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Vendor Intake Form

Peptide Supply Partner Application — 6-Section Due Diligence Form

RampRate's peptide procurement team uses this form to evaluate potential supply partners. All 53 fields are listed below. Submit at: tonygreenberg.com/vendor-intake

FORM TYPE: Due Diligence / Supplier Qualification | SECTIONS: 6 | TOTAL FIELDS: 53 | REQUIRED FIELDS: 34

Section 1 — Company Information

Legal entity, contact details, and ownership structure

Legal Entity Name [text] * required

Registered business name

DBA / Trade Name [text]

Operating name, if different

State / Country of Incorporation [text] * required

e.g. Delaware, USA

Year Founded [number] * required

YYYY

Website [url] * required

https://

Company LinkedIn [url]

https://linkedin.com/company/...

Headquarters Address [text] * required

Full street address, city, state, zip

Manufacturing Facility Address [text] * required

Street, city, state, zip — if different from HQ

Number of Employees [select] * required

1–10
11–50
51–200
201–500
500+

Primary Contact Name [text] * required

Full name

Title / Role [text] * required

e.g. VP of Sales

Email [email] * required

name@company.com

Phone [tel] * required

+1 (555) 000-0000

Names and Titles of All Principals / Founders [textarea] * required

Name — Title — Ownership % (all individuals with >10% ownership)

Section 2 — Manufacturing & Capabilities

Production environment, capacity, and peptide-specific capabilities

Facility Type [select] * required

Own Manufacturing
Contract Manufacturer (CMO)
Hybrid (Own + CMO)
White Label / Private Label

Facility Classification [select] * required

FDA Registered
cGMP Certified
ISO 13485 / 9001
503B Outsourcing Facility
503A Compounding Pharmacy
Other

Peptide Synthesis Method [select] * required

Solid-Phase Peptide Synthesis (SPPS)
Liquid-Phase Synthesis (LPPS)
Recombinant Expression
Hybrid Approach
Not Applicable

Monthly Production Capacity [text] * required

e.g. 50,000 vials / month

Current Peptide Products [textarea] * required

List all compounds currently manufactured (BPC-157, TB-500, Semaglutide, Tirzepatide, etc.)

Purity Levels Achieved [text] * required

e.g. ≥98% HPLC purity

Sterile Fill Capability [select]

Yes — In-House
Yes — Outsourced
No

Cold Chain / Storage Capabilities [textarea]

Temperature-controlled storage, cold chain logistics, shipping capabilities

Chain-of-Custody Capability [select] * required

Currently live
Can implement on request
Not currently capable

Can you support lot-level tracking (QR code or blockchain-anchored) from synthesis through delivery?

Section 3 — Quality Assurance

Quality management systems, testing protocols, and compliance standards

Quality Management System [select] * required

cGMP Compliant
ISO 9001
ISO 13485
USP Compliant
Multiple Standards
In Development

Third-Party Testing [select] * required

Yes — Every Batch
Yes — Periodic
In-House Only
No

Independent Testing Willingness [select] * required

Yes, ongoing
Yes, one-time per new listing
No

Willing to have batches independently tested by a lab of the marketplace's choosing (e.g., Janoshik Analytical, MZ Biolabs), separate from your own COA process?

Testing Protocols [textarea] * required

HPLC, Mass Spec, Endotoxin, Sterility, Microbial, Identity, Potency

Stability Testing Program [select]

Yes — ICH Guidelines
Yes — Internal Protocol
No

Recall / CAPA History [select]

No recalls or CAPAs
Minor CAPAs resolved
Active CAPA in progress
Recall history (disclose)

Testing Lab Name [text] * required

Name of your primary third-party testing laboratory (e.g. Eurofins, Janoshik, MZ Biolabs)

COA Lot-Specific [select] * required

Yes — every lot
Yes — on request
No

Are your Certificates of Analysis issued per lot/batch?

COA Publicly Viewable [select] * required

Is your Certificate of Analysis viewable publicly before purchase?

