Custom Media Form | Quality Biological

Name*

Institution*

Email Address*

Phone*

Base Media/Base Buffer (description):*

Ingredients

Upload formulation (PDF, JPG, DOC)*

Max. file size: 2 GB.

Please upload a file containing your formulation in PDF, JPG, or DOC format.

Container Requirements

Container Size:*

Volume Fill per Container:*

No. of Containers:*

Storage Temp:

Type of Container*

Plastic Bottles

Bioprocessing Bags

Other Special Requirements:

Labeling Requirements

Label Type*

OEM

QBI Branded Label

If OEM:

Preprinted lot specific labels provided by client

Blank label stock provided by client

QBI to print client logo on white label stock

Label Placement*

Other Label Requirements:

Manufacturing Specifications (In-process specifications)

pH:

at ˚C

Allow adjustment of pH with HCl or NaOH:

Yes

Raw Material Grade:*

Research Grade

USP Grade

Other

If other, please specify

Sterilization Process

Autoclave

Membrane Filtration

If Membrane Filtration, specify Size/Type of filter:

Is there any process documentation available?

Yes

Other special manufacturing requirements:

Quality Control Specifications

pH:

at ˚C

Conductivity

± μS

Osmolality

± mOsm/kg

Endotoxin

EU/mL

Sterility Testing

Yes

Mycoplasma detection (PCR based method)

Yes

Nuclease detection:

DNase

RNase

Protease

If Other testing, please specify:

Performance (cell growth)

Yes

If yes, specify cell line:

Cytotoxicity

Yes

If yes, specify cell line:

Other QC Testing (please specify):

BSE/TSE Statement Required?

Yes

(If yes, USP-grade material must be selected and additional fees will be applied.)

Packaging Specifications

Indicate any special packaging configurations or requirements.

Shipping Specifications

Shipping Condition

Ambient

Ice pack

Dry ice

Other

If Other, please explain:

Shipping Carrier (Shipping will be on Client's Account #):

FEDEX

UPS

Client's Designated Carrier

Special Handling or Precautions (e.g., pallet type, delivery time, lift gates, etc.):

International Shipping - Client must provide shipping bill-to-account number and is responsible for all duties, taxes, and custom fees.

I understand that this is a special production item. Once the purchase order is placed, I cannot cancel or return the item. An initial deposit may be required. Special productions are subject to a 10% under/overage. *

Untitled*

I understand *

Name

This field is for validation purposes and should be left unchanged.

Custom Formulation Form

Ingredients

Manufacturing Specifications (In-process specifications)

Quality Control Specifications

Packaging Specifications

Shipping Specifications

Email sign-up.