MARKET TRENDS Serialization and Track & Trace back-on again - January 2013

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MARKET TRENDS Serialization and Track & Trace back-on again - January 2013
MARKET TRENDS
Serialization and Track & Trace
back-on again

January 2013
MARKET TRENDS Serialization and Track & Trace back-on again - January 2013
of counterfeit drug products in          cifically states that “The adop-
                                                                          South East Asia.                         tion and common use of relia-
                                                                                                                   ble track and trace technology
                                                                                                                   is feasible in 2007, and would
                                                                                                                   help secure the integrity of the
                                                                          In February 2004, the FDA is-            drug supply chain by providing
                                      cost the industry approxima-        sued a report on ‘Combating              an accurate drug ‘pedigree’,
    Preface -                         tely $ 2 billion in the U.S. alo-   Counterfeit Drugs’, which                which is a secure record docu-
    The FDA Guidelines                ne and an additional $ 7 billion    has triggered significant inte-          menting the drug was manu-
                                      has been lost to drug re-impor-     rest and activity in the mass            factured and distributed under
   According to the US Food           tation in 2003. The number of       serialization of pharmaceuti-            safe and secure conditions.”
   and Drug Administration            FDA counterfeit investigations      cal products and, in particu-
   (FDA) and the different re-        has quadrupled since 2000.          lar, Radio-Frequency Identi-             Authentication is the ability
   ports and consultants to WHO,                                          fication Technology (RFID).              to ensure a particular product
   in 2010 counterfeit drugs were     PSI (Pharmaceutical Security                                                 is not counterfeit or adulte-
   estimated to generate about        Institute) data, show that the      In that report the FDA re-               rated as well as to determine
   $ 75 billion. As a worldwide       total number of pharmaceuti-        commended a combination of               the current status of that pro-
   average, more than 10% of          cal crime incidents in 2002 was     track and trace and product              duct, including whether it has
   the drug supply is counterfeit     196, rising to 2003 in 2009. In     authentication     technology            expired, been recalled or pre-
   and in some countries more         2010, Aline Plancon, Interpol’s     to secure the pharmaceutical             viously discarded at any pri-
   than half the drug supply is       Head of the Medical Product         supply chain. The report spe-            or point in the supply chain.
   suspect. Moreover, 50% of          Counterfeiting and Pharma-
   the drugs sold on the internet     ceutical Crimes (MPCPC) of
   are believed to be falsified.      WHO’s International Medical
                                      Products Anticounterfeiting Ta-
   Industry analysts have estima-     skforce (IMPACT), confirmed
   ted that counterfeit drugs have    the seizure of 20 million units

ASEPTIC PROCESSING & FREEZE DRYING SOLUTIONS                                                                p. 1
For a track, trace and              The serialization of phar-         recommend the use of Global                 The GTIN can be used on all layers
   authentication program to           maceuticals is indeed a topi-      Trade Item Number (GTIN) for                of the packaging from the prima-
   be truly successful the solution    cal and pressing theme on the      the identification of pharmaceu-            ry pack, e.g. blister through to the
                                                                                                                      pallet.
   must offer visibility and protec-   pharmaceutical market. Phar-       tical products and Serial Ship-
   tion from the point of manufac-     maceutical manufacturers are       ping Container Code (SSCC)                  Pharmacies and hospitals are in-
   ture to sale to the consumer.       seeking simpler, more effective,   for logistic cases identification.          creasingly wanting barcodes on
   The ideal solution will not only    and affordable ways to combat                                                  the unit dose and this will become
   ensure the identity, strength       counterfeit drugs, protect pa-     GS1 is a neutral, not-for-profit            more common.
   and purity of the drug but also     tient safety, and comply with      organisation dedicated to the
   the quality and efficacy.           the new and emerging regula-       design and implementation                   Global manufacturers want to use
                                                                                                                      the same method of identification
                                       tions. Increasing security me-     of global standards, techno-
                                                                                                                      (GTIN) across all packaging layers
   Comprehensive track, trace and      asures helps protect patients,     logies and solutions to im-                 and it will be less confusing for he-
   authentication solutions will ul-   intellectual property, company     prove the efficiency of supply              alth care providers.
   timately reduce patient risk by     reputation and revenues.           by adding useful information.
   giving manufacturers, wholesa-                                         The GS1 Traceability Standard
   lers, carriers, pharmacies and                                         defines business rules and minu-
   regulators a systematic method                                         mum requirements to be follo-
   to detect and control counter-                                         wed when designing and imple-
   feiting, drug diversions and                                           menting a traceability system.
   product mishandling.
                                        Preface – GS1
   The solutions will ultimately
   ensure the right product, in
   the right place, at the right       Appropriate international com-
   time, in the right condition.       mission (GS1) has defined stan-
                                       dard codifications common for
                                       Mass Serialization; standards

