TevaOne | Pharmacy Support

Branch Details

Company/Practice Name * Branch/Location Name *

Buying Groups *

Street Address * Town/City * County * Postcode * VAT Number To comply with HMRC requirements, the documents issued
along with the rebates must include the VAT number * required

Wholesaler Details All purchases made through TevaOne are via wholesale. Please insert details of up to two wholesalers.

Wholesaler *

Wholesaler Account * Wholesaler Depot * Wholesaler Status

1st Line 2nd Line 3rd Line

Wholesaler

Wholesaler Account Wholesaler Depot Wholesaler Status

1st Line 2nd Line 3rd Line

* required

Bank Details As part of your TevaOne activation or amendment, please now provide your bank details.

Business Bank Account Name * Bank * Account Number * Sort Code * Example 112233 In order to complete your sign-up you must upload proof of your bank details here either as an image (jpg/jpeg) or PDF* max file size: 2MB

Why is proof of bank details required?

Teva UK must receive proof to verify your details and help us maintain security.

Proof of bank details constitutes...

A photo or scan as a jpg/jpeg or a PDF of one of the following:

a void cheque
a pre-printed paying-in slip/bank statement
a signed document from the bank detailing: bank name, account name, account number and sort code

Proof is NOT...

a mobile screenshot
any proof not showing all four required components: bank name, account name, account number and sort code

Please ensure any document submitted is fully legible with no quality issues and is dated within the last six months of today's date

I confirm that the document submitted is fully legible, with no quality issues, and is dated within the last six months of today's date.

* required

Contact Details

Contact Name * Telephone Number * Example 01234 123456 Email Address * Please provide an email address so that we can send you your monthly pricelist Confirm Email Address * Additional Comments

I hearby confirm permission for the nominated wholesaler(s) to provide data on the sales of Teva UK Limited products to Teva UK Limited. Data will be provided on a daily and monthly basis and will only be used for the operation and monitoring of the Teva UK Limited Schemes. *

Please tick the box if you are happy for Teva UK and its affiliates to contact you with promotional information about Teva events, products and services. As part of this, we use information such as the Teva emails you read, the Teva web pages you visited, and the Teva-organised or Teva-sponsored events you attended, to ensure they stay relevant for professionals like you. All of this is described in our privacy notice, which also explains how you can change your preferences.**

* required ** Please note that if you do not give us your permission, you will not be able to receive any services from Teva.

TevaOne Terms and Conditions

These Terms and Conditions set out the basis for participation in TevaOne. Details of the products, thresholds and rebates relating to TevaOne will be available at http://tevascheme.tevauk.com/dispensing-doctor/terms (the "Teva Website"). Teva may update, revise and change posting relating to TevaOne on the Teva Website from time to time and place an updated version of the Terms and Conditions on the Teva Website or otherwise communicate updates, revisions and changes as appropriate.

Participants are bound by any such updates, revisions and changes; therefore, you should periodically visit the Teva Website to review the then current Terms & Conditions to which you are bound as Teva’s previous rebate, threshold or discount schemes will no longer apply. The TevaOne Offer replaces all previous rebate or discount schemes between Teva UK Limited ("Teva") and the Participant.

TERMS

These Terms and Conditions shall apply from the date on which the Participant enters into the TevaOne Offer and shall continue until termination by either Participant or Teva on one (1) month’s written notice. Teva may serve notice in writing to the Participant or may notify all Participants of the withdrawal of the TevaOne Offer at any point by notice on the Teva Website.

The Participant agrees to only purchase products for its own use. Teva reserves the right to analyse PMR data from time to time to validate usage levels and compliance with these Terms and Conditions.

The Participant acknowledges that products may be out of stock or otherwise unavailable from time to time and may not always be available.

The Participant acknowledges that products may be out of stock or otherwise unavailable from time to time and may not always be available to count towards the relevant thresholds.

All personal information that you provide us with will be held securely by Teva UK Limited and will be used to register the Participant for and to administer TevaOne. For more information and for information about your data protection rights, including to ask to withdraw any permissions you have given, see the full Privacy Policy at https://www.tevauk.com/general-pages/Privacy_Policy

Teva reserves the right to withhold any rebate payments to and/or withhold access to the TevaOne Offer with any Participant where Teva believes such Participant has breached these Terms & Conditions.

These Terms and Conditions shall be construed in accordance with the Laws of England and Wales and shall be subject to the exclusive jurisdiction of the courts of England.

Rebates including VAT will be paid via BACS, unless otherwise agreed with the Participant.

Any queries regarding any claimed under payment in connection with TevaOne must be notified in writing within seven (7) days of date of the rebate being paid. Queries must be brought by the Participant within six (6) months of the date of order of the relevant product by the Participant. It shall be at Teva’s discretion whether to process claims after this six (6) month period.

Participation in TevaOne is subject to opening an account with a TevaOne nominated wholesaler.

Rebates are applicable on selected products for Participants that meet the threshold requirements. See current price list.

There may be some products from time to time which count towards the threshold levels but for which no rebate is payable. Details are set out on in our monthly price list.

On behalf of the Participant, I hereby agree to be bound by these Terms and Conditions

Now finalise your TevaOne sign up

A confirmation email has been sent to your email address. To verify your details and help us maintain security, please check your emails to finalise your TevaOne sign up and to activate your account.

You have 7 working days to finalise your TevaOne sign up.

TevaOne Sign Up

Please note the following