SUSPECTED ADVERSE REACTIONS FORM

Send completed form to: The ADR Unit, BFAD, Civic Drive, Filinvest Estate, Alabang, Muntinlupa 1781. Or fax to: (02) 807-85-11, c/o The ADR Unit. Remaining sample of the drug can be sent to BFAD for analysis. National Pharmacovigilance Center “ Saving lives through Vigilant Reporting ” Bureau of Food and Drugs ................
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