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RTF Template

Hessian Office For Health And Care

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Human medicinal products

1. Authorisation Number	:	DE_HE_01_WDA_2018_0123
2. Name of Authorisation Holder	:	Medida GmbH & Co. KG (ORG-100039645 / LOC-100068470)
3. Address(es) of Site(s)	:	Carl-Benz-Strasse 18, Gross-Rohrheim, 68649, Germany

4. Legally registered address of Authorisation Holder	:	Carl-Benz-Strasse 18, Gross-Rohrheim, 68649, Germany
5. Scope of authorisation	:	ANNEX 1
6. Legal basis of authorisation	:	Sect 52 a para 1 German Medicinal Product Act
7. Name of responsible officer of the competent authority of the member state granting the wholesale distribution authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2025-04-09
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: Medida GmbH & Co. KG

(ORG-100039645 / LOC-100068470)

, Carl-Benz-Strasse 18, Gross-Rohrheim, 68649, Germany

Human medicinal products

1. MEDICINAL PRODUCTS

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

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.1. Procurement

2.2. Holding

2.3. Supply

Any restrictions or clarifying remarks (for all users): Under 3. MEDICINAL PRODUCTS WITH SPECIAL REQUIREMENTS, the original authorization also refers to item 3.2 "Medicinal gases"
Supply by drop shipment (partially)

Die Originalerlaubnis bezieht sich bei 3. ARZNEIMITTEL MIT BESONDEREN ANFORDERUNGEN auch auf den Punkt 3.2 "Medizinische Gase"
Handel erfolgt teilweise im Streckengeschäft (Handel ohne Lagerung)

Union Format for a Wholesale Distribution Authorisation	DE_HE_01_WDA_2018_0123
	Page 1

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