Laserfiche WebLink
STATE OF CALIFORNIA 0 <br />DEPARTMENT OF GENERAL SERVICES <br />PROCUREMENT DIVISION <br />Contract (Non -Mandatory) 1-07-65-54-A <br />10. ENROLLMENT PROCESS FOR AGENCIES: <br />A) Complete Exhibit B "Facility Membership Form". <br />Page 8 <br />B) Submit completed form and DGS assigned agency billing code to DGS contract <br />manager <br />C) The DGS will review the completed form, authorize it for eligibility to participate and <br />provide authorized forms to MMCAP. The agency will receive an e-mail or fax <br />notification of receipt by DGS within I business day. <br />D) MMCAP will enroll members within two (2) days of receipt of the authorized form and <br />notify the DGS and the agency of enrollment success. <br />11. ORDERING METHODS, TECHNICAL REQUIREMENTS FOR SHIPPING Aftj <br />DELIVERY <br />A) Contact the Contractor's contact or access the vendor's website to schedule on-site <br />visits or receive labels. Execute purchase documents as described in Section 11, <br />below, and submit to Contractor. <br />B) Complete forms, paperwork and procedures provided by the returns company before <br />shipping. <br />C) Include descriptive information in inventories. Use National Drug Codes (NDC) <br />wherever possible. DEA allows some estimating of drug quantities; follow their <br />protocols. <br />D) Check and ensure that no Patient Health Information (PHI) is present in product <br />destined for reverse distribution or destruction. <br />E) Shipping CIII-CV. Please separate all CIII-CV in a bag, attach a copy of the Return <br />Authroization (RAP form and place in box number one. <br />F) Shipping CII. This is important! You must complete an online CII request at <br />(www.guaranteedreturns.com under forms) or Fax a CII request form (included in the <br />Return Authorization packet) to Guaranteed Returns. A DEA 222 form will then be <br />mailed to the facility with further instructions. <br />G) Use pre -paid UPS A.R. S. shipping labels and return authorization labels as required by <br />Guaranteed Returns. <br />H) Choose sound packaging materials. Line shipping box with plastic in case of leakage. <br />(Avoid using a red bag as a liner.) <br />1) Pack pharmaceuticals carefully so that containers don't break. <br />