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Transcript
PDMA 2007 and Beyond
FDA Counterfeit Drug Task Force Public Workshop
Bethesda, MD
February 9, 2006
Eleni Z. Anagnostiadis, R.Ph.
National Association of Boards of Pharmacy
Overview
The presentation will highlight:
‹ NABP and FDA collaborative efforts to
address counterfeit drug issue
‹ State legislative and regulatory activity
Federal Regulation of Wholesale Distributors
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Prescription Drug Marketing Act (PDMA) of
1987, Prescription Drug Amendments (PDA) of
1992
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Banned the Sale of Drug Samples and Drug Coupons
Banned Reimportation (limited exceptions)
Set Requirements for Sample Distribution and Storage
Required State Licensing of Wholesale Distributors
Required Identity Statements for Sales (pedigrees) by
Unauthorized Distributors of Record – stayed until
December 1, 2006
NABP Commission to
Combat Counterfeiting
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FDA Counterfeit Drug Task Force (July 2003)
NABP Task Force on Counterfeit Drugs and
Wholesale Distributors (October 2003)
NABP Model Rules for the Licensure of
Wholesale Distributors (February 2004; Revised in
March 2005)
NABP Task Force on Counterfeit Drugs and
Wholesale Distributors
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Input from Industry Stakeholders, State and
Federal Governmental Agencies
Concerted Effort over the Course of Four Months
Ultimate Goal: Obtaining Uniformity Among
States
New Concepts in the Model Rules
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Pedigree:
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A document (written or electronic) that records each distribution of
the drug from the sale of manufacturer through the acquisition and
sale by any wholesale distributor or repackager
Components: Drug Info, Seller Info, Due Diligence Indicator,
Certification by the Designated Representative
Authorized Distributor of Records vs. Unauthorized Distributor of
Record
NABP Task Force to Develop
Recommendations on Electronic Pedigrees
‹ Primary
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Objective:
Gain consensus from state boards of pharmacy
and other applicable state regulatory agencies
regarding the necessary components for
electronic pedigrees
NABP Task Force to Develop
Recommendations on Electronic Pedigrees
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Recommendations:
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Electronic pedigree records all transactions and distributions of a product
beginning with manufacturer until final sale and distribution to the
pharmacy
Implementation of electronic pedigrees by December 2007
Specified data elements of electronic pedigrees:
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Drug name, amount of drug, dosage form, dosage strength, lot/control
numbers, NDC (optional), name of manufacturer
Dates of transactions, sales invoice numbers
Name, address, telephone, number, e-mail address, VAWD #, state license
number of each entity involved in the chain of custody
Certification that each recipient has authenticated the pedigree and
information included within the pedigree is true
Name and address of each person certifying delivery or receipt of the drug
Pedigree Legislation in States
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Arizona
California
Florida
Indiana
Iowa
Nevada
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New Jersey
New Mexico
Oklahoma
Texas
Virginia
State Licensing of Wholesale Distributors
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State Boards of Pharmacy
Renewal Schedule: One to Two years
Out-of-State Wholesale Distributors
Regulatory Challenges
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Limited Board of Pharmacy/State Agency Resources
Lack of Uniformity of States’ Regulation
Lack of Communication Between Regulators
NABP Verified-Accredited Wholesale
Distributors™ (VAWD™) Program
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Primary Objective
Based upon NABP Model Rules, State and Federal Laws
Launched February 2005
Pathway to Accreditation
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Voluntary
Third party requirements
State Regulation
VAWD Accreditation Process
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Application
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Policy and Procedure Evaluation
Facility Inspection
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Verification of licensure (Facility and Personnel)
Clearinghouse screening (Facility and Personnel)
Tour, staff interviews, documentation review
Periodic reviews and inspections
Award Accreditation
State Legislation - VAWD
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Indiana and Oklahoma specifically mention
VAWD in their wholesale distributor legislation.
Idaho - Although not explicitly stated in their
legislation or regulations, Idaho endorses VAWD
and requires nonresident wholesales who are not
able to obtain an inspection from their state to be
VAWD accredited.
State Legislation - VAWD
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Nebraska has included language in their proposed
legislation to allow for an inspection to be
performed "by the department or a nationally
recognized accreditation program approved by the
board".
Several other states that are working on wholesale
distributor legislation that have expressed an
interest in endorsing VAWD in their upcoming
regulations and legislation.
Conclusion
‹ Counterfeit
drugs – patient safety issue
‹ Progress in states
‹ Federal and state legislation must be
complimentary
‹ Set target date for electronic pedigree
implementation
‹ Uniformity among states
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Eleni Anagnostiadis, RPh
Professional Affairs Director, NABP
[email protected]
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Visit the NABP website at www.nabp.net
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VAWD Accreditation Program and Criteria
NABP Model Rules for the Licensure of Wholesale
Distributors