ContractParticipating Member Designation Form • May 17th, 2019
Contract Type FiledMay 17th, 2019The undersigned Participating Member hereby engages Vendor to provide pharmacy services pursuant to the terms and conditions of this Participating Member Designation Form (“PMDF”), and the above-referenced Group Purchasing Agreement – Pharmacy Services entered into between CCLC Solutions, Inc. and Vendor, as the same may be amended and modified from time-to-time (the “GPO Agreement”). Capitalized terms not defined herein shall have the meaning set forth in the GPO Agreement.