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RTF Template


Chief Pharmaceutical Inspectorate

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Human medicinal products


1. Authorisation Number

:

GIF-N-411/829/MSH/14

2. Name of Authorisation Holder

:

Bausch Health Poland Sp. z o.o.

(ORG-100004636 / LOC-100055722)

3. Address(es) of Site(s)

:

Ul. Kosztowska 21, Myslowice, 41-409, Poland 




4. Legally registered address of Authorisation Holder

:

Ul. Przemyslowa 2, Rzeszow, 35-105, Poland

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

:

2024-09-18

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: Bausch Health Poland Sp. z o.o.

(ORG-100004636 / LOC-100042453)

, Ul. Kosztowska 21, Myslowice, 41-409, Poland   



Human medicinal products


1. MEDICINAL PRODUCTS

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

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

   1.3. without a Marketing Authorisation or registration in the EEA and intended for exportation


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 

     3.2.2. Other temperatures: (please specify) od 8 do 15 °C

   3.3. Other products: (please specify here or make a reference to Annex 5) 3.4.1 Cytotoxic medicinal products, 3.4.2 Dangerous medicinal products, 3.4.4 Medicinal products with very strong effect




Any restrictions or clarifying remarks (for all users):  Pkt 3.4.2 z wyłączeniem produktów leczniczych żrących.
Obrót produktami leczniczymi ograniczony do produktów, dla których podmiotem odpowiedzialnym lub przedstawicielem podmiotu odpowiedzialnego jest podmiot z grupy kapitałowej Bausch Health. Hurtownia prowadzi także obrót produktami leczniczymi, dla których posiadaczami pozwolenia na dopuszczenie do obrotu są następujące podmioty: Alkaloid AD Skopje, Amicus Pharma d.o.o., Bausch & Lomb Swiss AG, Bionorica SE, Blue Bio Pharmaceuticals Ltd., Bradex S.A., Casen Recordati S.L., Curatis AG, Cyathus Exquirere Pharmaforschungs GmbH, DEMO S.A. Pharmaceutical Industry, EFFIK, Exeltis Poland Sp. z o.o., Grünenthal GmbH, Helsinn Birex Pharmaceuticals Ltd., Ipsen Consumer HealthCare, Ipsen Pharma, Ipsen Pharma Gmbh, Kyowa Kirin Holdings B.V., Lomapharm GmbH, Noridem Enterprises Ltd., Orexigen Therapeutics Ireland Limited, Photocure ASA, Promedika d.o.o., Recordati Ireland Ltd., Recordati S.p.A., Serb S.A.S."



*Art. 5 of Directive 2001/83/EC, Art. 83 of Regulation (EC) 726/2004 and Art. 110 of Regulation 2019/6.













Union Format for a Wholesale Distribution Authorisation

GIF-N-411/829/MSH/14


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