Veterinary Medicines Directorate Woodham Lane, New Haw Addlestone, Surrey KT15 3LS United Kingdom Tel: +44 (0)1932 336911 Fax: +44 (0)1932 336618 Search for VMD on GOV.UK APPLICATION FOR A MARKETING AUTHORISATION FOR A PARALLEL IMPORT (MAPI) An incomplete application form may delay the application process. If submitting in hard-copy, please use block capitals. Further guidance about this application type is available on GOV.UK. Delete as appropriate: This is an application to import a product Nationally Authorised or Mutually Recognised in another Member State SECTION 1 – ADMINISTRATIVE DETAILS 1. Proposed product name in the UK: 2. Registered Company Number: 3. Name and Address of Proposed Marketing Authorisation Holder: Company Name: Address: 4. Contact Details for this Application: Name: Email Address: 5. Invoice Details: Email address of where the invoice should be sent to. Email Address: 6. e-Issuing Details: Email address of where the authorisation documentation should be sent to (if different from 4 above). Email Address: Author: HStenson VMD/L4/Authorisations/029/C - #630675 – Revised May 2015 7. Site of Operations: 8. Name and qualifications of the person responsible for supervising the operations: 9. Particulars of the Manufacturer’s Authorisation for proposed site of labelling/ relabelling: 10. Particulars of the applicant’s UK Wholesale Dealer’s Authorisations: 11. Name of the Qualified Person in the EU / EEA responsable for Pharmacovigilance: SECTION 2 – PRODUCT DETAILS 12. 13. Please provide the following information about the product to be imported; if multiple numbers of member states are to be quoted for mutually recognised products you will need to complete this section for each one. i. EU / EEA Member State from which the product is to be imported from: ii. Name of the product in that member state: iii. Target Species: iv. Reference number of the marketing authorisation granted for the product in the above member state: v. Name and address of the holder of the above marketing authorisation: vi. Pack Details: Size Container Closures Dosing Device - Please provide details of the existing UK marketing authorisation which the applicant believes to be identical to, or not therapeutically different from, that to be imported. i. Name of product: ii. Marketing Authorisation (Vm) No. iii. Name and address of the authorisation holder Author: HStenson VMD/L4/Authorisations/029/C - #630675 – Revised May 2015 14. 15. Has evidence been provided in the application package to show the following: i. For biological products, the product is identical for food-producing & nonfood producing species: ii. For pharmaceutical products, the product is identical for food-producing species: iii. For pharmaceutical products, the product is therapeutically the same for non-food producing species: Does the product to be imported differ in any way from the product covered by the UK marketing authorisation? Delete as applicable: YES NO If yes, please specify what the differences are. Please note, for biological products, in particular vaccines, unless you can prove the product to be imported is identical to the UK authorised product, the application will be refused. 16. Please confirm if the following have been provided (state Yes or No) i. A copy of the label and package leaflet from the member state with an English translation: ii. A copy of the Summary of Product Characteristics (SPC) for the originator product in the UK together with the label and package leaflet: iii. An SPC, package leaflet and label (colour mock-up) to be used for marketing the product in the UK: iv. In instances where it is not practical to obtain a copy of the labelling, i.e. a cylindrical container, a photograph of the label: v. Copies of the current Wholesale Dealer’s Authorisations and Manufacturer’s Authorisation for the proposed labelling site (if proposed site is not in the UK, a English translation will be required): vi. A detailed description of the arrangements to be adopted for re-labelling the imported product: Author: HStenson VMD/L4/Authorisations/029/C - #630675 – Revised May 2015 vii. A detailed description of the pharmacovigilance system and, where appropriate, the risk management system that the applicant will put in place: viii. Sample(s) of the proposed packaging as intended for marketing in the UK: ix. The applicant should confirm (in writing) that there has been an agreement from the specified OMCL regulatory authority/ies to share the release certificate for the release of the relevant vaccine batch/s with the VMD. 17. Please confirm the name and address of the proposed distributor of the product; if not the proposed authorisation holder, please provide a copy of the UK Wholesale Dealer’s Authorisation (WDA) or Manufacturing Authorisation for the distributor. 