Ultra Tab Laboratories

Quote Request for Contract Manufacturing

50 Toc Drive, Highland, NY 12528 • Phone: 845.691.8361 x110
Fax: 845.691.8360 • Email: contact us via email

Customer Questionnaire

This questionnaire helps UltraSeal/UltraTab evaluate your product and packaging needs. Please have your Quality Assurance personnel or Senior Officer complete this form and submit it to Ultra Tab Laboratories (UTL).

    *   = required field
UTL = Ultra Tab Laboratories

    Contact Information










    Product Information


    yesno




    NDAANDAMonographed OTCMedical FoodHomeopathicHerbalNutritional SupplementCosmeticOther


    TabletCapletCapsulePowder/GranulationOintmentCreamLiquidGelOther

    Product Questions



    yesno

    yesno
    Tablet/Caplet Characteristics

    Dimensions






    StandardDeepExtra Deep

    Appearance




    UncoatedSugarFilm CoatedEnteric

    Capsule Characteristics

    01234


    yesno

    NoneRadial PrintedAxial PrintedVegetableGelatinOther

    Powder/Granulation Characteristics



    yesno

    Ointment/Cream/Gel/Liquid Characteristics







    yesno

    Packaging Requirements

    BottlesTubesPacketsBlisters
    Bottles

    GlassPETHDPEOther





    yesno

    yesno

    Child ResistantHeat SealPressure SealStandard


    RibbedSmooth
    Tubes

    PlasticMetalOther





    RibbedSmoothStand-upFezPiercing FezOther

    Packets

    Paper/PolyPaper/Poly/Foil/PolyPolyester Foil LaminateOther




    Blisters



     
    Folding Carton



    yesno

     
    Shipper


    yesno




    yesno

    Julian DateBulk Mfg Lot #Customer AssignedOther

    Special Requirements


    N/A1 year2 year3 year4 yearOther


    yesno
    Research and Development



    yesno


    yesno

    Validation: Extended sampling and testing on at least three full-size production batches to verify that the manufacturing process will yield a product that is consistent as related to strength, quality, and uniformity.

    Raw Materials

    CustomerUTL
    Raw Material Testing

    yesno

    yesno

    CustomerUTL

    yesno


    yesno

    yesno
    Stability Testing

    CustomerUTL

    CustomerUTL
    Finished Product Testing

    CustomerUTL





    Authorization *