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	Macedonia Clinical Trial Quote Request Clinical Trials 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 • Protocol Title in Macedonian • Site List in Macedonian and English, inclusive of Full Name(s) of Principal Investigator(s), the Hospital(s)/Site Location(s) Address(es) with Area Code - Payment is made directly by Sponsor to Carrier - No refund for policy cancellation