Czech Republic

Clinical Trial Application	Czech Republic Clinical Trial Quote Request Clinical Trials Quote Request
Mandated Coverage	Yes
Standard Limits	No statutory limits specified by law. Typical limits are USD 1M or EUR 500,000 per trial or in the aggregate. These limits are subject to change.
Tail Coverage	Between 1 and 3 years (depends upon the carrier)
Data Required to Quote	• Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Protocol Title in Czech • Provide EudraCT Number for Drug studies or EUDAMED No. for Medical Device studies, if not already included in Protocol

Clinical Trial Application	Philippines Clinical Trial Quote Request
Mandated Coverage	Yes
Standard Limits	2M USD/protocol
Tail Coverage	1 year after the end of the study
Data Required to Quote	THE PROCESS TO ISSUE DOCUMENTS IS SLOW. PLEASE ALLOW 3-4 WEEKS TIME AS WE ARE NOT ABLE TO EXPEDITE DOCUMENTS • Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Name and contact details of the Local CRO (include full name, contact person, address, email, telephone number) • Copy of the CRO’s Certificate of Accreditation from FDA Philippines • Completed KYC Form (to be provided by Newfront for completion) - No refund for policy cancellation