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Minsk, Kollectornaya str., 3А, 3 floor, office 320
office@rebpharma.by

RU/EN

Reporting a suspected adverse reaction or lack of efficacy of the drug

RU/EN

Minsk, Kollectornaya str., 3А, 3 floor, office 320
office@rebpharma.by

Reporting a suspected adverse reaction or lack of efficacy of the drug

For medical drugs consumers

Full Name:

A country:

Age:

Floor:

contact number:

Contact Email:

Suspected Drug Information

The trade name of the medicine that you used (see packaging):

Series No. (see packaging):

Adverse Reaction / Lack of Information

Description of adverse reaction / lack of effectiveness:

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