NAFDAC Greenbook

Report Suspected Fake

A. Reporter Information

Name

Phone

Email*

B. Product information: Please tick

Product type*

Medicine

Medical Device

Herbal Product

Vaccine

Product form*

Tablet

Syrup

Capsule

Injection

C. Suspected Issue:

Type of issue*

Poor Quality

Falsefied

Unregistered

Reason for Suspicion

D. Product Source:

Source*

Pharmacy

Wholesale

Online Store

Location (where product was bought)*

E. Evidence:

Attach evidence product (photos, packaging, product samples)*

Attach relevant documentation (receipts, invoices, certificates of analysis)

F. Additional Information:

Any additional details that may aid investigation

This template provides a structured format for reporting substandard and falsified medical products to NAFDAC, ensuring that all necessary information is captured for effective investigation and action.