Product Validation
PV 1 : Full Product Name
PV 2.0 : Dosage Form
2.1 Dosage Form
2.2 Dosage Form Description
2.3 Source of Capsule Shell (if applicable)
2.4 Certificate to Verify the Source of Capsule Shell (if applicable)
2.5 Colouring Agent Used in Capsule Shell (if applicable)
2.6 Certificate of Analysis of Capsule Shell (if applicable)
PV 3.0 : Active Ingredient(s)
3.1 Active Ingredient Name
3.2 Salt Form
3.3 Strength of Active Ingredient (Quantity unit/ dose)
3.4 Strength of Active Ingredient (Salt-Free Equivalent)
3.5 Source of Active Ingredient (Animal – e.g. Bovine, Porcine, Ovine or Others/ Plant/ Others)
3.6 Remarks (if any)
3.7 Status
PV 4.0 : Excipient(s)
4.1 Excipient name
4.2 Strength of excipient (Quantity unit/ dose)
4.3 Function of excipient (e.g. absorbent, diluents, bulking agent, coating agent, anti-caking agent, etc.)
4.4 Source of excipient
4.5 Remarks (if any)
PV 5 - PV 14 : Other Information
5. Ingredients of Human or Animal Origin (Active Ingredient, Excipient and / or Capsule Shell)
6. Manufacturer
7. Is there any Contract Manufacturer Involved?
8. Is this Product a Second Source Product?
9. Is there any Repacker/Packer Involved?
10. Is the Product Under Patent Production?
11. Does this product has Any Data Exclusivity (DE)?
12. Does this product contain any premix?
13. Is this a replacement product?
14. Is this an imported product?