Thanks for taking the time to request more information about LTC Scripts and to begin dialogue with our team on specific situations for your organization.
Disclaimer: The information shared in this form is confidential, privileged and only for information for LTC Scripts. The information will not be used, published or shared with any other parties.
Your Name
*
Your Title
*
Your Email
*
example@example.com
Your Phone Number
Your Organization/Facility Name
*
Approximate number of Residents/Beds
Type of Organization/Facility
Skilled Nursing Facility (SNF)
Assisted Living Facility (ALF)
Intellectual and Development Disabilities Home (IDD)
Group Home
Rehab/Detox Facility
Correctional Facility
School/Boarding
Other Type
Current Pharmacy Vendor
Expiration date of your current pharmacy contract (if known)
Please let us know what issue you are currently facing with your current pharmacy provider and you feel could be improved.
Communication
Errors & Omissions
IV Therapy Issues
Technology Upgrades
Timeliness of Delivery
Drug Packaging
Inservice/Training
Financial Responsibility
Other
Would you be willing to confidentially share invoices with our financial department to determine if the pricing with your current pharmacy vendor is being correctly billed based on your contract?
Yes
No (not at this time)
Submit
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