Bangladesh

Clinical Trial Application	Bangladesh Clinical Trial Quote Request
Mandated Coverage	Unknown
Standard Limits	n/a
Tail Coverage	n/a
Data Required to Quote	• Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Provide local CRO contact information (Name, address, email, telephone number) Bangladesh requires payment and wire payment confirmation PRIOR to release of documentation. No refund for policy cancellation.

Clinical Trial Application	Venezuela Clinical Trial Quote Request
Mandated Coverage	Yes
Standard Limits	n/a
Tail Coverage	n/a
Data Required to Quote	• Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Protocol Title in Spanish • Site List in Spanish, inclusive of Full Name(s) of Principal Investigator(s), the Hospital(s)/Site Location(s) Address(es) with Area Code