Complaint Submission Form

The IFPMA Code of Practice is open to any healthcare professional, a company or member of the public, acting in good faith within the spirit and intentions of the IFPMA Code of Practice.

Please submit each complaint separately (one page per complaint)

If a valid complaint is determined to fall under the jurisdiction of a member association, it will be forwarded to them as appropriate.

Title (*)

First Name (*)

Last Name (*)

Email Address (*)

Organisation

Street (*)

Street 2

City / State (*)

Post Code (*)

Country (*)

Please keep my name and contact details condfidential to all outside the IFPMA Secretariat and Adjudication Groups.

* I consent ifpma.org to collect and store my data from this form.

Please provide information on the alleged breach. If possible, please include a specific reference to the portion of the IFPMA Code of Practice which the complaint pertains to (section and paragraph number(s)).

Company Involved in Alleged Breach (*)

Product Name (*)

Location of Alleged Breach (*)

Date of Alleged Breach (*)

Brief description of the alleged breach of the IFPMA Code of Practice. Supporting documentations and / or longer descriptions may be attached below (*)

Reference material to upload (PDF or Word document only, maximum 1536MB)

(*) Mandatory Fields

Please provide the information for all the mandatory fields to proceed to confirmation page

For more information about the operating procedure for complaints regarding the

IFPMA Code of Practice, click here

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Pharmacovigilance

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IFPMA Code of Practice (2019)

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Access to medicines

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Universal Health Coverage

Ethics

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Complaint Submission Form

Complaint Submission Form

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