HCP Engagement

Question Answers
Interaction Information
Event name Co-host Symposium: "Hypertension and Lipidemia: Your advices to patients"
Event start date 31-Oct-23
Event end date 31-Oct-23
Business Unit Commercial Department
HCP User Name Nguyen Thi Phuong Nga
1/. Name: PhD. Dr. Nguyen Thi Phuong Nga
2/. Employee: Thong Nhat Hospital
3/. Positon: Head of Internal Neurology
4/. Specialty: Internal Medicine, Neurology
5/. City/Country: HCM/Vietnam
HCP details 6/. Note: PhD. Dr. Nguyen Thi Phuong Nga is engaged by Viatris as speaker in co-host scientific
symposium
* Topic: "Pharmacist role on dyslipidemia treatment"
7/. Honorarium: VND 9,000,000, charge:
* Lipitor Retail 100%
Approval needed at date 11-Oct-23
Contract is already signed No
Viatris Legal Entity Information Viatris Vietnam Limited Company
Standard Payment Terms (60 days) Yes
If previous question is answer with no, two additional questions will appear, they are
below:
1. Payment terms (days)
2. Details and reason for non standard payment terms
Is 8.2 Governmental Official
If the HCP’s only government affiliation is as an employee of a government owned or
No
run hospital or university, and has no authority or influence over tenders, or
prescription writing or treatment decisions of other HCPs, then check “No”.
If above question is answered as 'yes', Compliance approval is required

Attachments
Event Program / Meeting Agenda* Please see the attachment
Rationale for Engaging HCPs Form* Please see the attachment
FMV Compensation Form* Please see the attachment

Requestor signature Digitally signed by Huu Co Dang-

Name & Designation: Dang Huu Co _ Channel Strategy Manager Huu Co Dang-M550574 M550574
Date: Date: 2023.10.09 11:05:12 +07'00'

Business Approver signature

Name & Designation: Adhiraj Singh Chauhan_Commercial Lead
Date:

Medical Approver signature

Name & Designation: Tran Thi Quynh Anh_Country Medical Lead
Date:

Compliance Approver signature (if applicable)

Name & Designation
Date: