Registration

Please review the information below in order to register your laboratory’s participation in the GSK tebipenem AVEP.
Contact IHMA, Inc. with any questions about this process.

You will only be able to create one GSK tebipenem AVEP account per institution.


Introduction

The GSK Antimicrobial Voluntary Evaluation Program (AVEP) provides Research Use Only (RUO) tebipenem disks and Etests for susceptibility testing for non-diagnostic, in vitro purposes. The purpose of the program is to provide institutions with the opportunity to understand the susceptibility profile for the pathogens in their institution before tebipenem is available on automated susceptibility panels and to provide GSK with additional information on local susceptibility profiles.

tebipenem RUO Enrollment

Please read the following enrollment information carefully.


Please complete the following form to enroll in this program and receive a limited supply of tebipenem RUO testing material. Upon registration request, IHMA, Inc. will complete your enrollment within 48 hours. By participating in the AVEP and accepting RUO testing materials, you agree to the Terms and Conditions listed below.

If you would like more information about this program or help with enrollment, please contact IHMA, Inc. (1-800-738-3344 or email tebipenemavep@ihma.com).

Should you have any technical questions regarding the susceptibility testing of tebipenem using these RUO products, please contact IHMA, Inc. at 1-800-738-3344 or email tebipenemavep@ihma.com


AVEP Program Terms & Conditions

All testing materials are for in vitro evaluation use only. Use of any testing materials to determine therapeutic options for patient treatment or any other diagnostic purpose is prohibited. The Institution is prohibited from charging any patient or third-party payer for any testing materials or including the value of the testing materials on any cost report submitted to any government agency or other third party. The Institution may not transfer any materials provided through this program, including tebipenem gradient strips and/or tebipenem disks, to another party or laboratory. The Institution acknowledges that the provision of testing materials through this program are not contingent on, nor intended to serve as an inducement or reward for any past or future purchases of GSK products. In furtherance of the scientific objectives of this program, it is requested that the Institution submit their testing results to IHMA to permit further analysis related to institutional susceptibility. GSK reserves the right to disclose any transfer for value provided in connection with this program in accordance with state and federal transparency laws. This program may be discontinued at any time.

The Institution shall comply with all then applicable laws, regulations, and rules promulgated to law including but not limited to, the federal Anti-Kickback statute, 42 U.S.C. § 1320a-7b(b) and similar State laws; Federal Food, Drug and Cosmetic Act and relevant regulations; the Food and Drug Administration’s Guidance on Industry-Supported Scientific and Educational Activities (1997); and American Medical Association ethics rules and opinions, if applicable. Further, Institution shall comply with the Investigational Review Boards (IRB), Good Clinical Practices (“GCP”), and Good Laboratory Practices (“GLC”). It is the sole digression of the Institution to inquire about the IRB needs for their site and submit the IRB application for the study, if needed. Institution certifies that neither they, nor any of their management or any other employees or independent contractors or agents who will have any involvement in the Services, are excluded from participation in any government healthcare program, debarred from or under any other federal program (including but not limited to debarment under the Generic Drug Enforcement Act), or have been convicted of any offense defined in 42 U.S.C. Section 1320a7, and that neither they, nor any of their employees, independent contractors and agents are otherwise ineligible for participation in federal healthcare programs or federal procurement or non-procurement programs; further, Institution and Investigator each represent that it is not aware of any pending or potential action(s) (including criminal actions) against it or its employees or independent contractors or agents which would give rise to any such ineligibility. Institutions shall notify GSK immediately upon becoming aware of any pending or final action in any of these areas.



Please select the desired test material quantity.


User Information

Please accurately provide the following information to ensure proper receipt of materials.




My GSK tebipenem AVEP Account Creation Details

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