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Information Messages
  • The WDA has been withdrawn, withdrawn date is: 2025-02-20
  • RTF Template


    Federal Agency for Medicines and Health Products

    UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION


    1. Authorisation Number

    :

    1573 H

    2. Name of Authorisation Holder

    :

    Clinigen Clinical Supplies Management SA

    3. Address(es) of Site(s)

    :

    Watson & Crick Hill, Rue Granbonpré, 11, Mont-Saint-Guibert, 1435, Belgium 




    4. Legally registered address of Authorisation Holder

    :

    Watson & Crick Hill, Rue Granbonpré, 11, Mont-Saint-Guibert, 1435, 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

    :

    2021-01-21

    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: Clinigen Clinical Supplies Management SA

    , Watson & Crick Hill, Rue Granbonpré, 11, Mont-Saint-Guibert, 1435, 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

       1.3. without a Marketing Authorisation 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

         3.1.1. Narcotic or psychotropic products 

         3.1.3. Immunological medicinal products 

       3.3. Cold chain products(requiring low temperature handling) 




    Any restrictions or clarifying remarks (for all users):  2.1 Also procurement of medicinal products coming from countries of the European Economic Area (EEA) other than Belgium.
    3.3 Authorized temperature for the cold chain :
    between +2°C and +8°C
    between -15°C and -25°C
    less than -60 °C
    less than  -150 °C

    2.1 Egalement acquisition de médicaments via d'autres pays de l'Espace économique européen (EEE) que la Belgique.
    3.3 Température autorisée pour la chaîne du froid :
    entre +2°C et +8°C
    entre -15°C et -25°C
    inférieur à -60 °C
    inférieur à  -150 °C








    Reason for Withdrawing:

    not XDC

    not XDC








    Union Format for a Wholesale Distribution Authorisation

    1573 H


    Page 1





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