Monaco

Clinical Trial Application	Monaco Clinical Trial Quote Request Clinical Trials Quote Request
Mandated Coverage	Unknown. Please confirm with CRO.
Standard Limits	Unknown
Tail Coverage	Unknown
Data Required to Quote	• Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Protocol Title in French • Local Legal EU Representative details (Contact Person Name, Address, Telephone Number and E-Mail Address)

Clinical Trial Application	Croatia Clinical Trial Quote Request Clinical Trials Quote Request
Mandated Coverage	Yes, but conditions are not defined by the local law
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 Croatian • Site List in Croatian and English, inclusive of Full Name(s) of Principal Investigator(s), the Hospital(s)/Site Location(s) Address(es) with Area Code • Local CRO details (Contact Person Name, Address, Telephone Number and E-Mail Address) - Policy and Certificate to be countersigned by Sponsor and carrier will deliver to local CRO