ANDA Form

• Author: Kenneth L. Dorsney
• Pages: 697-697

ANDA Form

IN THE UNITED STATES DISTRICT COURT

[Name of District]

[DISTRICT COURT CAPTION]

SUPPLEMENTAL INFORMATION FOR PATENT CASES INVOLVING AN

ABBREVIATED NEW DRUG APPLICATION (ANDA)

Plaintiff hereby provides the information below with respect to the deadlines set

forth in 21 U.S.C. § 355(j):

Date Patentee Received Notice: __________________

Date of Expiration of Patent: ____________________

Thirty Month Stay Deadline: ____________________

DATED: [Date of Signature]

[Name of Counsel for Plaintiff]

[Name of Attorney for Plaintiff]

[Address of Counsel for Plaintiff]

697

A-4

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