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Why Romania as RMS - TOPRA

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Can a Referral be avoided<br />

• Statistics of Referrals: BE, lack of SPC harmonisation,<br />

Quality, Regulatory issues<br />

• Applicant: very well informed in advance, flexible in<br />

discussions with <strong>RMS</strong>, very well trained staff, pertinent<br />

response/justifications in c<strong>as</strong>e of a raised PSRPH<br />

• <strong>RMS</strong>: careful <strong>as</strong>sessment of a PSRPH, high quality ARs,<br />

correct interpretations of Guidelines, experience gained<br />

from other completed procedures of the same INN, finalised<br />

CMDh Referrals, CHMP Referrals, CHMP WP decisions<br />

24

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