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Product settings

What information is changing? (required)

(select all that apply)

Company

Contacts - Info

Sites

Product

Medicinal ingredient - Info
Non-medicinal ingredient - Info
Recommended dose - Info

Quality

Test methods - Info
Nature of Initial Application (required)

Is this applicaiton for a product that is considered to be a Nicotine Replacement Therapy(NRT)?

Market status information (required)

Is this product currently being sold in Canada?

Sales Intention (required)

Will this product be sold in Canada within twelve months of receiving a revised authorization?

Will this product be manufactured in Canada within twelve months of receiving a revised authorization?

Post-licence response type ( required)

Is this amendment/notification in response to a Monograph revision?

Response to a notice (required)

Is this amendment/notification in response to a notice issued by the NNHPD Risk Management Division?

Info

Contacts
Select to make changes to contact person information for this licence.

Info

Medicinal ingredient
Select to change one or more of the following medicinal ingredient information: proper name, common name, source ingredient, source material, strain, synthetic/non synthetic, animal tissue, extract ratio, quantity crude equivalent, potency and/or solvent.

Info

Non-medicinal ingredient
Select to change NMI information including name, purpose, animal tissue, and/or quantity per dosage unit.

Info

Recommended dose
Select to change dosing information including sub population, dose, frequency and/or directions for use.

Info

Test methods
Select if changing the product specifications due to the removal or modification of one or more test method(s).
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1.0.4
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