Participating Member Designation Form Sample Contracts

Contract
Participating Member Designation Form • May 17th, 2019

The 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.

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Contract
Participating Member Designation Form • September 29th, 2017

The undersigned Participating Member hereby engages Vendor to provide revenue recovery services pursuant to the terms and conditions of this Participating Member Designation Form (“PMDF”), and the above-referenced Group Purchasing Agreement – Revenue Recovery 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.

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