Producer Formulary_M..
Transcription
Producer Formulary_M..
IDENTIFICATION FORMULARY FOR THE COUNTRY OF ORIGIN OF THE MANUFACTURER Name of the medicine / group of medicines: MONOFER 100 mg/ml No. 1 Required information Name of the contract manufacturer Answer Wasserburger Arzneimittelwerk GmbH 2 Residency (main) country of the contract manufacturer, regular mail box address Country and address of the production site Herderstrasse 2 D-83512 Wasserburg a. Inn Germany Herderstrasse 2 D-83512 Wasserburg a. Inn Germany http://www.reciphann.com/enJ 3 4 5 6 Web page of the contract manufacturer, if available EU member states were the medicine/medicines is/are marketed Quality System - Which standard is applied - Which activities are included in the above standard Austria, Denmark, Estonia, Finland, Germany, Greece, Ireland, Latvia, Lithuania, The Netherlands, Norway, Poland, Sweden, United Kingdom, Romania GMP as certified by the responsible authority Manufacturing of Human Medicinal Products and Human Investigational Medicinal Products for clinical trials, please refer to certificate Regierung von Oberbayem 7 - The Institution which has issued the certification Declaration or Authorization W 5/0112012 8 - Name of the employee that Dr. Franz Xaver Huber undersigns 9 - Position held in the contract manufacturer company of the above 10 - Contact (phone /fax/e-mail) Qualified Person undersignee [email protected] Telephone: +49 (0) 8071 1008-0 Telefax: +49 (0) 8071 1008-92 Note: 1. If different products of the same company have different contract manufacturers, be filled-in for each individual contract manufacturer. 2. All sheets have to be explicitely filled-in by the company. the table has to This form has to be signed and stamped by the local contact of Pharmacosmos AlS in Romania (Ewopharma Romania), therefore please send the filled-in word-document back Ewopharma AG Romania, (authorized signature and stamp) Ewopharmiil AG ucharest B-dul Prirnava-t, 1, -21,Sc.B Et 1, Sect rl,011972 Bucure~r Romar>'- 2 IDENTIFICATION Name of the medicine/group of medicines: MONOFER 100 mg/ml Required information Name of the contract manufacturer No. 1 Residency (main) country of the contract manufacturer, regular mail box address Country and address of the production site 2 3 Web page of the contract manufacturer, if available EU member states were the medicine/medicines is/are marketed 4 5 Answer Solupharm Pharmazeutishe Erzeugnisse GmbH Industriestrasse 3 D-34212 Melsungen Germany Industriestrasse 3 D-34212 Melsungen Germany http://www.solupharm.de/ Austria, Denmark, Estonia, Finland, Germany, Greece, Ireland, Latvia, Lithuania, The Netherlands, Norway, Poland, Sweden, United Kingdom Quality System 6 7 8 9 FORMULARY FOR THE COUNTRY OF ORIGIN OF THE MANUFACTURER .. - Which standard is applied - Which activities are included in the above standard - The Institution which has issued the certification Declaration or Authorization - Name of the employee that undersigns - Position held in the contract manufacturer company of the above GMP as certified by the responsible authority Manufacturing of Human and Veterinary Medicinal Products, please refer to certificate Regierungsprasidium Darmstadt Authorisation: DE-RPDA-001-M-71-2-0 Dr. Helmut Linder Qualified Person undersienee 10 - Contact (phone /fax/e-mail) [email protected] Telephone: +49 5661 - 730513 Telefax: +49 5661 - 730520 Note: 1.If different products of the same company have different contract manufacturers, the table has to be filled-in for each individual contract manufacturer. 2. All sheets have to be explicitely filled-in by the company. This form has to be signed and stamped by the local contact of Pharmacosmos AlS in Romania (Ewopharma Romania), therefore please send the filled-in word-document back Ewopharma AG Romania, (authorized signature and stamp) Ewopnarma AG ! charest B-dui Primaverii 1 -21.Sc.B Et1.Sect Bucurastt 2 1.011972 Roman;c