Portugal

Clinical Trial Application	Portugal Clinical Trial Quote Request Clinical Trials Quote Request
Mandated Coverage	Yes
Standard Limits	100.000 €/patient 2 to 5.000.000 €/protocol
Tail Coverage	2 years
Data Required to Quote	• Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Protocol Title in Portuguese • Tax Identification Number (TIN) of the sponsor • Site List in Portuguese, inclusive of Full Name(s) of Principal Investigator(s), the Hospital(s)/Site Location(s) Address(es) with Area Code

Clinical Trial Application	Vietnam Clinical Trial 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 • Local Legal Representative/CRO details (Full Entity name, Address, Telephone Number and E-mail Address) No refund for policy cancellation