Report a potential product defect

Are you a…

If permitted by local regulations, do you want to be informed about the outcome of the complaint investigation?

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Product Selection

Do you suspect a product falsification?*

Product Information

Product selected

Please select the procedure to which your concern relates:*

Please select your product type (dosage form).*

Is your product available for return?

Complaint Details

What exactly is wrong with your Roche product? Upload photos of the defect.*

How is it different from "normal"? Please add a detailed description of the defect (e.g. appearance, damage, leakage).

Describe at what point was the defect or issue discovered (e.g. when opening the box, before the administration, after the administration, at which handling step according to instructions of use or patient information leaflet)

Complaint Details Continued

How was the product stored?*

How long have you/patient/caregiver been using the product?*

Was the product administered at home or in a medical environment (e.g. doctors office)?*

By whom?

Did the administrator of the product receive any handling training?*

Has this complaint also been reported via an additional channel (e.g. Health Authority / Call center/ Pharmacy)? *

Have there been any side effects involved?*

Personal Details

Are you a…

If permitted by local regulations, do you want to be informed about the outcome of the complaint investigation?

Product Selection

Do you suspect a product falsification?*

Product Information

Product selected

Please select the procedure to which your concern relates:*

Please select your product type (dosage form).*

Is your product available for return?

Complaint Details

What exactly is wrong with your Roche product? Upload photos of the defect.*

How is it different from "normal"? Please add a detailed description of the defect (e.g. appearance, damage, leakage).

Describe at what point was the defect or issue discovered (e.g. when opening the box, before the administration, after the administration, at which handling step according to instructions of use or patient information leaflet)

Complaint Details Continued

How was the product stored?*

How long have you/patient/caregiver been using the product?*

Was the product administered at home or in a medical environment (e.g. doctors office)?*

By whom?

Did the administrator of the product receive any handling training?*

Has this complaint also been reported via an additional channel (e.g. Health Authority / Call center/ Pharmacy)? *

Have there been any side effects involved?*

Personal Details

Are you a…

If permitted by local regulations, do you want to be informed about the outcome of the complaint investigation?

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