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Report a potential product complaint

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Product Selection

In order to keep patients safe, it is vital that the highest possible quality is maintained with our products. If you suspect a potential defect or a Roche product has not met your expectations, please report this to us and provide as much information as possible.
For which Roche product do you have a complaint?
Do you suspect a product falsification?

Product Information

Please provide as many details about your product as possible. Refer to the diagram on the right side to find where the requested information is typically found.

Product selected
Please select the procedure to which your concern relates:
Please select the type (dosage form) of your product*
Is your product available for return?
Please keep the product until further instruction is provided.
Please keep the product until further instruction is provided.

Complaint Details

Please describe the defect in as much detail as you can. If possible, please also upload a photo of the product and defect.

Examples of potential product deficiencies may include (but are not limited to):

  • Empty blister cavity
  • Size/shape variation
  • Unusual appearance
  • Foreign matter
  • Cracked cap
  • Counterfeit product
  • Reconstitution issues
  • Discoloration
  • Missing label
  • Component not working
  • Missing component
  • Missing lot number or expiration date
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)

Photo Upload

Please support the investigation process by attaching multiple photos of the defect(s) and its packaging from all sides.

Please support the investigation process by attaching multiple photos of the defect(s) and its packaging from all sides.

Upload photos

Max files: 15
Max overall size 20 MB
Permissible file types: .png, .gif, .jpg, .bmp, .pdf

Max files: 15
Max overall size 20 MB
Permissible file types: .png, .gif, .jpg, .bmp, .pdf

Consideration for photos

What to photograph

Take photos of: 1. Defect(s) with all relevant angles, 2. product with all sides, 3. packaging with all sides. Ensure product details like product strength, expiry date and batch / lot number are clearly visible.

How to take the photographs

Ensure the photos are well-lit and sharp.

Consideration for photos

What to photograph

Take photos from: The product displaying the defect - from all relevant angles, containing all relevant details.

How to take the photographs

Ensure the photos are well-lit and sharp.

Complaint Details Continued

Please answer the following questions to the best of your knowledge.

How was the product stored?
How long have you/patient been using the product?
Was the product administered at home or in a medical environment (e.g. hospital/clinic)?
By whom?
Please provide the date of complaint occurrence:
Was there a delay in administration of the product as a result of this complaint?
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?

I consent to my data being processed for the purpose of responding to my inquiry and in accordance with the Roche Privacy Policy & Privacy Notice for Pharmacovigilance.

You consent, by ticking the box above, to the processing of your data for the purposes of responding to your inquiry and in accordance with the Roche Privacy Notice for Pharmacovigilance, medical information and product complaints. If you do not consent to the data processing, we will not be able to reply to your message and kindly ask you to use other channels to contact us.

Roche (Philippines) Inc. ("Roche") is required by law to record and/or report adverse events. Therefore, your data will be processed for these purposes in accordance with the specific GVP (pharmacovigilance) legislation, as further described in the Roche Privacy Notice for Pharmacovigilance, Medical Information and Product Complaints.

Roche will retain the personal information you provide for the purposes of responding to your request, following up on such requests, retaining the information in Roche's global pharmacovigilance database for reference purposes and to comply with our legal and regulatory record-keeping and reporting obligations. The retention period of the data is in accordance with the relevant laws and regulations.

By including personal data of another data subject in the form, you declare the lawfulness of the processing of this personal data.

The Privacy Policy provides more detailed information about your rights and how Roche processes personal data.

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