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
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
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
1.1. 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
2.1. Procurement
2.2. Holding
2.3. Supply
2.4. Export
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 °Cless 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 °Cinférieur à -150 °C
Reason for Withdrawing:
not XDC
Union Format for a Wholesale Distribution Authorisation
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