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The InflaRx Commitment Program for GOHIBIC (vilobelimab) PROGRAM CLAIM FORM (TO BE COMPLETED BY AN AUTHORIZED HOSPITAL REPRESENTATIVE) IMPORTANT NOTE: Please complete ALL sections of this form. An
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How to fill out emergency use authorization eua

01
Step 1: Access the FDA website and locate the Emergency Use Authorization (EUA) submission form.
02
Step 2: Fill out the required information including product details, indication for use, scientific justification, and labeling information.
03
Step 3: Include supporting data and evidence to demonstrate the product's safety and effectiveness for emergency use.
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Step 4: Review the completed form for accuracy and completeness before submission to the FDA.
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Step 5: Submit the EUA application to the FDA for review and approval.

Who needs emergency use authorization eua?

01
Companies and manufacturers seeking to distribute products for emergency use before formal approval.
02
Healthcare providers needing to use unapproved medical products in emergency situations.
03
Government agencies authorizing the emergency use of certain products during public health emergencies.
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Emergency Use Authorization (EUA) is a mechanism that allows the FDA to facilitate the availability and use of medical products, including vaccines, during public health emergencies when there are no adequate, approved, and available alternatives.
Manufacturers of medical products, including drugs, biological products, and devices, are required to file for Emergency Use Authorization with the FDA when they seek to market their products during a public health emergency.
To fill out an EUA application, manufacturers must submit a request to the FDA that includes detailed information about the product, its intended use, clinical data supporting its safety and efficacy, and a risk-benefit analysis.
The purpose of Emergency Use Authorization is to enable the rapid deployment of essential medical products to address urgent public health needs, particularly during significant disease outbreaks or emergencies.
An EUA application must include details such as product description, manufacturing information, proposed indications for use, clinical trial data, potential risks, and benefits, and any relevant labeling and instructions for use.
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