[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-165351-en":3,"doc-seo-165351-105":30,"detail-sidebar-cat-1-en-105":90},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":11,"category_id":12,"category_name":13,"doc_title":14,"doc_description":15,"doc_content":16,"file_id":17,"file_url":18,"file_type":19,"file_size":20,"view_count":4,"is_deleted":4,"is_public":11,"is_downloadable":11,"audit_status":11,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":15,"update_tm":28,"read_time":29},165351,962085570644,"Melati","https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d",1,17,"Forms","Wholesale Distributor Information Questionnaire - Regulatory Status, Certifications, and Product Range","Wholesale distributor information questionnaire collecting company details, physical address coverage, regulatory status, and required documentation. Captures licensing information, dates of last audits or technical visits, Good Distribution Practice (GDP) assessments and supporting certificates, and ISO certification attachments. Gathers additional international approvals from specified organizations, willingness to provide approval letters and audit/technical reports to WHO, and details on the range of supplied products. Includes (pre)qualification practices for pharmaceutical products and medical devices, including GMP assessments, dossier questionnaires, recognized approvals, and quality control approaches such as pre-shipment QC testing.","WHOLESALE DISTRIBUTOR\nINFORMATION QUESTIONNAIRE\n\u000f\nGeneral information on the company\n(*) If the premises are not all located at the same physical address, mention it clearly in the table (one row per address; add as many rows as needed).\nRegulatory status and certification(s)\nLicense\n2.1.1. Is your company licensed by the relevant regulatory authority?\n☐Yes \t\t☐ No\nPlease attach a copy of the license\nPlease indicate the date of the last audit or technical visit of the national authority:    (dd/mo/yyyy)\nGood Distribution Practice (GDP)\n2.2.1 Are the company and its premises regularly assessed against Good Distribution Practice guidelines?\n☐Yes \t\t☐ No\n2.2.2 If “Yes”, please specificy the name of the authority that carried out the GDP inspections and the international refence standards (national GDP, EU GDP, WHO GDP, USP GDP, etc.)\nAuthority:\t……………………\t\tReferential\t………………….\nPlease attach a valid copy of the GDP certificate to the questionnaire\nISO certification\n2.3.1 Is your company ISO certified?\n☐Yes \t\t☐ No\n2.3.2 If “Yes”, please attach copy(ies) of the valid ISO certificate(s) to the questionnaire\nOther Certifications\n2.4.1 Is your company “approved” aswholesaler distributor  by an  international organization (please tick the boxes)?\n☐UNICEF Supply Division\n☐UNFPA\n☐GDF\n☐INTERNATIONAL COMMITTEE OF THE RED CROSS (ICRC)\n☐DG ECHO\n☐USAID\n☐OFDA\n☐The Global Fund\n☐Medecins Sans Frontieres (MSF)\n☐Others (please specify)\t…………………………………………………\n…………………………………………………\n…………………………………………………\n2.4.2. Please attach a copy of the letter of approval issued by the organization(s) mentioned above.\nIf you are not able to provide such a letter of approval please explain why:\n……………………………………………………………………………………………………………………………..\n………………………………………………………………………………………………………………………………..\n………………………………………………………………………………………………………………………………..\n2.4.3 If requested, would you accept to provide WHO with a copy of the audit or technical report performed by the organization(s) mentioned above?\n☐Yes \t\t☐ No\nRange of products\n3.1. What type of products does your company supply to your customers?\n☐Multi source essential medicines\n☐Medical kits\n☐Innovator medicines (branded)\n☐Medical devices\n☐Chemical reagents\n☐Medical Equipment (X-ray, autoclaves, sonographer, etc.)\n☐Other products (please specify)\t…………………………………………………………………………\n…………………………………………………………………………\n…………………………………………………………………………\n(Pre)qualification\nPharmaceutical products\nOn what basis does your company (pre)qualify its sources of pharmaceutical products?\nGMP assessment of the manufacturing site\n4.1.1.Do you assess the manufacturing site with your own  team of inspectors ? \t☐Yes \t☐ No\n4.1.2 Do you appoint external experts to perform the GMP audits? \t\t\t☐Yes \t☐ No\n4.1.3 Do you recognize the GMP approvals of third parties?\t\t\t☐Yes \t☐ No\n4.1.4 If “Yes”, please specify which GMP approvals you recognize (tick the boxes below)\n☐ WHO PQ\t\t☐ PIC/S \t\t☐ US FDA\n☐ UNICEF \t\t☐ ICRC\t\t☐ others (please specify).....................\nAssessment of the pharmaceutical product dossier\n4.1.5 Do you have your own product questionnaire ?\t\t\t\t☐Yes \t☐ No\nIf “Yes”, please attach a copy\n4.1.6 Do you use the Interagency Finnished pharmaceutical product questionnaire?\t\t\t\t\t\t\t\t\t\t\t\t\t☐Yes \t☐ No\n4.1.6 Do you recognize the technical approvals of other agencies?\t\t\t☐Yes \t☐ No\nIf “Yes”, please specify which approvals you recognize (tick the boxes below)\n☐ Pre-qualification by the WHO\n☐ US FDA tentative approvals\n☐ Approvals by Stringent Regulatory Authorities (SRA)\nplease specify your definition of SRA\n……………………………………………………………………………………………………..\t……………………………………………………………………………………………………..\n\u000f\n☐ Other agencies\nIf “Yes”, please mention below the names of the agencies that you recognize\n……………………………………………………………………………………………………..\t……………………………………………………………………………………………………..\n4.1.7 Do you maintain a list of (pre)qualified manufactuers of pharmceutical products?