IMPAC  Mailorder and Internet Pharmacy Accreditation

Pharmaceutical Wholesaler Accreditation

Accreditation Survey Application

Complete all areas of the application and return to IMPAC

Mailing Address:   IMPAC, Inc. P.O. Box 1146 Manchester, Vermont  05254 U.S.A. Telephone: (800) 677-7019 (413) 443-9780 Fax: (413) 443-9724 Wiring and Courier Instructions available upon request.

A pharmaceutical wholesaler is defined as anyone or any organization that buys or offers to buy pharmaceuticals for resale and distribution to corporations, individuals, or entities other than the consumer. A non-refundable payment of $1,000.00 (U.S.), payable to IMPAC, Inc., must accompany all completed applications. The IMPAC™ Pharmaceutical Wholesaler Standards will be faxed to the survey contact person upon receipt of the completed application, fee and signed non-disclosure agreement. The survey must be scheduled within ninety (90) days of receipt of the application. All distribution sites will be inspected. One half of the survey fee is due 30 days prior to the survey date. The balance of the survey fee and reimbursement for the surveyors’ travel expenses is due before receiving accreditation report. Survey Fee Schedule: Application Fee: $1,000.00 (USD) Survey Fee based on number of distribution sites     Wholesaler at one location $20,000.00 (USD)   Wholesaler with 2 to 4 distribution sites $30,000.00 (USD)   Wholesaler with 5 to 7 distribution sites $40,000.00 (USD)   Wholesaler with 8 to 10 distribution sites $50,000.00 (USD) Surveyor Expenses (travel/meals/lodging) For Pharmaceutical Wholesalers with more than 10 distribution sites, a survey fee can be quoted prior to submission of the application. IMPAC Wholesaler Accreditation Survey: Day 1: Document Review Day 2: Human Resource File Review   Policy and Procedure Review   Facility Inspection   Pedigree Review   Staff Interviews   Information Management Interview   Shipping Tour and Interviews   Initial Tour and Staff Interviews   Exit Conference         IMPAC surveyors will require the following on-site: Room that provides privacy to review documents Documents organized by IMPAC standard List of all employees with their credentials and/or job titles for selection of the random Human Resource files.     IMPAC Accreditation Status Designations: 1. Full Accreditation: 100% compliance with the standards. 2. Conditional Accreditation 75% compliance to standards with no consumer safety issues can be changed to full status if evidence is provided that all standards are met within 90 days of the Survey Findings Summary. 3. No Accreditation: Organizations with less than 75% compliance or with serious consumer safety issues or that do not submit evidence of compliance within 90 days of the Survey Findings Summary may re-apply for survey after a 6-month waiting period.         IMPAC Accreditation Term is 2 years Organization changes during the IMPAC™ Accreditation Term. In the event an organization adds additional distribution sites to their operations IMPAC™ must be notified within 30 days of the change/s. Distribution sites added to an organization during the accreditation term must be surveyed for compliance to current IMPAC™ standards within 90 days, if they are going to display the IMPAC™ seal Failure of a pharmaceutical wholesaler to inform IMPAC™ of organizational changes will lose accreditation status, and will not be eligible to apply for accreditation for a period of three years. Failure of an organization to maintain IMPAC™ Pharmaceutical Wholesaler Standards or found to have falsified information given to IMPAC™ is at significant risk to lose accreditation status.