---
title: Pharmaceutical Supplier Assessment Form for Pharmacies | Paperform
description: Comprehensive supplier evaluation form for pharmacies covering drug authentication, cold chain compliance, shortage communication, and recall management. Ensure supplier quality and patient safety.
url: "https://paperform.co/templates/pharmaceutical-supplier-assessment-form"
type: static
generatedAt: "2026-03-28T00:44:47.903Z"
---

[← Back to free form templates](/templates/)    ![Pharmaceutical Supplier Assessment Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/pharmaceutical-supplier-assessment-form.png)
    [Preview](https://_preview.paperform.co/ai-template/pharmaceutical-supplier-assessment-form) [Use this template for free](/create?ai-template=pharmaceutical-supplier-assessment-form)    [Vendor & Procurement Forms](/templates/category/vendor-procurement/) [Healthcare](/templates/industry/healthcare/)[Pharmacy](/templates/industry/pharmacy/) [Manager](/templates/role/manager/)[Pharmacist](/templates/role/pharmacist/)[Healthcare Administrator](/templates/role/healthcare-admin/)[Compliance Officer](/templates/role/compliance-officer/)[Operations Manager](/templates/role/operations-manager/)     About this free form template
### Pharmaceutical Supplier Assessment Form for Pharmacies

Maintaining reliable pharmaceutical suppliers is critical for patient safety and pharmacy operations. This **Pharmaceutical Supplier Assessment Form** helps pharmacy managers and procurement teams conduct thorough evaluations of drug suppliers across key compliance and operational areas.

#### Why Use This Template?

Pharmaceutical procurement requires rigorous oversight. This template enables pharmacies to systematically evaluate supplier performance in critical areas including drug authentication protocols, temperature-controlled logistics, communication during drug shortages, and recall management effectiveness. By standardizing your supplier assessments, you ensure consistent quality standards and identify potential risks before they impact patient care.

#### Key Features for Pharmacy Operations

This form covers essential evaluation criteria specific to pharmaceutical supply chains:

 - **Drug Authentication & Verification**: Assess supplier compliance with track-and-trace requirements, serialization standards, and anti-counterfeiting measures
 - **Cold Chain Compliance**: Evaluate temperature monitoring systems, refrigerated transport protocols, and documentation practices for temperature-sensitive medications
 - **Shortage Communication**: Review how effectively suppliers communicate backorders, suggest alternatives, and provide realistic timelines during drug shortages
 - **Recall Management**: Assess supplier responsiveness, notification speed, and documentation accuracy during product recalls

#### Designed for Healthcare Professionals

Whether you're a pharmacy owner, procurement manager, or quality assurance coordinator, this template provides a structured approach to vendor evaluation that meets industry standards. The form includes rating scales, yes/no assessments, and detailed comment fields to capture both quantitative and qualitative performance data.

#### Streamline with Paperform

Built on Paperform's flexible platform, you can customize this template to match your pharmacy's specific supplier requirements and compliance protocols. Use conditional logic to trigger follow-up questions based on compliance gaps, and integrate with **[Stepper](https://stepper.io)** to automatically route assessment results to procurement teams, trigger supplier improvement plans, or schedule follow-up evaluations.

All submissions are securely stored and can be exported for compliance audits, accreditation reviews, or continuous quality improvement initiatives. Trusted by healthcare organizations worldwide, Paperform maintains SOC 2 Type II compliance to protect your sensitive supplier data.
       Built for growing businesses, trusted by bigger ones.   Trusted by 500K+ business owners and creators, and hundreds of millions of respondents.     ![Capterra - 4.8 out of 5](/images/capterra-st.jpg)
 ![Trustpilot - 4.8 out of 5](/images/trustpilot-st.jpg)
 ![G2 - 4.8 out of 5](/images/g2-st.jpg)
  [Try Paperform free now](/register)
## More templates like this
  [![Pharmaceutical Waste Disposal Services Bid](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/pharmaceutical-waste-disposal-services-bid.png)

### Pharmaceutical Waste Disposal Services Bid

Submit a comprehensive bid for pharmaceutical waste disposal services including container options, pickup schedules, training, compliance tracking, and flexible pricing models.](/templates/pharmaceutical-waste-disposal-services-bid/)
[![Addiction Treatment Center Supplier Registration Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/addiction-treatment-center-supplier-registration-form.png)

