Almac Account Registration

Welcome
Services Provided
User Details
DART (Drug Accountability & Returns Tracking System)
Depot Network
LAS (Label Approval System)
My Clinical Supplies / My Dashboard
TempEZ
Vault
WebEZ
My Documents
Pharma POP - Hospital/Clinical Site
Pharma POP - Supply Chain Manager
Review

Welcome to the Almac User Registration System. If you wish to register for access to any of the Almac systems noted below, please proceed.

The Registration system will collect contact and access information. Please expect user accounts to take 3-5 business days to be issued from the time your requested is submitted. If you have any questions, please contact gatewaysupport@almacgroup.com. Thank you!

Almac Clinical Technologies - IXRS and other application access is managed and authorized by each protocol's Sponsor/Trial Lead. Please contact your Sponsor/Trial Lead directly for access. If you have questions, please contact IVRSsupport@almacgroup.com. Thank you!

Almac Clinical Services

   DART (Drug Accountability & Returns Tracking System)

   Depot Network (Almac Contracted Depot)

   LAS (Label Approval System)

   My Clinical Supplies / My Dashboard

   TempEZ

   Vault

   WebEZ (web-based enrollment system)

Almac Pharma Services

   My Documents

   Pharma POP - Hospital/Clinical Site

   Pharma POP - Supply Chain Manager

Services Provided

Please select one or more of the services listed below.

Almac Clinical Services

    DART (Drug Accountability & Returns Tracking System)

    Depot Network (Almac Contracted Depot)

    LAS (Label Approval System)

    My Clinical Supplies / My Dashboard

    TempEZ

    Vault

    WebEZ (web-based enrollment system)

Almac Pharma Services

    My Documents

    Pharma POP - Hospital/Clinical Site

    Pharma POP - Supply Chain Manager

User Details

We will process your personal information in accordance to our privacy policy linked below.

Please enter the contact information requested below:
(bold indicates required field)

Forename / Firstname
Surname / Lastname
Job Title
Your Company Name
Country
E-mail address
Phone Number
Name of Primary Almac Contact
Location of Primary Almac Contact	UK Pennsylvania North Carolina Singapore Dundalk

DART (Drug Accountability & Returns Tracking System)

1.Please indicate the service(s) you require access to and the type of activity or role which is most appropriate for the user:
(All users will be unblinded - the system will not support blinding groups of users)

Returns Discrepancies

Discrepancy Viewer - Can view data in Returns Discrepancy service for the customer and protocol(s) requested, but cannot adjudicate on discrepancies. Discrepancy Manager - Can view data and adjudicate on discrepancies in Returns Discrepancy service for the customer and protocol(s) requested.

Bulk Inventory Destruction

Bulk Destruction Viewer - Can view data in Bulk Destruction service for the customer and protocol(s) requested, but cannot approve destruction of inventory. Bulk Destruction Manager - Can view data and approve destruction of inventory in Bulk Destruction service for the customer and protocol(s) requested.

Returns Inventory Destruction

Returns Destruction Viewer - Can view data in Returns Destruction service for the customer and protocol(s) requested, but cannot approve destruction of inventory. Returns Destruction Manager - Can view data and approve destruction of inventory in Returns Destruction service for the customer and protocol(s) requested.

2.Please indicate the company (i.e. Almac Customer) for which access is requested :

3.Please indicate the protocol(s) for which access is requested (if access to all protocols is required, please enter ‘All protocols’) :

Depot Network

1.Please indicate the depot(s) for which access is requested:

LAS (Label Approval System)

1.Please indicate the role which is most appropriate for the user:

Customer – Individual responsible for customer decision (approve/reject) of label work Vendor – Individual authorized to generate or design documents for approval

2.Please indicate the company (i.e. Almac Customer Name or Vendor) for which access is requested.:

My Clinical Supplies / My Dashboard

1.Please indicate the company (i.e. Almac Customer) for which access is requested:

2.Please indicate the protocol(s) for which access is requested (if access to all protocols is required please enter 'All protocols':

3.Please indicate the appropriate report access and blinding type for the user:

Inventory

Blinded - The user will be able to view the medication description for some items and not for others. For example, the user will not be able to view the medication description for a finished good where the package is only labelled with a medication number (and no medication description is in or on the package). However, the user will be able to view the medication description for items used in the production process to create a finished good item. Unblinded - The user will be able to view medication details for all items.

Distribution

TempEZ

1.Please indicate the type of activity or role which is most appropriate for the user:

External Viewer - Can only view data in the system. External Manager - Can view data in the system and adjudicate excursions. Compliance Manager - Can view data in the system and perform monthly compliance. External Excursion Compliance Manager - Can view data in the system, adjudicate excursions, and perform monthly compliance. Non-Almac Depot User - Responsible for sending a depot shipment which includes TempEZ-enhanced monitors.

2.Please indicate the company (i.e. Almac customer) for which access is requested:

3.Please indicate the protocol for which access is requested:

4.If a Non-Almac Depot User, which Depot:

Vault

1.Please indicate the full Company Name (i.e. Almac customer) for which access is requested:

WebEZ

1.Please indicate the appropriate role for the user:

Client User - User associated with a customer or CRO. Site User - User associated with a clinical site.