ASEPTIC PROCESSING & FREEZE DRYING SOLUTIONS                                                                   p. 2
According to EFPIA, after the
    Preface –                            positive results of the pilot in     Directive
    The EFPIA Guidelines                 Sweden (Sept. 2009 – Feb.
                                         2010), a 2D matrix barco-           According to the latest EU Di-
   European Federation of Phar-          de (called «data matrix ECC         rectives (2001/83/CE, 2010/84/
   maceutical Industries and As-         200»), can be implemented in        EU and 2011/62/EU), Track &                                   Hospital

   sociations (EFPIA) welcomes           a step-by-step approach (from       Trace is to be adopted throu-
   the European Commission pro-          a batch level to a product le-      ghout the whole supply chain
   posal on falsified medicinal pro-     vel), without requiring a radical   of pharmaceutical products.
   ducts as an important starting        change in European coding sy-
   point for measures to tackle the      stem, harmonizing it instead.                                                                                Retailer

   problem of counterfeit medicins                                                                                      Wholesale

                                         EFPIA’s recommendations for
   in the legitimate supply chain.                                                                     Production
                                         coding of pharmaceutical pro-
                                         ducts in Europe:
   EFPIA strongly recommends a                                                                                                                Pharmacy

                                           Data matrix – Coding
   common coding system across                                                             Raw &
                                           proposal                                        packaging
   Europe, with RFID as a possi-                                                           material
                                           derived from GS1 standards                                                 to be implemented within 36
   ble long term solution, but its
                                           Manufacturer Product Code                                                  months after Delegated Act. A
   technology together with its
                                           (GTIN or NTIN): 14 digits                                                  linear bar code is currently used
   high costs make it difficult for it                                       2 January 2013 is the deadline
                                           Unique Serial Number                                                       in Belgium, Greece and Italy as
   to be implemented.                                                        for member States to bring into
                                           (randomized): up to 20                                                     a carrier for the serialization
                                                                             force the laws, regulations and          number of medicinal products:
                                           alpha-numeric characters
                                                                             administrative provisions ne-            here the Directive foresees a 3
                                           Expiry date: 6 digits
                                                                             cessary to comply with these             years more for the implemen-
                                           Batch Number: up to 20
                                                                             Directives. Safety Features are          tation of the safety features.
                                           alpha-numeric character

                                          The                       UE

ASEPTIC PROCESSING & FREEZE DRYING SOLUTIONS                                                                   p. 3
stem accessed by all relevant               The code is printed on the
    The technology                                                                           parties in the supply to ve-                product     and  subsequently
                                                                                             rify the integrated serial num-             read by vision and control sy-
           TYPE                 ADVANTAGES                 DISADVANTAGES                     ber. Data Matrix Code is a 2D               stems, which are produced
       LINEAR BARCODES
                                                                                             barcode     symbology      provi-           by numerous worldwide spe-
                           • Low cost                    • Large
                                                                                             ding high data density with                 cialists, such as Sea Vision,
                           • Readable by most             codes to apply to packa ging
                            scanners in the supply       • Not robust to partial             error correction (ECC200).                  Systech, PCE and so forth.
                            chain today                   damage
                                                         • Must be read with line of
                                                          sight
                                                                                                                                        Barcode             2D Code
        2D BARCODES
                           • Low cost                    • Must be read with line of sight
                                                                                                    Information capacity         About 20 characters   About 4,000 characters
                           • Small                       • More complex and costly rea
                                                           ders than Linear Barcodes                Kind of information                 Barcode
                           • Robust to partial damage
                                                                                                  Error correction function               X

          RFID TAGS                                                                                      Readability                Fixed position           360°
                           • Can be read without a       • High unit cost
                             line of sight
                                                         • Complex technology                   Cycle time to apply (by laser)          Seconds           Miliseconds
                                                         • Requires complex and costly
                                                           reader technology

