PHARMACOVIGILANCE

Identify Yourself

Physician Pharmacist Other Healthcare Professional Patient or Non-Healthcare Professional

First and Last Name

Phone Number

Country

Email Address

Department (Name of the product, dosage, indication, route of administration, active ingredient, pharmaceutical form, batch number, etc)

Patient information (Full name or initials, gender, age, date of birth, weight and height, or any additional information)

Report Subject

Adverse event Any problem related to the condition or quality of the product Medical Information Inquiry

Description of the report (Adverse event, product quality complaint, special risk situation, or medical information request).

I hereby certify that all the information provided by me in this form is correct, accurate and complete to the best of my knowledge.

I AUTHORIZE the processing of my personal data. The Privacy Policy is available at https://steincares.com/es/politica-de-privacidad/

SteinCares is a Latin American leader in the commercialization and distribution of specialty healthcare products, including complex generics, biosimilars, innovative pharmaceuticals, and orphan drugs.

With more than 40 years of progressive healthcare experience and a presence in 30+ countries across Latin America and the Caribbean, we serve as a bridge between global pharmaceutical companies and the region’s healthcare providers.

As a dedicated pharmaceutical partner, we conduct rigorous pharmacovigilance on the products we offer, including the detection, assessment, and prevention of adverse effects or any other issues associated with a pharmaceutical product. We have always embraced a “Patient First” approach, which enables us to thoroughly understand the safety profiles of our products.

Accordingly, we are keen to learn about any potential adverse event or related medical issue that you or someone you know may experience while using any of our products. To report such an issue, simply complete and submit the form. SteinCares’ Pharmacovigilance Department will promptly review the information you provide.

All information you submit will be treated confidentially and used exclusively by our Pharmacovigilance Department. In certain cases, it may be shared with relevant partners or SteinCares authorities in accordance with the pharmacovigilance regulations of the country where you live or are being treated. If you have any questions about how we use the information you provide, please email: eventosadversos@steincares.com

Victoria Inés Carrillo

Communications Manager

vcarrillo@steincares.com

Cel: (+54) 911-6367-1612

Set aside some time to meet with me.

Jose Daniel Hidalgo, PharmD.

Head of Pharmacovigilance- LATAM

Meridiano Building 5th floor, Escazu, San Jose, Costa Rica

johidalgo@lbs-cr.com

Tel: (+506) 2550 6582

Cel: (+506) 7111-6525