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IDENTIFICATION & AUTHENTICATION OF MEDICINES IN EUROPE: “OPPORTUNITIES AND CHALLENGES TO COMPLY WITH EU
LEGISLATION”
CHINA/EU PHARMACEUTICAL FORUM 2018 16TH APRIL 2018
BASEL, SWITZERLAND
Andreas Walter (General Manager)
AGENDA
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FMD/DR
EMVO/EMVS
Status Implementation
Achievements & Challenges
4
16th April 2018
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FMD LEGISLATION AND DELEGATED ACT
July 2011 Publication of FMD
2011
9 Feb 2019 Mandatory verification of all packs in scope
9 Feb 2016 Publication of
Delegated Regulation
36 Mon.
2019 2016 2017 2018
• Connect approx. 2,291 companies to the EMVS • Establish National Systems in 32 countries • Connect many thousand Pharmacies and Wholesalers • Serialise all affected pharmaceutical packs (10.5 bn)
THE DELEGATED REGULATION MANDATES RULES FOR ℞ MEDICINES VERIFICATION
5
Serialization by manufacturer
Risk based verification by Wholesalers
Verification and check-out at point of dispense
Safety features: Code (‘unique identifier’)
+
Tamper evidence
System set up and governed by manufacturers and marketing auth. holders in consultation with other stakeholders. Oversight by competent authorities
Product #: 09876543210982 S/N: 12345AZRQF1234567890 Batch: A1C2E3G4I5 Expiry: 140531
EFPIA-CPIA WORKSHOP
AGENDA
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FMD/DR
EMVO/EMVS
Status Implementation
Achievements & Challenges
SYSTEM LANDSCAPE
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OBP OBP
OBP: On-boarding Partner NMVS: National Medicines Verification System NMVO: National Medicines Verification Organisation
NMVO
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ORGANISATIONAL CHART EMVO Board of Directors
President: Hugh Pullen (EFPIA) Vice-President: Sonia Ruiz Morán (PGEU) Treasurer: Richard Freudenberg (EAEPC)
Monika Derecque-Pois (GIRP) Adrian van den Hoven (Medicines for Europe)
Tel.Helpdesk+3726119044
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16th April 2018
GeneralManagementAndreasWalter
Commercial&Partner
ManagementTobiasBeer
FannyTrenteseaux
InternIntern
EmmanouelaNikolakopoulou
MarkusGerigk
(externalconsultant)
JannikJäger(intern)
Intern
Opera4onsKoenVanGompel
AndréGeraldes
WillemTheunissen(externalconsultant)
JoãoPacheco
PaulMills
(externalconsultant)
OfficeManagementMarisaJimenez
Sanchez
Intern
QualityAssuranceStephan
Theunissen
AnneSeAragones
FIRSYT LINE SUPPORT: EMVO SERVICE CENTRE (Tallinn)
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Tel.Helpdesk+3726119044
Agenda
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FMD/DR
EMVO/EMVS
StatusImplementa\on
Achievements&Challenges
STAKEHOLDER GOVERNANCE: NMVO
13
15
14
2 20
31
1 18
10
16
24
6
27
13
28
4
3
26
19
17
8
12
30
9
32
25 29
22
7
11
5
23
21
NMVO Incorporated (all stakeholders)
NMVO Incorporated (stakeholder missing)
No NMVO
Non EU Countries
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BLUEPRINT TENDENCY
14
15
14
2 20
31
1 18
10
16
24
6
27
13
28
4
3
26
19
17
8
12
30
9
32
25 29
22
7
11
5
23
21
Blueprint candidate
Small Country Blueprint
Blueprint open
Standalone system
Non EU Countries
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DR-COMPLIANCE 02/2019: VERY LATE COUNTRIES
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Governance Technical
Align MoU Stat NMVO PM ProvC ProvS Contr B R
= Incomplete Stakeholder Participation
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13 Hungary
18 Liechtenstein
21 Malta
24 Poland
Greece and Italy not heading for 2019
25 Portugal
Align = Stakeholder Alignment MoU = MoU signed Stat = NMVO Statutes signed NMVO = NMVO implemented
PM = Project Manager assigned ProvC = Provider Contacts established ProvS = Provider selected Contr = Provider Contract signed
31 Switzerland
32 U. Kingdom
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MAH ON-BOARDING
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1 18
10
16
24
6
27
13
28
4
3
26
19
17
8
12
30
9
32
25 29
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7
11
5
23
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Above Target
Below Target
Actual Target 100%
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SIGNED PARTICIPATION AGREEMENT BY OBPS PER COUNTRY
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Additional PA signed by OBPs in non-european countries: 2 OBPs 2 OBPs
0 100 200 300 400 500 600
Austria Belgium Bulgaria Croatia Cyprus CZ Denmark Estonia Finland France Germany Greece Hungary Iceland Ireland Italy Latvia Liechtenstein Lithuania Luxembourg Malta Netherlands Norway Poland Portugal Romania Slovakia Slovenia Spain Sweden Switzerland UK