   Currently, two distinct techno-              Most of Pharmaceutical com-
   logies have been developed                   panies identify Mass Seria-
   to face this problem: Mass                   lization with Data Matrix
   Serialization and ePedigree,                 ECC200 codes (2D) on unit
   which recall a simpler formu-                pack level as the best, chea-
   la called “Track and Trace”.                 pest and easiest method, to-
                                                gether with a database sy-                             Contains Data                                 Contains Data

ASEPTIC PROCESSING & FREEZE DRYING SOLUTIONS                                                                                     p. 4
According to the FDA Prescrip                    The ePedigree is a record in               Generally speaking, measures               -Installation of a centrali-
   tion Drug Marketing Act (2004)                   electronic form containing in-             have already been taken to                 zed system to manage the
   and the Florida Drug and Co-                     formation regarding each tran-             activate traceability solutions,           2D codes, capable of collec-
   smetic Act (2005), any given                     saction resulting in a change of           called Track & Trace, to com-              ting and managing data from
   prescription drug requires an                    ownership of the given prescrip-           plete and check the process of             all the production lines and
   electronic pedigree to accom-                    tion drug, including returns,              the pharmaceutical production              making them usable for who-
   pany/validate drug distribu-                     thus to show the lineage of the            chain, and specifically:                   lesalers and/or pharmaceutical
   tions.                                           drug from the manufacturer                                                            labs.
                                                    through the current point in the           -Installation of a 2D code
                                                    drug distribution channel (who-            marking system (DataMatri-                 -Installation of a 2D code
                                                    lesaler, re-packager, pharmacy).           xECC200) in every packaging                verification system for all
                                                                                               line. This system must be ca-              packages that certifies the au-
                                                                                               pable of operating in real time.           thenticity of the package. This
     DRUG MANUFACTURER   WHOLESALE DISTRIBUTION   RETAIL DISTRIBUTION         RETAIL                                                      system will be installed at the
                                CENTER                  CENTER          (PHARMACY, HOSPITAL)
                                                                                               -Installation of a Vision Sy-              wholesalers’ facility and/or at
       ePEDIGREE DRUG       ePEDIGREE DRUG          ePEDIGREE DRUG        ePEDIGREE DRUG       stem in all packaging lines to             the pharmaceutical labs.
       MANUFACTURER         MANUFACTURER            MANUFACTURER          MANUFACTURER
                                                                                               verify, in real time, whether the
                              + WHOLESALE
                          DISTRIBUTION CENTER
                                                      + WHOLESALE
                                                  DISTRIBUTION CENTER
                                                                            + WHOLESALE
                                                                        DISTRIBUTION CENTER
                                                                                               2D code is correct or not.

                                                        + RETAIL
                                                  DISTRIBUTION CENTER
                                                                              + RETAIL
                                                                        DISTRIBUTION CENTER    -Installation of a softwa-
                                                                                               re operating system, in all
                                                                              + RETAIL
                                                                                               packaging lines, capable of pro-
                                                                                               curing, managing and storing
                                                                                               the 2D codes that identify the
                                                                                               packages (cartons).

ASEPTIC PROCESSING & FREEZE DRYING SOLUTIONS                                                                                       p. 5
As matter of fact, the ongoing              - a harmonized coding and seria-
    World market:                          EFPIA’s initiative to set up an effec-
                                           tive safeguard system against the
                                                                                       lization system across Europe for
                                                                                       greater patient safety;
    status quo & future                    entry of counterfeit medicines in the       - a stakeholder governed point-of-
                                           legal supply chain, clearly demon-          dispense system for cost-effective-
    scenario                               strate that the European industry is        ness;
                                           calling for:                                 a 2D Matrix code on international
                                                                                       standard as unique identifier for
   In many countries around the                                                        interoperability.
   world, governments are working
   to approve specific local laws on
   this aspect. Despite a unique so-
   lution effective world-wide is not
   feasable yet, pharmaceutical indu-
   stries, effected by huge economic
   losses caused by the counterfeit                                                             SWEDEN
   drugs’ market, keep looking for
   measures easy to be implemented,
   with a low economic impact. The                                                                                                  CHINA
   most critical topics are the disagre-               CALIFORNIA                            FRANCE    ITALY
   ement on the system to be adop-                        (US)
   ted and who is going to pay for it.                                                                                                      SOUTH
                                                                                                           TURKEY                           KOREA
   For instance, the coding solu-
   tion provides an efficient and
                                                                                                                      INDIA
   cost effective method which me-
   ets also the EC’s requirements                                                   BRAZIL
   for pack identification put forth
   in the recently adopted Falsified
   Medicines Directive (July 2011).
                                                                    ARGENTINA

