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Information Messages

The WDA has been withdrawn, withdrawn date is: 2025-06-17

RTF Template

Federal Agency for Medicines and Health Products

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

1. Authorisation Number	:	976 H
2. Name of Authorisation Holder	:	Daxispharma SA
3. Address(es) of Site(s)	:	Boulevard International 57, Bruxelles, 1070, Belgium

4. Legally registered address of Authorisation Holder	:	Boulevard International 57, Bruxelles, 1070, Belgium
5. Scope of authorisation	:	ANNEX 1
6. Legal basis of authorisation	:
7. Name of responsible officer of the competent authority of the member state granting the wholesale distribution authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2020-04-05
10. Annexes attached	:	Annex 1 Scope of wholesale distribution authorisation Annex 2 (Optional) Address(es) of contract wholesale distribution sites and their authorisation number Annex 3 (Optional) Name(s) of responsible person(s) Annex 4 (Optional) Date of Inspection on which authorisation was granted Annex 5 (Optional) Additional provisions based on national requirements

ANNEX 1

SCOPE OF WHOLESALE DISTRIBUTION AUTHORISATION

Name and address of the site: Daxispharma SA

, Boulevard International 57, Bruxelles, 1070, Belgium

1. MEDICINAL PRODUCTS

1.1. with a Marketing Authorisation in EEA country(s)

1.2. without a Marketing Authorisation in the EEA and intended for EEA market

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.2. Holding

3. MEDICINAL PRODUCTS WITH ADDITIONAL REQUIREMENTS

3.3. Cold chain products(requiring low temperature handling)

Any restrictions or clarifying remarks (for all users): 3.3 Authorized temperature for the cold chain: 2-8°C

3.3 Température autorisée pour la chaîne du froid: 2-8°C

Reason for Withdrawing:

radiation

Union Format for a Wholesale Distribution Authorisation	976 H
	Page 1

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