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Drug Declarations

Drug Declarations

In some instances, drug declaration forms will need to be filled and submitted in order to participate in the GPO contracts that IPN offers. In those cases, forms will be provided here.


 
Janssen

Pharmacy Dispensing

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Janssen

Physician Dispensing

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Genentech Lucentis

Letter of Commitment

View
Dendreon Provenge

Declaration Form

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Amgen Xgeva

Declaration Form

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Bayer Xofigo

Letter of Commitment

View
AbbVie Lupron

Declaration Form

View
Merck Renflexis

Enrollment Form

View
Sanofi

Membership Application

View
UCB Cimzia

Letter of Commitment

View
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