PRIMARY MEDICAL-SURGICAL AUTHORIZED DISTRIBUTOR SELECTION/ENHANCEMENT FORMMedical-Surgical Distribution Agreement • April 13th, 2012
Contract Type FiledApril 13th, 2012VHA, UHC, Child Health Corporation of America (“CHCA”) and Provista members that desire access to distributed Novation product agreements must participate in a medical-surgical distribution agreement and complete this Authorized Distributor Selection Form. By executing this form, participating member is declaring VHA, UHC, CHCA and/or Provista as the group purchasing organization of choice for products and distribution services.