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{"sheet":"Supply Disruption Form","index":0,"n_rows":12,"n_cols":26,"rows_kept":12,"merged":[[1,3,1,8],[4,3,4,8],[9,15,9,21],[10,23,10,25]]}
["SUPPLY DISRUPTION REPORTING FORM"]
["CONFIDENTIAL - NOT FOR DISTRIBUTION"]
["Supplier name:"]
["Name of sender:"]
["Email address of sender:"]
["Phone number of sender:"]
[]
["  Legend:"]
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[{"$nulls":15},"Note to suppliers:\n-In the event an awarded product is to become permanently unavailable, Supplier will provide HealthPRO with sixty (60) days’ advance written notice.\n-Price of the substitute product needs to be the same or lower (otherwise Supplier will pay the differential)"]
[{"$nulls":15},"Details of Available Substitutes Proposed by the Supplier",{"$nulls":7},"Clinical Advisor"]
["Nature of disruption \nBackorder\nDiscontinuation\nDiscontinuation with Substitute\n","Cause of Disruption\n(Please include detailed reason)","National/ Provincial?\n(If provincial, please indicate the affected provinces)","Contract Number\neg. (01234)","Contract Name","Supplier Product Code","Supplier Product Description","Brand","Vendor Size","GTIN","Disruption Start Date \n(MM/DD/YY)","Estimated Date of Recovery\n(MM/DD/YY)","Please upload any communication related to this disruption","Notes",null,"Is this item currently on contract? (Yes/No) ","Supplier Code","Product Description      (GS1 - Compliant Format Preferred)","Brand","Size(V)","Differences between original and substitute product/ Notes","Please provide substitute product information (Weblinks, Brochures, etc.)",null,"Is the product critical in nature?","Is the substitute Functionally Equivalent?","Remarks"]