\t☐Yes \t☐ No\nIf “Yes”, would you accept to provide WHO with a copy of the current list?\n4.1.8 Do you maintain a list of (pre)qualified phar","cbCaislN2QtGtcah","https://ap.wps.com/l/cbCaislN2QtGtcah","docx",97458,11,"English","en",105,"# General information\n## Regulatory status and certification(s)\n## Range of products\n## (Pre)qualification\n## Quality control and monitoring","[{\"question\":\"What company information is required in the Wholesale Distributor Information Questionnaire?\",\"answer\":\"The questionnaire requests general company information and clear indication of all premises addresses, with one row per address if locations differ.\"},{\"question\":\"Which regulatory and certification documents must be provided?\",\"answer\":\"It collects licensing details and requires attaching copies of the license, GDP certificate (if assessed), and valid ISO certificates (if applicable), plus approval letters from specified international organizations where requested.\"},{\"question\":\"How does the questionnaire assess (pre)qualification and quality control?\",\"answer\":\"It asks how pharmaceutical and medical device sources are assessed, including GMP site inspection approaches, recognition of third-party approvals, maintenance of lists of qualified products/manufacturers, and quality control methods such as pre-shipment QC testing.\"}]","Wholesale Distributor Information Questionnaire - Regulatory Status, Certifications, and Product Range | DOCX",1788170165,4,{"code":4,"msg":31,"data":32},"ok",{"site_id":24,"language":23,"slug":33,"title":14,"keywords":34,"description":15,"schema_data":35,"social_meta":85,"head_meta":87,"extra_data":89,"updated_unix":28},"wholesale-distributor-information-questionnaire-regulatory-status-certifications-and-product-range","",{"@graph":36,"@context":84},[37,53,67],{"@type":38,"itemListElement":39},"BreadcrumbList",[40,44,48,51],{"item":41,"name":42,"@type":43,"position":11},"https://docshare.wps.com","Home","ListItem",{"item":45,"name":46,"@type":43,"position":47},"https://docshare.wps.com/template/","Template",2,{"item":49,"name":13,"@type":43,"position":50},"https://docshare.wps.com/template/forms/",3,{"item":52,"name":14,"@type":43,"position":29},"https://docshare.wps.com/template/wholesale-distributor-information-questionnaire-regulatory-status-certifications-and-product-range/165351/",{"url":52,"name":14,"@type":54,"author":55,"headline":14,"publisher":57,"fileFormat":60,"inLanguage":23,"description":15,"dateModified":61,"datePublished":61,"encodingFormat":60,"isAccessibleForFree":62,"interactionStatistic":63},"DigitalDocument",{"name":9,"@type":56},"Person",{"url":41,"name":58,"@type":59},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-08-31",true,{"@type":64,"interactionType":65,"userInteractionCount":4},"InteractionCounter",{"@type":66},"ViewAction",{"@type":68,"mainEntity":69},"FAQPage",[70,76,80],{"name":71,"@type":72,"acceptedAnswer":73},"What company information is required in the Wholesale Distributor Information Questionnaire?","Question",{"text":74,"@type":75},"The questionnaire requests general company information and clear indication of all premises addresses, with one row per address if locations differ.","Answer",{"name":77,"@type":72,"acceptedAnswer":78},"Which regulatory and certification documents must be provided?",{"text":79,"@type":75},"It collects licensing details and requires attaching copies of the license, GDP certificate (if assessed), and valid ISO certificates (if applicable), plus approval letters from specified international organizations where requested.",{"name":81,"@type":72,"acceptedAnswer":82},"How does the questionnaire assess (pre)qualification and quality control?",{"text":83,"@type":75},"It asks how pharmaceutical and medical device sources are assessed, including GMP site inspection approaches, recognition of third-party approvals, maintenance of lists of qualified products/manufacturers, and quality control methods such as pre-shipment QC testing.","https://schema.org",{"og:url":52,"og:type":86,"og:title":14,"og:site_name":58,"og:description":15},"article",{"robots":88,"canonical":52},"index,follow",{"doc_id":7,"site_id":24},{"code":4,"msg":5,"data":91},[92,96,101,106,111,116,119,124,129],{"id":21,"doc_module":11,"doc_module_name":46,"category_name":93,"show_sort_weight":94,"slug":95},"Presentations",90,"presentations",{"id":97,"doc_module":11,"doc_module_name":46,"category_name":98,"show_sort_weight":99,"slug":100},12,"Resumes",80,"resumes",{"id":102,"doc_module":11,"doc_module_name":46,"category_name":103,"show_sort_weight":104,"slug":105},14,"Invoices",70,"invoices",{"id":107,"doc_module":11,"doc_module_name":46,"category_name":108,"show_sort_weight":109,"slug":110},15,"Posters",60,"posters",{"id":112,"doc_module":11,"doc_module_name":46,"category_name":113,"show_sort_weight":114,"slug":115},16,"Social Media",50,"social-media",{"id":12,"doc_module":11,"doc_module_name":46,"category_name":13,"show_sort_weight":117,"slug":118},40,"forms",{"id":120,"doc_module":11,"doc_module_name":46,"category_name":121,"show_sort_weight":122,"slug":123},18,"Letters",30,"letters",{"id":125,"doc_module":11,"doc_module_name":46,"category_name":126,"show_sort_weight":127,"slug":128},21,"Paper Templates",5,"papers-templates",{"id":130,"doc_module":11,"doc_module_name":46,"category_name":131,"show_sort_weight":4,"slug":132},158,"General","general-158"]