ips group purchasing organization

IPS GROUP PURCHASING ORGANIZATION (IPS GPO)

The trusted partner of choice for more than 3,000 physicians and mid-level providers nationwide

CareCloud’s Group Purchasing Organization (IPS GPO) is the trusted partner of choice for more than 3,000 physicians and mid-level providers nationwide. IPS GPO members benefit from cost savings opportunities through CareCloud’s long term preferred vendor relationships.

In today’s environment, it is important to find new solutions to reduce your clinic’s operational expenses. Join Care Cloud’s IPS GPO and start saving on products and services such as vaccines, office supplies, medical supplies, scrubs, HR services and so much more.

Membership is Free! Enroll below!

"*" indicates required fields

Contact Information

Contact Name **

Practice Name **

Contact Title **

Main Telephone **

Fax

Cell Number

E-mail **

Referred by*

Main Office Ship To Address

Street **

Suite#

City **

State*

Zip-code **

Vaccine Account Numbers

Sanofi

Merck

Pfizer

Please List All Physicians and Mid-Levels

List*

First Name *

Middle Name

Last Name *

Attachments Required

Please Attach one copy of the primary or senior physician's current State License

Accepted file types: pdf, Max. file size: 64 MB.

Please Attach one copy of the primary or senior physician's current DEA License (Please Write the state and DEA numbers on the copies if they are eligible)

Max. file size: 64 MB.

OR

State License Number

DEA License Number

Select Your Primary Speciality

Primary Speciality **

Pediatrics

Family Practice

Internal Medicine

Other

Other **

Questions

Please take a moment to answer the following questions. The information gathered will be reviewed by the Program Director to determine compliance with program requirements.

Q1. Is your practice currently aﬃliated with another group purchasing program?*

Yes

Please Name the program*

Q2. Do you have multiple locations linked under the same account number?*

Yes

Please list all locations*

Hidden

Account Numbers*

THIS AGREEMENT is between the Medical Practice named herein and Integrated Physician Solutions Group Purchasing Organization (“IPS GPO”). The Medical Practice and IPS agree to enter into an agreement in which IPS will act as a group-purchasing agent so that the Medical Practice will gain access to nationally contracted IPS pricing. For vaccine purchases, IPS will help Members retain eligibility for pricing under this agreement based upon a 90% market share with Sanoﬁ Pasteur’s IPOL, Hib, and DTaP (Daptacel) or Tdap (Adacel), and Meningococcal vaccine (Menactra or MenQuadfi) and a 90% market share with Merck’s Pneumovax 23/Vaxneuvance, and Rotavirus (Rotateq). IPS Group Purchasing Organization may receive an administrative fee ranging from 0%-5% from the participating manufacturers as payment for administering and managing the organization and ensuring organizational compliance. Members in good standing with manufacturers are eligible to receive payment terms of net 60-90 days and a 2% prompt pay discount. Members agree to keep all IPS pricing and contract information conﬁdential except as may be required by any governmental programs, including but not limited to, Medicare and Medicaid. Returns are the responsibility of the Member. This Agreement may be canceled through written notice, with or without cause, by either party with 30days written notice. I understand and agree that any and all vaccines purchased through IPS GPO are for my practice’s “own use” and that I will not engage in re-sale of any vaccine to any other entity or individual. I understand and agree that any dispute that may occur between the manufacturer or other supplier/vendor and the practice including billing, payments, return of product or eﬃcacy of product will be resolved solely between the vaccine manufacturer/ supplier/vendor and the member. I agree to voluntarily participate in the IPS GPO and am authorized to contract for the Medical Practice named herein and its aﬃliated physicians listed. I understand that as a new member, my ﬁrst vaccine order could take up to 1 week for IPS pricing to be eﬀective with Sanoﬁ Pasteur, and up to 3 weeks for IPS pricing to be eﬀective with Merck.

Q3. Please indicate total number of providers in practice

Members in good standing with manufacturers are eligible to receive payment terms of net 60-90 days and a 2% prompt pay discount. Members agree to keep all IPS pricing and contract information conﬁdential except as may be required by any governmental programs, including but not limited to, Medicare and Medicaid. Returns are the responsibility of the Member. This Agreement may be canceled through written notice, with or without cause, by either party with 30days written notice.

I understand and agree that any and all vaccines purchased through IPS GPO are for my practice’s “own use” and that I will not engage
in re-sale of any vaccine to any other entity or individual.

I understand and agree that any dispute that may occur between the manufacturer or other supplier/vendor and the practice including billing, payments, return of product or eﬃcacy of product will be resolved solely between the vaccine manufacturer/ supplier/vendor and the member.

I agree to voluntarily participate in the IPS GPO and am authorized to contract for the Medical Practice named herein and its aﬃliated physicians listed. I understand that as a new member, my ﬁrst vaccine order could take up to 1 week for IPS pricing to be eﬀective with Sanoﬁ and Pfizer, and up to 3 weeks for IPS pricing to be eﬀective with Merck.

The parties agree that this Agreement may be executed and delivered by electronic signature(s) and that the signature(s) appearing on this Agreement are the same as handwritten signatures for the purposes of validity, enforceability, and admissibility.

Signature **

Name **

Title **

Date **