Request For Quotation Form:


Name*
Title*
Company*
Address*
City*
State*
Zip*
E-mail*
Phone*
Fax

Name of the Drug Product * :
Active Ingredient per unit Dose* :
Markets Served* : USA Europe Japan
Australia India Others
Dosage Form* : Tablets IR Tablets MR Capsules
Creams Suspensions Others
Category of Product* : Hormone Substance
Controlled
Steroid Others
Primary Packing* :
Stability Conditions    
25º C / 60 % RH* : 0 3 6 9 12 18 24 36 48 60
30º C / 65 % RH* : 0 3 6 9 12 18 24 36 48 60
30º C / 75 % RH* : 0 3 6 9 12 18 24 36 48 60
40º C / 75 % RH* : 0 1 2 3 6
Photostability : Required Not Required
When is testing needed?
Immediately
Within 10 days
Within 1 month
Uncertain/budgeting
Procedure Reference
USP
BP
EP
Client Procedure
Test Method Validation Status
Validation required, please quote
Client validated method submitted
Method previously validated
Uncertain, please call to discuss
Not required, samples not subject to GMP regulations
Not required, compendial test