Renewal and Change of Circumstances of S-License for Drug Establisment

Application Sheet should be attached on the first page. Green folder should be used in submission of requirements. The following are requirements:

1. NBI Clearance (Authorized Pharmacist)
2. *Letter of Authorization, PDEA format
3. *Notarized Joint Affidavit, PDEA format
4. PRC ID Card (Authorized Pharmacist)
5. PTR (Authorized Pharmacist)
6. DTI/ SEC/ CDA Certificate
7. General Information Sheet – GIS (corporations only)
8. Business/Mayor’s Permit
9. FDA or DOH - CHD LTO Certificate with official receipt
10. BOC Accreditation Certificate(importer/exporter only)
11. *Projection for forthcoming year (importer/ manufacturer only)
12. Certificate of Product Registration – CPR (importer/ manufacturer/ exporter only)
13. Latest Semi-Annual Report Submitted
14. *Record Book / Register with updated recording
15. *Latest S – license issued (to be surrendered)
    
    
    FOR MATERIAL CHANGES - Submit the following:
    
    
    a) Head or authorized pharmacist
    - TIN
    - NBI
    - Current Organizational structure, certified correct by Human Resource (HR) Officer of company with pictures of officers 
     
    b) Business address
    - Location/Vicinity Map
    - Floor plan/ Layout to highlight controlled drug storage area
    - Picture of Drug Establishment (façade)
    - Picture of controlled drug storage area
    - Proof of ownership/ Lease of Contract
    
    
    *Original current document required. For the rest of the requirements, submit clear photocopy and present original for validation.