seven (7) days from the date of invoice. Payment must be received within this period. The Vendor reserves the right to suspend or refuse to fill subsequent orders if payment is not made.
3 Authorized Signatory
Vendor (pre-signed)
Name: Dr. Thanh Tuyen Vu Pham, PharmD
Title: Pharmacist in Charge
Company: Quantum Pharmaceuticals