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Drug Shortage Online Reporting
 

Section (A): Information of the drug/vaccine
Product name (including strength)*:
HK registration number: HK-
Name of manufacturer:
Name of holder of Certificate of Drug/Product Registration:
Name of distributor, if any:
 
* Please refer to the list of core drugs (including vaccines) of the Guidance Note.
 

Section (B): Details of drug/vaccine storage
Sector of the drug or vaccine distributed (please indicate below):
DH Hospital Authority Private hospitals Private practitioners Community pharmacies
On-hand stock quantity (in unit pack):
Normal monthly consumption (in unit pack):
 
Reason(s) of drug or vaccine shortage:
Expected duration of shortage:
 
Actions to be taken (including any alternative products registered by your company for replacement):
 

Section (C): Details of contact person
Name and post title:
Tel. no:
Email:
Confirmed E-mail:
Date of report:

 
 

Please read the following instructions:

  1. Please read the Guidance Notes on Drug Shortage Notification (http://www.drugoffice.gov.hk/drug_shortage/index.html) before completing the Drug Shortage Notification form.
  2. Please provide information to every section.
  3. Information of individual reporter will be treated in strict confidence. Please read the Statement of Purposes in respect of the collection of your personal data.
  4. As limited space is provided, please use another page for additional information if necessary.
  5. For further enquiries, please contact the Drug Procurement Unit of Drug Office of the DH at 3974 4215.
 
(Revised in 12/2019)
 
Please enter the five letters as shown above.
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