Voluntary Reporting Form

for reporting of adverse events/side effects and/or product quality complaints for Biocon Products
BIOCON is highly committed and vigilant in collecting adverse events/side effects and/or product quality complaints. Please help us by filling the form below in the event of adverse reactions. The information generated on the basis of these reports help us to assess the safety profile of Biocon's products.
What needs to be reported?
Customers/Healthcare Professionals can report 'Any Adverse Events / Side Effects' and/or product quality complaints experienced with Biocon Products. Besides these, there are other scenarios/situations (cited below as examples) which can be reported to Biocon, for any Biocon drug that is in question:
  • Patient taking company drug was pregnant.
  • Patient has overdosed on Company drug.
  • Product quality complaints, e,g, discoloured or damaged products.
Who can report:
  • Health care professionals (Doctors, Dentists, Nurses, Pharmacists) and Non-healthcare professional (Patient, relative, friend, etc).

Forms

If you are a Consumer of Biocon products and you or someone in your family has experienced an adverse event/side effect to Biocon`s product or if you have any product complaint, you are encouraged to report it to us by using this online voluntary reporting form.

If you are a Health Care Professional you can report the product quality complaints or adverse events/side effects experienced by your patient through this online voluntary reporting form.

After submitting the form online, you will receive an acknowledgement on your email address . You will be personally contacted only if any additional information is needed. If you require any help in filling the form, you can call our executive for online support.

Online voluntary adverse events/side effects and/or product complaint reporting form

Online Form

Click here to download the form and send the filled form by Courier/Post/Email/Fax

Download Form

Online Form

You can report the adverse events/side effects and/or product quality complaints for Biocon products by filling AE reporting form online. You can follow the instructions for how to fill the AE reporting form. After filling the AE reporting form with all the mandatory fields, you can successfully submit the report to Biocon Pharmacovigilance department. On successful submission, you will get an acknowledgement on your email address.

Offline Form

You can also download the AE reporting form, fill it offline and can send this filled form to E-mail ID: drugsafety.smv@biocon.com (for Products Mycophenolic Acid, Labetalol, Esomeprazole, Tacrolimus, Everolimus, Pravastatin, Atorvastatin, Rosuvastatin, Simvastatin and Fingolimod) or DrugSafety@biocon.com(for all other products) which is mentioned on package insert / Biocon website OR you can also fax filled AE reporting form via fax no: +91 80 67755 900 / +91 80 6775 5323 OR you can post the filled AE reporting form to below address.

Email

The reporter can mention/provide the details of the adverse events/side effects and/or product quality complaints experienced by the patient while using Biocon products, to our email ID : drugsafety.smv@biocon.com(for Products Mycophenolic Acid, Labetalol, Esomeprazole, Tacrolimus, Everolimus, Pravastatin, Atorvastatin, Rosuvastatin, Simvastatin and Fingolimod). or DrugSafety@biocon.com(for all other products). We request you to please provide the these four minimum details (patient details, reporter details, Biocon drug details taken by the patient and the adverse event details experienced by the patient) through above mentioned email ID for smooth processing of your complaint at Biocon.

Call/Fax

You can also call below toll free numbers and report the adverse events/side effects and/or product quality complaints related with the use of Biocon Products telephonically. 1800 102 9465 (India), 00 1866 924 6266 (US) and 8006 3624 6266 (UAE) and Biocon Pharmacovigilance Department number: +91 80 6775 5356 (India). OR you can also fax filled AE reporting form via fax no: +91 80 67755 900 / +91 80 6775 5323