TGA use only This form, when completed, will be classified as 'For official use only'. For guidance on how your information will be treated by the TGA see: Treatment of information provided to the TGA at <>. Proposed Substance Name’ (AHS) ‘Herbal Application form This form is to be used to for a name for a herbal Send completed form and attachments to: material that is fully characterised in a monograph or Post: The Secretary pharmacopoeia. Herbal Ingredient Names Committee This application will be assessed by the TGA’s Herbal Office of Complementary Medicines Ingredient Committee (HINC). Therapeutic Goods Administration PO Box 100 to the Australian Regulatory Guidelines for WODEN ACT 2606 Complementary Medicines (ARGCM) Part IV Section 17 of New Substances and Terminology’ for Fax: 02 6232 8577 ‘Naming information on the naming of herbal substances. Email: Note this form is for the purpose of naming a herbal substance only, it does not approval for use of the substance in Listed medicines. Proposed Approved Herbal Substance name (AHS) Pharmacopoeial reference, edition, year, volume number Herbal substance identity Botanical name Plant part used Preparation Does the herbal species in the proposed AHS have an Approved Herbal Name (AHN)? Yes No If no, does the herbal species in the proposed AHS have a synonym that is an Approved Herbal Name (AHN)?
TGA use only This form, when completed, will be classified as 'For official use only'. For guidance on how your information will be treated by the TGA see: Treatment of information provided to the TGA at <>. Proposed ‘Herbal Substance Name’ (AHS) Application form This form is to be used to for a name for a herbal material that is fully characterised in a monograph or pharmacopoeia. This application will be assessed by the TGA’s Herbal Ingredient Committee (HINC). to the Australian Regulatory Guidelines for Complementary Medicines (ARGCM) Part IV Section 17 ‘Naming of New Substances and Terminology’ for information on the naming of herbal substances. Send completed form and attachments to: Post: The Secretary Herbal Ingredient Names Committee Office of Complementary Medicines Therapeutic Goods Administration PO Box 100 WODEN ACT 2606 Fax: 02 6232 8577 Email: Note this form is for the purpose of naming a herbal substance only, it does not approval for use of the substance in Listed medicines. Proposed Approved Herbal Substance name (AHS) Pharmacopoeial reference, edition, year, volume number Herbal substance identity Botanical name Plant part used Preparation Does the herbal species in the proposed AHS have an Approved Herbal Name (AHN)? Yes No If no, does the herbal species in the proposed AHS have a synonym that is an Approved Herbal Name (AHN)?
cm-forms-ahs-150629.docx