### Addiction Treatment Center Supplier Registration Form

Comprehensive supplier onboarding form for addiction treatment centers with DEA licensing verification, medication security protocols, and emergency supply procedures.](/templates/addiction-treatment-center-supplier-registration-form/)
[![Addiction Treatment Medication Supplier Setup Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/addiction-treatment-medication-supplier-setup-form.png)

### Addiction Treatment Medication Supplier Setup Form

A comprehensive supplier onboarding form for addiction treatment medication vendors, covering REMS compliance, prior authorization support, patient assistance programs, and provider training materials.](/templates/addiction-treatment-medication-supplier-setup-form/)
[![Controlled Environment Testing Vendor Assessment Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/controlled-environment-testing-vendor-assessment-form.png)

### Controlled Environment Testing Vendor Assessment Form

A comprehensive vendor evaluation form designed for pharmaceutical facilities to assess controlled environment testing vendors, including validation protocols, documentation standards, regulatory compliance, and requalification scheduling.](/templates/controlled-environment-testing-vendor-assessment-form/)
[![Cybersecurity Vendor Evaluation Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/cybersecurity-vendor-evaluation-form.png)

### Cybersecurity Vendor Evaluation Form

Evaluate cybersecurity vendor performance across threat detection, incident response, vulnerability assessment, and compliance reporting with this comprehensive assessment form.](/templates/cybersecurity-vendor-evaluation-form/)
[![Hazardous Waste Disposal Vendor Assessment Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/hazardous-waste-disposal-vendor-assessment-form.png)

### Hazardous Waste Disposal Vendor Assessment Form

A comprehensive evaluation form for EHS managers to assess hazardous waste disposal vendors on regulatory compliance, manifest accuracy, pickup reliability, and environmental practices.](/templates/hazardous-waste-disposal-vendor-assessment-form/)
[![Healthcare Medical Supply Vendor Evaluation Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/healthcare-medical-supply-vendor-evaluation-form.png)

### Healthcare Medical Supply Vendor Evaluation Form

Comprehensive vendor evaluation for medical supply partners, including regulatory compliance checks, product sterility verification, recall history assessment, and emergency inventory response capabilities.](/templates/healthcare-medical-supply-vendor-evaluation-form/)
[![IT Security Vendor Contract Renewal Evaluation Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/it-security-vendor-contract-renewal-evaluation-form.png)

### IT Security Vendor Contract Renewal Evaluation Form

A comprehensive change request form for evaluating IT security vendor contract renewals, analyzing service performance, conducting cost comparisons, and assessing alternative solutions.](/templates/it-security-vendor-contract-renewal-evaluation-form/)
[![Telehealth Pharmacy Supplier Registration Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/telehealth-pharmacy-supplier-registration-form.png)

### Telehealth Pharmacy Supplier Registration Form

Streamline your pharmacy supplier onboarding with comprehensive licensing verification, medication synchronization capabilities, delivery tracking systems, and patient counseling protocols.](/templates/telehealth-pharmacy-supplier-registration-form/)
[![Vendor & Contractor Misconduct Report Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/vendor-contractor-misconduct-report-form.png)

### Vendor & Contractor Misconduct Report Form

Report misconduct, code of conduct violations, or contract compliance issues involving external vendors and contractors who interact with your organization.](/templates/vendor-contractor-misconduct-report-form/)
[![Adaptive Sports Equipment Vendor Registration Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/adaptive-sports-equipment-vendor-registration-form.png)

### Adaptive Sports Equipment Vendor Registration Form

A comprehensive vendor registration form for adaptive sports equipment suppliers partnering with rehabilitation centers. Capture vendor capabilities, product customization options, insurance billing support, training resources, and athlete testimonials.](/templates/adaptive-sports-equipment-vendor-registration-form/)
[![Addiction Recovery App Vendor Setup Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/addiction-recovery-app-vendor-setup-form.png)

### Addiction Recovery App Vendor Setup Form

A comprehensive vendor qualification and onboarding form for addiction recovery app providers, ensuring compliance with healthcare standards, crisis protocols, and evidence-based content verification.](/templates/addiction-recovery-app-vendor-setup-form/)