Pharmacy or Hospital Recipients. If the Recipient is a Pharmacy or Hospital, the receipt will include at a minimum: (i) the name and address of the licensed physician requesting the Sample Product; (ii) the name and address of the pharmacy or hospital designated to receive the Sample Product; (iii) the name, address, professional title and signature of the person acknowledging delivery of the Sample Product; (iv) the proprietary or established name and strength of the Sample Product; (v) the quantity of the Sample Product requested; and (vi) the date of delivery.
Appears in 3 contracts
Samples: Commercial Outsourcing Services Agreement, Commercial Outsourcing Services Agreement (Corcept Therapeutics Inc), Commercial Outsourcing Services Agreement (Pacira Pharmaceuticals, Inc.)
Pharmacy or Hospital Recipients. If the Recipient is a Pharmacy or Hospital, the receipt will include at a minimum: (ia) the name and address of the licensed physician requesting the Sample Product; (iib) the name and address of the pharmacy or hospital designated to receive the Sample Product; (iiic) the name, address, professional title and signature of the person acknowledging delivery of the Sample Product; (ivd) the proprietary or established name and strength of the Sample Product; (ve) the quantity of the Sample Product requested; and (vi) the date of delivery.
Appears in 3 contracts
Samples: Commercial Outsourcing Services Agreement (Pacira BioSciences, Inc.), Commercial Outsourcing Services Agreement (Amag Pharmaceuticals Inc.), Commercial Outsourcing Services Agreement (Amag Pharmaceuticals Inc.)
