Walmart Prescription Product Supplier Requirements
This document provides essential requirements and guidelines for prescription product suppliers working with Walmart. It outlines the process for onboarding suppliers, compliance with regulations, and important safety standards. Ideal for suppliers looking to partner with Walmart or Sam's Club.
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How do I fill this out?
To fill out this form, begin by reviewing the eligibility criteria for suppliers. Gather all necessary documentation and information required for Walmart's Health & Wellness Product Safety review. Lastly, submit the completed information for approval before shipping any products.

How to fill out the Walmart Prescription Product Supplier Requirements?
1
Review Walmart's eligibility criteria for suppliers.
2
Gather required documentation related to your products.
3
Input necessary information into the form fields.
4
Double-check all entries for accuracy.
5
Submit the completed form for approval.
Who needs the Walmart Prescription Product Supplier Requirements?
1
Pharmaceutical manufacturers require this form to ensure compliance with Walmart’s regulations.
2
Medical device distributors need to complete this form to supply products to Walmart pharmacies.
3
Dietary supplement suppliers must fill out this form for eligibility to distribute products at Walmart.
4
Wholesalers looking to partner with Walmart need this documentation for approval.
5
Logistics providers that handle prescription products must comply with this form to align with safety standards.
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What are the important dates for this form in 2024 and 2025?
Important dates related to the submission and review of this file may include quarterly deadlines or critical compliance dates in 2024 and 2025. Suppliers are advised to stay updated on regulatory changes. Always check for updates from Walmart regarding submission timelines.

What is the purpose of this form?
The purpose of this form is to establish clear guidelines for prescription product suppliers working with Walmart. It ensures that all parties understand their responsibilities in the supply chain. By adhering to these requirements, suppliers can maintain compliance and ensure product safety.

Tell me about this form and its components and fields line-by-line.

- 1. Supplier Information: Details about the supplier's company and contact information.
- 2. Product Details: Information regarding the products being supplied.
- 3. Regulatory Compliance: Attestations regarding compliance with safety regulations.
- 4. Shipping Information: Details on how and when products will be shipped.
- 5. Signature: A designated area for the supplier's signature to validate the information.
What happens if I fail to submit this form?
Failing to submit this form can lead to severe consequences for your business. You may be deemed ineligible to supply products to Walmart, which can impact sales and partnerships. Timely and accurate submission is crucial.
- Eligibility Issues: Non-submission may result in your company being ineligible to partner with Walmart.
- Regulatory Non-compliance: Failure to follow submission guidelines can lead to legal concerns.
- Impact on Business Operations: Without compliance, you risk disruptions in your supply chain and operations.
How do I know when to use this form?

- 1. New Supplier Onboarding: Use this form when onboarding new suppliers for prescription products.
- 2. Regulatory Updates: Submit this form when there are changes in regulatory requirements.
- 3. Product Launches: Use this form during the launch of new prescription products.
Frequently Asked Questions
What is the purpose of this form?
The form outlines the requirements for prescription product suppliers wishing to partner with Walmart.
How do I edit the PDF?
You can upload the PDF and use our editing tools to make changes easily.
Can I share the PDF after editing?
Yes, you can share the edited document directly through email or social media.
What happens if I don’t submit this form?
Non-submission may result in your company being ineligible to partner with Walmart.
Who needs to fill out this form?
This form is required for pharmaceutical manufacturers, distributors, and other stakeholders.
Is there a deadline for submitting this form?
Submission should align with Walmart’s procurement timelines.
Can I download the PDF after editing?
Yes, you can download your edited version of the PDF to your device.
Do I need to sign the form?
Yes, a signature is required for formal approval.
How do I know my submission is successful?
You'll receive confirmation once your submission is reviewed.
Is there support available if I need help?
Yes, there is support to guide you through the process.
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