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DermSource

DermSource is a GPO serving pharmacies across the nation with a purchasing platform exclusively dedicated to dermatology products.

DermSource and its members stand together fighting price hikes and marginalization of the middle market pharmacy, to achieve improved profitability and advance the pharmacy’s ability to serve its customers for the best possible healthcare outcomes.

Have a Question?

Monday - Friday: 09:00 am - 5:00 pm EST 50 Glen Street, Suite 327, Glen Cove NY 11542 +1 (888) 201-5937 +1 (315) 215-2250 info@DermSource.com

Pharmacy Membership Application

Terms and Conditions of Membership

As an authorized representative of this pharmacy I have read, understand and accept the Terms and Conditions for becoming a Member of DermSource provided on the DermSource web site.

Submission of this completed application and usage of the DermSource Contract Inventory database confirms my choice to be included as a member of DermSource.

As a member I understand that:

  • The application for membership to DermSource is voluntary and not associated with a membership fee for service.
  • This application represents a licensed pharmacy in the United States.
  • All Order Requests must be made through the DermSource Contract Inventory database. Upon receipt of the Order Submission, the wholesaler/distributor will contact the member directly within 24-hours (usually in 2-4 hours).
  • Members understand that the contracted products purchased come directly from the wholesaler/distributor, and all financial arrangements for payment and delivery are based on terms and conditions agreed upon between the wholesaler/distributor and the pharmacy.
  • DermSource does not require financial information from the pharmacy and takes no responsibility or action for financial or shipping arrangements made with the wholesaler/distributor.
  • Members understand that negotiated prices are exclusive to the approved DermSource membership base and cannot be extended to other pharmacies on the member’s behalf.
  • DermSource reserves the right to revoke or amend this agreement at any time.
  • Members have the right to withdraw membership at any time.
  • DermSource is not affiliated or sponsored by the manufacturer of products on the DermSource Contract Inventory, nor does it endorse the usage of said product.

I authorize DermSource to communicate by phone and email I provided, about products and inventory available.

CONFIDENTIALITY NOTICE: This application and any attachments accompanying this application contains confidential and/or privileged information for the use of the designated recipients only. If you are not the intended recipient, you are hereby notified that you have received this application in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this application in error, please notify the sender immediately by telephone and destroy all copies of this application and any attachments.

Your username can be anything, including your Pharmacy Name or NCPDP number.

Pharmacy Information

The Corporate name will also be used as your Username.

Principal Officer

Purchasing Agent

How did you hear about DermSource?

Terms and Conditions

Membership Terms and Conditions are listed on top of this page.
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