SERVICE AGREEMENT
THIS AGREEMENT is hereby entered into on this ………………day of …….……………. Two Thousand and ……………………………
BETWEEN
1.XXX Inc, a XXX agency located at XXX, hereinafter referred to as the (“XXX Agency,”)
AND
- XXX Inc, a pharmacy located at XXX, hereinafter referred to as the (“Pharmacy.”) Collectively, the XXX and the Pharmacy shall be referred to as the “Parties.”
RECITALS
WHEREAS,XXX is a duly licensed and certified hospice care provider in the state of XXX, providing comprehensive end-of-life care to terminally ill patients;
WHEREAS, Pharmacy is a licensed pharmaceutical provider in the state of XXX, offering pharmacy products and services;
WHEREAS, Hospice Agency wishes to engage Pharmacy’s services to meet the pharmaceutical needs of its patients; and
WHEREAS, Pharmacy desires to provide its pharmaceutical products and services to XXX;
NOW, THEREFORE, in consideration of the mutual covenants and promises contained herein, the Parties agree as follows:
PURPOSE:
The purpose of this Agreement is to set forth the terms and conditions under which the Pharmacy will provide pharmaceutical services to patients of the Hospice Agency. The Parties intend to collaborate to ensure the appropriate and timely delivery of medications and related services to hospice patients under the care of the Hospice Agency.
TERM:
This Agreement shall commence on [Start Date] and shall remain in effect for a period of [Time Period], unless terminated earlier as provided herein.
SERVICES PROVIDED BY THE PHARMACY:
The Pharmacy agrees to provide the following services to the Hospice Agency:
- Dispensing and Delivering Medications: The Pharmacy shall dispense and deliver medications prescribed to hospice patients by licensed healthcare professionals associated with the XXX.
- Medication Consultation: The Pharmacy shall offer medication consultation services to patients and their families to address any questions or concerns related to the use, administration, and potential side effects of medications.
- Medication Management: The Pharmacy shall work closely with the XXX healthcare team to ensure proper medication management and coordination of care.
- Billing and Insurance: The Pharmacy shall handle billing and insurance claims for medications provided to hospice patients, subject to any agreements between the Parties concerning reimbursement.
RESPONSIBILITIES OF THE XXX AGENCY:
The Hospice Agency agrees to fulfill the following responsibilities:
- Prescription Transmission: The XXX Agency shall transmit prescription orders to the Pharmacy in a timely and accurate manner.
- Patient Information: The XXX Agency shall provide the Pharmacy with necessary patient information, including medical history, allergies, and relevant health conditions, to ensure safe and appropriate medication administration.
- Communication: The XXX Agency shall maintain open and timely communication with the Pharmacy regarding patient care and any changes to medication orders.
CONFIDENTIALITY:
Both Parties shall maintain the confidentiality of any patient information, business records, and any other proprietary or sensitive information obtained during the course of this Agreement. Confidential information shall not be disclosed to any third party without the prior written consent of the disclosing Party, except as required by law.
COMPLIANCE WITH LAWS AND REGULATIONS:
The Parties shall comply with all applicable federal, state, and local laws, regulations, and licensure requirements relevant to the services provided under this Agreement.
INSURANCE:
The Pharmacy shall maintain adequate insurance coverage to protect against any claims or liabilities arising from its services.
INDEPENDENT CONTRACTORS:
The relationship between the Parties is that of independent contractors, and nothing in this Agreement shall be construed to create a partnership, joint venture, or agency relationship between the Parties.
TERMINATION:
Either Party may terminate this Agreement by providing written notice to the other Party at least [Number of Days] days in advance. Additionally, this Agreement may be terminated immediately if either Party breaches any material term or condition of this Agreement.
DISPUTE RESOLUTION MECHANISM:
In the event of any dispute arising out of or relating to this Agreement, the Parties agree to first attempt to resolve the matter amicably through mediation. If mediation does not result in a resolution, the dispute shall be settled through binding arbitration in accordance with the rules of the American Arbitration Association. The costs of mediation and/or arbitration shall be borne by the party initiating the dispute.
GOVERNING LAW AND JURISDICTION:
This Agreement shall be governed by and construed in accordance with the laws of the State of XXX. Any disputes arising under or in connection with this Agreement shall be subject to the exclusive jurisdiction of the state and federal courts located in Pennsylvania
ENTIRE AGREEMENT:
This Agreement constitutes the entire understanding and agreement between the Parties concerning the subject matter hereof and supersedes all prior and contemporaneous agreements, whether oral or written.
- COUNTERPARTS:
This Agreement may be executed in counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument.
- SEVERABILITY:
If any provision of this stipulation is found to be invalid, illegal, or unenforceable, the remaining provisions shall remain in full force and effect to the fullest extent permitted by law.
- AMENDMENT:
No modification or amendment of this Agreement shall be valid or binding unless it is in writing and duly executed by all parties hereto.
IN WITNESS WHEREOF, the parties have executed this Agreement as of the date first above written.
Signed by or on behalf of:
THE UNDERSIGNED HAVE READ, FULLY UNDERSTOOD AND BY SIGNING
HOSPICE AGENCY PHARMACY
NAME: NAME:
XXX INC XXX INC
SIGNATURE: SIGNATURE:
____________________________________ _________________________
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