nabp - distributor compliance tools accreditation …...2019/07/24 · nabp services for...
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NABP - Distributor Compliance ToolsAccreditation and Inspections
Minnesota Board of PharmacyWednesday, July 24, 2019Bill Cover RPh and Gregg Jones RPh
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Drug Supply Chain Security Act –Ten (10) Year Stepped Implementation
Nov 27, 2013 201520YY 20YY
DSCSA Enacted
Traceability Info ExchangeSuspect Product Investigation
Serialization of Products
2018
Verification
Full ImplementationTraceability Electronically –Package level
Nov 27, 2023
Serialized Product only to Dispenser
2019 2020
VAWDUpdates
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NABP Services for Distributors
• Accreditation– Verified Accredited Wholesale Distributor (VAWD)– Criteria is Compliant with Federal Law (DSCSA) after updates
in 2014• Inspections – Assistance to States in providing:
– Uniform DSCSA compliance assessment of wholesale distributors
– Protection of citizens against the ongoing threats to our nation’s drug supply
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NABP Services for Distributors• Accreditations and Inspections available for
States and Facilities: – Wholesale Distributors (including Virtual)– Reverse Distributors– Third Party Logistics Providers (3PLs)– Manufacturers– Repackagers– 503B (Outsourcer Facilities)
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NABP Services for Distributors• Accreditation - VAWD
– Launched 2005, almost 15 years ago, to assist States with combating proliferation of counterfeit drugs.
– Covers prescription drugs and devices– 640+ Accredited Facilities– Located in 46 States and 1 Territory– 24 States recognize VAWD– Time to Accreditation based on preparedness of applicant and
willingness to comply with law and criteria. In general 6 – 9 months but as little as 2 – 3 when prepared.
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Verified-Accredited Wholesale Distributors (VAWD)
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NABP Services for Distributors
• Distributor Inspections– Launched 2019– Based on NABP’s long established expertise and
experience in protecting the nation’s drug supply through its Accreditation of Wholesale Distributors.
– Inspection Focus adopted from VAWD (see comparison)– Snapshot of Wholesaler’s operation at a point in time
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Benefits of Inspection Program
• e-Profile Access– Inspection sharing across states– Aids boards of pharmacy in making informed licensure decisions
• Inspection Services– Uniform inspection program – Distributors
• Determine compliance with DSCSA, State licensing requirements
– Personalized state inspection projects
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Facility e-Profile: License Dashboard
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Facility e-Profile:Overview
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Facility e-Profile: Apply to Programs
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Benefits of VAWD Accreditation for Distributors
• e-Profile creation and maintenance• NABP industry recognition
–Competitive advantage• State recognition of VAWD• VAWD Expertise
– Staff and Surveyor Industry Experts–All Real Industry Work Experience
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NABP Surveyors• There are currently 50+ surveyors located in 24 states• Our staff and surveyor and document reviewers’ backgrounds include:
– Distribution Managers for Major Manufacturers and Wholesale Distributors– Wholesale drug distribution and supply chain integrity experts– Boards of pharmacy and Distributor Regulation Officials - executive officers, board
members, compliance officers, and inspectors (current / retired)– Community pharmacy, hospital pharmacy, sterile compounding, nuclear pharmacy,
home infusion– Law enforcement, regulatory compliance, Federal Bureau of Investigations, Drug
Enforcement Administration, FDA-OCI, Secret Service, and Internal Revenue Service, including undercover work and criminal investigations for these agencies
