FORM OF BILLING AND CLAIMS PROCESSING SERVICES AGREEMENTBilling and Claims Processing Services Agreement • April 22nd, 2011 • Targeted Medical Pharma, Inc. • Blank checks • California
This Billing and Claims Processing Services Agreement (the “Agreement”) is made this _____ day of _____________, 20___ (the “Effective Date”) by and between ____________________________, M.D., an individual resident of the State of ___________________ (“Physician”), practicing at: ______________________________________________________ and Targeted Medical Pharma, Inc., a Delaware corporation (“TMP”), with offices at 2980 Beverly Glen Circle, Suite 301, Los Angeles, California 90077.
TARGETED MEDICAL PHARMA, INC. FORM OF PHYSICIAN PURCHASE AGREEMENTForm of Physician Purchase Agreement • April 22nd, 2011 • Targeted Medical Pharma, Inc. • Blank checks • California
This Purchase Agreement (the “Agreement”) is made this _____ day of _____________, 20___ (the “Effective Date”) by and between ____________________________, M.D., an individual resident of the State of ___________________, doing business as _____________________________ at _____________________________________ (“Physician”) and Targeted Medical Pharma, Inc., a Delaware corporation (“TMP”), with offices at 2980 Beverly Glen Circle, Suite 301, Los Angeles, California 90077.
ARIZONA NUTRITIONAL SUPPLEMENTS, INC. SALES AGREEMENTArizona Nutritional • April 22nd, 2011 • Targeted Medical Pharma, Inc. • Blank checks
This agreement is entered into as of January 1, 2007 (the "Effective Date"), between Arizona Nutritional Supplements, Inc. (“ANS") and Targeted Medical Pharma, Inc. (the "Customer").
FORM OF MEDICAL FOOD CONVENIENCE PACK AND PHARMACEUTICAL PURCHASE AGREEMENTPurchase Agreement • April 22nd, 2011 • Targeted Medical Pharma, Inc. • Blank checks • California
This Medical Food Convenience Pack and Pharmaceutical Purchase Agreement (the “Agreement”) is made this (the “Effective Date”) by and between , a California (“Distributor”), and Targeted Medical Pharma, Inc., a Delaware corporation (“TMP”), with offices at 2980 Beverly Glen Circle, Suite 301, Los Angeles, California 90077.
COMPLETE CLAIMS PROCESSING, INC. FORM OF BILLING AND CLAIMS PROCESSING SERVICES AGREEMENTBilling and Claims Processing Services Agreement • April 22nd, 2011 • Targeted Medical Pharma, Inc. • Blank checks • California
This Billing and Claims Processing Services Agreement (the “Agreement”) is made this _____ day of _____________, 20___ (the “Effective Date”) by and among ____________________________, M.D., an individual resident of the State of ___________________, doing business as ______________________________at __________________________________________________ (“Physician”), Complete Claims Processing, Inc., a Delaware corporation (“CCPI”), with offices at 2980 Beverly Glen Circle, Suite 301, Los Angeles, California 90077 and Targeted Medical Pharma, Inc., a Delaware corporation (“TMP”), with offices at 2980 Beverly Glen Circle, Suite 301, Los Angeles, California 90077.