COA Public URL [url]

Link to your publicly accessible COA page (if applicable)

Identity Confirmation Method [select] * required

HPLC
Mass Spectrometry
NMR
HPLC + Mass Spec
Other

How do you confirm peptide identity in your COA?

Batch Documentation [textarea] * required

Batch record system, COA generation process, document retention policy

Section 4 — Commercial Terms

Pricing structure, lead times, and partnership terms

Minimum Order Quantity (MOQ) [text] * required

e.g. 1,000 vials

Standard Lead Time [text] * required

e.g. 4–6 weeks from PO

Pricing Model [select] * required

Per Unit / Per Vial
Tiered Volume Pricing
Annual Contract
Custom / Negotiable

Payment Terms [select]

Net 30
Net 60
COD / Prepay
50% Deposit / 50% on Delivery
Custom Terms

Existing Distribution Channels [textarea]

Current distribution partnerships, clinic networks, retail channels

References [textarea]

2–3 current client references (company name, contact, relationship duration)

Pricing for Top Compounds* required

List pricing for your top 3–5 volume compounds: Compound — Unit Size — Price per Unit — MOQ Tier (max 5 rows)

Compound	Unit Size	Price/Unit	MOQ Tier

Full Price List / Catalog [file upload — PDF, DOC, JPG, PNG, max 10MB]

Upload your complete pricing sheet (PDF, XLS, or CSV) for the marketplace to consider your full catalog for future RFPs

Section 5 — Regulatory & Compliance

Regulatory standing, licenses, and compliance history

FDA Registration Number [text] * required

FEI number

DEA Registration [select] * required

Yes — Active
Not Required
Pending
No

State Licenses [textarea] * required

All active state pharmacy, manufacturing, or distribution licenses (State — License Type — Number)

Product Labeling & Sale Restrictions [select] * required

Research-use-only (RUO)
Compounded pharmacy (503A/503B)
Both, depending on product

How is your product labeled and sold?

Buyer Eligibility [select] * required

Institutional/researcher only
Clinics only
Clinics and individuals
All accounts

Do you sell only to institutional/qualified-researcher accounts, or also to clinics and individuals?

Last FDA Inspection Date [text]

MM/YYYY or N/A

FDA Inspection Outcome [select]

No Action Indicated (NAI)
Voluntary Action Indicated (VAI)
Official Action Indicated (OAI)
Not Yet Inspected

Warning Letters or Consent Decrees [textarea]

FDA warning letters, consent decrees, enforcement actions in past 5 years. Enter 'None' if not applicable.

Shipping Jurisdictions [select] * required

Which jurisdictions do you ship to/from? List all US states and international countries.

Shipping Jurisdictions (detail) [textarea] * required

e.g. All 50 US states, Canada, EU (Germany, France, UK), Australia — list all jurisdictions you ship to and from

Manufacturing Certifications [textarea]

List all manufacturing certifications (e.g. ISO 9001:2015 cert #12345, cGMP cert, etc.)

Insurance Coverage [textarea] * required

Product liability, general liability, professional liability coverage amounts

Section 6 — Document Upload

Supporting documentation. Accepted formats: PDF, DOC, JPG, PNG. Max 10MB per file.

Certificate of Analysis (COA) [file upload — PDF, DOC, JPG, PNG, max 10MB] * required

Most recent batch COA for primary peptide product

cGMP / Quality Certification [file upload — PDF, DOC, JPG, PNG, max 10MB] * required

Current cGMP, ISO, or equivalent quality certification

FDA Registration Documentation [file upload — PDF, DOC, JPG, PNG, max 10MB]

FDA establishment registration confirmation

Certificate of Insurance [file upload — PDF, DOC, JPG, PNG, max 10MB] * required

Current product liability insurance certificate

Sample SOP Document [file upload — PDF, DOC, JPG, PNG, max 10MB]

A representative Standard Operating Procedure

Additional Documentation [file upload — PDF, DOC, JPG, PNG, max 10MB]

Product catalog, company deck, or other supporting materials