Document 11665055

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FDA Product Data Sheet: Drugs
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* Part number as shown on Customs document to identify the product (item number, SKU, etc.)
** U.S. Customs considers the country of origin to be the country where the product last underwent a “substantial transformation” (resulting in an
increase in value.) The FDA considers the country of origin to be that of the actual manufacturer. Actual manufacturer is defined as the last party
involved in the production of the food. 21 CFR 1.227(b)(2)
FDA Actual Manufacturer
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Drug Listing Number (Provide for all applicable)
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