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1 OBP
15
15 1
23
19
6
1 3
13
10 1
15
STATUS ON-BOARDING
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20 47
69 92
113
151 174
211
265
478 498
545
9 27 54
64 84 98
128 151
178
224 239
279
4 10 10 13
0
100
200
300
400
500
600
Earlier May-17 Jun-17 Jul-17 Aug-17 Sep-17 Oct-17 Nov-17 Dec-17 Janv-18 Feb-18 Mar-18
Nu
mb
er
Signed Participation Agreements Legitimacy check passed
OBPs connected to Hub V2 (PRD)
Target figure: 2291
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NMVS READINESS
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14
2 20
31
1 18
10
16
24
6
27
13
28
4
3
26
19
17
8
12
30
9
32
25 29
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7
11
5
23
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Early Adopter
Main Stream
Late Follower
Not started
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END USER READINESS
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2 20
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1 18
10
16
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6
27
13
28
4
3
26
19
17
8
12
30
9
32
25 29
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7
11
5
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Above Target
Below Target
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AGENDA
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FMD/DR
EMVO/EMVS
Status Implementation
Achievements & Challenges
ü EMVO incorporated & EU Hub upgraded 2.0 (but limited resources)
ü 29 NMVOs (>75%) founded, ü 30 countries choose Blueprint ü 656 OBPs in Portal, 545 PA signed,
13 in PRD. Scheduled: 1.900 end of Q4 2017
ü 21 CA signed ü Only Germany connected to EU
Hub (PRD)
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CHALLENGES & ACHIEVEMENTS ON EUROPEAN LEVEL
Ø Set-up EMVO & EU Hub Ø NMVO incorporated & NMVS
selected (provider contract signed) Ø Connect approx. 2,291 On-boarding
Partners (OBPs) to the EU Hub
Ø Connect 27 (+5) NMVS to the to the
EU Hub: Ø Cooperation Agreement (CA)
signed Ø NMVS assessments & technical
on-boarding Ø On-boarding/certification of
connection providers
Challenges Achievements
CHALLENGES & ACHIEVEMENTS ON NATIONAL LEVEL: HOSPITALS
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Limited knowledge of FMD in
health (and social) care
Limited involvement of hospital
expertise in NMVOs
Limited cross-information between MS on issues and
solutions
Limited information
on on-boarding • Collecting of case
studies/ national pilots; • Gathering a consensus
on issues and solutions
Defining a strategy to get the involvement of hospital expertise in NMVOs
Defining a communication strategy (including NCAs!) to increase awareness in member states at all levels
Updating HOPE/EAHP mapping exercise with current situation including: • Governance indicators • Awareness indicators • Technical indicators
NCAs/NMVOs TO ACT
ü Slow progress and low feedback(despite EMVO circular)
ü No progress or feedback (despite
EMVO circular)
ü Constructive dialogue NCAs (WG II)/EMVO in order to harmonise access to data/reporting throughout Europe. Common position possible.
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CHALLENGES & ACHIEVEMENTS ON NATIONAL LEVEL: INVOLVEMENT NCAs
Ø NCAs in several countries not involved reg. operations (awareness raising of end users and national manufacturers/MAHs)
Ø Nearly no support of NCAs reg. hospital integration in almost all countries (ownership, budgeting, awareness, etc.)
Ø Access to data by NCAs: Extended reporting requested
Challenges Achievements
NCAs/EMVO/NMVOs TO ACT
CONCLUSION: EUROPE CAN BE READY, IF…..
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There is strong involvement, commitment and cooperation of all supply chain stakeholders on European and national level: It is a European, not only a national project!
NCAs play their role: Raising awareness, supporting the implementation process, hospitals, coding requirements, voluntary use of the safety features, regulatory pathway to implement the Safety Features, art work requirements, etc. Without support, the timely implementation could be at risk!
COM supports the implementation process and clarifies the legislation (awareness, Q&A, etc.)
BACKUP
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o EMVO Website • Process Description for Pharmaceutical
Companies & OBP Portal https://emvo-medicines.eu/pharmaceutical-companies/
• Knowledge Database & Documents Overview https://emvo-medicines.eu/knowledge-database/
o Documentation • On-boarding Checklist
https://youtu.be/SvmHYSEOBdI
• Presentation, Guideline, Master Data Guide https://emvo-medicines.eu/knowledge-database/