18. Please confirm that you have read, understood and complied with the requirements set out in Chapter 4 of VMGN No. 2. Delete as applicable: YES NO If no, the application form will not be accepted. SECTION 4 – DECLARATION I apply for the application as described above. I confirm that the information given in support of this application is correct at the time of submission. Signature Job Title Name in Date BLOCK LETTERS If any information provided in this application is later found to be false or incorrect, the Secretary of State may suspend or revoke the authorisation. Author: HStenson VMD/L4/Authorisations/029/C - #630675 – Revised May 2015 ANNEX 1 The data requirements for a MAPI are listed below. For MAPIs based on a nationally authorised parent product; separate applications must be submitted for each MS that the MAPI product is to be imported from. For MAPIs based on a mutually recognised parent product; the name of each MS from which the MAPI product is to be imported should be included on the same application form. If granted, the import of the MAPI product from each MS will be covered by the authorisation. The VMD will liaise with the MS from which the product is being imported to obtain information to help the authorisation process. The timescales for assessing the application will be suspended pending receipt of the information requested. WARNING: Experience shows that it can take a long time to obtain the information from other MSs; therefore, we strongly advise you to contact the MS to encourage them to respond to queries as quickly as possible. You should provide the information requested in the application form as follows: Detailed Description of the Pharmacovigilance System (DDPS) You should provide a detailed description of the pharmacovigilance system (DDPS), and where appropriate, the risk management system that will be put in place by the MAH. The MAPI holder must fully comply with the requirements set out in VMGN 11 Pharmacovigilance Guidance on Adverse Events. In particular, a MAPI holder must: • Establish systems specific to each product to ensure that any batch recalls or safety issues in the country of export are identified and reported to the VMD. • Notify the VMD immediately of any events or developments in the country or countries from which the product is imported which may affect the safety, quality or efficacy of the product, or the terms of the MA, including: ■ ■ ■ ■ any variations to the authorisation in that country any recalls of batches any revocation or suspension of the authorisation any information available to the importer concerning adverse events (AEs) or other factors which could affect safety in use. If there is an impact on a MAPI from an adverse event (AE) involving a similar product, the VMD will inform the MAPI holder of any risk to human or animal health or the environment which has come to their attention. Likewise, the VMD may inform other MAHs of any risk to human or animal health or the environment which has been identified through an AE involving a MAPI product. The VMD may notify the parent company of an AE involving a MAPI product. Re-labelling Author: HStenson VMD/L4/Authorisations/029/C - #630675 – Revised May 2015 You must provide a detailed description of the arrangements to be used for re-labelling the MAPI product. This information should include: • • • • the site of operations the name and qualifications of the person responsible for supervising the operations if re-labelling in the UK, particulars of the ManA if re-labelling outside the UK, a copy of the ManA for each site concerned Manufacture For pharmaceutical products, it is not necessary for the parent and MAPI product to be manufactured by the same company, although the products should be therapeutically the same, unless justification can be provided to explain any possible differences. To ensure that the withdrawal period is appropriate, it is necessary to establish the identical nature of the formulation for pharmaceutical products authorised for food-producing species. In some cases the VMD may have to rely on information from other MSs to verify the identical nature or therapeutic equivalence of the products. For biological products, it is necessary for the parent and MAPI product to be manufactured by the same company, because the products must be identical. Batch Release: Biological Products You must provide confirmation that the competent authority (CA) in the exporting country is happy to provide batch release certificates to the UK for the parent product, upon request. Please note – the VMD is content to provide batch release certificates to other MS for products being exported out of the UK and into another MS, i.e. a MAPI is held in another MS and the parent product is being exported from the UK. The request must come from the competent authority in the other MS and not from the MAPI holder. Email: batchr@vmd.defra.gsi.gov.uk Author: HStenson VMD/L4/Authorisations/029/C - #630675 – Revised May 2015