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Appointing an MRH

Selecting and appointing the right Mexico Registration Holder is a critical strategic decision. The MRH will hold your registrations and manage all regulatory interactions with COFEPRIS.

The MRH must:

  • Be a legally constituted entity in Mexico (corporation, limited liability company, or individual with legal capacity to act commercially).
  • Hold a valid Aviso de funcionamiento (notice of operation) from COFEPRIS.
  • Designate a Responsable Sanitario (Health Manager) — a qualified professional registered with COFEPRIS.
  • Demonstrate the ability to operate a technovigilance unit (personnel, procedures, systems).

Power of attorney (PoA)

The foreign manufacturer must provide the MRH with a poder notarial (notarised power of attorney):

  • Executed before a Mexican notary public or apostilled if executed abroad.
  • Granting the MRH authority to submit applications, hold registrations, manage renewals, and communicate with COFEPRIS on the manufacturer's behalf.
  • Specifying the scope of authority (general regulatory representation or limited to specific devices/functions).

The PoA is a required document in every COFEPRIS submission.

Due diligence checklist

Before appointing an MRH, verify:

  • Legal standing in Mexico — company registration (RFC / SAT records).
  • Valid Aviso de funcionamiento from COFEPRIS.
  • Nominated Responsable Sanitario with COFEPRIS credentials.
  • Established technovigilance procedures and personnel.
  • Experience with COFEPRIS registration and the relevant device category.
  • References from existing manufacturing clients.
  • Financial stability and business continuity.
  • Clear contractual terms covering registration transfer rights.

Independent firm vs distributor model

ModelAdvantagesDisadvantages
Independent regulatory firm as MRHRegulatory/commercial independence; flexibility to change distributorsAdded cost layer; firm needs adequate technical knowledge of your device
Commercial distributor as MRHSingle point of contact; distributor already motivated to support registrationChanging distributors requires registration transfer — can take months; risk of disruption

Most regulatory consultants recommend the independent firm model to protect long-term regulatory continuity.

Contractual protections

Your MRH agreement should include:

  • Provisions for registration transfer — specifying timelines, cooperation obligations, and any exit fees.
  • Intellectual property and confidentiality protections for your technical dossier.
  • Clear definition of technovigilance responsibilities.
  • Service level commitments for response to adverse events and COFEPRIS queries.