General Information
Product name
Protect product (unit of sale) from light?
CAS No.
FOR
Icons in SDS
Company Information
company name
AuroMedics Pharma LLC
Section 2
Special Provisions
listed in Column 7 of 49 CFR 172.101); Site Enrollment Number assigned DEA #: SP# by Supplier: PCPDP #: NPI #: ADD'L STORAGE INFORMATION Is the Product… Comments Controlled Substance? No Controlled by State(s)? No Registry: ARCOS Reportable? No Registry Program Contact Name: Phone: Schedule No. (inc. N for non-narcotic) Comments Controlled Substance Code Listed Chemical (List I or II) No RETURN INSTRUCTIONS If yes, indicate which: Is it a scheduled listed chemical product?: No Contact tel. # if product received damaged: 888-238-7880 CLASS OF TRADE RESTRICTION: Is product returnable for credit: No restriction: Select YES if sold to retail pharmacy, hospitals, clinics and physician offices Yes URL/Link to returns policy: http://auromedics.com/policies/return-policy/ Restricted to retail pharmacy only: Special regulations or returns requirements for this product in certain states? Restricted to hospital, clinics, and physician offices only: If so, which states? Other requirements? Comments? Restricted from US territories? (explain in comments) Comments: MISCELLANEOUS NOTES and/or Image of Product Barcode: Release DATE Standard Pharmaceutical Product Information (Page 3) FOR DESIGNATED DROP SHIP PRODUCT ONLY - if not a designated drop ship, do not complete. Order Method for Designated Drop Ship Product Standard Order Receipt and Processing Purchase orders may be accepted by: Purchase order daily receipt cut off time by supplier a. EDI Cut off time: b. Autofax Fax Number: c. Fax Fax Number: Shipping lead time of PO: Hours Days d. Phone only Phone No.: e. Supplier Web Site only Site Address: Ships same day for next day receipt: Minimum Order Quantity: Ships for second day receipt: Supplier's Customer Service Number: Ships regular ground for 3-10 days receipt: Contracted 3PL company / contact #: Name: Phone: Expedited Freight Charges or Other Designated Drop Ship Fees: Overnight and Priority Overnight PO Processing Expedited freight fees billed with each order: Overnight receipt available: Drop Ship service fee billed with each order: PO Receipt cut off time: Drop Ship miscellaneous fees billed: Days of week overnight is available: Monday Comments: Tuesday Wednesday Thursday Friday Priority Overnight receipt available: Class of Trade Restriction: PO Receipt Cut off time: No restriction: Select YES if sold to retail pharmacy, hospitals, clinics and physician offices Saturday Overnight receipt available: Restricted to retail pharmacy only: PO Receipt Cut off time: Restricted to hospital, clinics, and physician offices only: Order receipt method: Phone: Phone #: Restricted from US territories? (explain in comments) Fax: Fax #: Comments: EDI: Overnight Fees apply: Other fees apply: