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RTF Template


Health Products Regulatory Authority

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Human medicinal products


1. Authorisation Number

:

W00011/00002

2. Name of Authorisation Holder

:

Irish Blood Transfusion Service

(ORG-100018210 / LOC-100026999)

3. Address(es) of Site(s)

:

Munster Regional Transfusion Centre, Saint Finbarr's Hospital, Douglas Road, Cork, T12 Y319, Ireland 




4. Legally registered address of Authorisation Holder

:

National Blood Centre, James's Street, Dublin 8, D08 NH5R

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

:

2026-01-05

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: Irish Blood Transfusion Service

(ORG-100018210 / LOC-100041990)

, Munster Regional Transfusion Centre, Saint Finbarr's Hospital, Douglas Road, Cork, T12 Y319, Ireland   



Human medicinal products


1. MEDICINAL PRODUCTS

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


2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

   2.2. Holding 


3. MEDICINAL PRODUCTS WITH ADDITIONAL REQUIREMENTS

   3.2. Products requiring low temperature handling 

     3.2.1. Temperatures between 2 to 8 °C 

     3.2.2. Other temperatures: (please specify) Temperatures below 0 degrees celsius

   3.3. Other products: (please specify here or make a reference to Annex 5) N/A




Any restrictions or clarifying remarks (for all users):  [1] Without prejudice to further authorisations as may be required according to national legislation,3.3.01 Prescription only medicinal products,3.3.12 Biological products,3.3.15 Medicinal products derived from blood















Union Format for a Wholesale Distribution Authorisation

W00011/00002


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