SCHOTT
Pharmazeutische Primärverpackungen (deutsch)
ändern
Submission Details
Country Of Submission*
- Please select -
USA (FDA)
Canada (Health Canada)
China (NMPA)
Are you working for a third party customer?
We offer our customers the alternative to submit individual request upon third parties Letter of Authorization (LoA) application in China. Please kindly direct your request to Dr. Karen Liu (
Karen.liu@schott.com
)
Company requesting to issue a LOA
Company Name*
Company Name China
(In China, only relevant to China submission. If there is no
corresponding Chinese translation of your Company Name
or there is no Company Name in Chinese, please use your
English Company Name)
*
Address 1
(Please provide Postal address in English)*
Address 2
Ort*
State/Province*
Zip/Postal Code*
Land*
Land
Ägypten
Albanien
Algerien
Argentinien
Australien
Bangladesch
Belgien
BeNeLux
Birma
Bosnien und Herzegowina
Brasilien
Bulgarien
China
Dänemark
Deutschland
Ecuador
Estland
Finnland
Frankreich
Griechenland
Großbritannien
Hong Kong
I.R. Iran
Indien
Indonesien
Irland
Israel
Italien
Japan
Jemen
Kanada
Kolumbien
Kroatien
Lettland
Libyen
Litauen
Luxemburg
Malaysia
Marokko
Mazedonien
Mexiko
Montenegro
Neuseeland
Niederlande
Norwegen
Österreich
Pakistan
Peru
Philippinen
Polen
Portugal
Rumänien
Russland
Saudi Arabien
Schweden
Schweiz
Serbien
Singapur
Slowakei
Slowenien
Spanien
Süd Korea
Südafrika
Syrien
Taiwan
Tschechische Republik
Türkei
Tunesien
Ukraine
Ungarn
USA
Venezuela
Vereinigte Arabische Emirate
Vietnam
Weißrussland
Zypern
First Name*
Last Name*
Titel
Tel.*
E-Mail*
E-Mail Confirmation
Company for whom the LOA is being issued
Is the company for whom the LOA is being issued the same as the requesting company?
If not, please add additional company by clicking the button below.
Weitere Firma hinzufügen
Issue LOA for the following company:
Company Name*
Company Name
(in Chinese, only relevant for China Submission)
Address 1*
Address 2
Ort*
State/Province*
Zip/Postal Code*
Land*
Land
Ägypten
Albanien
Algerien
Argentinien
Australien
Bangladesch
Belgien
BeNeLux
Birma
Bosnien und Herzegowina
Brasilien
Bulgarien
China
Dänemark
Deutschland
Ecuador
Estland
Finnland
Frankreich
Griechenland
Großbritannien
Hong Kong
I.R. Iran
Indien
Indonesien
Irland
Israel
Italien
Japan
Jemen
Kanada
Kolumbien
Kroatien
Lettland
Libyen
Litauen
Luxemburg
Malaysia
Marokko
Mazedonien
Mexiko
Montenegro
Neuseeland
Niederlande
Norwegen
Österreich
Pakistan
Peru
Philippinen
Polen
Portugal
Rumänien
Russland
Saudi Arabien
Schweden
Schweiz
Serbien
Singapur
Slowakei
Slowenien
Spanien
Süd Korea
Südafrika
Syrien
Taiwan
Tschechische Republik
Türkei
Tunesien
Ukraine
Ungarn
USA
Venezuela
Vereinigte Arabische Emirate
Vietnam
Weißrussland
Zypern
First Name*
Last Name*
Titel
Tel.*
E-Mail*
SCHOTT Product Details
SCHOTT Product Manufacturing Facility*
- Please select -
SCHOTT AG, Germany
SCHOTT Brasil Ltda., Brazil
SCHOTT Envases Argentina S.A., Argentina
SCHOTT Envases Farmacéuticos S.A., Colombia
SCHOTT de México, S.A. de C.V., Mexico
SCHOTT France Pharma Systems SAS, France
SCHOTT Glass Technologies (Suzhou) Co., Ltd., China
SCHOTT Pharmaceutical Packaging (Zhejiang) Co., Ltd., China
SCHOTT Hungary Kft., Hungary
PT. SCHOTT Igar Glass, Indonesia
SCHOTT North America, Inc., USA
LLC. SCHOTT PHARMACEUTICAL PACKAGING, Russia
SCHOTT Schweiz AG, Switzerland
SCHOTT Product Group*
- Please select -
Ampoule
Ampoule Brown
Cartridge
Syringe (Glass)
Syringe (Polymer)
Vial (Glass)
Vial (adaptiQ®)
Vial (Boro 8330TM)
Vial (Glass, Brown)
Vial (Polydimethylsiloxane Film)
Vial (illax Glass, Polydimethylsiloxane Film)
Vial (illax Glass)
Coated Vial (Type I plus®)
Coated Vial (TopLyO®)
Syringe (Glass Barrel)
SCHOTT Product Description (e.g. pen cartridge 20ml)*
SCHOTT Article No. (7-digit starting with 1... )
specification/model*
(Please kindly enter the format or
size of the container(s) used, e.g. 2 mL)
Information of Drug to be applied at the NMPA in China (China Submission),
(Should be identical to the name given in the submission dossier to NMPA)
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
Comments
Please enter the numer of originals of the
requested China LoA
; if no hard copy is needed,
please enter ’No original/hard copy is required’
in this field.*
* = Pflichtfeld