When a medicinal product has obtained an initial marketing authorisation in accordance with Article L. 5121-8, any variation or extension, as provided for in Chapter I of Commission Regulation (EC) No 1234/2008 of 28 November 2008 concerning the examination of variations to the terms of a marketing authorisation for medicinal products for human use and veterinary medicinal products, is also subject to authorisation.
All these authorisations are considered to be part of the same global authorisation, in particular for the purposes of applying b of 5° of Article L. 5121-1 and 1°, 2° and 3° of Article R. 5121-28.
Variations and extensions to a marketing authorisation are submitted and examined under the conditions laid down by the regulation referred to in the first paragraph, with the exception of a change of marketing authorisation holder, which is authorised under the conditions laid down in Article R. 5121-46.