– Military, Department of Health and Human Services, Medicare fraud, and prescription monitoring programming
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VAWD Accreditation vs. Distributor Inspection ComparisonFocus Item VAWD
AccreditationDistributor Inspection
Application submitted to NABP with fee YES YES
Supplemental documents submitted to NABP YES YES
• Policy and Procedures Submitted YES NO
• Policy and Procedures Reviewed and Remediated YES N/A
• Drug Source list submitted and examined closely YES YES
• Records may be requested from Drug Source list YES Reviewed onsite
• License/Registrations verified YES YES
• Attestation of Compliance with VAWD Criteria YES NO
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VAWD Accreditation vs. Distributor Inspection Comparison
Focus Item VAWD Accreditation
Distributor Inspection
Time from Application to survey/inspection Varies / 4-5 m < 90 days
Onsite Survey / Inspection YES YES
Survey/Inspection scheduled YES NO
Post-Survey / Inspection Remediation YES NO
Yearly information update and document submission YES NO
Survey/inspection documents available to State NO YES
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VAWD Survey and Distributor InspectionOnsite Evaluation Areas
VAWD FOCUS AREA DISTRIBUTOR FOCUS ITEM
LAWS/REGULATIONS LAWS/REGULATIONS
REPORTING AND NOTIFICATIONS REPORTING AND NOTIFICATIONS
FACILITY LICENSES/PERMITS/REGISTRATIONS FACILITY LICENSES/PERMITS/REGISTRATIONS
POLICIES & PROCEDURES AND RECORD RETENTION POLICIES & PROCEDURES AND RECORD RETENTION
PERSONNEL PERSONNEL
AUTHORIZED TRADING PARTNER – SOURCES/VENDORS Authorized Trading Partner-Sources/Vendors
AUTHORIZED TRADING PARTNER – CUSTOMERS Authorized Trading Partner-Customers
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VAWD FOCUS AREA DISTRIBUTOR FOCUS ITEM
IT SECURITY Security
QUALITY PROGRAM X
RECALLS Policies and Procedures and Record Retention
CRISIS OPERATIONS Facility
COMMON CARRIER (NA for Virtuals) X
FACILITY FACILITY
VAWD Survey and Distributor InspectionOnsite Evaluation Areas
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VAWD FOCUS AREA DISTRIBUTOR FOCUS ITEM
FACILITY SECURITY (NA for Virtuals) Security
IN-BOUND PRODUCT AND RECEIVING (NA for Virtuals) In-Bound Product and Receiving
PRODUCT TRACING Product Tracing/Product Integrity
TEMPERATURE (NA for Virtuals) Temperature and Humidity
HUMIDITY (NA for Virtuals)
CONTROLLED SUBSTANCES (NA for Virtuals) Controlled Substances*
QUARANTINE (NA for Virtuals) Quarantine
* Finalizing Controlled Drug Items in next Version of Inspection Report – August 2019
VAWD Survey and Distributor InspectionOnsite Evaluation Areas
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VAWD FOCUS AREA DISTRIBUTOR FOCUS ITEM
INVENTORY (NA for Virtuals) Inventory
ORDER FULFILLMENT AND SHIPPING (NA for Virtuals)
Order Fulfillment and Shipping
VAWD Survey and Distributor InspectionOnsite Evaluation Areas
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Verified-Accredited Wholesale Distributors (VAWD) - Findings
Drug Supply - Serious Findings• Purchasing from unlicensed wholesalers• Purchasing from wholesalers that failed to report to
FDA• Purchasing products with incomplete Transactions
Histories • Purchasing products with False Transaction Histories
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Verified-Accredited Wholesale Distributors (VAWD) -Findings
• Issues involving Destruction of products• Three way tie:
– Visitor Log of CS cage; – CRT limits; – Cold chain
• Three way tie:– License issues; – Vendor lists; – Personnel issues
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Verified-Accredited Wholesale Distributors (VAWD) - Findings
• Crisis plan• Three way tie:
– Facility security– Temperature mapping rationale– Issues with returns
• Two way tie:– No HVAC/No AC– No PnPs for DSCSA
• Three way tie:– Product labeling in trash– Quality program– Training in general
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Monitor and Record Temperature (Humidity)
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Backup Power for Security and Air Conditioning Systems
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Shipping
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Questions?