ADVERSE DRUG REACTION REPORTING FORM

For VOLUNTARY reporting of ADRs

CoHiba Pharmaceuticals Helpline : +91 7302256783 (10:00 AM to 6:00 PM, Monday-Saturday)

If you would like to send us information by post, please download the form and mail to the following address:

Cohiba Pharmaceuticals Pvt. Ltd.

Manufacturing Unit:
Khasra No. 581, First Floor,
VPO Naya Gaon Palio,
Dehradun – 248007,
Uttarakhand, India

Sales & Marketing Office:
2nd Floor, No. 6/233,
OM Sharde Complex, Above HDFC Bank Wing,
Prem Nagar,
Dehradun – 248007,
Uttarakhand, India

Phone: +91-7302256783
Email: cohibapharma@gmail.com

To report adverse events, we recommend you use the email address cohibapharma@gmail.com. If additional information is required, please contact Cohiba Pharmaceuticals using the details provided below.

Cohiba Pharmaceuticals has a strong commitment to provide quality products. A comprehensive adverse event reporting system is maintained to ensure compliance with applicable regulatory requirements. Please help us by filling out the form below in the event of any adverse reactions. The information collected through these reports helps in the continuous assessment of the benefit-risk profile of our medicines and supports ongoing patient safety.

Who can report:

Any health care professional (Doctors, Dentists, Nurses, Pharmacists,Patients etc)
Non healthcare professional (Patient, relative, friend, etc)

Confidentiality:

The patient’s identity is held in strict confidence and protected to the fullest extent. The company shall not disclose the reporter’s identity in response to a request from the public.