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CIA Covered Vendor Identification Job Aid Vendor Name: ___________________________ Answering these questions accurately will assist in answering the question “Will the contractor (or vendor) be performing a ⃝ ⃝ promotional or product related function? Yes No” on the following forms on at.endo. • • • Employee/Contractor Add Questionnaire Form - used to obtain Endo assets (i.e. badge, computer, desk, etc.) Set Up New Suppliers Legal Template Request Form o Complete Services Agreement o Complete Statement of Work Please answer the following questions first. Will the contractor (or vendor) be: Yes No Function: (a) selling, detailing, marketing, advertising, promoting, or branding of Endo-marketed products (e.g., contract sales or speaker programs, speaker bureau or promotional ad board coordinator, market research-if not double-blinded, sponsorship) that are not supervised by an EPI employee; (b) preparing or disseminating externally promotional materials or information about, or the provision of promotional services relating to Endo marketed-products (e.g., visual aids, sample management and distribution, co-pay cards or patient assistance programs, patient advocacy groups), including those functions relating to Endo’s review process for promotional materials and all applicable review committee(s) for promotional materials that are not reviewed by an EPI employee; (c) preparing or disseminating externally non-promotional materials related to an Endo-marketed product that are distributed to HCPs, HCIs, and payors, including those functions relating to applicable review committees and those functions involved in scientific exchange such as the Clinical Development and Medical Science Department which is responsible for medical affairs activities at Endo and is generally referred to in this CIA as “medical affairs” and are not reviewed by an EPI employee; (d) contracting with HCPs licensed in the United States to conduct post-marketing clinical trials or any other types of post-marketing studies; (e) contracting with HCPs licensed in the United States to conduct Investigator-Sponsored Studies/Research (ISRs); (f) providing authorship, publication, and/or disclosure of articles or study results relating to an Endo-marketed product that are not reviewed by an EPI employee; (g) providing activities related to the submission of information about Endo-marketed products to compendia (such as Drugdex or other compendia of information about Endo-marketed products) that are not reviewed by an EPI employee If you answered “No” to the above questions, that partner will not be “covered” and you will answer “No” to the question ⃝ ⃝ “Will the contractor (or vendor) be performing a promotional or product related function? Yes No” If you answered “YES” to any of the above questions, please answer the following: Will the contractor (or vendor) be: Yes No Function: 1) interacting directly with healthcare professionals (HCPs), healthcare institutions (HCIs), payors or consumers on Endo’s behalf; 2) performing activities, providing services, or creating materials related to the above-mentioned function(s) and those activities are not reviewed or supervised by an Endo employee or review committee (MARC or NPRC) prior to dissemination or execution. If you answer “Yes” to the two questions above, that partner is “covered” and you will need to answer “Yes” to the ⃝ ⃝ question: “Will the contractor (or vendor) be performing a promotional or product related function? Yes No” If you answer “No” to the two questions above, that partner is not “covered” and you will need to answer “No” to the ⃝ ⃝ question: “Will the contractor (or vendor) be performing a promotional or product related function? Yes No” Contact your BU Compliance Officer with any questions when answering the above questions. **For Personal use as a Job Aid – Please retain for your reference**