ASEPTIC PROCESSING & FREEZE DRYING SOLUTIONS                                                                                 p. 6
On March 26, 2010 FDA pro-                                                   • October 2010: details on
    Focus on:                         vided the final guidance for        Focus on:                                how model will work; serializa-
    California (USA)                  product serialization, in           Brazil                                   tion scheduled to begin in May
                                      which implementation timeli-                                                 2011, with all serialized by the
                                      nes together with data carriers                                              end of 2011.
                                      where not defined and varia-                                                 • March 2011: Legislation on
                                      ble data (batch number, expiry                                               hold pending task force review.
                                      date) were not officially reque-                                             • December 2011: Health
                                      sted.                                                                        authorities (ANVISA) confirms
                                                                                                                   track & trace model with ANVI-
                                      In June 2012, US lawmakers                                                   SA run central database + Bra-
                                      failed to agree on a national                                                zilian Mint labels removal in fa-
                                      plan for tracking medication.                                                vor of 2D data matrix applied to
   California has passed its own                                         • January 2009: Brazilian law
                                      FDA is still working on defining                                             pack (incl. product code, batch
   law and its ePedigree, set-                                           calls for serialization with 2D
                                      the final system architecture                                                identifier, expiry date and serial
   ting the standard for the Uni-                                        Matrix code on security labels
                                      before setting a date for com-                                               number).
   ted States. Implementation will                                       (“Drug production and con-
                                      pliance.
   be staggered, with completion                                         sumption traceability through
   mandated by the end of 2015.                                          electronic capture, storage and
                                                                                                                   Back
   Requirements:                                                         transmission of data”).
                                      Back
   • For prescription drug only                                          • November 2009: Resolu-
   • SGTIN (Serialized Global Tra-                                       tion RDC No 59 gave further
   de Item Number) at item level                                         guidance on the requirements.
   for prescription products                                             • January 2010: Brazilian Mint
   • Aggregated serialization data                                       issued serialized self-adhesive
   (unique code from single item                                         labels to be used in tamper evi-
   through pallet)                                                       dent mode + track and trace
   • Transaction ePedigree                                               database to be set up.

ASEPTIC PROCESSING & FREEZE DRYING SOLUTIONS                                                                p. 7
cancer drugs, anti-HIV medici-                                                 Drug Code) + serial number on
    Focus on:                         nes, etc) according to Provision    Focus on:                                  primary and secondary packa-
    Argentina                         3683/2011, Annex 1.                 China                                      ges up to the pallet with hie-
                                      • Implementation schedule                                                      rarchy information. For the mo-
                                      (Provision 3683/2011)                                                          ment, applies for drugs listed
                                      Stage 1: from laboratory to                                                    in the National Essential Drug
                                      drugstore and from drugstore                                                   List (NEDL). Other products ex-
                                      to pharmacy: within December,                                                  pected for 2013.
                                      2011
                                      Stage 2: validation system (MA
                                      holder > distributor > drugsto-                                                Back
                                      re > pharmacy/welfare establi-
   • April 2011: Resolution           shment > patient): within June,     • 2008: China’s SFDA (State
   435/2011 designed to tackle        2011                               Food and Drug Administration)
   the issues of counterfeit, sto-                                       calls for serialization on indivi-
   len, unlicensed and otherwise                                         dual saleable pharmaceutical
   illegal medicines by using 2D      Back                               products by December 2011
   datamatrix code on secondary                                          (for drugs sold in the Chinese
   medicine packaging, including                                         market as well as the ones ma-
   GTIN. Recommendation: indi-                                           nufactured in China).
   cation of expiration date and
   lot number; application of the                                        • 2010: “Data electronic su-
   code also to pallets, bundles                                         pervision code“ to be printed
   and cases.Interim measure:                                            on the smallest sales package
   linear (GS1-128) barcode or                                           by March 2011.
   RFID carrier.Introductory pha-
   se for critical products (e.g.                                        • 2011: China NDC (National

