Postal address:
Norwegian Institute of Public Health
WHO Collaborating Centre for Drug Statistics Methodology
Postboks 222 Skøyen
0213 Oslo
Norway

Visiting/delivery address:
Myrens verksted 6H
0473 Oslo
Norway

Tel: +47 21 07 81 60
E-mail:

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Application form for new ATCvet codes

Print version

Requested by

Name:
Company:
Address:
Country:
Email:
Active ingredients (preferably INN names):
Brand name:
Dosage form:
Strengths:
Marketing Authorization (MA) holder:
Main indication*:		* References should be given (e.g. from Summary of Product Characteristics approved in...)
Other indications*:
ATCvet code proposal:

Status concerning Marketing Authorization

Marketing Authorization (MA) has been approved in the following countries¹⁾:

Date of approval:

MA application has been submitted in the following countries¹⁾:

Date of submission:

A MA application has not yet been submitted, but is planned , in the following countries:

1) If the approved or applied indications in any of these countries differ from those given on the first page, please describe these differences in a separate enclosure.

Documentation and references (e.g SPC/Prescribing information), in English only, should be uploaded on the next page. Please note that no paper copies are required when the application is submitted electronically followed by our automatic receipt. Application for ATC/DDD is free of charge.

References, preferably the SmPC in English, should be enclosed.

Last updated: 2009-11-17