SAMPLE RESOLUTION LETTER

Date:
ADDRESS
Re: Dispute Resolution for Labeler 00000 for Period 1Q91-4Q95
Dear:
This letter serves to confirm resolution with Big Drugs Pharmaceuticals, Inc. for
Labeler code(s) 00000 for the period 1Q91-4Q95.
As a result of our unit-based resolution efforts, both parties agree that the attached
document accurately reflects the rebate quarters and amount of resolution, including
units/amounts dismissed and/or interest if applicable.
Both parties agree to this resolution to date and each party understands that if any
information arises which would cause an adjustment to these quarters, each party
reserves the right to make such adjustments.
Please confirm your agreement to this resolution of this dispute by signing this letter
in the indicated space below and faxing it to my office at (222) 222-2222.
I would like to thank you for your assistance and cooperation in resolving this
dispute. I look forward to working with you in the future. If you need any assistance
or have further questions, please call >>>>>>>>>>>.
Agreed To and Accepted For:
STATE: _____________________
TITLE: _____________________
DATE: _____________________
LABELER: ______________________
TITLE: ______________________
DATE: _______________________