Authorisation for Distribution of Parallel Imported Medicinal Products in the Republic of Latvia REPUBLIC OF LATVIA STATE AGENCY OF MEDICINES (address, registration number, telephone and fax number) Authorisation number and date of issuance Authorisation owner (name of the legal person, type, registration number in the Enterprise Register, number of the special authorisation (licence)) (submission for receipt of permit No. , (registration number in the State Agency of Medicines, date of submission and registration)) Distribution of parallel imported medicinal products is permitted: Holder (owner) of the medicinal product Number of the registration certificate (in a Name, form, Manufacturer authorisation for European Economic Area strength and of the parallel distribution of parallel state from which they are packaging size of imported imported medicinal supplied), the state from the parallel imported medicinal products in the Medicinal which the medicinal products medicinal product products Product Register of Latvia are supplied, and the registration number of the medicinal products therein 1 2 3 4 Name, form and strength of Registration number of the Holder (owner) of the medicinal products registered in medicinal product registered in medicinal product Latvia in relation to medicinal Latvia, within the Medicinal registration certificate in products for which parallel Product Register of Latvia Latvia importation has been performed 5 6 7
Authorisation for Distribution of Parallel Imported Medicinal Products in the Republic of Latvia REPUBLIC OF LATVIA STATE AGENCY OF MEDICINES (address, registration number, telephone and fax number) Authorisation number and date of issuance Authorisation owner (name of the legal person, type, registration number in the Enterprise Register, number of the special authorisation (licence)) (submission for receipt of permit No. , (registration number in the State Agency of Medicines, date of submission and registration)) Distribution of parallel imported medicinal products is permitted: Name, form, strength and packaging size of the parallel imported medicinal product Number of the authorisation for distribution of parallel imported medicinal products in the Medicinal Product Register of Latvia Holder (owner) of the medicinal product registration certificate (in a European Economic Area state from which they are supplied), the state from which the medicinal products are supplied, and the registration number of the medicinal products therein Manufacturer of the parallel imported medicinal products 1 2 3 4 Name, form and strength of medicinal products registered in Latvia in relation to medicinal products for which parallel importation has been performed Registration number of the medicinal product registered in Latvia, within the Medicinal Product Register of Latvia Holder (owner) of the medicinal product registration certificate in Latvia 5 6 7
Cab.%20Reg.%20No.%20416%20-%20Distribution%20and%20Quality%20Control%20%20of%20Medicinal%20Products.docx