UCLA Health and its EMPAC item formulary evolve each day as new, innovative medical technologies improve patient care and affordability. Procurement and Strategic Sourcing along with UCLA Health departments across the system collaborate with one another in the management of this formulary list. The benefits of having this EMPAC item formulary include: a simplified requisition process to submit your orders, accurate pricing assurance, and purchase history tracking by Procurement and Strategic Sourcing.

Thus, if your department would like to add items onto the EMPAC formulary, please submit your request using the EMPAC Item Adds: Submission Form below. Once submitted, a Strategic Sourcing Coordinator will accept the request and evaluate the respective item(s) for approval. Once added onto EMPAC, the requestor will receive an acknowledgment email with the completed Excel spreadsheet attached.

Instructions

1. Complete the EMPAC ADD Excel spreadsheet.
   • Column headers highlighted in yellow must be filled out.
   • Only use one spreadsheet per vendor number.
   • Multiple items may be added in one spreadsheet. However, they must all pertain to only one specific vendor number.
   • Please save this file onto your computer as you will be attaching it to the form during the next step below.
   • When saving the file, do not use any special characters in the file name (i.e. #, %, !, etc.).
2. Once ready, submit an EMPAC Item Adds: Submission Form.
   • Red asterisks indicate required fields.
   • Confirm that all required fields are entered before clicking "Submit". If you receive an error message (i.e. a required field was not entered), you must reattach the Excel spreadsheet file during your resubmission.
3. You will receive an acknowledgment email after a successful submission with a control number.
   • Note this control number for all inquires with Procurement and Strategic Sourcing.
4. Once your submission has completed the entire addition process, you will receive a final acknowledgment email with the completed Excel spreadsheet attached.

Links and Downloads

1. Download the Excel spreadsheet
2. Complete the EMPAC Item Adds: Submission Form
   • Please complete the EMPAC ADD spreadsheet beforehand as users must attach this file onto the Submission Form.
3. View the EMPAC Item Adds process flow form start to finish
4. View all EMPAC Item Adds for tracking purposes

If you have any technical issues with the website or submission form, please contact Victor Banh by email at VBanh@mednet.ucla.edu.

IMPORTANT: Note that there is no save feature in the EMPAC Item Adds Portal. Prior to beginning your form submission, please make sure you have all the necessary information and documentation.  Requestors must also reattach their files to the form, if an error occurred during original submission. You must be connected to the UCLA network (intranet) to access the EMPAC Item Adds: Submission Form.

Please note that if you are using Internet Explorer, Compatibility View must be disabled for intranet websites or a support error message will appear. We suggest using Mozilla Firefox or Google Chrome to browse these sites.  You may need to contact your local IT administrator for the installation of these web browsers or for assistance changing Compatibility View Settings.