EDI Trading Partner Information

EDI Trading Partner Information

Customer Information

Today's Date*

Business Name*

Business Address 1*

Business Address 2

Business Website*

EDI Technical Contact: Name, Email & Phone Number*

Business Contact: Name, Email & Phone Number*

Technical Specifications

Network*

Select or enter value

EDI Software*

AS2 Identifier Production*

Type N/A if not applicable.

AS2 Endpoint Production*

Type N/A if not applicable.

IP Address Production*

Type N/A if not applicable.

ISA05 Production*

Type N/A if not applicable.

ISA06 Production*

Type N/A if not applicable.

GS02 Production*

Type N/A if not applicable.

Trading Document Type*

Please note, we will set up and require testing on all of the below on our side.

Preferred File Format*

HDA specification preferred, if unique mapping, please provide

Testing Specifications

AS2 Identifier Test*

Type N/A if not applicable.

AS2 Endpoint Test*

Type N/A if not applicable.

IP Address Test*

Type N/A if not applicable.

ISA05 Test*

Type N/A if not applicable.

ISA06 Test*

Type N/A if not applicable.

GS02 Test*

Type N/A if not applicable.

Specific Testing Requirements?*

(Type N/A if you have no specific testing requirements.)

File Upload*

Please attach documented EDI specifications here along with all technical requirements.

Drag and drop files here or

Additional Information

Serialization Capabilities?

Please follow this Smartsheet link if you are interested in DSCSA capabilities.

XGen Pharmaceuticals DJB, Inc. EDI Trading Partner Information

_____________________________________________

XGEN SPECIFICATIONS FOR YOUR RECORDS

Address: XGen Pharmaceuticals DJB, Inc.

300 Daniel Zenker Dr Horseheads, NY 14845

Phone Number: 607-562-2700

Website: http://xgenpharmadjb.com/

1st Level Technical Contact: edi-onboarding-xg@xgenpharmadjb.com

Escalation Technical Contact: John Killigrew, Technical Specialist (607) 562-2700 x326 jkilligrew@xgenpharmadjb.com

Business Contact: Nick Farthing, Director-Enterprise Program Management (607) 562-2700 ext. 325 nfarthing@xgenpharmadjb.com

Network: Sterling Commerce/IBM or direct via AS2 (preference is AS2)

EDI Software: IBM B2B Integrator

Trading Documents: 850, 856, 810, 844, 845*, 849 version 4010

*845 contract pricing only, no memberships

Preferred File Format: HDA Specifications

AS2 Identifier Production: XGEN

AS2 Identifier Test: XGENTEST

AS2 Endpoint: http://b2b.x-gen.us:5080

IP Address: 164.153.198.197

ISA05: 12

ISA06: 6077325555

GS02: 12:6077325555

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