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RTF Template

Landesamt Fuer Soziales Jugend Und Versorgung

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Human medicinal products

1. Authorisation Number	:	DE_RP_01_WDA_2025/3112-0186/250410
2. Name of Authorisation Holder	:	Casparipharm GmbH (ORG-100035279 / LOC-100087470)
3. Address(es) of Site(s)	:	Heiligkreuzweg 110, Weisenau, Mainz, Rhineland-Palatinate, 55130, Germany

4. Legally registered address of Authorisation Holder	:	Heiligkreuzweg 110, Weisenau, Mainz, Rhineland-Palatinate, 55130, Germany
5. Scope of authorisation	:	ANNEX 1
6. Legal basis of authorisation	:	Art. 77(1) of Directive 2001/83/EC
7. Name of responsible officer of the competent authority of the member state granting the wholesale distribution authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2025-04-14
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: Casparipharm GmbH

(ORG-100035279 / LOC-100087470)

, Heiligkreuzweg 110, Weisenau, Mainz, Rhineland-Palatinate, 55130, 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

2.4. Export

3. MEDICINAL PRODUCTS WITH ADDITIONAL REQUIREMENTS

3.2. Products requiring low temperature handling

3.2.1. Temperatures between 2 to 8 °C

3.3. Other products: (please specify here or make a reference to Annex 5) Products acc. to Art. 83 of 2001/83/EC: Medicinal products derived fr. blood, immunolog. med. prod. Arzneimittel ents. Art. 83 d. Richtlinie 2001/82/EG: Arzneimittel aus Blut, immunol. Arzneimittel

Union Format for a Wholesale Distribution Authorisation	DE_RP_01_WDA_2025/3112-0186/250410
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