2.Please indicate the company (i.e. Almac customer) for which access is requested:

3.Please indicate the protocol for which access is requested:

4.If Site User access is requested, please indicate the site number:

5.If Site User access is requested, please indicate the site name:

6.Please indicate if the user is allowed to unblind the patient for safety. (Note: Users provided with this access will be able to obtain treatment information via the system for emergency patient events.)

Yes – The user is allowed access to Unblinding Module No – The user is NOT allowed access to Unblinding Module

7.Please indicate is the user is allowed to view treatment information for the indicated protocol. (Note: Users provided with this access will see treatment groups and treatment descriptions)

Yes – The user is allowed unblinded data access. No – The user is NOT allowed unblinded data access.

My Documents

1.Please indicate the company (i.e. Almac Customer) for which access is requested:

2.Please indicate the project(s) for which access is requested:

Pharma POP - Hospital/Clinical Site

1.Is the User a Registered Pharmacist?

Yes No

2.Preferred Method of Ordering Product

Via Secure Website (Preferred method unless otherwise indicated.) Phone Fax

3.Clinic or Hospital Name:

4.Organization Type:

Private Public

5.User's Department:

6.Delivery Address:

For the Attention of:

Address Line 1:

Address Line 2:

Town/City:

County/Region:

Country:

Post/Zip Code:

Fax No.:

7.Special Instructions (Please indicate any special instructions related to shipping such as clinic/hospital closure times, holidays, delivery, instructions, etc..)

8.Billing Information:

Contact First Name:

Contact Last Name:

Address Line 1:

Address Line 2:

Town/City:

County/Region:

Country:

Post/Zip Code:

Telephone No.:

Fax No.:

E-mail address:

Hospital/Clinic VAT Code:

Currency to be invoiced:

9.Product Name (product you wish to order):

10.Security Questions:

1. In what town were you born?

2. In what month were you born?

3. What was the name of the first school you attended?

Pharma POP - Supply Chain Manager

1.Company Name (for whom orders to be placed):

2.Product Name (product you wish to order):

3.Preferred Method of Ordering Product

Via Secure Website (Preferred method unless otherwise indicated.) Phone Fax

4.Address:

Address Line 1:

Address Line 2:

Town/City:

County/Region:

Country:

Post/Zip Code:

Fax No.:

5.Availability Details (Please indicate dates/times during which you may be contacted.):

6.Billing Information:

Contact First Name:

Contact Last Name:

Address Line 1:

Address Line 2:

Town/City:

County/Region:

Country:

Post/Zip Code:

Telephone Number:

E-mail Address:

VAT Code:

Currency to be invoiced:

7.Security Questions:

1. In what town were you born?

2. In what month were you born?

3. What was the name of the first school you attended?

Your Almac Registration Application has been completed. Please review the information collected below and, if correct, submit your request. Within the next 3-5 business days, you will receive e-mails containing your userid and password. Thank you!

Almac User Registration Form

User Details:

Forename / Firstname
Surname / Lastname
Job Title
Your Company Name
Country
E-mail address
Phone Number
Primary Almac Contact
Location of Primary Almac Contact

Access Requested:

DART (Drug Accountability & Returns Tracking System)

Access Details	Response
Role access
Company
Protocol

Depot Network

Access Details	Response
Depot(s)

LAS (Label Approval System)

Access Details	Response
Role
Company

My Clinical Supplies / My Dashboard

Access Details	Response
Report access and blinding type
Company
Protocol

TempEZ

Access Details	Response
Role
Company
Protocol
Depot

Vault

Access Details	Response
Role
Company

WebEZ

Access Details	Response
Role
Company
Protocol
Site Number
Site Name
Unblinding Module Access
Unblinded Data Access

My Documents

Access Details	Response
Company
Project(s)

Pharma POP - Hospital/Clinical Site

Access Details	Response
Registered Pharmacist
Preferred Method
Hospital Name
Organization Type
User's Department
Delivery Address
For the Attention of
Address Line1
Address Line2
Town/City
Country/Region
Country
Post/Zip Code
Fax No
Special Instructions
Billing Information
First Name
Last Name
Address Line1
Address Line2
Town/City
Country/Region
Country
Post/Zip Code
Telephone No.
Fax No.
E-mail address
Hospital/Clinic VAT Code
Currency to be invoiced
Product Name

Security Questions

Access Details	Response
Town of birth
Month Born
First school attended

Pharma POP - Supply Chain Manager

Access Details	Response
Company Name
Product Name
Preferred Method
Address
Address Line1
Address Line2
Town/City
Country/Region
Country
Post/Zip Code
Fax No
Availability Details
Billing Information
Contact First Name
Contact Last Name
Address Line1
Address Line2
Town/City
Country/Region
Country
Post/Zip Code
Telephone Number
E-mail Address
VAT Code
Currency to be invoiced

Security Questions

Access Details	Response
Town of birth
Month Born
First school attended

AM0087.02

Almac Information Services - AMIS.035

Form Type B