Submit LOA-Request

SCHOTT Product Details
肖特工厂名 (请选择)*
肖特产品名称 (请选择)*
肖特产品描述*
肖特产品编号 (以1开头的7位数字)
specification/model*
(Please kindly enter the format or
size of the container(s) used, e.g. 2 mL)
中国国家药品监督管理局药品申请信息（中国原料药、药用辅料和药包材企业授权使用书申请）
（应与NMPA提交文件中申请信息的名称相同）
Name of the drug (in English)*
Name of the drug (in Chinese)*
(If there is no corresponding Chinese translation or Chinese Name
of the Drug, please enter Name of the Drug in English into this
field)
Route of administration (in English)*
Route of administration (in Chinese)*
Comments
注释字段 (建议输入授权书申请的数量); if no hard copy is needed,
please enter ’No original/hard copy is required’
in this field.*
* 必填项