ASEPTIC PROCESSING & FREEZE DRYING SOLUTIONS                                                                  p. 8
January 2010: starts to be                                                     date and serial number.
    Focus on:                          mandatory the use of phar-           Focus on:
    South Korea                        maceuticals bar code labels          India                                     July 2012: 1D or 2D barcodes
                                       (“Pharmaceutical Affairs Act                                                   for secondary packaging.
                                       Enforcement Rule”).
                                       2012: expiration date and lot                                                  January 2013 for primary
                                       number mandatory in bar co-                                                    packaging: 2D (GS 1 Data ma-
                                       des for traceability of specified                                              trix) barcodes on medicines at
                                       drugs.                                                                         strip/vial/bottle level.
                                       2013: expiration date and lot
                                       number mandatory in bar co-
                                       des for traceability prescription                                              Back
   July 2000: introduction of bar      drugs.                              • January 2011: India’s Di-
   code label regulation.              RFID: The Korean Pharmaceu-         rectorate General of Foreign
   Following, the GTIN in the stan-    tical Information Service (KPIS)    Trade (DGFT) issued Public
   dard KDC (Korea Drug Code)          monitors pharma corporations        Notice No. 21, mandating uni-
   was changed to symbol formats       applying RFID (pilot stage of       que numbers and barcodes for
   such as EAN-13, GS1-128 and         few companies). The Kore-           tertiary, secondary and primary
   GS1 DataMatrix by the Ministry      an government plans to push         packaging for all pharmaceuti-
   of Health.                          RFID usage to 50% levels in         cals exported from the country.
   January 2008: according to          the pharmaceutical industry by
   the drug standardisation            2015.                               • Three-phase implementation:
   policy, the standard code is to                                         October 2011: 1D bar codes re-
   be assigned to every pharma-                                            quired for all tertiary packaging
   ceutical product and barcode        Back                                (shipper/carton), encoding uni-
   labelling preparation is required                                       que product identification code
   at manufacturer/importer level.                                         (GTIN), batch number, expiry

ASEPTIC PROCESSING & FREEZE DRYING SOLUTIONS                                                                   p. 9
• Serial or random codifica-
    Focus on:                         tion on single carton which re-    Focus on:
    Turkey                            call a certain group of codes      France
                                      matching with the single pro-
                                      duction batch.

                                      2013: web-based program
                                      that allows patients to scan a
                                      drug package’s data matrix to
                                      ensure its validity.

                                      Back
   Regulatory implementation                                            AFSSAPS regulation (2011):
   January 2010:
                                                                        • All pharmaceutical products
   • with the ITS Project (the Tur-                                     distributed in France must have
   kish «Pharmaceuticals Track                                          a 2D Data matrix barcode, in-
   and Trace System»), every drug                                       corporating the CIP13 code
   unit in Turkey is being tracked                                      (product number), batch num-
   and recorded with the Track                                          ber and expiration date at item
   and Trace method. Using a                                            level.
   2D Data matrix code instead of
   formerly used barcode, all the
   drugs in the market are tracked                                      Back
   on the basis of packages using
   keys of GS1 standards.

ASEPTIC PROCESSING & FREEZE DRYING SOLUTIONS                                                              p. 10
verified before being dispen-                                                 • 2007 IMPACT ITALIA:
    Focus on:                         sed, supplied by 14 leading         Focus on:                                 Italian task-force that involves
    Sweden                            pharmaceutical companies.           Italy                                     the main institutions working to
                                                                                                                    combat counterfeit medicines.
                                      The pilot demostrated how a
                                      cost-effective serialization and                                              • 2012: UDI (Unique Device
                                      coding system can prevent                                                     Identification) regulation under
                                      counterfeit medicines from rea-                                               development.
                                      ching patients.

                                                                                                                    Back
                                      Back

   2010: EFPIA successfully pi-                                          • 2001: application of the Ita-
   loted its product verification                                        lian bollino (AIC code – 9 di-
   system, started in September                                          gits), supplied by an authorized
   2009, in cooperation with the                                         printer designated by the
   Swedish pharmaceutical manu-                                          Italian government.
   facturers’ association.                                               Unique sequential code.
                                                                         Product name, ID #, Holder
   Project’s features:                                                   name.
   - application of a 2D Data
   matrix code;                                                          • 2005: Italian MoH established
   - to be run for approximately 4                                       a central database to track
   months;                                                               pharmaceutical products.
   - 25 pharmacies involved;
   95.000 packs scanned and

ASEPTIC PROCESSING & FREEZE DRYING SOLUTIONS                                                                p. 11
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