A19. Attachment 1_ADR Agreement.docx
DOCX document 24 KB Posted
- Attached to
- FY26-27 Pediatric Covid-19 Vaccines
- Solicitation number
- 75D30126R73403
About this file
This is an Authorized Distributor of Record (ADR) Agreement template establishing an ongoing relationship between a manufacturer/supplier and the Centers for Disease Control and Prevention (CDC) to designate CDC as an ADR under the Prescription Drug Marketing Act (PDMA) of 1988 and implementing regulations at 21 CFR Part 203. The agreement is not a sales agreement but rather a formal designation of CDC's authorized distributor status for the manufacturer's pharmaceutical or vaccine products. The agreement remains valid from the date of dual execution until either party provides ninety (90) days written notice of termination and does not modify or alter any pre-existing or future distribution agreements between the parties.
The manufacturer/supplier must designate whether CDC serves as the ADR for the entire product line or only for specific products listed on Attachment D-2, with products identified by pharmaceutical/vaccine name, dosage form, strength, and National Drug Code (NDC) number. Both the CDC Contracting Officer and the manufacturer/supplier's authorized representative must execute the agreement, each acknowledging they have read the agreement, understand its terms, and are duly authorized to bind their respective organizations to its requirements. The template includes an attachment listing products by item number, product/brand name, and NDC number, with blank fields to be completed during implementation.
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Other files
| File | Type | Posted |
|---|---|---|
| A19. 75D30126R73403 Peds Covid Solicitation.docx | DOCX document | |
| A19 Solicitation Cover Page - 75D30126R73403.pdf | ||
| A19 Solicitation Cover Page - 75D30126R73405.pdf | ||
| A19. Attachment 2 - List of Products.docx | DOCX document | |
| A19. 75D30126R73405 Adult Covid Solicitation.docx | DOCX document |
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Text version
D-1: Authorized Distributor of Record (ADR) Agreement
AUTHORIZED DISTRIBUTOR OF RECORD (ADR) AGREEMENT
This Agreement hereby represents the ongoing relationship between the supplier named below (“MANUFACTURER / SUPPLIER”) and the Centers for Disease Control and Prevention, herein after referred to as CDC, to establish and designate CDC as an Authorized Distributor of Record (ADR) as set forth in the Prescription Drug Marketing Act (PDMA) of 1988 as well as in the implementing federal regulations found at 21 CFR Part 203. CDC hereafter agrees to comply with all applicable state and federal laws to ensure continued status of this relationship. To further meet the requirements of the PDMA, please forward with the signed agreement an attachment with a list of the specific products that CDC is authorized to distribute or a statement that the CDC is an ADR for the manufacturer’s entire product line. Specific products should be identified by the pharmaceutical / vaccine name, dosage form, and strength of the drug and the NDC number.
Check the box that applies:
__ The Distributor is the ADR for Supplier’s entire product line.
__ The Distributor is the ADR for the products listed on the attachment D-2.
This agreement shall be valid from the date of dual execution until termination by either party on ninety (90) days written notice. This agreement shall not abridge, supplant, modify, or in any way alter any other pre-existing distribution agreement or any future agreements that may, from time to time, be executed in the furtherance of the business relationship between Manufacturer/ Supplier and the CDC.
This agreement confers no rights upon CDC other than to designate CDC as an Authorized Distributor of Record for Manufacturer / Supplier. This agreement is not intended to be, nor shall it be, interpreted as a sales agreement or any other type of agreement other than to represent an “ongoing relationship” within the meaning set forth in 21 CFR Part 203.3(u).
By affixing my signature below, I do hereby acknowledge and represent that I have read this Agreement in its entirety, that I understand its terms, that I am duly authorized to bind my organization to the requirements detailed in the above Agreement and that I agree to ensure that my organization will adhere to such requirement for the duration herein stated.
Authorized Distributor of Record: Centers for Disease Control and Prevention (CDC)
Authorized Signature:________________________________________
Print Name: , U.S. Government Contracting Officer
Date: _________________
Manufacturer / Supplier: _____________________________
Authorized Signature: ________________________________
Print Name: ________________________________________
Date: ______________
ATTACHMENT A-1
LIST OF PRODUCTS
| Item No. |
| Product/Brand Name |
| NDC |
| 1. |
| Vaccine |
| xxxxx-xxxx-xx |
| 2. |
| Vaccine |
| xxxxx-xxxx-xx |
| 3. |
| Vaccine |
| xxxxx-xxxx-xx |
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