PRESCRIPTION SERVICE, FILLED AND DELIVERED OR PICKED-UP AS CALLED OR FAXED BY DEPARTMENT OF YOUTH SERVICES PERSONNEL. ALL PRESCRIPTIONS MUST BE READY IN FOUR (4) HOURS AFTER CALL. VENDOR MUST BE AVAILABLE AFTER NORMAL WORKING HOURS AND ON HOLIDAYS TO FILL EMERGENCY REQUISITIONS. NAME AND CONTACT PHONE NUMBER FOR INDIVIDUALS MUST BE LISTED BELOW FOR 24 HOUR EMERGENCY SERVICE. ALL MEDICATIONS MUST BE PRE-PACKAGED. NAME:_____________________ PHONE #: __________________ PRICES WILL BE IN ACCORDANCE WITH THE AVERAGE WHOLESALE PRICE (AWP) PLUS FILING FEE OR PERCENTAGE. ________% OR _________ EACH PRESCRIPTION. PRESCRIPTION MEDICATION TO BE PACKAGED IN BLISTER PACKS. UP TO THREE (3) DELIVERIES PER WEEK (SAME DAY DELIVERY IF CALLED IN BY 3:00PM) FACILITY WILL PROVIDE FAXED IN ORDERS WHEN POSSIBLE. 4 HOUR "WAIT TIME" FOR ORDERS

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